HESI Health Assessment Exam "My life is really out of balance." - correct answerA client is reporting chest pain. What statement made by the client, helps the nurse to understand this client has a naturalistic belief in the cause of illness?Be open to people who are different Have a curiosity about people.Become culturally competent. - correct answer2. A nurse is working in a healthcare facility that serves a diverse population. What action(s) by the nurse will allow the nurse to empathize with and understand this population? (Select all that apply.) It must be enlarged at least three times normal size for it to be palpable. - correct answerWhich statement is accurate about assessing the spleen?Posterior chest below the 3rd intercostalspace. - correct answerWhat is the best place for the nurse to hear lower lobe lung sounds with a stethoscope?Place the bell on the 5th intercostal space, left midclavicular line. - correct answerThe 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?2nd intercostal space along the right sternal border. - correct answerThe 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?The client works in a daycare setting that has had a scabies outbreak. - correct answerThe 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?Level of consciousness. - correct answerA client comes to the clinic with a report of fever and a recent exposure to someone who was diagnosed with meningitis. Which nursing assessment should be completed during the initial examination of this client?Use of vitamin and iron supplements. - correct answerA client reports feeling increasingly fatigued for several months, and the nurse observes that the client's lips are pale. Which additional data should the nurse collect based on this presentation?There is no sign of associated infection. - correct answerThe nurse is assessing a client who has experienced a sudden onset of hearing loss in the right ear. Which finding should alert the nurse to a potentially serious medical condition that requires further evaluation? 1 / 2
Swelling anterior to the ear lobe on one side of the face. - correct answerThe client reports to the nurse a recent exposure to the mumps. Which assessment finding suggests the client has contracted the mumps?Swelling of the left arm and non-pitting edema. - correct answerA client states that she had a mastectomy of her left breast last year and now experiences lymphedema. What should the nurse expect to find when examining the client?Ask the client specifically about any leakage of urine. - correct answerWhat is the best nursing response to an older client who has not mentioned incontinence during a genitourinary assessment?Have you experienced sudden weight loss? - correct answerA client is in the clinic for a routine health examination. The nurse notices the client appears underweight. Which question is most important for the nurse to ask when completing the health history of this client?Family history of colon cancer on mother's side. Correct - correct answerA client is in the clinic and is reporting lower abdominal pain and constipation. Which information is of greatest concern to the nurse when obtaining the health history from this client?Health history. - correct answerWhich information should the nurse obtain to identify the client's self-perception of health status?Cataracts - correct answerDuring the initial assessment, the nurse notes that a client has blurred vision with cloudy lenses. Which condition should the nurse document?Fibroadenoma. - correct answerWhile palpating a client's breasts, the nurse detects a nontender, solitary, round lobular mass that is solid and firm and slides easily through the breast tissue . The findings of this breast exam are consistent with which condition?Ankles. - correct answerWhich part of the body should the nurse examine when assessing for peripheral edema in a client with heart failure?Fungal infection - correct answerWhich condition is indicated by a fluorescent, yellow- green color when the nurse uses a Wood's lamp toexamine a client's skin lesions?Have you ever felt guilty about your drinking? - correct answerThe nurse is performing a routine physical examination on an adult client. When gathering a health history, which question is included in the CAGE questionnaire?Lying - correct answerA client has just returned from the recovery room and asks to get out of bed to go to the bathroom. The nurse decides to obtain orthostatic vital signs first.How will the nurse position the client to begin this procedure?
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