Health Assessment- BSN 246 HESI REVIEW 2025 Comprehensive
Health Assessment- BSN 246 HESI REVIEW
Questions And Verified Answers/ Complete Solutions With
Study online at https://quizlet.com/_eqwcn4
Rationales|Get It 100% Accurate!!
1. Which lab test would provide informa- D.
tion about the number of megakary-
octyes in a patient w/ thrombocytope- Bone marrow examination is performed to rule
nia? out production problems such as leukemia, aplas-
tic anemia, and other myeloproliferative disorders
Prothrombin time (PT) as the cause of thrombocytopenia. Therefore to
Peripheral blood smear confirm that the absence or decreased number
14C serotonin release assay of megakaryoctyes to be the cause of thrombocy-
Bone Marrow examination topenia, bone marrow examination will be done.
PT will be tested to assess secondary homeostasis.
A peripheral blood smear will be done to dis-
tinguish immune thrombocytopenic pupura (ITP)
from congenital disorders. 14C serotonin release
assay assists with the diagnosis of ITP
2. Where are lymphocytes produced? C.
Spleen
Tonsils Lymphocytes are produced in the bone marrow.
Bone Marrow The speel is a peripheral lymph organ and is the
Thymus gland primary site for filtering foreign antigens from the
blood. The thymus gland is involved in the differ-
entiation and maturation or T lymphocytes. The
tonsils are a peripheral lymphoid organ
3. Which functional ability would the A.
nurse anticipate for the patient who
sustained a severe spinal cord injury in Together, the bladder, urethra, and pelvic floor
the sacral and thoracolumbar regions muscles form what is called the urethrovesical
of the veretbral column? unit. Voluntary control of this unit is defined as
continenence. Stimulating and inhibiting impuls-
Inability to urinate es are sent from the brain through the thora-
ability to ambulate to the bathroom columbar (T11-L2) and sacral (S2 to S4) areas
, Health Assessment- BSN 246 HESI REVIEW
Study online at https://quizlet.com/_eqwcn4
Need to use a urinal/ bedpan to uri- of the spinal cord to control voiding. Damage in
nate this area will prevent voluntary control and lead to
Need to call for assistance when need- incontinence. W/o contol, the pt may no be aware
ing to void. of the need to go to the bathrrom, to use a urinal/
bedpan, or to call for assistance.
4. Which action by a nurse in a communi- A.
ty-based clinic can help to address po-
tential disparities with a large Hispanic Providing translators and materials in the native
population? language of the population being served can best
providing translators and materials in address potential biases and prejudices and thus
the Spanish language increase health care access. Ensuring that child
Ensuring that child care services are care services are abailable may increase ease of
available for families during visits to access to care but does not necessarily address
the clinic biases and prejudices. Providers must respect and
Making sure that the values of all clinic acknowledge the beliefs and values of the pop-
providers align with those of the His- ulation being served, but it is not necessary that
panic population their values align. Providing "English as a second
Requiring "English as a second lan- language" classes can assist the population to ac-
guage" classes so that the population climate and become more literate in the English
can become literate in the English lan- language but does not necessarily directly affect
guage bias and prejudice.
5. The nurse provides care for a patient A.
with a chest tube flutter valve in place
and recalls which information about A fluttter falve (also called the Hemlich valve) is
the device? used to remove air from the pleural space. It allows
it allows patient mobility for patient mobility b/c the smaller drainage bag
it is used to evacuate fluide from the can be hidden under the clothes while the patient
plueral space. ambulates. The valve evacuates air, not fluid, from
It is attached to the internal end of the the pleural space. It is attached to the external end
chest tube. of the chest tube. A flutter valve opens whenever
, Health Assessment- BSN 246 HESI REVIEW
Study online at https://quizlet.com/_eqwcn4
It opens when the chest pressure is less the pressure in the chest is greater than the at-
than atmospheric pressure. mospheric pressure.
6. which is the appropriate method for B.
a nurse to use when ascultating a pa-
tient's abdomen? Auscultation of the abdomen is useful in detecting
high-pitched bowel sounds. The diaphragm of the
Use the bell of the stethoscope for aus- stethoscope is sensitive in picking up high-pitched
cultation. sounds of the abdomen. The bell of the stethoscip
Use the diaphragm of the stethoscope is sensitive in detecting low-pitched sounds like
for auscultation heart murmurs The interface of the bell and
Hold the diaphragm lightly to the skin diaphram is less useful for clinical assessment.
of the abdomen B/c the bowel dounds are high-pitched, the di-
Use the inferface of the diaphragm and aphragm should be held firmly on the skin during
the bell for auscultation auscultation.
7. In the mneumonic "DELIRIUM", the M D.
represents which cause of delirium?
the letter "M" represents metabolic disorders in
Medication the mnemonic of causes for delirum. The "R" for
Malnutrition RX represents medication. The "D" for dementia
Memory Loss and dehydration represents memory loss. Mal-
Metabolic disorders nurtition is not part of this mnemonic
8. What is the mneumonic "DELIRIUM"? causes of Deliurium
D-dementia, dehydration
E-elecrtolyte imbalances, emotional stress
L-lung, liver, heart, kidney, brain
I-infection, ICU
R- Rx drugs
I- injury, immobility
U-untreated pain, unfamiliar environment
M-metabolic disorders
Health Assessment- BSN 246 HESI REVIEW
Questions And Verified Answers/ Complete Solutions With
Study online at https://quizlet.com/_eqwcn4
Rationales|Get It 100% Accurate!!
1. Which lab test would provide informa- D.
tion about the number of megakary-
octyes in a patient w/ thrombocytope- Bone marrow examination is performed to rule
nia? out production problems such as leukemia, aplas-
tic anemia, and other myeloproliferative disorders
Prothrombin time (PT) as the cause of thrombocytopenia. Therefore to
Peripheral blood smear confirm that the absence or decreased number
14C serotonin release assay of megakaryoctyes to be the cause of thrombocy-
Bone Marrow examination topenia, bone marrow examination will be done.
PT will be tested to assess secondary homeostasis.
A peripheral blood smear will be done to dis-
tinguish immune thrombocytopenic pupura (ITP)
from congenital disorders. 14C serotonin release
assay assists with the diagnosis of ITP
2. Where are lymphocytes produced? C.
Spleen
Tonsils Lymphocytes are produced in the bone marrow.
Bone Marrow The speel is a peripheral lymph organ and is the
Thymus gland primary site for filtering foreign antigens from the
blood. The thymus gland is involved in the differ-
entiation and maturation or T lymphocytes. The
tonsils are a peripheral lymphoid organ
3. Which functional ability would the A.
nurse anticipate for the patient who
sustained a severe spinal cord injury in Together, the bladder, urethra, and pelvic floor
the sacral and thoracolumbar regions muscles form what is called the urethrovesical
of the veretbral column? unit. Voluntary control of this unit is defined as
continenence. Stimulating and inhibiting impuls-
Inability to urinate es are sent from the brain through the thora-
ability to ambulate to the bathroom columbar (T11-L2) and sacral (S2 to S4) areas
, Health Assessment- BSN 246 HESI REVIEW
Study online at https://quizlet.com/_eqwcn4
Need to use a urinal/ bedpan to uri- of the spinal cord to control voiding. Damage in
nate this area will prevent voluntary control and lead to
Need to call for assistance when need- incontinence. W/o contol, the pt may no be aware
ing to void. of the need to go to the bathrrom, to use a urinal/
bedpan, or to call for assistance.
4. Which action by a nurse in a communi- A.
ty-based clinic can help to address po-
tential disparities with a large Hispanic Providing translators and materials in the native
population? language of the population being served can best
providing translators and materials in address potential biases and prejudices and thus
the Spanish language increase health care access. Ensuring that child
Ensuring that child care services are care services are abailable may increase ease of
available for families during visits to access to care but does not necessarily address
the clinic biases and prejudices. Providers must respect and
Making sure that the values of all clinic acknowledge the beliefs and values of the pop-
providers align with those of the His- ulation being served, but it is not necessary that
panic population their values align. Providing "English as a second
Requiring "English as a second lan- language" classes can assist the population to ac-
guage" classes so that the population climate and become more literate in the English
can become literate in the English lan- language but does not necessarily directly affect
guage bias and prejudice.
5. The nurse provides care for a patient A.
with a chest tube flutter valve in place
and recalls which information about A fluttter falve (also called the Hemlich valve) is
the device? used to remove air from the pleural space. It allows
it allows patient mobility for patient mobility b/c the smaller drainage bag
it is used to evacuate fluide from the can be hidden under the clothes while the patient
plueral space. ambulates. The valve evacuates air, not fluid, from
It is attached to the internal end of the the pleural space. It is attached to the external end
chest tube. of the chest tube. A flutter valve opens whenever
, Health Assessment- BSN 246 HESI REVIEW
Study online at https://quizlet.com/_eqwcn4
It opens when the chest pressure is less the pressure in the chest is greater than the at-
than atmospheric pressure. mospheric pressure.
6. which is the appropriate method for B.
a nurse to use when ascultating a pa-
tient's abdomen? Auscultation of the abdomen is useful in detecting
high-pitched bowel sounds. The diaphragm of the
Use the bell of the stethoscope for aus- stethoscope is sensitive in picking up high-pitched
cultation. sounds of the abdomen. The bell of the stethoscip
Use the diaphragm of the stethoscope is sensitive in detecting low-pitched sounds like
for auscultation heart murmurs The interface of the bell and
Hold the diaphragm lightly to the skin diaphram is less useful for clinical assessment.
of the abdomen B/c the bowel dounds are high-pitched, the di-
Use the inferface of the diaphragm and aphragm should be held firmly on the skin during
the bell for auscultation auscultation.
7. In the mneumonic "DELIRIUM", the M D.
represents which cause of delirium?
the letter "M" represents metabolic disorders in
Medication the mnemonic of causes for delirum. The "R" for
Malnutrition RX represents medication. The "D" for dementia
Memory Loss and dehydration represents memory loss. Mal-
Metabolic disorders nurtition is not part of this mnemonic
8. What is the mneumonic "DELIRIUM"? causes of Deliurium
D-dementia, dehydration
E-elecrtolyte imbalances, emotional stress
L-lung, liver, heart, kidney, brain
I-infection, ICU
R- Rx drugs
I- injury, immobility
U-untreated pain, unfamiliar environment
M-metabolic disorders
