BSN 246 HESI Health Assessment Test Bank |430 Questions with 100% Correct Answers |Latest 2024/2025 - Graded A – Nightingale.

BSN 246 HESI Health Assessment Test
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Bank |430 Questions with 100% Correct
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Answers | Graded A – Nightingale. i.- i.- i.- i.- i.- i.-




While performing a mental status exam (MSE), the nurse asks a
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client to remember three unrelated words and repeat them
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later. The client was able to repeat the words as directed. Which
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computer documentation is accurate? i.- i.- i.-




A) "Exhibits an above average intelligence."
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B) "Reflects no apparent lapses in concentration."
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C) "Demonstrates appropriate judgment in everyday scenario."
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D) "Short-term memory is intact."
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A client reports pain when taking a deep breath. Which lung
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auscultation sound should the nurse anticipate hearing? i.- i.- i.- i.- i.- i.-




A) Pleural friction rub.
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B) Rhonchus.
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C) Coarse crackles.
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D) Wheezing.
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,The nurse is performing a routine physical examination on an
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adult client. When gathering a health history, which question is
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included in the CAGE questionnaire? i.- i.- i.- i.-




A) When did you have your last alcoholic drink?
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B) How does alcohol usually affect you?
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C) What is your favorite alcoholic drink?
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D) Have you ever felt guilty about your drinking?
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An adult client is in the clinic for a regular physical examination.
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The nurse is assessing the client's hydration status by pinching
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then releasing the client's skin. Which finding is indicative of
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good hydration status? i.- i.-




A) The skin remains tented.
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B) The skin appears blanched and returns to pink.
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C) The skin slowly falls back into place.
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D) The skin immediately returns to normal position.
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The nurse assesses the dialysis graft. Which assessment should
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be reported to the healthcare provider (HCP) immediately?
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(Select all that apply. One, some, or all options may be correct.)
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Yellow, purulent drainage from graft incision site. - Absence
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of a thrill over the graft site. - Capillary refill >10 seconds in the
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hand where the graft is placed.
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,The nurse performs a series of cranial nerve tests on a client
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with a head injury. Which test should the nurse use to assess
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damage to the first cranial nerve? Occlude one nostril and
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have the client identify various odors.
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The client reports to the nurse a recent exposure to the mumps.
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Which assessment finding suggests the client has contracted
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the mumps? i.- Swelling anterior to the ear lobe on one side i.-i.- i.- i.- i.- i.- i.- i.- i.- i.- i.- i.-



of the face
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A nurse is working in a healthcare facility that serves a diverse
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population. What action(s) by the nurse will allow the nurse to i.- i.- i.- i.- i.- i.- i.- i.- i.- i.- i.-



empathize with and understand this population? (Select all that i.- i.- i.- i.- i.- i.- i.- i.- i.-




apply.) Be open to people who are different.
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Have a curiosity about people.
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Become culturally competent. i.- i.-




Which findings can the nurse determine by palpating a client's
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skin? (Select all that apply.)
i.- Diaphoresis i.- i.- i.- i.-i.- i.- i.-




Scaling

, Which question should the nurse ask in order to test a client's
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remote memory? What is your date of birth?
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While assessing level of consciousness, the nurse finds that a
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client localizes to pain, is confused during conversation, and
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opens the eyes to sound. How should the nurse document the
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Glasgow score of this client? 12 i.- i.- i.- i.- i.-i.- i.-




A client is in the clinic and is reporting lower abdominal pain
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and constipation. Which information is of greatest concern to
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the nurse when obtaining the health history from this client?
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Family history of colon cancer on mother's side.
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An adult client is in the clinic for a regular physical examination.
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The nurse is assessing the client's hydration status by pinching
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then releasing the client's skin. Which finding is indicative of
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good hydration status? i.- Skin immediately returns to normal i.- i.-i.- i.- i.- i.- i.- i.- i.-



position


Which intervention should the nurse ensure has been include in
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the client's plan of care? (Select all that apply. One, some, or all
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options may be correct.) i.- i.- i.-