HESI RN Health Assessment Proctored Exam Practice Questions - Set 13

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• Longitudinal pigmented bands and red brown linear streaks of recent onset.
• Thinned depressed nails with lateral edges tilting up to form a concave profile and proximal subungual fungal infection.
• Transverse furrows and nail plate white spots that move forward with nail growth.
• A nail base angle greater than 180 degrees and nail plate loosened at the distal-lateral edge, progressing proximally.

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• ?

  Your Answer

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• Auscultate the lymph node for the presence of a bruit.
• Ask the client about any localized tenderness at the site.
• Cover the inflamed area and notify the healthcare provider.
• Record this normal finding in the assessment record.

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• Allow the client to compose herself then change the subject.
• "Why don't I come back in a few minutes after you are more composed."
• "I'm so sorry that I made you cry. I didn't mean to upset you."
• Offer a tissue and sit quietly until the crying subsides.

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• "What were you doing when you first noticed the problem?"
• "Have you taken any medications to relieve the pain?"
• "Do you remember ever having this type of pain in the past?"
• "Does changing your position make the pain worse?

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• Explain to the client the possible causes of dyspnea or "shortness of breath."
• Ask the client to describe the episodes of dyspnea in more detail.
• Document "dyspnea on exertion" in the client's medical record.
• Ask the client to perform light exercise and observe the respiratory effort.

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• "I am sorry you feel that way. Perhaps you'd like to return when you have more time."
• "You sound angry. Would you like to tell me about it?"
• Ignore the angry outburst and continue with the history questions.
• Move closer and place a hand on the client's shoulder to demonstrate concern.

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• 3-year-old preferring to walk on the tip toes.
• 1.5-year-old attempting to scribble on paper.
• 5-month-old with use of whole hand grasp.
• 3.5-month-old with diminished Moro reflex.

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• Firm, larger, and very tender to touch.
• Soft, with no change from before delivery.
• Filling and secreting colostrum.
• Slightly firm with immediate let-down response.

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• Open-ended question.
• Clarification.
• Empathizing.
• Paraphrasing.

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• Advise the PN that waist circumference measurements are valuable to assess fluid retention but not obesity.
• Instruct the PN to measure the client's waist circumference every 8 hours to assess for changes.
• Tell the PN that this assessment technique should be performed by the nurse.
• Review the measurement obtained by the PN and compare with ideal measurements for this client.

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• Plan to measure the blood pressure in four hours as prescribed.
• Repeat the client's blood pressure measurement in fifteen minutes.
• Obtain an automatic blood pressure machine for hourly readings.
• Reassess the blood pressure if the client reports other symptoms.

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• Sensory dysfunction.
• Transient ischemic attack.
• Muscle flaccidity.
• Intention tremor.

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• Ask when the adolescent was last seen in the clinic.
• Explain that the information cannot be released without the 18-year-old's permission.
• Tell the mother to have the teenager call the clinic.
• Since the serum samples were drawn last week provide the mother with the findings.

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• Primary source of water.
• Standard household income.
• Family history of eating disorders.
• Average daily intake of meals.

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• Blue tinge in the nail beds.
• Ashen grey tone to lips.
• Ashy yellow appearance of skin.
• Reddish purple colored palms.

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• Multiple maculopapular pustules over forehead and chin on an adolescent student.
• Red, swollen, painful nodule located on the upper back of a school aged student.
• Small, white flecks on the hair shafts throughout scalp on a school aged child.
• Bilateral patellar abrasions with eschar formation on a preschool aged student.