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BSN246 Week 2
General HESI Review Questions
| Question | Answer |
|---|---|
| A patient is being transferred to your unit with acute cholecystitis. In report the transferring nurse tells you that the patient has a positive Murphy's Sign. You know that his means: | The patient stops breathing in when the examiner palpates uner the ribs on the right upper side of the abdomen at the midclavicular line. |
| What vascular sound is audible in a partially obstructed carotid artery? | Bruit |
| A nursing student auscultated the carotid arteries of a client and heard high-pitched blowing sounds in the R and L carotid artery. The nurse preceptor checked and did not hear any bruits. Which assessment technique should the nursing student follow? | Ask the client to inhale, exhale, hold. |
| The clinic nurse is preparing to test the visual acuity of a client using the Snellen chart. Which of the following identifies the accurate procedure for the visual acuity test? | The right eye is tested, followed by the left eye then both. |
| A nurse is caring for a client receiving amlodipine for hypertension. What should the nurse's priority assessment be beforre administering this medication? | Obtain apical pulse and BP measurements |
| A nurse assesses a client with early-stage rheumatoid arthritis. Which assessment finding(s) should the nurse anticipate? | Swollen, red, painful small joints Weakness and Fatigue |
| Pt brought to the ED by her husband w/ severe fatigue. (Sleeping all the time for the past few weeks w/ difficulty arousing) PMH Breast CA stage 4, CVAD, on chemo. Pt w/ poor appetite, decreased fluid intake. No n/v. Client c/o dizziness upon standing. | Potential Condition: Anemia Actions to Take: Request a prescription for packed red blood cells and epoetin alfa to be administered subcutaneously. Parameters to monitor: Blood pressure and Blood flow obstruction. |
| When examining the patient's eyes, which finding would be of most concern to the nurse? | Small white nodule on the upper lid margin. |
| What assessment technique should the nurse use to assess an adult patient's tympanic membrane? | Stabilize the otoscope with the fingers on the patient's cheek |
| The patient who has a conductive hearing loss: | Hears better in a noisy environment. |