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BSN 246 HESI Health Assessment Exam V3 (Latest 2024/ 2025 Update) Questions and Verified Answers |100% Correct| Grade A- Nightingale

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BSN 246 HESI Health Assessment Exam V3 (Latest 2024/ 2025 Update) Questions and Verified Answers |100% Correct| Grade A- Nightingale Q: A Muslim male client refuses to let the female registered nurse (RN) listen to his breath sounds during the examination. How should the RN respond? Explain how the nursing skill will be performed before proceeding. Examine client with an additional healthcare provider for support. Request a male nurse or healthcare provider to perform the exam. Avoid any skills that involve touching the client during the exam. Answer: Request a male nurse or healthcare provider to perform the exam. Rationale Modesty is an important value in the Muslim community, and Muslims are reluctant to expose any part of their body to healthcare members. Muslim clients are accustomed to examination by "same sex" healthcare providers, so is the best solution for the client. Q: 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.) Older females. Adolescent males. Older males. School-age female. Answer: 1.Older females. 2.School-age female. 3.Older males. 4.Adolescent males. 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 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. Q: The registered nurse (RN) is caring for a client with tuberculosis (TB) who is taking a combination drug regimen. The client complains about taking "so many pills." What information should the RN provide to the client about the prescribed treatement? The development of resistant strains of TB are decreased with a combination of drugs. Compliance to the medication regimen is challenging but should be main- tained. Side effects are minimized with the use of a single medication but is less effective. The treatment time is decreased from 6 months to 3 months with this standard regimen. Rationale Combination therapy is necessary to decrease the development of resistant strains of TB and ensure treatment efficacy. Answer: The development of resistant strains of TB are decreased with a combination of drugs. Rationale Combination therapy is necessary to decrease the development of resistant strains of TB and ensure treatment efficacy. Q: The registered nurse (RN) 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.)Select all that apply Some correct answers were not selected Diminished hair on legs. Bruising on extremities. Skin cool to touch. Capillary refill less than 3 seconds. Darkened skin on extremities. Answer: Skin cool to touch. Diminished hair on legs. Rationale Diminished hair on the legs and skin that is cool to touch are expectant signs of decreased arterial blood flow. Q: A client with cirrhosis of the liver asks the registered nurse (RN) to explain how varicose veins can occur in the esophagus. Which statement should the RN provide to teach the client about the physiological etiology? The enlarged liver presses on the lower half of the esophagus which weakens blood vessel walls. Abnormal vessels form as a result of liver damage that causes chronic low serum protein levels. Esophageal swelling and tissue damage causes blood to circulate blood back through the stomach. Increased portal pressure causes blood flow through liver to be shunted to the esophageal vessels. Answer: Increased portal pressure causes blood flow through liver to be shunted to the esophageal vessels. Rationale Cirrhotic and fibrosed liver damage causes obstructed blood flow through portal vessels to the liver which increases the portal pressure causing the blood flow through the liver to be shunted to the esophageal vessels. The result of this shunting of blood causes the esophageal vessels (veins) to balloon out and weaken. As the portal hypertension increases, these esophageal varices can rupture and cause bleeding resulting in bloody emesis and black tarry stools Q: The registered nurse (RN) is caring for a client who has taken atenolol for 2 years. The healthcare provider recently changed the medication to enalaprilto manage the client's blood pressure. Which instruction should the RN provide the client regarding the new medication? Take the medication at bedtime. Report presence of increased bruising. Check pulse before taking medication. Rise slowly when getting out of bed or chair. Answer: Rise slowly when getting out of bed or chair. Rationale The client's new medication is an angiotensin-converting enzyme (ACE) inhibitor, which has the side effect oforthostatic hypotension. Instructing the client to rise slowly from a sitting or lying down position is important to teach the client to avoid dizziness and potentially falling Q: The registered nurse (RN) is teaching a client who is being discharged after treatment of tuberculosis (TB). Which cultural issues should the RN assess when preparing the client for discharge? (Select all that apply.) Native language. Education level. Type of lifestyle. Financial resources. Previous medical history. Answer:

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BSN HESI 246 Health Assesssment (BSN246)










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BSNI246IHESIIHealthIAssessment IExamI V3I(LatestI2024/I2025IUpdate)IQuestions I andIVerifiedIAnswersI|100%ICorrect|I GradeIA-INightingale Q:IAIMuslimImaleIclientIrefusesItoIletItheIfemaleIregisteredInurseI(RN)IlistenItoIhisIbreathI
soundsIduringItheIexamination. IHowIshouldItheIRNIrespond?IExplainIhowItheInursingIskillIw
illIbeIperformedIbeforeIproceeding. ExamineIclientIwithIanIadditionalIhealthcareIproviderIforIsupport.IRequestIaImaleInurseIorIhe
althcareIproviderItoIperformItheIexam. AvoidIanyIskillsIthatIinvolveItouchingItheIclientIduringItheIexam. Answer: IRequestIaImaleInurseIorIhealthcareIproviderItoIperformItheIexam. Rationale ModestyIisIanIimportantIvalueIinItheIMuslimIcommunity, IandIMuslimsIareIreluctantItoIexpose
IanyIpartIofItheirIbodyItoIhealthcareImembers.IMuslimIclientsIareIaccustomed ItoIexamination I
byI"sameIsex"IhealthcareIproviders,IsoIisItheIbestIsolutionIforItheIclient. Q:ITheIregisteredInurseI(RN)Irecognizes IwhichIclientIgroupIisIatItheIgreatestIriskIforIdevelo
pingIaIurinaryItractIinfectionI(UTI)?I(RankIfromIhighestIriskItoIlowestIrisk.) OlderIfemales.IAdolescent Imales.IOlderImales. School-ageIfemale. Answer: I1.OlderIfemales. 2.School-ageIfemale. 3.OlderImales. 4.Adolescent Imales. Rationale I Hypoestrogenism IandIalkaloticIurineIareIotherIage-
relatedIfactorsIputIolderIwomenIatItheIhighestIriskIforIUTIs.ISchoolIageIgirlsI(6ItoI12Iyears)Ia
reIatIriskIforIUTIsIdueItoIaIhigherIprevalence ItoItakingIbathsIinsteadIofIshowers,IbutItheseIris
ksIcanIbeIcontrolledIinIthisIpopulation IasIwellIasIhypoestrogenism IandIalkaloticIurine.IOlderI
menIareIatIriskIdueItoIpossibleIobstruction IofItheIbladderIdueItoIbenignIprostaticIhypertrophy I
(BPH).IAdolescent ImalesI(12ItoI19Iyears)IareItheIlowestIatIriskIfor aIUTI.AllIindividuals IregardlessIofIgenderIand/orIageIareIatIriskIifItheIfollowingIconditionsIex
ist:Ivesicoureteral Ireflux,Ineuromuscular Iconditions, IlikeIParkinson's Idisease,IpreviousIbrainIatt acks,IorItheIuseIofIanticholinergic Imedications IcanIallIcauseIincomplete IbladderIemptyingIwhi
chIcanIcreateIbacterialIovergrowth. IFecalIandIurinaryIincontinence Icontributes ItoIpoorIperineal
IhygieneIandIbacterialIgrowth. Q:ITheIregisteredInurseI(RN)IisIcaringIforIaIclientIwithItuberculosis I(TB)IwhoIisItakingIaIco
mbinationIdrugIregimen.ITheIclientIcomplainsIaboutItakingI"soImanyIpills."IWhatIinformation
IshouldItheIRNIprovideItoItheIclientIaboutItheIprescribedItreatement? TheIdevelopment IofIresistantIstrainsIofITBIareIdecreasedIwithIaIcombination IofIdrugs. Compliance ItoItheImedication IregimenIisIchallenging IbutIshouldIbeImain-Itained. SideIeffectsIareIminimized IwithItheIuseIofIaIsingleImedication IbutIisIlessIeffective. TheItreatmentItimeIisIdecreasedIfromI6ImonthsItoI3ImonthsIwithIthisIstandardIregimen. Rationale Combination ItherapyIisInecessaryItoIdecreaseItheIdevelopment IofIresistantIstrainsIofITBIandIe
nsureItreatmentIefficacy. Answer: ITheIdevelopment IofIresistantIstrainsIofITBIareIdecreasedIwithIaIcombination IofIdrugs. Rationale Combination ItherapyIisInecessaryItoIdecreaseItheIdevelopment IofIresistantIstrainsIofITBIandIe
nsureItreatmentIefficacy. Q:ITheIregisteredInurseI(RN)IpalpatesIaIweakIpedalIpulseIinItheIclient'sIrightIfoot.IWhichIas
sessmentIfindingsIshouldItheIRNIdocumentIthatIareIconsistentIwithIdiminished IperipheralIcirc
ulation?I(SelectIallIthatIapply.)Select IallIthatIapply SomeIcorrectIanswersIwereInotIselected Diminished IhairIonIlegs.IBruisingIonIextremities. ISkinIcoolItoItouch. I CapillaryIrefillIlessIthanI3Iseconds. DarkenedIskinIonIextremities. Answer: ISkinIcoolItoItouch.IDiminished IhairIonIlegs. Rationale Diminished IhairIonItheIlegsIandIskinIthatIisIcoolItoItouchIareIexpectantIsignsIofIdecreasedIart
erialIbloodIflow. Q:IAIclientIwithIcirrhosisIofItheIliverIasksItheIregisteredInurseI(RN)ItoIexplainIhowIvaricose
IveinsIcanIoccurIinItheIesophagus. IWhichIstatementIshouldItheIRNIprovideItoIteachItheIclientI
aboutItheIphysiological Ietiology? TheIenlargedIliverIpressesIonItheIlowerIhalfIofItheIesophagusIwhichIweakensIbloodIvesselIwa
lls. AbnormalIvesselsIformIasIaIresultIofIliverIdamageIthatIcausesIchronicIlowIserumIproteinIlevel
s. Esophageal IswellingIandItissueIdamageIcausesIbloodItoIcirculateIbloodIbackIthroughItheIstom
ach. IncreasedIportalIpressureIcausesIbloodIflowIthroughIliverItoIbeIshuntedItoItheIesophageal Ivess
els. Answer: IIncreasedIportalIpressureIcausesIbloodIflowIthroughIliverItoIbeIshuntedItoItheIesophageal Ives
sels. Rationale CirrhoticIandIfibrosedIliverIdamageIcausesIobstructedIbloodIflowIthroughIportalIvesselsItoIthe
IliverIwhichIincreasesItheIportalIpressureIcausingItheIbloodIflowIthroughItheIliverItoIbeIshunt
edItoItheIesophageal Ivessels.ITheIresultIofIthisIshuntingIofIbloodIcausesItheIesophageal Ivessel
sI(veins)ItoIballoonIoutIandIweaken.IAsItheIportalIhypertension Iincreases,ItheseIesophageal Iva
ricesIcanIruptureIandIcauseIbleedingIresultingIinIbloodyIemesisIandIblackItarryIstools Q:ITheIregisteredInurseI(RN)IisIcaringIforIaIclientIwhoIhasItakenIatenololIforI2Iyears.ITheIh
ealthcareIproviderIrecentlyIchangedItheImedication ItoIenalaprilto ImanageItheIclient'sIbloodIpre
ssure.IWhichIinstruction IshouldItheIRNIprovideItheIclientIregardingItheInewImedication? TakeItheImedication IatIbedtime. ReportIpresenceIofIincreasedIbruising.ICheckIpulseIbeforeItakingImedication. RiseIslowlyIwhenIgettingIoutIofIbedIorIchair. Answer: IRiseIslowlyIwhenIgettingIoutIofIbedIorIchair. I Rationale TheIclient'sInewImedication IisIanIangiotensin -
converting IenzymeI(ACE)Iinhibitor,IwhichIhasItheIsideIeffectIoforthostatic Ihypotension. IInstru
ctingItheIclientItoIriseIslowlyIfromIaIsittingIorIlyingIdownIpositionIisIimportantItoIteachItheIcl
ientItoIavoidIdizzinessIandIpotentially Ifalling Q:ITheIregisteredInurseI(RN)IisIteachingIaIclientIwhoIisIbeingIdischarged IafterItreatmentIofI
tuberculosis I(TB).IWhichIculturalIissuesIshouldItheIRNIassessIwhenIpreparingItheIclientIforIdi
scharge?I(SelectIallIthatIapply.) NativeIlanguage.IEducationIlevel.ITypeIofIlifestyle.IFinancialIresources. PreviousImedicalIhistory. Answer:
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