Practice Question
While performing a mental status exam (MSE), the nurse asks a client to remember three unrelated words and repeat them later. The client was able to repeat the words as directed. Which computer documentation is accurate?
Answer Choices:
Correct Answer:
"Short-term memory is intact."
Rationale:
◈The three-word immediate and delayed recall task specifically evaluates recent (short-term) memory.
◈Successful recall after a brief interval indicates intact encoding, storage, and retrieval in short-term memory systems.
◈This test is a standard element of the Mental Status Exam (MSE) under cognition—memory.
◈It does not directly assess judgment, attention span, or intelligence, which are measured with other tasks.
◈Documenting “short-term memory intact” precisely reflects the observed performance on this validated bedside measure.
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This question is from HESI RN HEALTH ASSESSMENT WGU EXAM 2 which contains 58 questions.
More Questions from This Exam
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Answer Choices:
A. Leaning.
B. Standing.
C. Lying.
D. Sitting.
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Answer Choices:
A. 2nd intercostal space along the right sternal border.
B. 5th intercostal space on the left midclavicular line.
C. 3rd intercostal space on the right midclavicular line.
D. 2nd intercostal space along the left sternal border.
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Answer Choices:
A. Change in turgor.
B. Redness.
C. Pallor.
D. Change in consistency.
A client is in the clinic and is reporting lower abdominal pain and constipation. Which information is of greatest concern to the nurse when obtaining the health history from this client?
Answer Choices:
A. Family history of colon cancer on mother's side.
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D. Administration of rubeola vaccine at age 7.
Which statement is accurate about assessing the spleen?
Answer Choices:
A. It is a firm mass palpated slightly left of midline in the upper abdomen.
B. It is easily felt by reaching the left hand behind the 11th and 12th ribs.
C. It is normally felt by rolling the client on the right side and palpating.
D. It must be enlarged at least three times normal size for it to be palpable.
Question Details
- Category: RN Nursing Exam(s)
- Subcategory: HESI Exam(s)
- Domain: 🏡HESI-Health Assessment
- Answer Choices: 4
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