BSN 246 HESI Health Assessment Exam V2 (Latest 2026/ 2027
c4 c4 c4 c4 c4 c4 c4 c4 c4
c4 Update) Questions and Verified Answers |100% Correct| Grade
c4 c4 c4 c4 c4 c4 c4
c4 A- Nightingale
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THISDOCUMENTCONTAINS:
c4 c4
➢ BSN246c4
➢ BSN246HESIHealthAssessmentExamV2
c4 c4 c4 c4 c4 c4
➢ Latest2026/2027Update c4 c4 c4
➢ QuestionsandVerifiedAnswers c4 c4 c4
➢ 100%Correct|GradeA- c4 c4 c4
➢ Nightingale
GET AND PASS c4 c4
,Question 1 c4
In observing a client's face, which assessment finding requires the most immediate intervention
c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4
by the nurse?
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A. Eyelids are matted and crusted. c4 c4 c4 c4
B. Cornea are jaundiced. c 4 c4
C. Oral mucosa is cyanotic. c4 c4 c4
D. Face is flushed and diaphoretic. c4 c4 c4 c4
Correct Answer: C. Oral mucosa is cyanotic. c 4 c4 c4 c4 c4 c 4
Expert Rationale: Cyanosis of the oral mucosa indicates central cyanosis, which reflects
c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4
inadequate oxygenation of arterial blood. This is a life-threatening emergency requiring
c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4
immediate intervention (e.g., oxygen administration, airway management, and rapid
c4 c4 c4 c4 c4 c4 c4 c4 c4
assessment of respiratory/cardiac status). Eyelid crusting (A) suggests blepharitis or
c4 c4 c4 c4 c4 c4 c4 c4 c4 c4
hygiene issues, jaundiced corneas (B) indicate hyperbilirubinemia (liver dysfunction),
c4 c4 c4 c4 c4 c4 c4 c4 c4
c and facial flushing with diaphoresis (D) may indicate fever, menopause, or anxiety—all
4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4
important but not immediately life-threatening compared to central cyanosis.
c4 c4 c4 c4 c4 c4 c4 c4 c4
Question 2 c4
While obtaining a health history, a male client tells the nurse that he sometimes
c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4
experiences shortness of breath. The nurse determines that the client's respirations are
c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4
regular and deep, and his respiratory rate is 14 breaths/minute. What is the best nursing
c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4
action?
c4
A. Ask the client to perform light exercises and observe the respiratory effect.
c 4 c4 c 4 c4 c4 c4 c 4 c4 c 4 c4 c4
B. Document "dyspnea on exertion" in the client's medical record. c 4 c 4 c 4 c4 c 4 c 4 c4 c 4
C. Ask the client to describe the episodes of dyspnea in more detail.
c4 c4 c4 c 4 c4 c4 c4 c4 c4 c4 c4
D. Explain to the client the possible causes of dyspnea or "shortness of breath." c4 c 4 c4 c 4 c4 c 4 c 4 c 4 c4 c 4 c4 c 4
Correct Answer: C. Ask the client to describe the episodes of dyspnea in more detail.
c4 c 4 c4 c4 c4 c4 c 4 c4 c4 c4 c4 c4 c4 c4
Expert Rationale: The nurse should first gather more subjective data about the nature,
c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4
onset, duration, frequency, and precipitating/relieving factors of the dyspnea before
c4 c4 c4 c4 c4 c4 c4 c4 c4 c4
drawing conclusions or documenting. This is the assessment phase of the nursing process.
c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c 4
Option A could worsen the client's condition without knowing more. Option B
c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4
,assumes dyspnea on exertion without confirmation. Option D provides education
c4 c4 c4 c4 c4 c4 c4 c4 c4
prematurely before fully understanding the problem.
c4 c4 c4 c4 c4 c4
Question 3 c4
When assessing a male client's respiratory status, which technique should the nurse use
c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4
to assess his anterior-posterior (AP) chest diameter?
c4 c4 c4 c4 c4 c4 c4
A. Auscultation.
B. Percussion.
C. Palpation.
D. Observation.
Correct Answer: D. Observation. c 4 c4 c4
Expert Rationale: The AP chest diameter is assessed through inspection (observation). A
c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c 4
normal adult chest has an AP-to-lateral ratio of 1:2. A barrel chest (1:1 ratio) is associated
c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4
with chronic obstructive pulmonary disease (COPD). Auscultation (A) assesses breath
c4 c4 c4 c4 c4 c4 c4 c4 c4 c4
sounds, percussion (B) assesses resonance/dullness, and palpation (C) assesses tactile
c4 c4 c4 c4 c4 c4 c4 c4 c4 c4
fremitus, chest expansion, and tenderness.
c4 c4 c4 c4 c4
Question 4 c4
Which assessment finding supports the client's statement, "My feet swell all the time?"
c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4
A. 2+ pitting edema of ankles bilaterally.
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B. Capillary refill both feet >3 seconds. c4 c4 c4 c4 c4
C. Pedal pulses weak and thready. c4 c4 c 4 c4
D. Positive Homan's sign bilaterally. c 4 c 4 c 4
Correct Answer: A. 2+ pitting edema of the ankles bilaterally.
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Expert Rationale: Pitting edema is the direct clinical manifestation of fluid accumulation in
c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4
the interstitial tissues, which corresponds to the client's report of
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, More for this course
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You'restudyingBSNHESI246 Health Assesssment4
c 4
c 4
c 4
c 4
c 4
c
BSN 246 HESI
c 4 c 4
Exam (elaborations) c4
Health Assess...
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BSN 246 HESI Health Assessment Exam V2 (Latest 2025/ 2026 Update)
c 4 c 4 c 4 c 4 c 4 c 4 c 4 c 4 c 4 c 4
Questions and Verified Answers |100% Correct| Grade A- Nightingale
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4.5 (2) 15 19
BSN c 4 HESI c 4 246 Exam (elaborations) c4
c 4 c 4 c 4 c 4 c 4 c 4 c 4 c 4 c 4 c 4 c 4
5.0 (1) 2 39
All the study materialfor
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BECOME A SELLER ON STUVIA c 4 c 4 c 4 c 4
RikEijbergen
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Getpaidforthenotesyoualready 4
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make
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"I used to send my study notes to
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classmates, until I found Stuvia.
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Uploadyoursummaries,notesorpracticequestionsonce,and 4
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Now,my documents have been
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soldover900timesandI'vebeen
earneverytimeanotherstudentdownloadsthem. c4 4
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ableto take a trip twicewiththe
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money I earned."
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Scan to upload your first document c4 c4 c4 c4 c4
Rik has earned $4400 since he started
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orgotostuvia.com/earn
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$27M+
paidout tostudents since
Freetostart,youset yourprice. Over amillionstudents amonthcometo
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2010
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Stuvia looking for material like yours.
c4 c4 c4 c4 c4 c4
c4 c4 c4 c4 c4 c4 c4 c4 c4
c4 Update) Questions and Verified Answers |100% Correct| Grade
c4 c4 c4 c4 c4 c4 c4
c4 A- Nightingale
c4
THISDOCUMENTCONTAINS:
c4 c4
➢ BSN246c4
➢ BSN246HESIHealthAssessmentExamV2
c4 c4 c4 c4 c4 c4
➢ Latest2026/2027Update c4 c4 c4
➢ QuestionsandVerifiedAnswers c4 c4 c4
➢ 100%Correct|GradeA- c4 c4 c4
➢ Nightingale
GET AND PASS c4 c4
,Question 1 c4
In observing a client's face, which assessment finding requires the most immediate intervention
c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4
by the nurse?
c4 c4 c4
A. Eyelids are matted and crusted. c4 c4 c4 c4
B. Cornea are jaundiced. c 4 c4
C. Oral mucosa is cyanotic. c4 c4 c4
D. Face is flushed and diaphoretic. c4 c4 c4 c4
Correct Answer: C. Oral mucosa is cyanotic. c 4 c4 c4 c4 c4 c 4
Expert Rationale: Cyanosis of the oral mucosa indicates central cyanosis, which reflects
c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4
inadequate oxygenation of arterial blood. This is a life-threatening emergency requiring
c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4
immediate intervention (e.g., oxygen administration, airway management, and rapid
c4 c4 c4 c4 c4 c4 c4 c4 c4
assessment of respiratory/cardiac status). Eyelid crusting (A) suggests blepharitis or
c4 c4 c4 c4 c4 c4 c4 c4 c4 c4
hygiene issues, jaundiced corneas (B) indicate hyperbilirubinemia (liver dysfunction),
c4 c4 c4 c4 c4 c4 c4 c4 c4
c and facial flushing with diaphoresis (D) may indicate fever, menopause, or anxiety—all
4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4
important but not immediately life-threatening compared to central cyanosis.
c4 c4 c4 c4 c4 c4 c4 c4 c4
Question 2 c4
While obtaining a health history, a male client tells the nurse that he sometimes
c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4
experiences shortness of breath. The nurse determines that the client's respirations are
c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4
regular and deep, and his respiratory rate is 14 breaths/minute. What is the best nursing
c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4
action?
c4
A. Ask the client to perform light exercises and observe the respiratory effect.
c 4 c4 c 4 c4 c4 c4 c 4 c4 c 4 c4 c4
B. Document "dyspnea on exertion" in the client's medical record. c 4 c 4 c 4 c4 c 4 c 4 c4 c 4
C. Ask the client to describe the episodes of dyspnea in more detail.
c4 c4 c4 c 4 c4 c4 c4 c4 c4 c4 c4
D. Explain to the client the possible causes of dyspnea or "shortness of breath." c4 c 4 c4 c 4 c4 c 4 c 4 c 4 c4 c 4 c4 c 4
Correct Answer: C. Ask the client to describe the episodes of dyspnea in more detail.
c4 c 4 c4 c4 c4 c4 c 4 c4 c4 c4 c4 c4 c4 c4
Expert Rationale: The nurse should first gather more subjective data about the nature,
c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4
onset, duration, frequency, and precipitating/relieving factors of the dyspnea before
c4 c4 c4 c4 c4 c4 c4 c4 c4 c4
drawing conclusions or documenting. This is the assessment phase of the nursing process.
c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c 4
Option A could worsen the client's condition without knowing more. Option B
c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4
,assumes dyspnea on exertion without confirmation. Option D provides education
c4 c4 c4 c4 c4 c4 c4 c4 c4
prematurely before fully understanding the problem.
c4 c4 c4 c4 c4 c4
Question 3 c4
When assessing a male client's respiratory status, which technique should the nurse use
c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4
to assess his anterior-posterior (AP) chest diameter?
c4 c4 c4 c4 c4 c4 c4
A. Auscultation.
B. Percussion.
C. Palpation.
D. Observation.
Correct Answer: D. Observation. c 4 c4 c4
Expert Rationale: The AP chest diameter is assessed through inspection (observation). A
c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c 4
normal adult chest has an AP-to-lateral ratio of 1:2. A barrel chest (1:1 ratio) is associated
c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4
with chronic obstructive pulmonary disease (COPD). Auscultation (A) assesses breath
c4 c4 c4 c4 c4 c4 c4 c4 c4 c4
sounds, percussion (B) assesses resonance/dullness, and palpation (C) assesses tactile
c4 c4 c4 c4 c4 c4 c4 c4 c4 c4
fremitus, chest expansion, and tenderness.
c4 c4 c4 c4 c4
Question 4 c4
Which assessment finding supports the client's statement, "My feet swell all the time?"
c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4
A. 2+ pitting edema of ankles bilaterally.
c4 c4 c4 c4 c4
B. Capillary refill both feet >3 seconds. c4 c4 c4 c4 c4
C. Pedal pulses weak and thready. c4 c4 c 4 c4
D. Positive Homan's sign bilaterally. c 4 c 4 c 4
Correct Answer: A. 2+ pitting edema of the ankles bilaterally.
c4 c 4 c4 c 4 c 4 c4 c4 c4 c4
Expert Rationale: Pitting edema is the direct clinical manifestation of fluid accumulation in
c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4
the interstitial tissues, which corresponds to the client's report of
c4 c4 c 4 c4 c 4 c4 c4 c4 c4 c4
, More for this course
c4 c4 c4
You'restudyingBSNHESI246 Health Assesssment4
c 4
c 4
c 4
c 4
c 4
c
BSN 246 HESI
c 4 c 4
Exam (elaborations) c4
Health Assess...
c4
BSN 246 HESI Health Assessment Exam V2 (Latest 2025/ 2026 Update)
c 4 c 4 c 4 c 4 c 4 c 4 c 4 c 4 c 4 c 4
Questions and Verified Answers |100% Correct| Grade A- Nightingale
c4 c4 c4 c4 c4 c4 c4 c4
4.5 (2) 15 19
BSN c 4 HESI c 4 246 Exam (elaborations) c4
c 4 c 4 c 4 c 4 c 4 c 4 c 4 c 4 c 4 c 4 c 4
5.0 (1) 2 39
All the study materialfor
c4 c4 c4 c4
BECOME A SELLER ON STUVIA c 4 c 4 c 4 c 4
RikEijbergen
R
Getpaidforthenotesyoualready 4
c 4
c 4
c 4
c 4
c 4
c
Creative Business c 4
make
c4
"I used to send my study notes to
c4
classmates, until I found Stuvia.
c4
c4 c4
c4
c4 c4
c4 c4
c4
c4
c4
Uploadyoursummaries,notesorpracticequestionsonce,and 4
c 4
c c4 4
c 4
c 4
c c4 4
c
Now,my documents have been
c4 c4 c4 c4 c4
soldover900timesandI'vebeen
earneverytimeanotherstudentdownloadsthem. c4 4
c 4
c 4
c 4
c 4
c 4
c
ableto take a trip twicewiththe
c4 4
c 4
c 4
c 4
c 4
c 4
c
c4 c4 c4 c4 c4 c4 c4 c4
money I earned."
c4 c4 c4
Scan to upload your first document c4 c4 c4 c4 c4
Rik has earned $4400 since he started
c4 c4 c4 c4 c4 c4
orgotostuvia.com/earn
4
c 4
c 4
c
$27M+
paidout tostudents since
Freetostart,youset yourprice. Over amillionstudents amonthcometo
4
c c4 c4 c4
c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4 c4
2010
c4
Stuvia looking for material like yours.
c4 c4 c4 c4 c4 c4
