Practice Question
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:
Correct Answer:
Dried dark red blood on swollen external hemorrhoids.
Rationale:
💎 The described finding of purple, shiny tissue with old blood is consistent with external hemorrhoids.
💎 External hemorrhoids often present with swelling, discoloration, and dried blood from friction or rupture.
💎 Documenting the exact finding ensures accurate communication in the EMR.
💎 This avoids misinterpretation and supports appropriate management planning.
💎 Using objective description prevents diagnostic bias and maintains professional accuracy.
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This question is from RN HESI (HONDROS COLLEGE) which contains 53 questions.
More Questions from This Exam
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:
A. Palpate the client's dorsalis pedis pulses.
B. Ask if the client often feels weak or hungry.
C. Measure the client's capillary glucose.
D. Compare the range of motion of both legs.
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.
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