BSN 246 HESI Health Assessment Exam V2 (Latest 2026/ 2027 Update) Questions and Verified Answers |100% Correct| Grade A- Nightingale

BSN HESI 246 Health Assesssment
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BSN 246 HESI Health Assessment Exam V2 (Latest 2026/ 2027
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j1 Update) Questions and Verified Answers |100% Correct| Grade
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j1 A- Nightingale
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THISDOCUMENTCONTAINS:
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➢ BSN246j1




➢ BSN246HESIHealthAssessmentExamV2
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➢ Latest2026/2027Update j1 j1 j1




➢ QuestionsandVerifiedAnswers j1 j1 j1




➢ 100%Correct|GradeA- j1 j1 j1




➢ Nightingale

GET AND PASS j1 j1




See all study documents for BSN HESI 246 Health Assesssment
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,BSN HESI 246 Health Assesssment
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Question 1 j1




In observing a client's face, which assessment finding requires the most immediate intervention
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by the nurse?
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A. Eyelids are matted and crusted. j1 j1 j1 j1




B. Cornea are jaundiced. j 1 j1




C. Oral mucosa is cyanotic. j1 j1 j1




D. Face is flushed and diaphoretic. j1 j1 j1 j1




Correct Answer: C. Oral mucosa is cyanotic. j 1 j 1 j 1 j 1 j 1 j 1




Expert Rationale: Cyanosis of the oral mucosa indicates central cyanosis, which reflects
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inadequate oxygenation of arterial blood. This is a life-threatening emergency requiring
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immediate intervention (e.g., oxygen administration, airway management, and rapid
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assessment of respiratory/cardiac status). Eyelid crusting (A) suggests blepharitis or
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hygiene issues, jaundiced corneas (B) indicate hyperbilirubinemia (liver dysfunction),
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j and facial flushing with diaphoresis (D) may indicate fever, menopause, or anxiety—all
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important but not immediately life-threatening compared to central cyanosis.
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Question 2 j1




While obtaining a health history, a male client tells the nurse that he sometimes
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experiences shortness of breath. The nurse determines that the client's respirations are
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regular and deep, and his respiratory rate is 14 breaths/minute. What is the best nursing
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action?
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A. Ask the client to perform light exercises and observe the respiratory effect.
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B. Document "dyspnea on exertion" in the client's medical record. j 1 j 1 j 1 j1 j 1 j1 j1 j 1




C. Ask the client to describe the episodes of dyspnea in more detail.
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D. Explain to the client the possible causes of dyspnea or "shortness of breath."j1 j 1 j1 j 1 j1 j 1 j 1 j 1 j1 j 1 j1 j 1




Correct Answer: C. Ask the client to describe the episodes of dyspnea in more detail.
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Expert Rationale: The nurse should first gather more subjective data about the nature, onset,
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duration, frequency, and precipitating/relieving factors of the dyspnea before drawing
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conclusions or documenting. This is the assessment phase of the nursing process. Option A
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could worsen the client's condition without knowing more. Option B
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,BSN HESI 246 Health Assesssment
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assumes dyspnea on exertion without confirmation. Option D provides education
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prematurely before fully understanding the problem.
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Question 3 j1




When assessing a male client's respiratory status, which technique should the nurse use
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to assess his anterior-posterior (AP) chest diameter?
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A. Auscultation.
B. Percussion.
C. Palpation.
D. Observation.

Correct Answer: D. Observation. j 1 j 1 j 1




Expert Rationale: The AP chest diameter is assessed through inspection (observation). A
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normal adult chest has an AP-to-lateral ratio of 1:2. A barrel chest (1:1 ratio) is associated
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with chronic obstructive pulmonary disease (COPD). Auscultation (A) assesses breath
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sounds, percussion (B) assesses resonance/dullness, and palpation (C) assesses tactile
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fremitus, chest expansion, and tenderness.
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Question 4 j1




Which assessment finding supports the client's statement, "My feet swell all the time?"
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A. 2+ pitting edema of ankles bilaterally.
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B. Capillary refill both feet >3 seconds. j1 j1 j1 j1 j1




C. Pedal pulses weak and thready. j1 j1 j 1 j1




D. Positive Homan's sign bilaterally. j 1 j 1 j 1




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
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the interstitial tissues, which corresponds to the client's report of
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BSN 246 HESI Health Assessment Exam V2 (Latest 2025/ 2026 Update)
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