Practice Question
The nurse observes that the lower legs of a client with diabetes mellitus are shiny, and with no hair growth. To obtain additional data to support these findings, which assessment should the nurse perform
Answer Choices:
Correct Answer:
Palpate the client's dorsalis pedis pulses.
Rationale:
🔷 Shiny skin with hair loss on the legs indicates peripheral arterial disease (PAD), common in clients with diabetes mellitus.
🔷 Dorsalis pedis pulse palpation directly evaluates arterial perfusion to the extremities.
🔷 Weak or absent pulses confirm compromised circulation and support the visual findings.
🔷 This assessment helps detect arterial insufficiency early, reducing the risk of ulceration and gangrene.
🔷 It provides objective data for comparison with future assessments of vascular status.
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This question is from RN HESI (HONDROS COLLEGE) which contains 53 questions.
More Questions from This Exam
A client reports to the healthcare provider's (HCP) office for a routine postsurgical evaluation six weeks after a hysterectomy. Which history taking approach should the nurse use to gather the needed information?
Answer Choices:
A. Perform a head-to-toe physical assessment.
B. Prepare to collect a vaginal specimen for Papanicolaou smear.
C. Collect information about the client's activities since surgery.
D. Conduct a comprehensive review of systems.
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. When documenting in the client's electronic medical record (EMR), which finding should the nurse enter in the client's physical assessment
Answer Choices:
A. Tears of the anal mucosa with old blood around anus.
B. Serosanguineous and purulent exudate from anus.
C. Dried dark red blood on swollen external hemorrhoids.
D. Anal mucosa prolapse and loose sphincter tone.
When assessing a client's abdomen, the nurse uses auscultation to assess for which possible finding?
Answer Choices:
A. Bruits.
B. Ascites.
C. Guarding.
D. Striae.
When assessing an older adult client, which finding is most indicative of dehydration
Answer Choices:
A. Thinning hair in the lower extremities.
B. Tenting noted in sub clavicular area.
C. Loss of skin elasticity in the hand.
D. Skin is warm and dry.
A nurse is completing the health history for a 25-year-old male client who reports that he is allergic to penicillin. Which question should the nurse ask after receiving this information?
Answer Choices:
A. "How often have you taken penicillin in the past?"
B. "What happens to you when you take penicillin?"
C. "Is anyone else in your family allergic to penicillin?"
D. "Are you allergic to any other medications?"
Question Details
- Category: RN Nursing Exam(s)
- Subcategory: HESI Exam(s)
- Domain: Hesi MedSurg
- Answer Choices: 4