Nightingale College BSN 246 exam 2026 | Questions and Answers 100%.

Nightingale College BSN 246 exam 2026 1. The nurse is assessing the visual acuity of a client who report should the client stand? (Enter a whole number only.) = 20 2. NGN Patient Data History and Physical Nurses' Notes 不 Nurse reviews data. For each joint, click t assessed based on f Joint The client is a 73-year-old male with history of left sided stroke. Right side has increasing weakness and a decrease in range of motion (ROM). Lives in an assisted living facility. Has minimal confusion and is able to answer simple questions. Wrist - able to bend wrist bac toward forear Elbow - on to straight 20 deares Nurse reviews data. For each joint, click to specify what type of range of motion ve assessed based on findings. Each category will have one resp Joint Type of Range of Motion Abduction Wrist - able to bend wrist back toward forearm Extension Adduction Flexion Abduction Elbow - only able to straighten joint 20 Degree abduction, adduction, extention 3. When assessing a client's lower extremities, which finding req • A Multiple varicosities on both thighs • B Lack of hair growth on both lower legs. • C Stage 2 pressure injury over the left ankle. • D Right calf swelling and tenderness. 4. While obtaining a health history, a client tells the nurse that he sometimes experi client's respirations are regular and deep, and his respiratory rate is 14 breaths/m • A Ask the client to perform light exercise and observe the respiratory effort B Document "dyspnea on exertion" in the client's medical record. • C Ask the client to describe the episodes of dyspnea in more detail. • D Explain to the client the possible causes of dyspnea or shortness5. In assessing a client's sensory nerve function, the nurse prepares to asses nurse include during this assessment? ) A Instruct the client to close both eyes. B Cover the client with a warmed blanket. C Darken the client's room environment. D Measure the client's body temperature. 6. To assess for muscle atrophy in the legs, which action she • A Gently press over each shin and measure indentation. •B Use a goniometer to measure and compare the legs. • C Compare the appearance of the legs bilaterally. • D Observe the client during heel-toe ambulation. 7. nurse is obtaining a health history for a client wishing to obtain a life it rts taking several antacids for heartburn that only occurs at night. Wh Id the nurse ask the client to identify? A Hyperactive bowel sounds are present in all quadrants. B Small frequent meals cause heartburn to worsen. C Heartburn occurs when lying down at night. D Bowel movements are light grey and chalky. 8. A client is concerned about developing carpal tunnel syndrome. Whir with useful information? A Ask the client about progressive contractures of the 4th and B Compress the ulnar and radial arteries, then observe for flu C Compare the client's hands bilaterally for pain, pallor, puls D Instruct the client to place the backs of the hands togethe 9. When assessing an adult client, the nurse notes that the client has u ost likely to be accurate? A There is a history of COPD. ) B The client has a collapsed lung. c.The client's lungs are functioning normally ) D A chronic lung infection is the likely condition. 10. Which method should the nurse use to assess response to painful stir (LOC)? • A Shake and call the client's name. • B Press firmly on the center of the sternum. C Use aromatic spirits of peppermint. D Run a pointed object up the sole of foot. 11. While the nurse is taking a health history, the client announces, response is best for the nurse to provide?• A Move closer and place a hand on the client's shoulder to B Ignore the angry outburst and continue with the history C "You sound angry. Would you like to tell me about it?" D"I am sorry you feel that way. Perhaps you'd like to reti 12. 57-year-old client presents with joint pain and stiffness in their hands. History of hypertension and type 2 diabetes. 不 Nurse analyzes the assessmen Click to indicate which findin or are not applicable to that response option selected. Finding Pain increases with motio Small joints of the hand Fatigue and fever Symmetrical involveme Morning stifiness quic Nurse analyzes the assessment findings. Click to indicate which findings are indicative of rheumatoid arthritis or are not applicable to that disease. Each row must have only one response option selected. Submit and Continue Finding Rheumatoid Arthritis Not Applicable Pain increases with motion------- NOT APPLICABLE Small joints of the hand --- RHEUMATOID ARTHRITHIS Fatigue and fever----RA Symmetrical involvement-----RA Morning stiffness quickly-------NA Joint swelling------RA Heberden nodes--------NA 13. The nurse places the diaphragm of a warmed stethoscope on a clients abdom considered normal? A Musical intermittent sounds. B Irregular clicks and gurgles. • C High pitched tinkling. • D Longed prolonged gurgles.14. NURSE is completing an assessment for a client with uncontrolled diabetes mellitus (OM) ination. Which screening test should the nurse perform first? URINE dipstick test. RA pid strep test . tazine pH strip. FINgerstick glucose. 15 .The nurse is assessing a client for goiter and is unable to observe the A Ask the client to swallow while palpating along the sides of the B Palpate deeply and firmly over the location of the thyroid glar • C Document that thyroid gland size is normal with no visible g • D Defer the thyroid exam and observe the client for signs of m 16. To confirm the presence of steatorrhea, which action should the r A Auscultate all quadrants of the client's abdomen. B Inspect the area around the client's umbilicus. • C Lightly palpate areas of abdominal protuberance. D Observe the appearance of the client's stool. 17. The nurse is examining the abdomen of an older male client who e sometimes feels like there is still pressure in that area after urinatir interview of the client? A A cloudy discharge. B An overactive bladder • C Black tarry stools. ) D A weak urinary stream. 18. While assessing a client, the nurse notes an audible expiratory wheezs should the nurse implement? • A Auscultate all lobes of the client's lungs. • B Place the client in low Fowler's position. • C Administer a respiratory aerosol treatment. • D Provide oxygen at 2 L/minute via face mask. 19. DURING a health assessment for a young adult female client's gynecol ulates the client's body mass index (BMI) as 16 kg/m' (normal 18.0 tronic medical record that indicates an expected rationale for this A Tgins for competition and runs 12 miles every day. B Received an implanted intrauterine device (IUD) last month. C Reports a history of chronic urinary track infections. D Increased calcium intake with 3 glasses of non-fat milk daily. 20.During a routine physical examination of a middle-aged female client, chest pa diameter area of crepitus over the upper right anterior chest. Which is the mo • A Since this client has only a small area of crepitus, it probably is not as • B Crepitus is always abnormal and should be followed-up with a more • C Trapped subcutaneous air causing crepitus will be absorbed, so the • D Since a fractured rib often creates crepitus, a chest x-ray should be21. In assessing a male client's level of consciousness, the nurse Which should the nurse do next? A Notify the healthcare provider. B Observe for eye opening to a painful stimulus. • C Check the pupillary response to light. • D Ask the client to open his eyes. 22. The client is a 46-year-old male who comes to the emergency department having difficulty breathing which has worsened over the last twenty four hours. Actions to Take Potential Actions to Take Actions to Take Auscultate the lungs for adventitious breath sounds Submit and Continue 母 Potent Atelecta Pleural Complete the diagram by dragging from the choices area to specify which condition the client is most likely experiencing, two actions the nurse should take to address that condition, and two parameters the nurse should monitor to assess the client's progress. Actions to Take------PLUERAL EFFUSION Actions to Take------AUSCULATE THE LUNGS FOR ADVENTIOUS BREATH SOUNDS Actions to Take------------ASSES FOR TACTILE FREMITUS Parameters to Monitor--------------RESPIRATORY RATE AND PULSE PARAMETER ---------------CRACKLES 23. A nurse is conducting a physical assessment of a young adult. Which informal nutritional status? • A A 24 hour diet history. B Status of current appetite. • C History of a recent weight loss. D Condition of hair, nails, and skin. 24. While percussing the abdomen of an adult male client, the nurse encounters a musica indicate? • A Soft tissue. B Gas. C Intestinal mass. • D Full bladder.25. A male client reports the onset of a burning sensation in his hands and le medical record (EMR)? • A Circulation impaired. • B Paresthesia reported. • C Reports feeling "on fire." • D Inflammation present. 26. WHICh finding should raise the greatest concern for a nurse who is performing an ear nose as A painful ulcerated mucosal area inside the cheek for 1 day. Stippled gingival margins that adhere firmly to the teeth. A number of small yellowish-white and raised lesions on the buccal mucosa. • An ulceration under the tongue that has been present for the last three weeks. 27. WHEN inspecting a client's skin, the nurse observes an area of erythema on the arm. Which plete? A Measure the degree of skin elasticity. B Palpate the area for warmth and swelling. C Determine the client's oxygen saturation. D Observe the appearance of the nailbeds. 28. During a routine health screening of an adult female, the nurse notes seve indicates the need for a bone density screening? • A 15 lb (6.8 kg) weight loss. B Diminished appetite. • C Decreased height. • D Lower body mass index (BMI). 29. THE nurse assesses a client with a sleep pattern disturbance. In developing a plan of t? A History of seasonal allergies and nasal congestion. B Amount and type of caffeinated drinks before bedtime. C Urinary frequency and episodes of nocturia. D Usual bed time and time of awakenings. 30. In assessing a client's nailbeds, the nurse notes that th nurse take? • A Document the presence of nailbed clubbing- • B Consult with a podiatrist to trim the client's tr • C Determine the client's most recent hemoglot • D Administer a PRN prescription for oxygen. 31. A client comes to the clinic due to shoulder discomfort and intermitt (ROM) of the client's shoulder, which assessment technique should A Hold arms up at 90 degrees while arms are pushed downwa B Extend arms up to 180 degrees beside the ears.) C Alternate both index fingers to touch the tip of nose accura D Extend arms straight out and hold without drifting. 32. in adult comes into the clinic for an annual physical. 不 Drag from Word Choices Heart sounds are loudest 52 at the Арех Heart sounds are loudest for 51 at the S2 at the Apex of the heart Submit answer and pues leave Ear Show alialstar and for APEX OF HEART S1 BASE S2 33. During the admission assessment, the nurse observes that a client complete next? • A Ask about pain while bearing weight. B Determine level of consciousness. • C Observe for deformity of the spine. • D Measure orthostatic blood pressure. 34. The nurse auscultates the precordium of a client who is When documenting the comparison of systolic murmur • A Loud, at the apex, associated with a palpable thri B Very loud, with no stethoscope, thrill easily palpa • C Soft, barely heard on auscultation in a quiet roor ) D Moderately loud, machine-like rumble, not assor 35. The nurse is assessing a client with type 2 diabetes mellitu finding should the nurse document that is consistent with • A Inequality in muscle contraction. B An intention tremor. • C Slowed capillary refill. • D Loss of peripheral sensation. 36. While performing a mental status examination, which question •A "Can you recall the date the Twin Towers in New York v B "What is the difference between a hamster and a rabbit • C "Should someone who lives in a glass house throw sto • D "Do you write checks if you know the bank account is 37. A client who recently underwent a routine surgical procedure ma best for the nurse to ask this client?• A "What brought you to the clinic?" • B "Are you having any pain?" • C "What type of surgery did you have?" D "When did your surgery take place?" 38. The nurse is assessing older clients in a community he up? • A Diminished short term memory over the past y B Reduced fine motor skills. • C A negative Babinski reflex. • D A change in awareness of surroundings . 39. NURSE asks a 50-year-old female client what her natural hair color is. The client replies, Tve be ure... I just know that this month it's ravishing red." Based on this information, the nurse as ng this client's scalp hair? Excess vellus hair. Fine, thin, limp texture. Receding front hairline. ) Coarse, dry, brittle texture. 40. The nurse has just completed palpation maneuvers for lymph nodes on an or this elderly client? • A Nodes feel ropey and rubbery. •B Axillary nodes feel soft and fatty. C Inguinal nodes are enlarged and warm to the touch. • D Nodes are non-palpable. 41 WAS MISSED------ 42. The client is a 76-year-old female who arrived at the emergency department via ambulance from an assisted living facility after a fall. The client called for help using her medical alert necklace. Reports feeling dizzy and lightheaded for the past two days. The client is unable to recall the events that led up to A Muscle tone B Brudzinski Refle C Pupil size D Cranial Nerves E Level of consc F Glasgow com G Romberg's T 43.The nurse assesses a male client who is brought to the emergenc Which finding is the best indicator that a client is experiencing an • A Pain in the neck, jaw, or medial side of the left arm. • B Anterior thorax pain that radiates between the scapulae.• C Localized sternal border pain intensified by palpation. D Chest pain that intensifies upon chest excursion. 44. While performing a health history the nurse asks th which response from the client? • A "No, of course not." • B "I smoked marijuana before, but only once." ) C "What would you classify as recreational?" • D "I've been known to on occasion 45. The nurse examines a client admitted with a deep, constant for the nurse to report to the healthcare provider? A Intermittent pain on deep inspiration. B An audible abdominal bruit. • C A bulge over umbilicus when coughing. • D Hypoactive bowel sounds in all quadrants. 46.WHICH assessment technique should the nurse use to confirm the p isciousness? A Inspection. B Percussion. C Palpation. D Auscultation. 47. When assessing a 24-year-old body-builder, the nurse is una A Continue with the cardiac examination. B Dim the lights in the examination room. • C Question the client about steroid use. • D Position the client in high Fowler's position. 48. When assessing a client's skin, which finding should the nurse report to tt A Large, flat, dark red irregular area on the neck. B Multiple silver striae on the abdomen. •C Bluish discoloration of the nailbeds. • D Multiple yellow lesions with a grainy surface. 49. AN older adult client with a history of heart failure (HF) is brought to that the client is experiencing an exacerbation of the HP? Select all + A Dyspnea. B Peripheral edema. C Intercostal retractions. D Headaches. E Jugular venous distension. 50. The nurse reorients a male client to the correct time, day, date, and l where he is. Based on these findings, which should the nurse docum • A Oriented x 3.• B Oriented x 1. • C Oriented × 2. • D Oriented x 4. 51. While assessing a client, the nurse observes that the client has a frequ evaluate first? • A Vital sign abnormalities. B Presence of peripheral edema. C White blood cell (WBC) count. D Sputum characteristics. 52. The client is a 76-year-old male who was brought to the clinic by his daughter. Daughter says her otherwise healthy father is getting more confused and forgets sometimes why he goes into a room. Actions to Take Aortic stenosis Actions to Take Actions to Take Apply stethoscope at two levels on the neck Assess for loudness of sound Potential Conditions-----------------AORTIC STENOSIS ACTION--------------------APPLY STETHOSCOPE AT LEVEL TWOON NECK ACTION------------------ ASSES LOUDENSS OF SOUND PARAMETER-----------Bruit Parameters --------PULSES 53. The nurse examines a client's abdomen. Which finding indicates • A Firm mass palpated at bottom of left rib cage. B Rebound tenderness with compression over right upper C Tip of spleen palpable when client is asked to forcefully e D Pain noted when palpating McBurney's point. 54. When assessing a client's level of consciousness, the nur up assessment should the nurse complete next? • A Complete a mental status exam. • B Attempt to elicit a pain response. • C Check for a Babinski reflex. • D Assess pupillary accommodation. 55. A client reports to the healthcare provider's office for a routine post-surgic approach should the nurse use to gather the needed information? • 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.56. When entering a male client's room, the nurse observes that he is splinting t nurse complete? • A Numeric pain intensity scale. B Apical-radial pulse deficit. C Anteroposterior (AP) chest diameter. • D Body temperature. 57.A homeless male client with a history of alcohol abi Today he is reporting pain in his left leg, is afebrile action should the nurse implement first? • A Complete a mental status exam. • B Obtain a blood alcohol level. • C Inspect legs for infection or trauma. • D Inquire about dietary salt intake. 58. The nurse is assessing an ulcer on a client's lower extremity, which is likely the ree assessment technique should the nurse use to differentiate the pathophysiology • A Compare the skin turgor of the client's upper and lower leg. B Observe the specific location and appearance of the ulceration. • C Note any change in the color of the ulcer when the leg is moved. • D Measure the degree of joint range of motion in the extremity. 59.The nurse is assessing a female client who states that her hemorrhoids: nurse implement to complete a focused assessment? A Place the client in a standing position, leaning over the exam be DETERMIN IF THE CLIENT USES ANY counter preparations • C Position client in left lateral position to inspect perianal area fo • D Ask the client how long she has experienced discomfort related 60. A 75-year-old client with a recent history of a cerebrovascular accident tendon reflexes on the right side and elicits a brisk 4+ response. Which ) A Absent or sluggish response consistent with a lower motor ner B Flaccid paralysis. • C Hyperactive response consistent with an upper motor neuror D A normal reflex response.