HESI RN 246 Health Assessment Proctored Exam (Nightgale College)

The nurse is performing a head-to-toe physical examination on a known victim of intimate partner violence. The visual exam reveals several round, flat, pinpoint, red spots. How should the nurse docume

While assessing a client, the nurse notices that the client’s legs are asymmetrical. Which additional physical data should the nurse collect?

A 20-year-old nulliparous female college student sees the nurse because she has missed her last two menstrual periods. She reports she has not had sexual intercourse in one month. The nurse requests a

An older adult client is being evaluated for admission to an assisted living facility. During the health assessment, the nurse implements which technique to determine the client’s ability to reside in

A client with Streptococcus pharyngitis reports high fever, difficulty swallowing, and a muffled voice. Which complication should the nurse suspect?

The nurse observes generalized weakness and diminished deep tendon reflexes on the right side of an older adult client who has a history of a cerebrovascular accident. Which deep tendon reflex respons

The school nurse is teaching a group of female students about the female reproductive system. A student asks how she will know she is starting puberty. Which information should the nurse discuss?

The nurse detects a possible extra heart sound while assessing an adult client. To verify this finding, which action should the nurse take?

The nurse assesses that a client has nailbed clubbing. Which additional information is consistent with this finding?

A 16-year-old client with a history of chronic ear infections when younger comes to the clinic for a health exam. No ear pain, vertigo, or hearing loss is reported during history taking. Inspection of

When assessing a client's mouth, which finding requires immediate follow-up by the nurse?

While taking a history on an older adult male client, his wife reports that he is having increasing periods of short-term memory loss and he occasionally gets confused. How should the nurse proceed wi

The nurse plans to assess a client's ability to think abstractly. Which question or statement is likely to provide the best information about the client's abstract thinking?

An older adult male client reports nocturia with difficulty starting his urine stream. Which additional assessment should the nurse perform to obtain further data related to this information?

A client asks the nurse to look at a mole located on the back. The client tells the nurse that the mole has changed from brown to black and enlarged in size. Which is the priority nursing action?

A nurse performs a Tinetti assessment on an older adult client and calculates a balance score of 12 and a gait score of 8. What do these results indicate?

While completing an admission assessment for a client with rectal bleeding, the nurse observes dried, dark red blood on the surface of a purple, shiny tissue mass that extrudes from the anal opening.

The nurse is assessing a client who has a history of kidney stones and returns to the clinic with flank pain. Which intervention should the nurse implement first?

An older adult client comes to the healthcare provider's office for a routine follow-up exam for high blood pressure, osteoarthritis, constipation, and chronic sinusitis. The client recently had a cat

When performing a physical assessment, palpation reveals to the clinic nurse that a client has an enlarged thyroid gland. Which action should the nurse take in response to this finding?

During the admission assessment of an older adult female, the nurse notes the presence of kyphosis. The client tells the nurse that she has a history of osteoporosis. To obtain additional information

A client is seen in the emergent care clinic for right wrist pain with a pattern of ecchymosis observed on the wrist. Which motion should the nurse instruct the client to perform to assess the wrist m

After checking a client's pupillary response to light, the practical nurse (PN) tells the registered nurse (RN) that the client's pupils are constricted with minimal response to light. Before verifyin

When performing a skin and nail exam on an older adult female client, the nurse notes that she has longitudinal ridges on her fingernails. What does this finding indicate?

The nurse reviews a client's laboratory results for a client admitted with gastrointestinal (GI) bleeding who has no visible hemorrhoids on inspection of the anal area. Which laboratory test indicates