BSN246 HESIHealthAssessmentV2
Exam 1& Exam 2 with NGN
CORRECT ANSWERS AND
EXPLANATIONS
Table of Contents
BSN 246HESIHealthAssessment V2Exam 1............................2
BSN 246HESIHealthAssessment V2Exam 2..........................61
### Question 1
The nurse examines a client's abdomen. Which finding
indicates an abnormal response when palpating the spleen?
- A) No palpable mass noted.
- B) Tenderness reported upon deep palpation.
- C) Firm mass palpated at bottom of left rib cage.
- D) Softness in the lateral aspect of the abdomen.
ANSWER:C) Firm mass palpated at bottom of left rib cage.
Expert Rationale:The spleen is usually not palpable unless it is
enlarged. A firm mass in this area may indicate splenomegaly,
which is abnormal.
Question 2
,In auscultating for the presence of a carotid artery bruit,
the nurse places the bell of the stethoscope at which
location?
- A) Over the left subclavian artery.
- B) Over the aortic arch.
- C) Over the carotid artery.
- D) Over the temporal artery.
ANSWER:C) Over the carotid artery.
Expert Rationale:The bell of the stethoscope is applied
directly over the carotid artery to listen for bruits, which are
abnormal sounds indicating turbulent blood flow, possibly due
to stenosis.
### Question 3
, lOMoARcPSD|27916040
A male client arrives at the clinic for a follow-up health
assessment after recent antibiotic treatment for
pneumonia without hospitalization. Which technique
should the nurse implement to assess for adventitious
lung sounds?
- A) Place the stethoscope's diaphragm lightly on the skin.
- B) Press the stethoscope's diaphragm firmly on the skin over
each lung
field.
- C) Ask the client to breathe normally while using the bell of the
stethoscope.
- D) Use the diaphragm lightly over each lung field and listen for
changes.
ANSWER:B) Press the stethoscope's diaphragm firmly on the
skin over each lung field.
Expert Rationale:Applying the diaphragm firmly
enhances the transmission of breath sounds and allows
the nurse to detect any adventitious sounds such as
wheezes or crackles effectively.
### Question 4
A 29-year-old male client informs the nurse that he came
to the clinic to see if, "Maybe I have lung cancer or
something," and wants to get checked out since, "I can't
seem to get rid of this body-wracking dry cough that has
been hanging around for the last six weeks." Which
, computer documentation of this client's concerns should
the nurse enter?
- A) "Patient reports a persistent cough accompanied by
wheezing."
- B) "Client describes having a 'body-wracking dry cough' of 6
weeks duration."
- C) "The client expresses concern about possible lung cancer
symptoms."
- D) "Client presents with a cough lasting more than a month."
ANSWER:B) "Client describes having a 'body-wracking dry
cough' of 6
weeks duration."
Expert Rationale:The documentation should reflect the client's
own description of their symptoms. Using the client's words
captures the severity and character of the cough, providing clear
information for future assessments.
---
### Question 5
A 75-year-old client with a recent history of a
cerebrovascular accident (CVA) presents with right
hemiparesis. The nurse tests the deep tendon reflexes
on the right side and elicits a brisk 4+ response.
Which interpretation of this finding is accurate?
Exam 1& Exam 2 with NGN
CORRECT ANSWERS AND
EXPLANATIONS
Table of Contents
BSN 246HESIHealthAssessment V2Exam 1............................2
BSN 246HESIHealthAssessment V2Exam 2..........................61
### Question 1
The nurse examines a client's abdomen. Which finding
indicates an abnormal response when palpating the spleen?
- A) No palpable mass noted.
- B) Tenderness reported upon deep palpation.
- C) Firm mass palpated at bottom of left rib cage.
- D) Softness in the lateral aspect of the abdomen.
ANSWER:C) Firm mass palpated at bottom of left rib cage.
Expert Rationale:The spleen is usually not palpable unless it is
enlarged. A firm mass in this area may indicate splenomegaly,
which is abnormal.
Question 2
,In auscultating for the presence of a carotid artery bruit,
the nurse places the bell of the stethoscope at which
location?
- A) Over the left subclavian artery.
- B) Over the aortic arch.
- C) Over the carotid artery.
- D) Over the temporal artery.
ANSWER:C) Over the carotid artery.
Expert Rationale:The bell of the stethoscope is applied
directly over the carotid artery to listen for bruits, which are
abnormal sounds indicating turbulent blood flow, possibly due
to stenosis.
### Question 3
, lOMoARcPSD|27916040
A male client arrives at the clinic for a follow-up health
assessment after recent antibiotic treatment for
pneumonia without hospitalization. Which technique
should the nurse implement to assess for adventitious
lung sounds?
- A) Place the stethoscope's diaphragm lightly on the skin.
- B) Press the stethoscope's diaphragm firmly on the skin over
each lung
field.
- C) Ask the client to breathe normally while using the bell of the
stethoscope.
- D) Use the diaphragm lightly over each lung field and listen for
changes.
ANSWER:B) Press the stethoscope's diaphragm firmly on the
skin over each lung field.
Expert Rationale:Applying the diaphragm firmly
enhances the transmission of breath sounds and allows
the nurse to detect any adventitious sounds such as
wheezes or crackles effectively.
### Question 4
A 29-year-old male client informs the nurse that he came
to the clinic to see if, "Maybe I have lung cancer or
something," and wants to get checked out since, "I can't
seem to get rid of this body-wracking dry cough that has
been hanging around for the last six weeks." Which
, computer documentation of this client's concerns should
the nurse enter?
- A) "Patient reports a persistent cough accompanied by
wheezing."
- B) "Client describes having a 'body-wracking dry cough' of 6
weeks duration."
- C) "The client expresses concern about possible lung cancer
symptoms."
- D) "Client presents with a cough lasting more than a month."
ANSWER:B) "Client describes having a 'body-wracking dry
cough' of 6
weeks duration."
Expert Rationale:The documentation should reflect the client's
own description of their symptoms. Using the client's words
captures the severity and character of the cough, providing clear
information for future assessments.
---
### Question 5
A 75-year-old client with a recent history of a
cerebrovascular accident (CVA) presents with right
hemiparesis. The nurse tests the deep tendon reflexes
on the right side and elicits a brisk 4+ response.
Which interpretation of this finding is accurate?
