BSN 246 HESI HEALTH ASSESSMENT EXAMS BUNDLE WITH 1000+ EXAM QUESTIONS AND CORRECT VERIFIED ANSWERS WITH RATIONALE HESI HEALTH ASSESSMENT EXAM NIGHTINGALE BSN 246 EXAM

BSN 246 HESI EXAM 2024-
g g g g


2025 QUESTIONS WITH COMPLETE SOL
g g g g


UTIONS g




Whichgactiongcangbegassignedgtogthegunlicensedgassistivegpersonnelg(UAP)?g-gCORRECTgANSWER-
Measuregthegclient'sgurinarygoutput.



Whatgisgthegbestginitialgresponsegbygthegnurse?g-gCORRECTgANSWER-
Describegtheglocationgandgtypegofgpaingyougareghaving



Basedgongthegnurse'sgassessment,gwhichgassessmentgdatagsupportsgthegdecisiongtogadministergpaingme
dicationgasgthegfirstgintervention?g(Selectgallgthatgapply.gOne,gsome,gorgallgoptionsgmaygbegcorrect.)g-
gCORRECTgANSWER-Paingratinggofg6/10g-gHeartgrategofg102gbeats/minuteg-

gBloodgpressuregofg132/76gmmHg




Whichgactiongshouldgthegnursegimplementgfirst?g-gCORRECTgANSWER-Administerganganalgesic.



Whichginterventionsgaregimportantgtogincludegingthegclient'sgplangofgcaregwhilegreceivinggmultiplegimm
unosuppressants?g(Selectgallgthatgapply.gOne,gsome,gorgallgoptionsgmaygbegcorrect.)g-
gCORRECTgANSWER-Instructgclientgtogweargagmaskgwhengwalkinggingtheghalls.g-

gInstructgvisitorsgthatgfreshgflowersgshouldgnotgbegtakengintogthegroom.g-

gMonitorgimmunosuppressiongdrugglevelsgregularly.




Whichginterventiongshouldgthegnursegensuregisgincludedgingthegplangofgcaregduringgthegimmediategpost
operativegperiod?

a.gMonitorgJudy'sgurinarygoutputghourlygusinggangurimeter.

b.gAssessgJudy'sgsurgicalgincisiongeverygshift.

c.gMonitorgJudy'sgnasogastricgtubegeveryg4ghours.

d.gEncouragegJudygtogusegthegincentivegspirometergdaily.g-gCORRECTgANSWER-a



Whichgisgthegprioritygnursinggassessmentgduringgthegfirstg24-hourgpostoperativegperiod?g-
gCORRECTgANSWER-Vitalgsigns



BSNg246gHESIgEXAMg2024-2025gQUESTIONSgWITHgCOMPLETEgSOLUTIONSg

,Thegnursegisgteachinggthegpatientgaboutgfluidgmanagementgbetweengdialysisgtreatments.gWhichginstruc
tiongbygthegnursegisgthegmostgaccurate?g-gCORRECTgANSWER-
Limitgfluidsgingbetweengtreatmentsgtogminimizegthegamountgofgfluidgthatgneedsgtogbegremovedgduringg
dialysis.



Whichgexpectedgoutcomegshouldgbegincludedgingthegnurse'sgteachinggplan?g-gCORRECTgANSWER-
Clientgwillgavoidgcannedgandgprocessedgfoods.



Thegnursegassessesgthegdialysisggraft.gWhichgassessmentgshouldgbegreportedgtogtheghealthcaregprovide
rg(HCP)gimmediately?g(Selectgallgthatgapply.gOne,gsome,gorgallgoptionsgmaygbegcorrect.)g-
gCORRECTgANSWER-Yellow,gpurulentgdrainagegfromggraftgincisiongsite.g-

gAbsencegofgagthrillgovergtheggraftgsite.g-

gCapillarygrefillg>10gsecondsgingtheghandgwheregtheggraftgisgplaced.




Whichginterventiongshouldgthegnursegensureghasgbeengincludegingthegclient'sgplangofgcare?g(Selectgallgt
hatgapply.gOne,gsome,gorgallgoptionsgmaygbegcorrect.)

A.gInstructglabgpersonnelgtogobtaingbloodgspecimensgfromgthegdual-lumengcatheter.

B.gPerformgsterilegdressinggchangesgatgthegdual-lumengcathetergsite.

C.gEmptygandgrecordgthegdrainagegfromgtheggraftgtubinggregularly.

D.gRegularlygrotategIVginsertiongsitesgabovegandgbelowgtheggraftgsite.

E.gAssessgJudy'sgdistalgpulsesgandgcirculationgingthegarmgwithgthegaccessg-gCORRECTgANSWER-
B.gPerformgsterilegdressinggchangesgatgthegdualglumengcathetergsiteg-
gE.gAssessgthegclient'sgdistalgpulsesgandgcirculationgingthegarmgwithgthegaccess.




Thegnursegdocumentsgthegassessmentgofgthegarteriovenousg(AV)ggraft.gWhichgdocumentationgbestgdes
cribesgagproperlygfunctioninggAVggraft?g-gCORRECTgANSWER-Thrillgpresentgandgpalpated



Thegclientgasksgthegnursegtogclarifygwhatgpalliativegcareginvolves.gWhichgexplanationgprovidesgthegclient
gthegbestgeducationgregardinggpalliativegcare?g(Selectgallgthatgapply.gOne,gsome,gorgallgoptionsgmaygbeg

correct.)g-gCORRECTgANSWER-Palliativegcaregprovidesgreliefgfromgsymptomsgincludinggpain.g-
gPalliativegcaregsupportsgholisticgcaregandgimprovesgqualitygofglife.g-




BSNg246gHESIgEXAMg2024-2025gQUESTIONSgWITHgCOMPLETEgSOLUTIONSg

,Whatgcomplicationgwouldgthegclientgbegmostgconcernedgaboutgifgchoosinggperitonealgdialysis?g-
gCORRECTgANSWER-Abdominalginfection/Peritonitis




Thegnursegpreparesgandginstructsgthegclientgforghemodialysis.gWhichgstatementsgbygthegclientgindicateg
thegneedgforgfurthergeducation?g(Selectgallgthatgapply.gOne,gsome,gorgallgoptionsgmaygbegcorrect.)g-
gCORRECTgANSWER-Hemodialysisgwillghelpgrestoregkidneygfunctiongbackgtogagnormalglevel.g-

gBowelgorgbladdergperforationgmaygoccurgwithghemodialysisgcathetergplacement.




Whatgactiongshouldgthegnursegtakegbasedgongthegresponsegfromgtheghealthcaregproviderg(HCP)gphoneg
call?g(Selectgallgthatgapply.gOne,gsome,gorgallgoptionsgmaygbegcorrect.)g-gCORRECTgANSWER-
DocumentgbothgphonegcallsgandgthegHCP'sgprescriptions.g-
gNotifygthegchargegnursegandgactivategthegchaingofgcommandg-gHoldgthegpotassiumgchloride




Whichginterventiongshouldgthegnursegimplement?g-gCORRECTgANSWER-
Callgandgspeakgdirectlygwithgtheghealthcaregproviderg(HCP).



Whichginterventiongisgmostgimportantgforgthegnursegtogimplement?g-gCORRECTgANSWER-
HoldgthegdosegofgpotassiumgchloridegandgcontactgthegHCPgtogreportgthegserumgpotassiumglevel.



Basedgongthesegproblems,gwhichgnursingginterventiongshouldgbegincludedgingthegclient'sgplangofgcare?g-
gCORRECTgANSWER-Encouragegthegclientgtogaskgquestionsgandgdiscussgfearsgaboutgdiagnosis




Whichgassessmentgdatagindicatesgtogthegnursegthatgthegdesiredgoutcomegofgthegepoetingalfaghasgbeeng
achieved?g-gCORRECTgANSWER-Conjunctivalgsacgreturnsgtogagreddishgpinkgcolor



Whichgassessmentgshouldgthegnursegperformgtogdeterminegifgthegdesiredgoutcomegofgtheglosartanghasg
beengachieved?g-gCORRECTgANSWER-Bloodgpressure



Whichgassessmentgfindinggindicatesgtogthegnursegthatgthegdesiredgoutcomegofgthegcalciumgacetateghasg
beengachieved?g-gCORRECTgANSWER-Serumgphosphorousgofg4.0gmg/dLg(1.29gmmol/L)5



Aftergthegnursegcompletesgthegassessment,gwhatgfindingsgaregmostgimportantgtogreportgtogtheghealthc
aregproviderg(HCP)g?g(Selectgallgthatgapply.gOne,gsome,gorgallgoptionsgmaygbegcorrect.)g-



BSNg246gHESIgEXAMg2024-2025gQUESTIONSgWITHgCOMPLETEgSOLUTIONSg

, gCORRECTgANSWER-Bloodgpressuregofg178/92gmmHgg-gRespiratorygrategofg28gbreathsgpergminute-

gBibasilargcracklesg-gEdema




Thegclient'sghemoglobinglevelgisg7.8gg/dLg(78gg/L).gWhatgactiongshouldgthegnursegtake?g-
gCORRECTgANSWER-Obtaingangordergtogstartgangerythropoietingstimulatinggagentg(ESA)




Whatgassessmentgdatagsupportsgthegdiagnosisgofgacutegorgangrejection?g(Selectgallgthatgapply.gOne,gso
me,gorgallgoptionsgmaygbegcorrect.)g-gCORRECTgANSWER--gBloodgpressuregofg178/96gmmgHg.g

-gSubgtherapeuticgimmunosuppressionglevelsg

-gAcutegpaingratedg6/10g

-gTemperaturegofg100.6gF(38.1gC).g

-gBUNgofg56gmg/dLg(19.99gmmol/L)g

-gCreatininegofg1.9gmg/dLg(167.96gmcmol/L



WhatgisgthegcorrectginterpretationgofgthesegABG's?g-gCORRECTgANSWER-
Metabolicgacidosisg(compensated)



WhichglabgvaluegwouldgthegnursegbegMOSTgconcernedgabout?g-gCORRECTgANSWER-
Glomerulargfiltrationgrateg(GFR)gofg9mL/min/1.73m2.



Thegnursegisgteachinggthegclientgaboutgprogressiongofgchronicgkidneygdiseaseg(CKD).gWhichgevaluationgs
tatementgdocumentedgbygthegnursegindicatesgthegclient'sgunderstandinggofgthegdiseasegprocess?g-
gCORRECTgANSWER-

Thegclientgacknowledgesgthatgrenalgreplacementgtherapygwillgneedgtogbeginitiatedgimmediatelygtogridgt
hegbodygofgwastegandgmaintaingfluidgbalance.



Basedgongthegclient'sgsymptoms,gwhatgshouldgthegnursegsuspect?g-gCORRECTgANSWER-
Thegclientghasguremiagandgmaygneedgtogstartgdialysis.



Whichgadditionalgsymptomsgshouldgthegnursegaskgabout?g(Selectgallgthatgapply.gOne,gsome,gorgallgoptio
nsgmaygbegcorrect.)g-gCORRECTgANSWER--gNauseag-gDecreasedgattentiongspang-gItching




BSNg246gHESIgEXAMg2024-2025gQUESTIONSgWITHgCOMPLETEgSOLUTIONSg