HESI HEALTH ASSESSMENT TEST BANK EXAM 2024-2025 QUESTIONS and ANSWERS While performing a physical assessment, the nurse is unable to palpate the client's pedal pulses. Which action should the nurse take? - ANSWER--Doppler ultrasonic stethoscope A homeless male client with a history of alcohol abuse had a cerebrovascular accident (CVA) 10 years ago that resulted in left hemiparesis. Today he is complaining of pain in his left leg, is afebrile, has 4+ pitting edema in the lower left leg, and minimal swelling of the right leg. Which action should the nurse implement first? - ANSWER--Inspect legs for infection of trauma The nurse is assessing a client for goiter and is unable to observe the thyroid gland. Which action should the nurse take? - ANSWER--Ask the client to swallow while palpating along the sides of the trachea While completing an admission assessment for a client with gastrointestinal bleeding, the nurse inspects the perineal area and anus. Which findings indicates a normal appearance of the anus? - ANSWER--Increased pigmentation and coarse skin. Which focused assessment technique should the nurse use for a client admitted with possible dehydration? - ANSWER--Grasp skin fold of the posterior forearm - ANSWER--Kyphosis, Atrophy, Contracture A client comes