Description

Nightingale HESI 1 Assessment 2024

Nightingale HESI 1 Assessment 2024

• Question 1 of 55

Which assessment finding supports the client statement, “My feet swell all the time?”

Options:

A. 2+ pitting edema of ankles bilaterally.
B. Positive Homan’s sign bilaterally.
C. Capillary refill both feet greater than 3 seconds.
D. Pedal pulses weak and thready.

Answer: A. 2+ pitting edema of ankles bilaterally.

Answer: D) Hard salami

Question 2 of 55

A client who is admitted for an acute stroke reports the onset of a burning sensation in the hands and legs. Which action should the nurse implement to identify additional findings that are consistent with the client’s paresthesia?

Options: A. Evaluate client’s muscle strength and hand grips.
B. Observe skin for erythema, edema, and warmth.
C. Review the client’s serum electrolytes.
D. Check distal phalanges capillary refill.

Answer: B. Observe skin for erythema, edema, and warmth.

Question 3 of 55

The nurse determines that a male client has smoked 2 packs of cigarettes daily for the past 20 years. In calculating his smoking history, how many pack-years should be documented for this client? (Enter numeric value only.)

Answer: 40 pack-years.

(Explanation: Pack-years are calculated by multiplying the number of packs smoked per day by the number of years the person has smoked. 2 packs/day * 20 years = 40 pack-years.)

Nightingale HESI 1 Assessment 2024