Health Assessment V1 EXAM

BSN 246 HESI

Health Assessment V1 EXAM Nightingale College Actual Qs & Verified Ans to Pass the Exam

This Hesi test contains:

 passing score Guarantee  Format Set of Multiple-choice  questions with incorporating Next Generation NCLEX (NGN) and Case scenarios questions  Expert-Verified Explanations & Solutions

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### Scenario 1:

Question: The nurse is assessing a client who has a history of mitral

stenosis. How should the nurse assess this client with a stethoscope to listen for this condition?

• Place the bell on the 2nd intercostal space, left sternal border.
• Place the bell on the 5th intercostal space, left midclavicular line.
• Use the diaphragm at the right sternal border.
• Assess the over the abdomen.

Correct answer: B) Place the bell on the 5th intercostal space, left

midclavicular line.

Expert Rationale: Mitral stenosis is best evaluated by using the bell of the

stethoscope at the 5th intercostal space at the left midclavicular line, where characteristic heart sounds (like a murmur) can be more easily detected.

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### Scenario 2:

Question: The nurse is assessing a client who has a history of aortic

regurgitation. Where should the nurse place the stethoscope diaphragm to listen for this condition?

• 2nd intercostal space along the left sternal border.
• 2nd intercostal space along the right sternal border.
• 5th intercostal space, left midclavicular line.
• Apex of the heart.
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Correct answer: B) 2nd intercostal space along the right sternal border.

Expert Rationale: Aortic regurgitation is best heard at the 2nd intercostal

space along the right sternal border, where the aortic valve area is located, allowing for optimal auscultation of associated heart sounds.

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### Scenario 3:

Question: The client is experiencing severe pruritus and small papules

and burrows on areas over one hand and the inner thighs. Which assessment data best explains the condition the client is experiencing?

• The client has a family history of eczema.
• The client works in a daycare setting that has had a scabies outbreak.
• The client travels frequently to areas with high insect populations.
• The client reports a recent rash after using a new soap.

Correct answer: B) The client works in a daycare setting that has had a

scabies outbreak.

Expert Rationale: Scabies is highly contagious and often spreads in

environments where close physical contact occurs, such as daycare settings.The reported outbreak provides context for the client's symptoms.

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### Scenario 4:

Question: A client is reporting chest pain. Which statement made by the

client helps the nurse to understand that this client has a naturalistic belief in the cause of illness?

• "I must have done something wrong to deserve this."
• "My life is really out of balance."
• "I can’t believe this is happening to me."
• "This has to be a punishment from above."

Correct answer: B) "My life is really out of balance."

Expert Rationale: A naturalistic belief often attributes health problems to an

imbalance in natural forces or personal lifestyle choices. The client's statement re2lects an understanding that their current state is linked to life stresses or imbalances rather than a punitive or supernatural cause.

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### Scenario 5:

Question: A nurse is working in a healthcare facility that serves a

diverse population. Which action(s) by the nurse will allow the nurse to empathize with and understand this population? (Select all that apply.)

• Be open to people who are different.
• Have a curiosity about people.
• Become culturally competent.
• Assume all patients have the same beliefs and values.

Correct answers: A) Be open to people who are different.

• Have a curiosity about people.
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