BSN 246 HESI RN -HEALTH ASSESSMENT EXAM
|ACTUAL QUESTIONS AND VERIFIED
ANSWERS|BRAND NEW 2026-2027
UPDATE|GRADED A+
Question 1
The registered nurse (RN) is developing the plan of care for a client who is admitted for
alcohol detoxification. Which goal should be most important for the RN to primarily focus
the client's care?
The client maintains optimal nutritional status.
The client will remain alert and oriented.
The client will remain free from injury.
The client will remain alcohol free during hospitalization.
CORRECT ANSWER
The client will remain free from injury.
Rationale
The client is at highest risk for injury due to altered cognitive and sensory disturbances as
well as delirium tremors during withdrawal. Remaining free from injury is the most
important goal for the acute phase of alcohol withdrawal.
Question 2
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.
1
,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.
CORRECT ANSWER
Face the client so the client can see the RN's mouth.
Check if the client's hearing aides are working properly.
Reduce environmental noise surrounding the client.
Question 3
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.)
Diminished hair on legs
Bruising on extremities
Skin cool to touch
Capillary refill less than 3 seconds
Darkened skin on extremities
CORRECT ANSWER
Diminished hair on legs
Skin cool to touch
No on the Darkened skin on extremities - indicates hemosiderin staining caused by the
destruction of red blood cells and the release of the pigment heme within hemoglobin.
Occurs with peripheral vascular disease.
Rationale
2
, Diminished hair on the legs and skin that is cool to touch are symptoms of decreased
arterial blood flow. The other options are not indicators for impaired peripheral
circulation.
Question 4
A female client calls the clinic and talks with the registered nurse (RN) to inquire about a
possible reaction after taking amoxicillin for 5 days. She reports having vaginal discomfort,
itching, and a white discharge. The RN should discuss which action with the client?
Discontinue the antibiotic because original symptoms have subsided.
Continue taking medication until finished until the symptoms subside.
Consult with healthcare provider about another treatment for this effect.
Use an over-the-counter (OTC) vaginal wash to flush out the secretions.
**Think best intervention**
CORRECT ANSWER
Consult with healthcare provider about another treatment for this effect.
Rationale
A superinfection with normal flora yeast may occur during antibiotic therapy. If
suspected, the new onset of findings should be reported to the healthcare provider for
another prescribed treatment to treat the superinfection.
Question 5
The registered nurse (RN) is administering haloperidol 0.5 mg IM PRN to a client for the
first time. What side effects should the RN assess the client for during the initial dose?
Bradykinesia.
Dystonia.
3
|ACTUAL QUESTIONS AND VERIFIED
ANSWERS|BRAND NEW 2026-2027
UPDATE|GRADED A+
Question 1
The registered nurse (RN) is developing the plan of care for a client who is admitted for
alcohol detoxification. Which goal should be most important for the RN to primarily focus
the client's care?
The client maintains optimal nutritional status.
The client will remain alert and oriented.
The client will remain free from injury.
The client will remain alcohol free during hospitalization.
CORRECT ANSWER
The client will remain free from injury.
Rationale
The client is at highest risk for injury due to altered cognitive and sensory disturbances as
well as delirium tremors during withdrawal. Remaining free from injury is the most
important goal for the acute phase of alcohol withdrawal.
Question 2
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.
1
,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.
CORRECT ANSWER
Face the client so the client can see the RN's mouth.
Check if the client's hearing aides are working properly.
Reduce environmental noise surrounding the client.
Question 3
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.)
Diminished hair on legs
Bruising on extremities
Skin cool to touch
Capillary refill less than 3 seconds
Darkened skin on extremities
CORRECT ANSWER
Diminished hair on legs
Skin cool to touch
No on the Darkened skin on extremities - indicates hemosiderin staining caused by the
destruction of red blood cells and the release of the pigment heme within hemoglobin.
Occurs with peripheral vascular disease.
Rationale
2
, Diminished hair on the legs and skin that is cool to touch are symptoms of decreased
arterial blood flow. The other options are not indicators for impaired peripheral
circulation.
Question 4
A female client calls the clinic and talks with the registered nurse (RN) to inquire about a
possible reaction after taking amoxicillin for 5 days. She reports having vaginal discomfort,
itching, and a white discharge. The RN should discuss which action with the client?
Discontinue the antibiotic because original symptoms have subsided.
Continue taking medication until finished until the symptoms subside.
Consult with healthcare provider about another treatment for this effect.
Use an over-the-counter (OTC) vaginal wash to flush out the secretions.
**Think best intervention**
CORRECT ANSWER
Consult with healthcare provider about another treatment for this effect.
Rationale
A superinfection with normal flora yeast may occur during antibiotic therapy. If
suspected, the new onset of findings should be reported to the healthcare provider for
another prescribed treatment to treat the superinfection.
Question 5
The registered nurse (RN) is administering haloperidol 0.5 mg IM PRN to a client for the
first time. What side effects should the RN assess the client for during the initial dose?
Bradykinesia.
Dystonia.
3
