BSN 246 HESI FINAL EXAM TESTBANK 2026/2027 (ACTUAL EXAM) QUESTIONS WITH CORRECT DETAILED ANSWERS || ALREADY GRADED A+RECENT VERSION

BSN 246 HESI FINAL EXAM TESTBANK 2026/2027 (ACTUAL EXAM) QUESTIONS WITH CORRECT DETAILED ANSWERS || ALREADY GRADED A+RECENT VERSION The registered nurse (RN) is caring for an Asian client who refuses to make eye contact during conversations. How should the RN assess this client's response? - ANSWER️The client is treating the nurse with respect. The nurse is assessing a client for a hip flexion contracture. Which finding indicates a negative Thomas test when the client's right knee is brought toward the chest? - ANSWER️The left leg remains on the table *The Thomas test is performed by having the client bring one knee toward the chest while the other leg remains extended on the table. A positive Thomas test is elicited when the extended leg rises off the table when the opposite leg's knee is brought up to the client's chest, indicating hip flexor contracture. If the extended leg (the left leg, in this example) remains on the table, the test is negative. The nurse is assessing a client who has a history of aortic regurgitation. Where should the nurse place the stethoscope diaphragm to listen for this condition? - ANSWER️2nd intercostal space along the right sternal border. The nurse is assessing a client who has experienced a sudden onset of hearing loss in the right ear. Which finding should alert the nurse to a potentially serious medical condition that requires further evaluation? - ANSWER️There is no sign of associated infection. Which information should the nurse obtain to identify the client's self-perception of health status? - ANSWER️Health history During the initial assessment, the nurse notes that a client has blurred vision with cloudy lenses. Which condition should the nurse document? - ANSWER️Cataracts. Which condition is indicated by a fluorescent, yellow-green color when the nurse uses a Wood's lamp to examine a client's skin lesions? - ANSWER️Fungal infection. A client with dark skin is reporting a painful and itching area on the lower left leg. What should the nurse look for when assessing this client's skin for inflammation? - ANSWER️Change in consistency. A client reports pain when taking a deep breath. Which lung auscultation sound should the nurse anticipate hearing? - ANSWER️Pleural friction rub A nurse is completing a nutritional assessment with a client. What is the easiest method for the nurse to use to get information about the client's nutritional intake? - ANSWER️24-hour dietary recall The nurse palpates a weak pedal pulse in the client's right foot. Which assessment findings should the RN document that are consistent with diminished peripheral circulation? (Select all that apply.) - ANSWER️Diminished hair on legs. Skin is cool to the touch. The nurse is completing a physical assessment of a client who fell from a tree. The client's abdomen is soft with hyperactive bowel sounds in all four quadrants. Which assessment technique should the nurse implement when evaluating the client's spleen? - ANSWER️Percuss the splenic area as the client takes a deep breath. The nurse enters an examination room to conduct a routine health assessment on an adolescent female client, who is accompanied by her mother. Which action by the nurse is likely to facilitate accurate responses to personal and social history questions? - ANSWER️Request that the mother leave the exam room. 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? - ANSWER️"Short-term memory is intact." Which technique should the nurse implement when performing a Weber test? - ANSWER️Place a vibrating tuning fork midline on top of the head Which technique should the nurse use to assess a client for scoliosis? - ANSWER️Observe spine while the client is erect and bent forward Which term should the nurse use to document in the client's medical record for a high-pitched scratchy sound during auscultation of the heart? - ANSWER️Friction rub While performing a head-to-toe assessment, the nurse assesses the client's pupillary accommodation. During the second portion of the test, the nurse notes that the client's pupils constrict and there is convergence of the axes of the eyes. What action should the nurse implement next? - ANSWER️Document a normal finding. The nurse performs the Weber and Rinne tests to assess which cranial nerve? - ANSWER️VIII - vestibulocochlear The nurse uses a tongue depressor to assess a client's mouth. Which structure should the nurse be able to visualize? - ANSWER️Pharynx As a part of a routine health assessment, the nurse assesses the kidneys as part of the abdominal assessment. Which assessment finding should the nurse conclude is normal when palpating the client's right kidney? - ANSWER️A round smooth mass that slides between the fingers. A client reports lower abdominal pain and a feeling of pressure in the bladder. Which assessment finding indicates acute urinary retention? - ANSWER️Dull sound percussed over the bladder. *Clients with acute urinary retention may present with lower abdominal pain and bladder distension. Percussion (tapping on the body wall) is performed to detect differences in pitch. A dull sound produced when percussing a distended urinary bladder is an indication of urinary retention.