HESI HEALTH ASSESSMENT VERSION 5 LATEST ACTUAL EXAM ALL 55 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+

HESI HEALTH ASSESSMENT VERSION 5 LATEST 2023-2024 ACTUAL EXAM ALL 55 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+ When performing a neurologic assessment on an alert client, the nurse observes that the client's pupils are both round, 3 mm in size, and respond briskly to light. Which notation should the nurse use when documenting the assessment? A. PERRL. B. GCS of 15. C. PERLA. D. Neuro status intact. - ANSWER- Correct answer is A. Rationale: "Pupils Equal, Round, and Reactive to Light The nurse is assessing a female client who states that her hemorrhoids are inflamed and hurt constantly. Which intervention is best for the nurse to complete a focused assessment? A. Ask the client how long she has experienced discomfort related to hemorrhoids. B. Place the client in a standing position, leaning over the exam bed for inspection. C. Determine if the client uses any over-the-counter preparation for hemorrhoids. D. Position client in left lateral position to inspect perianal area for fissures or sacs. - ANSWER- Correct answer is D. Rationale: A focused assessment collects relevant information pertaining to the current condition of the patient after a change or new symptom develops The nurse is performing an initial assessment of a client who has an expressionless facial affect, slurred speech, and red conjunctivae. What question should the nurse ask first? "Have you A. Been depressed lately?" B. Had everything to eat in the last 24 hours?" C. Ever had problems with you blood sugar?" D. Been sleeping well?" - ANSWER- Correct answer is D. Rationale: To rule out symptoms for lack of sleep, asking the client if he slept well would help determining why he has the presented symptoms. After checking a client's pupillary response to light, the practical nurse (PN) tells the nurse that the client's pupils are constricted with minimal response to light. Before verifying the PN's findings, which action should the nurse take? A. Brighten the light in the client's room. B. Assess the client's visual fields. C. Review the client's medication list. D. Administer PRN saline eye solution. - ANSWER- Correct answer is B. Rationale: PERRLA: Accommodation is the following step which refers to your eyes' ability to see things that are both close up and far away The nurse completes inspection of the abdomen on an adult client. Which finding is considered normal for this client? A. Masses. B. Peristaltic waves. C. Heterogeneous color. D. Homogeneous color. - ANSWER- Correct answer is D. Rationale: Symmetry is a great value of normal body imagine while performing inspection. Which skill should the nurse have an older client demonstrate to evaluate performance of daily living activities? A. Opening a bar soap package. B. Sorting a collection of socks. C. Reading a short paragraph. D. Telephoning a family member. - ANSWER- Correct answer is B. Rationale: ADL is used as an indicator of a person's functional status. A client sustained a subconjunctival hemorrhage. The presence of which set of symptoms indicate that the client needs to be seen for further evaluation by an ophthalmologist? A. Acute pain, change in visual acuity, and foreign body sensation. B. Frequent burning, irritation and tearing of the eyes. C. Bilateral itchy, red eyes with watery discharge/ D. Diminished ability to focus on close work and excessive illumination required. - ANSWER- Correct answer is D. Rationale: Diminished ability to focus on close work could be a sign of cranial nerve damage and could lead to reduced visual acuity, due to a reduced ability of the lens in the eye to focus light on the retina, results in images that appear blurry. To assess a female client for hirsutism, which action should the nurse take? A. Lightly palpate over the client's entire scalp. B. Apply and release light pressure to the skin. C. Assess the appearance of the client's face. D. Observe the hair shafts on the client's scalp - ANSWER- Correct answer is C. Rationale: Hirsutism is a condition in women that results in excessive growth of dark or coarse hair in a male-like pattern like face, chest and back