HESI HEALTH ASSESSMENT VERSION 5 LATEST ACTUAL EXAM ALL 55 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+ A client with dark skin is reporting a painful and itching area on the lower left leg. What should the nurse look for when assessing this client's skin for inflammation? A. Change in consistency B. Change in turgor C. Redness D. Pallor - ANS-A. Change in consistency While assessing level of consciousness, the nurse finds that a client localizes to pain, is confused during conversation, and opens the eyes to sound. How should the nurse document the Glasgow score of this client? A. 12 B. 10 C. 9 D. 7 - ANS-A. 12 Which question should the nurse ask in order to test a client's remote memory? A. What is your date of birth? B. Who is your current healthcare provider? C. What medications are you taking? D. How did you arrive at the hospital today? - ANS-A. What is your date of birth? A client reports pain when taking a deep breath. Which lung auscultation sound should the nurse anticipate hearing? A. Pleural friction rub B. Rhonchus C. Coarse crackles D. Wheezing - ANS-A. Pleural friction rub A client is reporting chest pain. What statement made by the client helps the nurse to understand the client has a naturalistic belief in the cause of illness? A. "My life is really out of balance." B. "I knew I should have changed my diet." C. "I should have gone to church last week." D. "I forgot to take my medicines last night." - ANS-A. "My life is really out of balance." 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.) A. Be open to people who are different. B. Have a curiosity about people. C. Become culturally competent. D. Interact with each person in the same way. E. Request nurses take care of patients with the same ethnicity. F. Always request an interpreter for people from other countries. - ANS-A. Be open to people who are different. B. Have a curiosity about people. C. Become culturally competent. Which statement is accurate about assessing the spleen? A. It must be enlarged at least three times normal size for it to be palpable B. It is easily felt by reaching the left hand behind the 11th and 12th ribs. C. It is normally felt by rolling the client on the right side and palpating. D. It is a firm mass palpated slightly left of midline in the upper abdomen. - ANS-A. It must be enlarged at least three times normal size for it to be palpable What is the best place for the nurse to hear lower lobe lung sounds with a stethoscope

HESI HEALTH ASSESSMENT VERSION 5 LATEST ACTUAL
EXAM ALL 55 QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES (VERIFIED ANSWERS)
|ALREADY GRADED A+
A client with dark skin is reporting a painful and itching area on the lower left
leg. What should the nurse look for when assessing this client's skin for
inflammation?
A. Change in consistency
B. Change in turgor
C. Redness
D. Pallor - ANS-A. Change in consistency
While assessing level of consciousness, the nurse finds that a client localizes
to pain, is confused during conversation, and opens the eyes to sound. How
should the nurse document the Glasgow score of this client?
A. 12
B. 10
C. 9
D. 7 - ANS-A. 12
Which question should the nurse ask in order to test a client's remote
memory?
A. What is your date of birth?
B. Who is your current healthcare provider?
C. What medications are you taking?
D. How did you arrive at the hospital today? - ANS-A. What is your date of
birth?
A client reports pain when taking a deep breath. Which lung auscultation
sound should the nurse anticipate hearing?
A. Pleural friction rub
B. Rhonchus
C. Coarse crackles
D. Wheezing - ANS-A. Pleural friction rub
A client is reporting chest pain. What statement made by the client helps the
nurse to understand the client has a naturalistic belief in the cause of illness?
A. "My life is really out of balance."
B. "I knew I should have changed my diet."
C. "I should have gone to church last week."
D. "I forgot to take my medicines last night." - ANS-A. "My life is really out of
balance."
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.)
A. Be open to people who are different.
B. Have a curiosity about people.
C. Become culturally competent.
D. Interact with each person in the same way.
E. Request nurses take care of patients with the same ethnicity.
F. Always request an interpreter for people from other countries. - ANS-A. Be
open to people who are different.
B. Have a curiosity about people.
C. Become culturally competent.
Which statement is accurate about assessing the spleen?
A. It must be enlarged at least three times normal size for it to be palpable
B. It is easily felt by reaching the left hand behind the 11th and 12th ribs.
C. It is normally felt by rolling the client on the right side and palpating.
D. It is a firm mass palpated slightly left of midline in the upper abdomen. -
ANS-A. It must be enlarged at least three times normal size for it to be
palpable
What is the best place for the nurse to hear lower lobe lung sounds with a
stethoscope