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BSN 246
BSN 246 HESI HEALTH ASSESSMENT
EXAM QUESTIONS & ANSWERS| GRADE A|
100% CORRECT (VERIFIED SOLUTIONS)
(2025/ 2026 UPDATE)
After the nurse completes the assessment, what findings are
most important to report to the healthcare provider (HCP) ?
(Select all that apply. One, some, or all options may be correct.)
- ANS ✓Blood pressure of 178/92 mmHg - Respiratory rate of
28 breaths per minute- Bibasilar crackles - Edema
The client's hemoglobin level is 7.8 g/dL (78 g/L). What action
should the nurse take? - ANS ✓Obtain an order to start an
erythropoietin stimulating agent (ESA)
What assessment data supports the diagnosis of acute organ
rejection? (Select all that apply. One, some, or all options may
be correct.) - ANS ✓- Blood pressure of 178/96 mm Hg.
- Sub therapeutic immunosuppression levels
- Acute pain rated 6/10
- Temperature of 100.6 F(38.1 C).
- BUN of 56 mg/dL (19.99 mmol/L)
- Creatinine of 1.9 mg/dL (167.96 mcmol/L
What is the correct interpretation of these ABG's? - ANS
✓Metabolic acidosis (compensated)
Which lab value would the nurse be MOST concerned about? -
ANS ✓Glomerular filtration rate (GFR) of 9mL/min/1.73m2.
BSN 246
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BSN 246
The nurse is teaching the client about progression of chronic
kidney disease (CKD). Which evaluation statement
documented by the nurse indicates the client's understanding
of the disease process? - ANS ✓The client acknowledges that
renal replacement therapy will need to be initiated immediately
to rid the body of waste and maintain fluid balance.
Based on the client's symptoms, what should the nurse
suspect? - ANS ✓The client has uremia and may need to start
dialysis.
Which additional symptoms should the nurse ask about?
(Select all that apply. One, some, or all options may be correct.)
- ANS ✓- Nausea - Decreased attention span - Itching
The nurse reviews the client's medical history. What part of the
medical history should the nurse consider relevant to the
client's current history? (Select all that apply. One, some, or all
options may be correct.) - ANS ✓- Hypertension - Polycystic
kidney disease - Diabetes Mellitus-
The nurse 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.)
Diminished hair on legs
Bruising on extremities
Skin cool to touch
Capillary refill less than 3 seconds
Darkened skin on extremities - ANS ✓Diminished hair on legs
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BSN 246
Skin cool to touch
The registered nurse (RN) uses the mini-mental state
examination (MMSE) when assessing a client for admission to
an assisted living facility. Which finding is the RN assessing
when requesting the client to count by 7s?
A. Recall of information.
B. Orientation to surroundings.
C. Attention to details.
D. Ability to follow complex commands. - ANS ✓C
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.)
A. Diminished hair on legs.
B. Bruising on extremities.
C. Skin cool to touch.
D. Capillary refill less than 3 seconds.
E. Darkened skin on extremities. - ANS ✓A, C
Which action should the registered nurse (RN) implement to
complete an assessment for a client while using an interpreter?
A. Ask closed-ended questions with the assistance of the
interpreter.
B. Maintain eye contact with the client while listening to the
translation.
C. Instruct interpreter to answer questions from interpreter's
point of view.
D. Protect the client's privacy by asking a limited number of
questions. - ANS ✓B
A client with progressive hearing loss appears distressed when
the registered nurse (RN) asks open-ended questions about
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BSN 246
the client's health history. Which forms of communication
should the RN use? (Select all that apply.)
A. Face the client so the client can see the RN's mouth.
B. Increase one's speech volume when interacting with the
client.
C. Repeat information to the client if misunderstood.
D. Check if the client's hearing aides are working properly.
E. Reduce environmental noise surrounding the client. - ANS
✓A, D, E
Registered nurse (RN) is performing a mini-mental state
examination (MMSE) for a client who is being admitted to an
assisted living community. Which communication techniques
should the RN implement to decrease anxiety in the client?
(Select all that apply.)
A. Use simple sentences during the examination.
B. Move to another question if the client seems confused.
C. Reduce environmental detractors during the examination.
D. Allow family to answer for the client to decrease frustration.
E. Ask questions one at a time to decrease confusion. - ANS
✓A, C, E
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?
A. Explain how the nursing skill will be performed before
proceeding.
B. Examine client with an additional healthcare provider for
support.
C. Request a male nurse or healthcare provider to perform the
exam.
D. Avoid any skills that involve touching the client during the
exam. - ANS ✓C
BSN 246
BSN 246
BSN 246 HESI HEALTH ASSESSMENT
EXAM QUESTIONS & ANSWERS| GRADE A|
100% CORRECT (VERIFIED SOLUTIONS)
(2025/ 2026 UPDATE)
After the nurse completes the assessment, what findings are
most important to report to the healthcare provider (HCP) ?
(Select all that apply. One, some, or all options may be correct.)
- ANS ✓Blood pressure of 178/92 mmHg - Respiratory rate of
28 breaths per minute- Bibasilar crackles - Edema
The client's hemoglobin level is 7.8 g/dL (78 g/L). What action
should the nurse take? - ANS ✓Obtain an order to start an
erythropoietin stimulating agent (ESA)
What assessment data supports the diagnosis of acute organ
rejection? (Select all that apply. One, some, or all options may
be correct.) - ANS ✓- Blood pressure of 178/96 mm Hg.
- Sub therapeutic immunosuppression levels
- Acute pain rated 6/10
- Temperature of 100.6 F(38.1 C).
- BUN of 56 mg/dL (19.99 mmol/L)
- Creatinine of 1.9 mg/dL (167.96 mcmol/L
What is the correct interpretation of these ABG's? - ANS
✓Metabolic acidosis (compensated)
Which lab value would the nurse be MOST concerned about? -
ANS ✓Glomerular filtration rate (GFR) of 9mL/min/1.73m2.
BSN 246
, 2
BSN 246
The nurse is teaching the client about progression of chronic
kidney disease (CKD). Which evaluation statement
documented by the nurse indicates the client's understanding
of the disease process? - ANS ✓The client acknowledges that
renal replacement therapy will need to be initiated immediately
to rid the body of waste and maintain fluid balance.
Based on the client's symptoms, what should the nurse
suspect? - ANS ✓The client has uremia and may need to start
dialysis.
Which additional symptoms should the nurse ask about?
(Select all that apply. One, some, or all options may be correct.)
- ANS ✓- Nausea - Decreased attention span - Itching
The nurse reviews the client's medical history. What part of the
medical history should the nurse consider relevant to the
client's current history? (Select all that apply. One, some, or all
options may be correct.) - ANS ✓- Hypertension - Polycystic
kidney disease - Diabetes Mellitus-
The nurse 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.)
Diminished hair on legs
Bruising on extremities
Skin cool to touch
Capillary refill less than 3 seconds
Darkened skin on extremities - ANS ✓Diminished hair on legs
BSN 246
, 3
BSN 246
Skin cool to touch
The registered nurse (RN) uses the mini-mental state
examination (MMSE) when assessing a client for admission to
an assisted living facility. Which finding is the RN assessing
when requesting the client to count by 7s?
A. Recall of information.
B. Orientation to surroundings.
C. Attention to details.
D. Ability to follow complex commands. - ANS ✓C
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.)
A. Diminished hair on legs.
B. Bruising on extremities.
C. Skin cool to touch.
D. Capillary refill less than 3 seconds.
E. Darkened skin on extremities. - ANS ✓A, C
Which action should the registered nurse (RN) implement to
complete an assessment for a client while using an interpreter?
A. Ask closed-ended questions with the assistance of the
interpreter.
B. Maintain eye contact with the client while listening to the
translation.
C. Instruct interpreter to answer questions from interpreter's
point of view.
D. Protect the client's privacy by asking a limited number of
questions. - ANS ✓B
A client with progressive hearing loss appears distressed when
the registered nurse (RN) asks open-ended questions about
BSN 246
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BSN 246
the client's health history. Which forms of communication
should the RN use? (Select all that apply.)
A. Face the client so the client can see the RN's mouth.
B. Increase one's speech volume when interacting with the
client.
C. Repeat information to the client if misunderstood.
D. Check if the client's hearing aides are working properly.
E. Reduce environmental noise surrounding the client. - ANS
✓A, D, E
Registered nurse (RN) is performing a mini-mental state
examination (MMSE) for a client who is being admitted to an
assisted living community. Which communication techniques
should the RN implement to decrease anxiety in the client?
(Select all that apply.)
A. Use simple sentences during the examination.
B. Move to another question if the client seems confused.
C. Reduce environmental detractors during the examination.
D. Allow family to answer for the client to decrease frustration.
E. Ask questions one at a time to decrease confusion. - ANS
✓A, C, E
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?
A. Explain how the nursing skill will be performed before
proceeding.
B. Examine client with an additional healthcare provider for
support.
C. Request a male nurse or healthcare provider to perform the
exam.
D. Avoid any skills that involve touching the client during the
exam. - ANS ✓C
BSN 246
