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BSN 246 HESI Health Assessment Exam V4 (Latest 2025/ 2026 Update) Questions & Answers| Grade A| 100% Correct (Verified Solutions)- Nightingale $10.99
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BSN 246 HESI Health Assessment Exam V4 (Latest 2025/ 2026 Update) Questions & Answers| Grade A| 100% Correct (Verified Solutions)- Nightingale
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BSN 246 HESI Health Assessment Exam V4 (Latest 2025/ 2026 Update) Questions & Answers| Grade A| 100% Correct (Verified Solutions)- Nightingale QUESTION The nurse is conducting a physical assessment of a young adult. Which information provides the best indication of the individual's nutritional ...

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  • April 15, 2025
  • 18
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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  • bsn 246 nightin
  • bsn246bsn 246bsn hesi 246 health assessment
  • bsn246bsn 246bsn 246 health assessment
  • which assessment technique provides the nurse with
  • the nurse is conducting a physical assessment of a

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BSNl 246l HESIl Healthl Assessmentl Examl
V4l (Latestl 2025/l 2026l Update)l Questionsl
&l Answers|l Gradel A|l 100%l Correctl
(Verifiedl Solutions)-l Nightingale
Q:l Thel nursel isl conductingl al physicall assessmentl ofl al youngl adult.l Whichl
informationl providesl thel bestl indicationl ofl thel individual'sl nutritionall status?
A.l Statusl ofl currentl appetite.l
B.l Al 24-hourl dietl history.l
C.l Historyl ofl al recentl weightl loss.l
D.l Conditionl ofl hair,l nails,l andl skin.

Answer:
Correctl answerl isl D.l Hair,l nail,l andl skinl arel thel mostl importantl reflectionl ofl
nutritionall status.



Q:l Thel nursel isl assessingl al healthyl adultl malel duringl anl annuall physicall
examination.l Thel nursel auscultatesl thel client'sl abdomenl andl hearsl gurglingl soundl everyl
tenl seconds.l Whatl actionl shouldl thel nursel takel inl responsel tol thisl finding?
A.l Documentl thisl normall bowell soundl activityl inl thel record.l
B.l Encouragel increasedl consumptionl ofl fiberl inl thel diet.l
C.l Observel thel nextl bowell movementl forl signsl ofl bleeding.l
D.l Reportl thel hyperactivityl tol thel healthcarel provider.

Answer:
Correctl answerl isl A.l Normall Bowell soundl consistl ofl clicksl andl gurglesl andl 5-30l perl
minute.l Anl occasionall borborygmusl (Loudl prolongedl gurgle)l mayl bel hear.



Q:l Inl observingl al client'sl face,l whichl assessmentl findingl requiresl thel mostl immediatel
interventionl byl thel nurse?
A.l Eyelidsl arel mattedl andl crusted.
B.l Corneal arel jaundiced.l
C.l Orall mucosal isl cyanotic.l
D.l Facel isl flushedl andl diaphoretic.

,Answer:
Answerl isl C.l Bluel lipsl occurl whenl thel skinl onl thel lipsl takesl onl al bluishl tintl orl
color.l Thisl generallyl isl duel tol eitherl al lockl ofl oxygenl inl thel bloodl orl tol extremelyl
coldl temperatures.l Whenl thel skinl becomesl al bluishl color,l thel symptoml isl calledl
cyanosis.l Mostl commonly,l bluel lipsl arel causedl byl al lackl ofl oxygenl inl thel blood.l Mostl
causesl ofl cyanosisl arel seriousl andl symptoml ofl yourl bodyl notl gettingl enoughl oxygen.l
Overl time,l thisl conditionl willl becomel life-threatening.l Itl canl leadl tol respiratoryl failure,l
heartl failure,l andl evenl death,l ifl leftl untreated.



Q:l Whilel obtainingl al healthl history,l al malel clientl tellsl thel nursel thatl hel sometimesl
experiencesl shortnessl ofl breath.l Thel nursel determinesl thatl thel client'sl respiratorsl arel
regularl andl deep,l andl hisl respiratoryl ratel isl 14l breaths/minutes.l Whatl isl thel bestl
nursingl action?
A.l Askl thel clientl tol performl lightl exercisel andl observel thel respiratoryl effect.l
B.l Documentl "dyspneal onl exertion"l inl thel client'sl medicall record.l
C.l Askl thel clientl tol describel thel episodesl ofl dyspneal inl morel detail.l
D.l Explainl tol thel clientl thel possiblel causesl ofl dyspneal orl "shortnessl ofl breath."

Answer:
Correctl answerl isl C.l Bothl respiratoryl ratel andl breathl soundsl arel normal.l Furtherl
assessmentl isl neededl byl askingl thel clientl tol describel hisl SOB



Q:l Whenl assessingl al malel client'sl respiratoryl status,l whichl techniquel shouldl thel nursel
usel tol assessl hisl anterior-l posteriorl (AP)l chestl diameter?l A.l Auscultation.l B.l Percussion.l
C.l Palpation.l D.l Observation.

Answer:
Correctl answerl isl D.l Observationl isl thel wayl tol detectl barrell chestl whichl isl associatedl
withl COPD



Q:l Whichl assessmentl findingl supportsl thel clientl statement,l "Myl feetl swelll alll thel
time?"l A.l 2+l pittingl edemal ofl anklesl bilaterally.l B.l Capillaryl refilll bothl feetl >l 3l
seconds.l C.l Pedall pulsesl weakl andl thread.l D.l Positivel Homan'sl signl bilaterally.

Answer:
Correctl answerl isl A.l 2+l pittingl edemal indicatel swellingl inl thel lowerl extremities.l
Homans'sl signl isl oftenl usedl inl thel diagnosisl ofl deepl venousl thrombosisl ofl thel leg.l Al

, positivel Homans'sl signl (calfl painl atl dorsiflexionl ofl thel foot)l isl thoughtl tol bel
associatedl withl thel presencel ofl thrombosis.



Q:l Thel nursel isl performingl al craniall nervel examl onl anl 87-year-oldl client.l Thel nursel
notesl thatl thel clientl hasl al reducedl upwardl gaze,l al decreasedl corneall reflex,l al highl
frequencyl hearingl loss,l andl al reducedl gagl reflex.l Whatl actionl shouldl thel nursel takel
next?l A.l Reviewl pastl historyl forl anyl episodesl ofl al cerebrall cortexl lesion.l B.l
Implementl neurol vitall signsl everyl 2l hoursl tol detectl Cushing'sl Triad.l C.l Continuel thel
assessmentl tol thel nextl pairsl ofl craniall nerves.l D.l Assessl thel spinall reflexesl forl
demyelinationl symptoms.

Answer:
Correctl answerl isl C.l Fulll craniall nursesl assessmentl shouldl bel completedl beforel
consideringl thel otherl options.



Q:l Whenl performingl al neurologicl assessmentl onl anl alertl client,l thel nursel observesl
thatl thel client'sl pupilsl arel bothl round,l 3l mml inl size,l andl respondl brisklyl tol light.l
Whichl notationl shouldl thel nursel usel whenl documentingl thel assessment?l A.l PERRL.l B.l
GCSl ofl 15.l C.l PERLA.l D.l Neurol statusl intact

Answer:
Correctl answerl isl A.l "Pupilsl Equal,l Round,l andl Reactivel tol Light".



Q:l Whichl assessmentl techniquel providesl thel nursel withl thel bestl datal relatedl tol thel
client'sl levell ofl peripherall perfusion?

Answer:
correctl answerl C.l Capillaryl refilll test



Q:l Thel nursel isl assessingl al femalel clientl whol statesl thatl herl hemorrhoidsl arel
inflamedl andl hurtl constantly.l Whichl interventionl isl bestl forl thel nursel tol completel al
focusedl assessment?l A.l Askl thel clientl howl longl shel hasl experiencedl discomfortl relatedl
tol hemorrhoids.l B.l Placel thel clientl inl al standingl position,l leaningl overl thel examl bedl
forl inspection.l C.l Determinel ifl thel clientl usesl anyl over-the-counterl preparationl forl
hemorrhoids.l D.l Positionl clientl inl leftl laterall positionl tol inspectl perianall areal forl
fissuresl orl sacs.

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