HESI Health Assessment Questions And Correct Detailed Answers (Verified Answers) Already Graded A+

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HESI Health Assessment Questions And Correct Detailed Answers (Verified Answers) Already Graded A+

Question: A patient has 2+ pitting edema; they had 1+ last time. What action should the RN implement?

Correct Answer: Confirm that the patient's arm is more swollen than previously

Question: What actions should the RN take in response to two nodes that are palpable and easily movable in the axillary nodes?Correct Answer: Assess nodes further for consistency and any palpable matting; ask the patient if there is tenderness upon palpation

Question: Ankle Brachial Index (ABI) findings

Correct Answer: < 90>

Question: Should diuretics be used for pitting edema?

Correct Answer: They should not be used to help lymphedema; draw water in interstitial space

Question: Modified Allen's Test approach

Correct Answer: Make fist several times for 30 seconds; obliterate ulnar and radial pulses; document test results show inadequate circulation of the hand if pinkness fails to return within 6 seconds

Question: Paresthesia

Correct Answer: Abnormal sensation (numbness or tingling)

Question: 2+ pitting edema characteristics

Correct Answer: Moderate edema; 4 mm pitting

Question: Function of the lymphatic system

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Correct Answer: Lymph system carries lymphocytes throughout the body; they respond to foreign and abnormal substances; communicate responses to other parts of the body

Question: Nursing diagnosis (Dx) for patient with lymphedema

Correct Answer: Impaired physical motility; disturbed body images; risk for infection; risk for impaired skin integrity

Question: 1+ pitting edema characteristics

Correct Answer: Mild pitting; 2 mm

Question: How many nodes are in the body?

Correct Answer: 600-700

Question: Cilostazol is given to help dilate arteries; how should it be taken?

Correct Answer: One hour before or 2 hrs after a meal

Question: AP and transverse diameters is 1:1

Correct Answer: Barrel chest

Question: Normal AP transverse ratio

Correct Answer: 1:2

Question: Hypoxemia assessment supporting data

Correct Answer: Color of palms and soles; shape of the fingers and fingertips

Question: Where is the Angle of Louis located?

Correct Answer: 2nd rib; where the second ribs attach to the sternum

Question: To assess for chest excursion, what should the RN do next?

Correct Answer: Ask patient to inhale deeply

Question: Patient with emphysema; what finding with fremitus?

Correct Answer: Increased fremitus over areas of consolidation

Question: In order to percuss patient's thorax posteriorly beginning at the apex of the right lung, how should the RN begin?

Correct Answer: Locate the patient's first intercostal space

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Question: Crackles heard bilaterally during the posterior auscultation of the lung bases.RN does not hear adventitious sounds in the lung bases. What action should the RN take?

Correct Answer: Chart what was heard both anteriorly and posteriorly

Question: How to assess patient's current nutritional status?

Correct Answer: Calculate BMI

Question: How to assess signs of protein malnutrition?

Correct Answer: Note the texture of the patient's hair

Question: Hyporeflexia may be an indication of?

Correct Answer: Vitamin deficiency

Question: Conjunctiva color will be indicative of?

Correct Answer: Anemia

Question: Patient's sputum is thick and purulent; what assessment should the RN

perform?

Correct Answer: Auscultate breath sounds bilaterally

Question: Patient is confused. RN auscultates sounds and hears crackles. What info is important for RN to obtain before contacting the HCP?

Correct Answer: Respiratory effort

Question: How should the RN assess for muscle atrophy of the knee area?

Correct Answer: Observe size of the muscle

Question: RN prepares to palpate joints in patient's wrist. RN supports client's hands.What action to take next?

Correct Answer: Use both thumbs to apply gentle pressure

Question: Patient turns hands upwards and then downward with palm flat on table. What action is the RN observing?

Correct Answer: Elbow supination and pronation

Question: Battle sign found in?

Correct Answer: Persons with brain injuries

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Question: Patient with unilateral left knee pain. RN palpates and notes presence of a small amount of swelling. Which sign should the RN attempt to elicit?

Correct Answer: Bulge sign

Question: RN asks patient to dorsiflex foot. Client points downward. What action should the RN take next?

Correct Answer: Ask patient to flex foot upward

Question: When documenting full ROM, which abnormality is absent?

Correct Answer: Contraction

Question: To indicate 100% muscle strength, RN assesses for movement against which factors?

Correct Answer: Gravity; Resistance

Question: Positive Allis sign indicates?

Correct Answer: Hip dislocation in an infant

Question: RN assesses adduction and abduction of the hip by instructing patient to take what action?Correct Answer: Swing the entire leg laterally and medially, keeping the knee straight while moving

Question: Positive Tinel's sign

Correct Answer: Found in persons with carpal tunnel syndrome

Question: Patient's knee gave way. What additional info is most important for the RN to obtain?

Correct Answer: Any recent history of trauma or injury to the affected knee

Question: RN performs McMurray's test and hears an audible click while maneuvering left leg. What action should the RN implement?

Correct Answer: Report assessment to the HCP (Health Care Provider)

Question: Click during McMurray's test

Correct Answer: Indicates client may have torn meniscus

Question: Questions to ask when patient states she lost consciousness?