BSN 246 EXAM 10/03/2026
BSN 246 HESI Health Assessment V1 Exam 2 | Complete
Questions & Answers with Rationales | Verified Questions
& Answers | Nightingale College Health Assessment Exam
Prep | Latest 2026/2027 Update | Graded A+| Latest (2025
/ 2026) 100% Guarantee Pass| Guarantee Pass with Detailed
Rationales(2026) | 100% Verified |A+ Graded
The nurse performs a physical assessment on an older female client. Which change from the prior exam may be
an indication of osteoporosis?
Thick and brittle fingernails.
Decreased range of motion.
JOYCEWWALES 1
, BSN 246 EXAM 10/03/2026
Weight gain of 15 pounds.
Height reduction of 1.5 inches.
Height reduction of 1.5 inches.
Rationale
Osteoporosis is a loss of bone density that causes brittle bones and an increased risk for fractures. Reduced
height in older female clients with osteoporosis is generally the result of the shortening of the vertebral column
due to loss of water and thinning of the intervertebral discs.
*A client in an ambulatory clinic describes awaking in the middle of the night with difficulty breathing and
shortness of breath related to paroxysmal nocturnal dyspnea. Which underlying condition should the registered
nurse (RN) identify in the client's history?
Chronic bronchitis.
Gastroesophageal reflux disease (GERD).
Heart failure (HF).
Chronic pancreatitis. - Correct Answer :Heart failure (HF).
Rationale
Paroxysmal nocturnal dyspnea is classic sign of heart failure and is secondary to fluid overload associated with
heart failure which causes pulmonary edema.
*The registered nurse (RN) is evaluating a client who presents with symptoms of viral gastroenteritis. Which
assessment finding should the RN report to the healthcare provider?
Dry mucous membranes and lips.
Rebound abdominal tenderness over right lower quadrant.
Dizziness when client ambulates from a sitting position.
Poor skin turgor over client's wrist. - Correct Answer :Rebound abdominal tenderness over right lower
quadrant.
Rationale
JOYCEWWALES 2
, BSN 246 EXAM 10/03/2026
RLQ rebound abdominal tenderness may be related to acute appendicitis and should be reported to the
healthcare provider.
*The registered nurse (RN) is caring for a client with peptic ulcer disease (PUD). What assessment should the RN
identify and document that is consistent with PUD? (Select all that apply).
Select all that apply
Hematemesis.
Gastric pain on an empty stomach.
Colic-like pain with fatty food ingestion.
Intolerance of spicy foods.
Diarrhea and stearrhea. - Correct Answer :Hematemesis.
Gastric pain on an empty stomach.
Intolerance of spicy foods.
Rationale
Manifestations of PUD include hematemesis, gastric pain, and spicy food intolerance.
*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.) - Correct Answer :1. Older Female
2. School age female
3. Older male
4. Adolescent male
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
JOYCEWWALES 3
, BSN 246 EXAM 10/03/2026
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.
A client with chest pain, dizziness, and vomiting for the last 2 hours is admitted for evaluation for Acute Coronary
Syndrome (ACS). Which cardiac biomarker should the registered nurse (RN) anticipate to be elevated if the client
experienced myocardial damage?
Creatine Kinase (CK-MB).
Serum troponin.
Myoglobin.
Ischemia modified albumin. - Correct Answer :Serum troponin.
Troponin is the most sensitive and specific test for myocardial damage. Troponin elevation is more specific than
CK-MB.
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.
The registered nurse (RN) is caring for a client with aplastic anemia who is hospitalized for weight loss and
generalized weakness. Laboratory values show a white blood count (WBC) of 2,500/mm3 and a platelet countof
160,000/mm3. Which intervention is the primary focus in the client's plan of care for the RN to implement?
Assist with frequent ambulation.
Encourage visitors to visit.
Maintain strict protective precautions.
Avoid peripheral injections. - Correct Answer :Maintain strict protective precautions.
Rationale
JOYCEWWALES 4
BSN 246 HESI Health Assessment V1 Exam 2 | Complete
Questions & Answers with Rationales | Verified Questions
& Answers | Nightingale College Health Assessment Exam
Prep | Latest 2026/2027 Update | Graded A+| Latest (2025
/ 2026) 100% Guarantee Pass| Guarantee Pass with Detailed
Rationales(2026) | 100% Verified |A+ Graded
The nurse performs a physical assessment on an older female client. Which change from the prior exam may be
an indication of osteoporosis?
Thick and brittle fingernails.
Decreased range of motion.
JOYCEWWALES 1
, BSN 246 EXAM 10/03/2026
Weight gain of 15 pounds.
Height reduction of 1.5 inches.
Height reduction of 1.5 inches.
Rationale
Osteoporosis is a loss of bone density that causes brittle bones and an increased risk for fractures. Reduced
height in older female clients with osteoporosis is generally the result of the shortening of the vertebral column
due to loss of water and thinning of the intervertebral discs.
*A client in an ambulatory clinic describes awaking in the middle of the night with difficulty breathing and
shortness of breath related to paroxysmal nocturnal dyspnea. Which underlying condition should the registered
nurse (RN) identify in the client's history?
Chronic bronchitis.
Gastroesophageal reflux disease (GERD).
Heart failure (HF).
Chronic pancreatitis. - Correct Answer :Heart failure (HF).
Rationale
Paroxysmal nocturnal dyspnea is classic sign of heart failure and is secondary to fluid overload associated with
heart failure which causes pulmonary edema.
*The registered nurse (RN) is evaluating a client who presents with symptoms of viral gastroenteritis. Which
assessment finding should the RN report to the healthcare provider?
Dry mucous membranes and lips.
Rebound abdominal tenderness over right lower quadrant.
Dizziness when client ambulates from a sitting position.
Poor skin turgor over client's wrist. - Correct Answer :Rebound abdominal tenderness over right lower
quadrant.
Rationale
JOYCEWWALES 2
, BSN 246 EXAM 10/03/2026
RLQ rebound abdominal tenderness may be related to acute appendicitis and should be reported to the
healthcare provider.
*The registered nurse (RN) is caring for a client with peptic ulcer disease (PUD). What assessment should the RN
identify and document that is consistent with PUD? (Select all that apply).
Select all that apply
Hematemesis.
Gastric pain on an empty stomach.
Colic-like pain with fatty food ingestion.
Intolerance of spicy foods.
Diarrhea and stearrhea. - Correct Answer :Hematemesis.
Gastric pain on an empty stomach.
Intolerance of spicy foods.
Rationale
Manifestations of PUD include hematemesis, gastric pain, and spicy food intolerance.
*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.) - Correct Answer :1. Older Female
2. School age female
3. Older male
4. Adolescent male
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
JOYCEWWALES 3
, BSN 246 EXAM 10/03/2026
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.
A client with chest pain, dizziness, and vomiting for the last 2 hours is admitted for evaluation for Acute Coronary
Syndrome (ACS). Which cardiac biomarker should the registered nurse (RN) anticipate to be elevated if the client
experienced myocardial damage?
Creatine Kinase (CK-MB).
Serum troponin.
Myoglobin.
Ischemia modified albumin. - Correct Answer :Serum troponin.
Troponin is the most sensitive and specific test for myocardial damage. Troponin elevation is more specific than
CK-MB.
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.
The registered nurse (RN) is caring for a client with aplastic anemia who is hospitalized for weight loss and
generalized weakness. Laboratory values show a white blood count (WBC) of 2,500/mm3 and a platelet countof
160,000/mm3. Which intervention is the primary focus in the client's plan of care for the RN to implement?
Assist with frequent ambulation.
Encourage visitors to visit.
Maintain strict protective precautions.
Avoid peripheral injections. - Correct Answer :Maintain strict protective precautions.
Rationale
JOYCEWWALES 4
