BSN 246 HESI Health Assessment Exam V2 | FREQUENTLY
TESTED QUESTIONS WITH CORRECT ANSWERS (100%
VERIFIED) ALREADY RATED A+| (NIGHTIGALE COLLEGE)
BRAND NEW!!!
BSN 246 HESI Health Assessment V2 EXAM 1
The registered nurse (RN) recognizes which client group is at the greatest risk for developing a urinary
tract infection (UTI)? (Rank from highest risk to lowest risk.)
1.Older males.
2.School-age female.
3.Older females.
4.Adolescent males. - ANSWER ☑☑ -
1.Older females.
2.School-age female.
3.Older males.
4.Adolescent males.
Rationale
Hypoestrogenism and alkalotic urine are other age-related factors put older women at the highest risk
for UTIs. School age girls (6 to 12 years) are at risk for UTIs due to a higher prevalence to taking baths
instead of showers, but these risks can be controlled in this population as well as hypoestrogenism and
alkalotic urine. Older men are at risk due to possible obstruction of the bladder due to benign prostatic
hypertrophy (BPH). Adolescent males (12 to 19 years) are the lowest at risk for a UTI.
All individuals regardless of gender and/or age are at risk if the following conditions exist: vesicoureteral
reflux, neuromuscular conditions, like Parkinson's disease, previous brain attacks, or the use of
anticholinergic medications can all cause incomplete bladder emptying which can create bacterial
overgrowth. Fecal and urinary incontinence contributes to poor perineal hygiene and bacterial growth.
1|Page SUCCESS!!!
,A male client is admitted after falling from his bed. The healthcare provider (HCP) tells the family that
he has an incomplete fracture of the humerus. The family ask the RN what this means. Which type of
fracture should the RN explain from these findings?
-Straignt fracture line that is also a simple, closed fracture.
-Nondisplaced fracture line that wraps around the bone.
-A complete fracture that also punctures the skin.
-A fracture that bends or splinters part of the bone. - ANSWER ☑☑ - A fracture that bends or splinters
part of the bone.
Rationale
An incomplete fracture occurs when part of the bone is splintered (broken) and it has not gone
completely through the thickness of the bone.
The registered nurse (RN) is assisting the healthcare provider (HCP) with the removal of a chest tube.
Which intervention has the highest priority and should be anticipated by the RN after the removal of
the chest tube?
-Prepare the client for chest x-ray at the bedside.
-Review arterial blood gases after removal.
-Elevate the head of bed to 45 degrees.
-Assist with disassembling the drainage system. - ANSWER ☑☑ - Prepare the client for chest x-ray at
the bedside.
Rationale
A chest x-ray should be performed immediately after the removal of a chest tube to ensure lung
expansion has been maintained after its removal.
2|Page SUCCESS!!!
,The registered nurse (RN) did not note that a prescription dose was recently changed and did not note
the updated medication administration record (MAR). After giving the client the original dose, the RN
reports the medication error to the nurse manager. What consequences will the RN experience due to
this error in medication administration?
-The incident will be reported to the state's Board of Nursing (BON).
-A medication error report will be completed and risk management will be notified.
-The RN will be suspended from medication administration until the error is investigated.
-The incident will be documented in the RN's personnel file. - ANSWER ☑☑ - A medication error
report will be completed and risk management will be notified.
Rationale
By reviewing quality of care internally, steps of care can be evaluated and staff can be educated where
gaps are identified. The medication report and notification of management is the responsibility of the
RN who made the mistake, so an internal review of the steps of the occurrence can be completed to
determine further risk potentials.
A client with progressive hearing loss appears distressed when the registered nurse (RN) asks open-
ended questions about the client's health history. Which forms of communication should the RN use?
Select all that apply
-Face the client so the client can see the RN's mouth.
-Increase one's speech volume when interacting with the client.
-Repeat information to the client if misunderstood.
-Check if the client's hearing aides are working properly.
-Reduce environmental noise surrounding the client. - ANSWER ☑☑ - -Face the client so the client can
see the RN's mouth.
-Check if the client's hearing aides are working properly.
3|Page SUCCESS!!!
, -Reduce environmental noise surrounding the client.
Rationale
A client with hearing loss can develop the ability to read "lips," so facing the client during conversation
allows visualization of the lips and directs the sound towards the client. Inspection of the hearing aide
device's functionality is a vital step in communication. Hearing aides magnify all surrounding noise, so it
is imperative to reduce outside environmental noise during the interview process. Speaking clearly with
enunciation and in a regular tone is easier for a client to understand than increasing the volume of
speech. If a client shows signs of confusion, rephrasing the question, instead of repeating, should be
done to decrease client anxiety and facilitate understanding.
The registered nurse (RN) is caring for a client who has taken atenolol for 2 years. The healthcare
provider recently changed the medication to enalaprilto manage the client's blood pressure. Which
instruction should the RN provide the client regarding the new medication?
-Take the medication at bedtime.
-Report presence of increased bruising.
-Check pulse before taking medication.
-Rise slowly when getting out of bed or chair. - ANSWER ☑☑ - Rise slowly when getting out of bed or
chair.
Rationale
The client's new medication is an angiotensin-converting enzyme (ACE) inhibitor, which has the side
effect oforthostatic hypotension. Instructing the client to rise slowly from a sitting or lying down position
is important to teach the client to avoid dizziness and potentially falling.
The registered nurse (RN) is making early morning rounds on a group of clients when a client begins
exhibiting symptoms of an acute asthma attack. The RN administers a PRN prescription for a Beta 2
receptor agonist agent. Which client response should the RN expect?
Select all that apply
4|Page SUCCESS!!!
TESTED QUESTIONS WITH CORRECT ANSWERS (100%
VERIFIED) ALREADY RATED A+| (NIGHTIGALE COLLEGE)
BRAND NEW!!!
BSN 246 HESI Health Assessment V2 EXAM 1
The registered nurse (RN) recognizes which client group is at the greatest risk for developing a urinary
tract infection (UTI)? (Rank from highest risk to lowest risk.)
1.Older males.
2.School-age female.
3.Older females.
4.Adolescent males. - ANSWER ☑☑ -
1.Older females.
2.School-age female.
3.Older males.
4.Adolescent males.
Rationale
Hypoestrogenism and alkalotic urine are other age-related factors put older women at the highest risk
for UTIs. School age girls (6 to 12 years) are at risk for UTIs due to a higher prevalence to taking baths
instead of showers, but these risks can be controlled in this population as well as hypoestrogenism and
alkalotic urine. Older men are at risk due to possible obstruction of the bladder due to benign prostatic
hypertrophy (BPH). Adolescent males (12 to 19 years) are the lowest at risk for a UTI.
All individuals regardless of gender and/or age are at risk if the following conditions exist: vesicoureteral
reflux, neuromuscular conditions, like Parkinson's disease, previous brain attacks, or the use of
anticholinergic medications can all cause incomplete bladder emptying which can create bacterial
overgrowth. Fecal and urinary incontinence contributes to poor perineal hygiene and bacterial growth.
1|Page SUCCESS!!!
,A male client is admitted after falling from his bed. The healthcare provider (HCP) tells the family that
he has an incomplete fracture of the humerus. The family ask the RN what this means. Which type of
fracture should the RN explain from these findings?
-Straignt fracture line that is also a simple, closed fracture.
-Nondisplaced fracture line that wraps around the bone.
-A complete fracture that also punctures the skin.
-A fracture that bends or splinters part of the bone. - ANSWER ☑☑ - A fracture that bends or splinters
part of the bone.
Rationale
An incomplete fracture occurs when part of the bone is splintered (broken) and it has not gone
completely through the thickness of the bone.
The registered nurse (RN) is assisting the healthcare provider (HCP) with the removal of a chest tube.
Which intervention has the highest priority and should be anticipated by the RN after the removal of
the chest tube?
-Prepare the client for chest x-ray at the bedside.
-Review arterial blood gases after removal.
-Elevate the head of bed to 45 degrees.
-Assist with disassembling the drainage system. - ANSWER ☑☑ - Prepare the client for chest x-ray at
the bedside.
Rationale
A chest x-ray should be performed immediately after the removal of a chest tube to ensure lung
expansion has been maintained after its removal.
2|Page SUCCESS!!!
,The registered nurse (RN) did not note that a prescription dose was recently changed and did not note
the updated medication administration record (MAR). After giving the client the original dose, the RN
reports the medication error to the nurse manager. What consequences will the RN experience due to
this error in medication administration?
-The incident will be reported to the state's Board of Nursing (BON).
-A medication error report will be completed and risk management will be notified.
-The RN will be suspended from medication administration until the error is investigated.
-The incident will be documented in the RN's personnel file. - ANSWER ☑☑ - A medication error
report will be completed and risk management will be notified.
Rationale
By reviewing quality of care internally, steps of care can be evaluated and staff can be educated where
gaps are identified. The medication report and notification of management is the responsibility of the
RN who made the mistake, so an internal review of the steps of the occurrence can be completed to
determine further risk potentials.
A client with progressive hearing loss appears distressed when the registered nurse (RN) asks open-
ended questions about the client's health history. Which forms of communication should the RN use?
Select all that apply
-Face the client so the client can see the RN's mouth.
-Increase one's speech volume when interacting with the client.
-Repeat information to the client if misunderstood.
-Check if the client's hearing aides are working properly.
-Reduce environmental noise surrounding the client. - ANSWER ☑☑ - -Face the client so the client can
see the RN's mouth.
-Check if the client's hearing aides are working properly.
3|Page SUCCESS!!!
, -Reduce environmental noise surrounding the client.
Rationale
A client with hearing loss can develop the ability to read "lips," so facing the client during conversation
allows visualization of the lips and directs the sound towards the client. Inspection of the hearing aide
device's functionality is a vital step in communication. Hearing aides magnify all surrounding noise, so it
is imperative to reduce outside environmental noise during the interview process. Speaking clearly with
enunciation and in a regular tone is easier for a client to understand than increasing the volume of
speech. If a client shows signs of confusion, rephrasing the question, instead of repeating, should be
done to decrease client anxiety and facilitate understanding.
The registered nurse (RN) is caring for a client who has taken atenolol for 2 years. The healthcare
provider recently changed the medication to enalaprilto manage the client's blood pressure. Which
instruction should the RN provide the client regarding the new medication?
-Take the medication at bedtime.
-Report presence of increased bruising.
-Check pulse before taking medication.
-Rise slowly when getting out of bed or chair. - ANSWER ☑☑ - Rise slowly when getting out of bed or
chair.
Rationale
The client's new medication is an angiotensin-converting enzyme (ACE) inhibitor, which has the side
effect oforthostatic hypotension. Instructing the client to rise slowly from a sitting or lying down position
is important to teach the client to avoid dizziness and potentially falling.
The registered nurse (RN) is making early morning rounds on a group of clients when a client begins
exhibiting symptoms of an acute asthma attack. The RN administers a PRN prescription for a Beta 2
receptor agonist agent. Which client response should the RN expect?
Select all that apply
4|Page SUCCESS!!!
