NUR 210 RN Health Assessment HESI NGN
Access The Exact Questions for NUR 210 RN Health Assessment HESI NGN
💯 100% Pass Rate guaranteed
🗓️ Unlock for 1 Month
Rated 4.8/5 from over 1000+ reviews
- Unlimited Exact Practice Test Questions
- Trusted By 200 Million Students and Professors
Starting from
$30/month
What’s Included:
- Unlock Actual Exam Questions and Answers for NUR 210 RN Health Assessment HESI NGN on monthly basis
- Well-structured questions covering all topics, accompanied by organized images.
- Learn from mistakes with detailed answer explanations.
- Easy To understand explanations for all students.
Free NUR 210 RN Health Assessment HESI NGN Questions
1. While performing a mental status examination, which question should the nurse ask when attempting to evaluate a client’s judgment?
- "Should someone who lives in a glass house throw stones?"
- "Do you write checks if you know the bank account is overdrawn?"
- "Can you recall the date the Twin Towers in New York were destroyed?"
- "What is the difference between a hamster and a rabbit as a pet?"
Explanation
Judgment refers to a person’s ability to make sound, logical decisions in everyday situations. Asking, “Do you write checks if you know the bank account is overdrawn?” helps the nurse assess the client’s ability to think through the consequences of actions and make appropriate choices. This practical, real-life question directly evaluates the client’s reasoning and insight into socially and financially responsible behavior.
2. Patient Data
History and Physical
The client is a 35-year-old male with no history of any medical conditions presents to the clinic for an annual physical.
Nurses' Notes
Hearing "roaring" sounds when auscultating as well as crackles. Client has a hairy chest. Exam is taking place behind a privacy screen there are no individual rooms with doors.
Nurse analyzes the findings.
Which can the nurse do to mitigate artifacts when performing auscultation? Select all that apply.
History and Physical
The client is a 35-year-old male with no history of any medical conditions presents to the clinic for an annual physical.
Nurses' Notes
Hearing "roaring" sounds when auscultating as well as crackles. Client has a hairy chest. Exam is taking place behind a privacy screen there are no individual rooms with doors.
Nurse analyzes the findings.
Which can the nurse do to mitigate artifacts when performing auscultation? Select all that apply.
- A Reach under a gown to listen and take care that no clothing rubs on the stethoscope
- B Keep the examination room warm, and warm the stethoscope
- C Document the roaring and crackles
- D Wet the chest hair before auscultating
- E Ensure the room is as quiet as possible
Explanation
A. Reach under a gown to listen and take care that no clothing rubs on the stethoscope: Clothing rubbing against the stethoscope diaphragm can create rustling or “roaring” noises that mimic abnormal lung or heart sounds. By reaching under the gown, the nurse ensures direct skin contact and eliminates friction from fabric, allowing for clear, accurate auscultation findings. D. Wet the chest hair before auscultating: Chest hair can cause crackling or static-like noises as it brushes against the stethoscope diaphragm. Slightly moistening the hair with water or alcohol swabs helps flatten it and reduce friction, improving the clarity of heart and breath sounds during auscultation. E. Ensure the room is as quiet as possible: Environmental noise, such as talking, movement, or equipment sounds, can interfere with accurate auscultation. Conducting the examination in a quiet area minimizes background noise and allows the nurse to clearly differentiate between normal and abnormal body sounds.
3. The nurse is evaluating a client's hearing who reports hearing best in the left ear although words are muffled during conversation at a social gathering. Based on this finding, which assessment should the nurse implement?
- Inspect the external ear canals.
- Determine ability to maintain balance with eyes closed.
- Ask client if he has tinnitus.
- Differentiate ability to hear high and low pitched sounds.
Explanation
The client’s report of muffled hearing in noisy environments suggests possible sensorineural hearing loss, which affects the inner ear or auditory nerve. This type of hearing loss makes it especially difficult to distinguish words in background noise. The nurse should therefore differentiate the client’s ability to hear high- and low-pitched tones, such as during a Weber or Rinne test, to help determine the type and extent of hearing loss. High-frequency sounds are often lost first in sensorineural impairment.
4. The nurse has just completed palpation maneuvers for lymph nodes on an older adult female client. Which findings are considered normal for this older adult client?
- Nodes feel ropey and rubbery.
- Inguinal nodes are enlarged and warm to the touch.
- Nodes are nonpalpable.
- Axillary nodes feel soft and fatty.
Explanation
In a healthy adult, lymph nodes are typically nonpalpable because they are small, soft, and not inflamed. This is especially true in older adults, whose lymphatic tissue tends to atrophy with age. The absence of enlarged or tender lymph nodes indicates there is no infection, inflammation, or malignancy present. Nonpalpable nodes are therefore considered a normal finding during assessment.
5. When assessing a client’s skin, which finding should the nurse report to the healthcare provider (HCP)?
- Multiple yellow lesions with a grainy surface.
- Bluish discoloration of the nailbeds.
- Large, flat, dark red irregular area on the neck.
- Multiple silver striae on the abdomen.
Explanation
A bluish discoloration of the nailbeds (cyanosis) indicates inadequate oxygenation or poor tissue perfusion, often related to respiratory or cardiovascular compromise. This is a priority finding that requires immediate reporting to the healthcare provider, as it may signal hypoxia or circulatory insufficiency. Early recognition is critical for preventing further deterioration in oxygen delivery to tissues.
6. When entering a male client's room, the nurse observes that he is splinting his chest with a pillow. Which follow-up assessment should the nurse complete?
- Body temperature.
- Apical-radial pulse deficit.
- Numeric pain intensity scale.
- Anteroposterior (AP) chest diameter.
Explanation
Chest splinting—holding a pillow or arm against the chest—is a common behavioral cue indicating pain, particularly after thoracic surgery, trauma, or respiratory difficulty such as pleurisy or pneumonia. The nurse should immediately assess the client’s pain level using a numeric intensity scale (0–10) to determine severity, location, and characteristics. Accurate pain assessment is essential for timely pain management and to prevent complications such as shallow breathing or atelectasis.
7. While completing a health assessment for a client with peripheral vascular disease (PVD), which assessment technique is most important for the nurse to implement?
- Palpate and document quality of distal pulses.
- Measure ankle-brachial index (ABI).
- Document thickened toe nails.
- Measure and record dependent ankle edema.
Explanation
For a client with peripheral vascular disease (PVD), the most important assessment is to palpate and document the quality of distal pulses (e.g., dorsalis pedis and posterior tibial pulses). This technique helps determine arterial blood flow to the extremities and identifies early signs of ischemia or worsening circulation. Weak or absent pulses indicate impaired perfusion, which requires prompt intervention to prevent tissue necrosis or ulceration.
8. The nurse asks a 50-year-old female client what her natural hair color is. The client replies, "I've been dyeing my hair for so long, I'm not even sure ... I just know that this month it's ravishing red." Based on this information, the nurse expects to obtain which finding when palpating this client's scalp hair?
- Receding front hairline.
- Excess vellus hair.
- Fine, thin, limp texture.
- Coarse, dry, brittle texture.
Explanation
Repeated chemical hair treatments, such as dyeing or bleaching, can damage the hair shaft and alter its natural texture. The chemicals strip the hair of its protective cuticle layer, resulting in coarse, dry, and brittle strands that are prone to breakage. This texture change is a common finding in clients who frequently color or chemically process their hair. The nurse should recognize this as a nonpathological effect of cosmetic treatment rather than a sign of systemic disease.
9. A male client reports the onset of a burning sensation in his hands and legs. How should the nurse document this finding in the electronic medical record (EMR)?
- Circulation impaired.
- Reports feeling "on fire."
- Paresthesia reported.
- Inflammation present.
Explanation
A burning sensation in the hands and legs is a classic description of paresthesia, an abnormal sensory symptom often associated with nerve irritation, neuropathy, or circulatory impairment. Documenting the finding as “paresthesia reported” uses appropriate clinical terminology and accurately reflects the client’s experience. This allows for further assessment to identify possible causes, such as diabetic neuropathy, vitamin deficiency, or peripheral nerve injury.
10.
When assessing a client’s lower extremities, which finding requires immediate intervention by the nurse?
-
Right calf swelling and tenderness
-
Multiple varicosities on both thighs.
-
Stage 2 pressure injury over the left ankle.
-
Lack of hair growth on both lower legs.
Explanation
The Correct Answer is:
A. Right calf swelling and tenderness.
Detailed Explanation:
Unilateral calf swelling and tenderness are classic warning signs of a deep vein thrombosis (DVT) — a potentially life-threatening condition. A DVT can dislodge and travel to the lungs, causing a pulmonary embolism (PE). This finding requires immediate intervention, including notifying the healthcare provider, maintaining bed rest, and avoiding massage or excessive movement of the affected limb to prevent embolus dislodgment.
How to Order
1
Select Your Exam
Click on your desired exam to open its dedicated page with resources like practice questions, flashcards, and study guides.Choose what to focus on, Your selected exam is saved for quick access Once you log in.
2
Subscribe
Hit the Subscribe button on the platform. With your subscription, you will enjoy unlimited access to all practice questions and resources for a full 1-month period. After the month has elapsed, you can choose to resubscribe to continue benefiting from our comprehensive exam preparation tools and resources.
3
Pay and unlock the practice Questions
Once your payment is processed, you’ll immediately unlock access to all practice questions tailored to your selected exam for 1 month .