BSN 246 EXAM 10/03/2026
BSN 246 HESI Health Assessment V1 Exam 3 | 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 registered nurse (RN) notifies the spouse of a client who was admitted to hospice with shallow respirations,
of a change in the client's condition. Over the past hour, the client's respiratory pattern has changed to a Cheyne
Stokes pattern. After receiving this information, the client's spouse begins vacuuming around the bed. Which
stage of grief is the spouse displaying during the visit?
A. Acceptance
B. Denial
JOYCEWWALES 1
, BSN 246 EXAM 10/03/2026
C. Bargaining
D. Depression - Correct Answer :B. Denial
The spouse is exhibiting the first stage of denial (B) of Kubler-Ross's grief model by ignoring that the client's
death is imminent (A, C, and D) are stages of grief that are not being displayed by the client's spouse during this
observation.
The registered nurse (RN) places an ice pack on a middle school student who comes to the school clinic
complaining of a sprained ankle. Which therapeutic response should the RN anticipate?
A. Reduced pain and minimized bruising.
B. Lowering of body core temperature.
C. Increased circulation around injury.
D. Reabsorption of edema at injury. - Correct Answer :A.
Cold applications produce a topical anesthetic effect to reduce pain as well as constrict blood vessels to
minimize bruising (A). Local ice over an injured area will not lower the core temperature (B). The cold pack
causes vasoconstriction which reduces circulation, not (C), to traumatized tissue and limits further edema
around the injury (D), but not by reabsorption of edematous fluid.
The registered nurse (RN) palpates a weak pedal pulse on the client'rs right foot. Which assessment findings
should the RN document that are consistent with diminished peripheral circulation (Select all that apply.)
A. Diminished hair on legs.
B. Bruising on extremities.
C. Skin cool to touch.
D. Capillary refill less than 3 seconds.
E. Darkened skin on extremities. –
Correct Answer :A. Diminished hair on legs
C. Skin cool to touch.
Diminished hair on the legs (A) and skin that is cool to the touch (C) are symptoms of decreased arterial blood
flow. (B, D, and E) are not indicators for impaired circulation.
JOYCEWWALES 2
, BSN 246 EXAM 10/03/2026
Twenty four hours after a client returns from surgical gastric bypass, the registered nurse (RN) observes large
amounts of blood in the nasogastric tube (NGT) cannister. Which assessment finding should the RN report as
early signs of hypovolemic shock?
A. Faint pedal pulses
B. Decrease in blood pressure.
C. Lethargy.
D. Slow breathing.
- Correct Answer :C. Lethargy
Changes in the level of consciousness occur in the early stages of shock which decreases the perfusion to the
brain which is manifested as lethargy (C). The respiratory rate increases, not (D). (A and B) are late signs of
hypovolemic shock due to cardiac compensatory measures.
The registered nurse (RN) is caring for a client who has taken atenolol for 2 years. The healthcare provider
recently changed the medication to enalapril to manage the client's blood pressure. Which instruction should
the RN provide the client regarding the new medication?
A. Take the medication at bedtime.
B. Report presence of increased bruising.
C. Check pulse before taking medication.
D. Rise slowly when getting out of bed or chair.
- Correct Answer :D. Rise slowly when getting out of bed or chair.
The client's new medication is an angiotensin-converting enzyme (ACE) inhibitor, which has the side effect of
orthostatic hypotension. Instructing the client to rise from a chair or bed slowly (D) is indicated to avoid dizziness
and falling. (A, B, and C) are not indicated when taking an ACE inhibitor.
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 removal of the chest tube?
A. Prepare the client for chest x-ray at the bedside.
B. Review arterial blood gases after removal.
C. Elevate the head of the bed to 45 degrees.
JOYCEWWALES 3
, BSN 246 EXAM 10/03/2026
D. Assist with disassembling the drainage system. –
Correct Answer :A. Prepare the client for a chest x-ray at the bedside.
A chest x-ray (A) should be performed immediately after the procedure to ensure lung expansion has been
maintained after removal of the chest tube. (B) provides additional data after removal of the CT. (C) may assist
the client to breathe easily, but the priority after chest tube removal is to ensure that the procedure was
successful. The entire system, including the chest tube is discarded and not taken apart (D).
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 asks the nurse what this means. Which type of fracture should
the RN explain from these findings?
A. Straight fracture line that is also a simple, closed fracture.
B. Nondisplaced fracture line that wraps around the bone.
C. A complete fracture that also punctures the skin.
D. A fracture that bends or splinters part of the bone. –
Correct Answer :D. A fracture that bends or splinters part of the bone.
An incomplete fracture (D) occurs through part of the thickness of bone. A linear (A) and a spiral fracture (B)
describe the direction of the fracture line. An open fracture (C) is a compound fracture that breaks through the
skin.
The registered nurse (RN) is caring for a client with peptic ulcer disease (PUD). What assessment should the RN
identify that is consistent with PUD? (Select all that apply)
A. Hematemesis
B. Gastric pain on an empty stomach
C. Colic-like pain with fatty food ingestion
D. Intolerance of spicy foods
E. Diarrhea and stearrhea - Correct Answer :A. Hematemesis
B. Gastric pain on an empty stomach
D. Intolerance of spicy foods
JOYCEWWALES 4
BSN 246 HESI Health Assessment V1 Exam 3 | 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 registered nurse (RN) notifies the spouse of a client who was admitted to hospice with shallow respirations,
of a change in the client's condition. Over the past hour, the client's respiratory pattern has changed to a Cheyne
Stokes pattern. After receiving this information, the client's spouse begins vacuuming around the bed. Which
stage of grief is the spouse displaying during the visit?
A. Acceptance
B. Denial
JOYCEWWALES 1
, BSN 246 EXAM 10/03/2026
C. Bargaining
D. Depression - Correct Answer :B. Denial
The spouse is exhibiting the first stage of denial (B) of Kubler-Ross's grief model by ignoring that the client's
death is imminent (A, C, and D) are stages of grief that are not being displayed by the client's spouse during this
observation.
The registered nurse (RN) places an ice pack on a middle school student who comes to the school clinic
complaining of a sprained ankle. Which therapeutic response should the RN anticipate?
A. Reduced pain and minimized bruising.
B. Lowering of body core temperature.
C. Increased circulation around injury.
D. Reabsorption of edema at injury. - Correct Answer :A.
Cold applications produce a topical anesthetic effect to reduce pain as well as constrict blood vessels to
minimize bruising (A). Local ice over an injured area will not lower the core temperature (B). The cold pack
causes vasoconstriction which reduces circulation, not (C), to traumatized tissue and limits further edema
around the injury (D), but not by reabsorption of edematous fluid.
The registered nurse (RN) palpates a weak pedal pulse on the client'rs right foot. Which assessment findings
should the RN document that are consistent with diminished peripheral circulation (Select all that apply.)
A. Diminished hair on legs.
B. Bruising on extremities.
C. Skin cool to touch.
D. Capillary refill less than 3 seconds.
E. Darkened skin on extremities. –
Correct Answer :A. Diminished hair on legs
C. Skin cool to touch.
Diminished hair on the legs (A) and skin that is cool to the touch (C) are symptoms of decreased arterial blood
flow. (B, D, and E) are not indicators for impaired circulation.
JOYCEWWALES 2
, BSN 246 EXAM 10/03/2026
Twenty four hours after a client returns from surgical gastric bypass, the registered nurse (RN) observes large
amounts of blood in the nasogastric tube (NGT) cannister. Which assessment finding should the RN report as
early signs of hypovolemic shock?
A. Faint pedal pulses
B. Decrease in blood pressure.
C. Lethargy.
D. Slow breathing.
- Correct Answer :C. Lethargy
Changes in the level of consciousness occur in the early stages of shock which decreases the perfusion to the
brain which is manifested as lethargy (C). The respiratory rate increases, not (D). (A and B) are late signs of
hypovolemic shock due to cardiac compensatory measures.
The registered nurse (RN) is caring for a client who has taken atenolol for 2 years. The healthcare provider
recently changed the medication to enalapril to manage the client's blood pressure. Which instruction should
the RN provide the client regarding the new medication?
A. Take the medication at bedtime.
B. Report presence of increased bruising.
C. Check pulse before taking medication.
D. Rise slowly when getting out of bed or chair.
- Correct Answer :D. Rise slowly when getting out of bed or chair.
The client's new medication is an angiotensin-converting enzyme (ACE) inhibitor, which has the side effect of
orthostatic hypotension. Instructing the client to rise from a chair or bed slowly (D) is indicated to avoid dizziness
and falling. (A, B, and C) are not indicated when taking an ACE inhibitor.
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 removal of the chest tube?
A. Prepare the client for chest x-ray at the bedside.
B. Review arterial blood gases after removal.
C. Elevate the head of the bed to 45 degrees.
JOYCEWWALES 3
, BSN 246 EXAM 10/03/2026
D. Assist with disassembling the drainage system. –
Correct Answer :A. Prepare the client for a chest x-ray at the bedside.
A chest x-ray (A) should be performed immediately after the procedure to ensure lung expansion has been
maintained after removal of the chest tube. (B) provides additional data after removal of the CT. (C) may assist
the client to breathe easily, but the priority after chest tube removal is to ensure that the procedure was
successful. The entire system, including the chest tube is discarded and not taken apart (D).
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 asks the nurse what this means. Which type of fracture should
the RN explain from these findings?
A. Straight fracture line that is also a simple, closed fracture.
B. Nondisplaced fracture line that wraps around the bone.
C. A complete fracture that also punctures the skin.
D. A fracture that bends or splinters part of the bone. –
Correct Answer :D. A fracture that bends or splinters part of the bone.
An incomplete fracture (D) occurs through part of the thickness of bone. A linear (A) and a spiral fracture (B)
describe the direction of the fracture line. An open fracture (C) is a compound fracture that breaks through the
skin.
The registered nurse (RN) is caring for a client with peptic ulcer disease (PUD). What assessment should the RN
identify that is consistent with PUD? (Select all that apply)
A. Hematemesis
B. Gastric pain on an empty stomach
C. Colic-like pain with fatty food ingestion
D. Intolerance of spicy foods
E. Diarrhea and stearrhea - Correct Answer :A. Hematemesis
B. Gastric pain on an empty stomach
D. Intolerance of spicy foods
JOYCEWWALES 4
