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BSN 246 HESI HEALTH ASSESSMENT EXAM VERSION 2 WITH 100 QUESTIONS AND CORRECT VERIFIED ANSWERS WITH RATIONALES/ 2024/2025 HEALTH ASSESSMENT EXAM NIGHTINGALE/ BSN 246 EXAM$26.99
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BSN 246 HESI HEALTH ASSESSMENT EXAM VERSION 2 WITH 100 QUESTIONS AND CORRECT VERIFIED ANSWERS WITH RATIONALES/ 2024/2025 HEALTH ASSESSMENT EXAM NIGHTINGALE/ BSN 246 EXAM
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Course
BSN 246 HESI HEALTH ASSESSMENT
Institution
BSN 246 HESI HEALTH ASSESSMENT
BSN 246 HESI HEALTH ASSESSMENT EXAM VERSION 2 WITH 100 QUESTIONS AND CORRECT VERIFIED ANSWERS WITH RATIONALES/ 2024/2025 HEALTH ASSESSMENT EXAM NIGHTINGALE/ BSN 246 EXAM
BSN 246 HESI HEALTH ASSESSMENT EXAM
VERSION 2 WITH 100 QUESTIONS AND
CORRECT VERIFIED ANSWERS WITH
RATIONALES/ 2024/2025 HEALTH ASSESSMENT
EXAM NIGHTINGALE/ BSN 246 EXAM
An infant with heart failure receives a prescription, digoxin 35 mcg PO. The
registered nurse (RN) calculates the desired dose for administration using the
available concentration of digoxin labeled, 0.05 mg/mL. How many milliliters
should the registered nurse (RN) prepare for administration? (Enter the
numerical value only. If rounding is required round to the nearest tenth.)
0.7
Rationale
Desired dose, 35 mcg converts to 0.035 mg because the equivalent is 1 mg =
1,000 mcg
Using the formula, D/H x A = 0.035 mg / 0.05 mg x 1 mL = 0.7 mL
the ratio proportion method of: 35mcg/X ml :: 1000mcg/1mL = 0.035mg;
0.035mg/XmL :: 0.05mg/mL =0.035mg/0.7mL
The nurse is monitoring a client newly diagnosed with diabetes mellitus for signs
of complications. Which sign or symptom, if frequently exhibited in the client,
indicates that the client is at risk for chronic complications of diabetes if the blood
glucose is not adequately managed?
1. Polyuria
2. Diaphoresis
3. Pedal edema
4. Decreased respiratory rate
1. Polyuria
The registered nurse (RN) is teaching a client who is newly diagnosed with
emphysema how to perform pursed lip breathing. What is the primary reason
for teaching the client this method of breathing?
pg. 1
,Decreases respiratory rate.
Increases O2 saturation throughout the body.
Conserves energy while ambulating.
Promotes CO2 elimination.
Promotes CO2 elimination.
Rationale
Pursed lip breathing helps eliminate CO2 by increasing positive pressure
within the alveoli increasing the surface area of the alveoli making it easier for
the O2 and CO2 gas exchange to occur .
The registered nurse (RN) is developing the plan of care for a client who is
admitted for alcohol detoxification. Which goal should be most important for
the RN to primarily focus the client's care?
The client maintains optimal nutritional status.
The client will remain alert and oriented.
The client will remain free from injury.
The client will remain alcohol free during hospitalization.
The client will remain free from injury.
Rationale
The client is at highest risk for injury due to altered cognitive and sensory
disturbances as well as delirium tremors during withdrawal. Remaining free
from injury is the most important goal for the acute phase of alcohol
withdrawal.
A 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.)
Select all that apply
Use simple sentences during the examination.
Move to another question if the client seems confused.
pg. 2
,Reduce environmental detractors during the examination.
Allow family to answer for the client to decrease frustration.
Ask questions one at a time to decrease confusion.
Use simple sentences during the examination.
Reduce environmental detractors during the examination.
Ask questions one at a time to decrease confusion.
Rationale
Communication techniques for clients with cognitive impairments should be
simple, withoutenvironmental distractions, and direct.
The registered nurse (RN) is interviewing a female client who states she has a
persistent productive cough during the winter caused by bronchitis. Which
additional finding should the RN assess for bronchitis?
Phlegm production and wheezing.
Smoking history.
Hemoptysis.
Night sweats.
Phlegm production and wheezing.
Rationale
A chronic seasonal cough related to bronchitis is likely accompanied
withphlegm production and wheezing. Although smoking can contribute to a
chronic cough, the typical seasonal cough is an inflammatory reaction to
seasonal changes.
The nurse is preparing a plan of care for a client with diabetes mellitus who has
hyperglycemia. The nurse places priority on which client problem?
1. Lack of knowledge
2. Inadequate fluid volume
3. Compromised family coping
4. Inadequate consumption of nutrients
2. Inadequate fluid volume
pg. 3
, The nurse is caring for a client after hypophysectomy and notes clear nasal
drainage from the client's nostril. The nurse should take which initial action? 1.
Lower the head of the bed.
2. Test the drainage for glucose.
3. Obtain a culture of the drainage.
4. Continue to observe the drainage.
2. Test the drainage for glucose.
The nurse is admitting a client who is diagnosed with syndrome of inappropriate
antidiuretic hormone secretion (SIADH) and has serum sodium of 118 mEq/L (118
mmol/L). Which primary health care provider prescriptions should the nurse
anticipate receiving? Select all that apply.
1. Initiate an infusion of 3% NaCl.
2. Administer intravenous furosemide.
3. Restrict fluids to 800 mL over 24 hours.
4. Elevate the head of the bed to high-Fowler's.
5. Administer a vasopressin antagonist as prescribed.
1. Initiate an infusion of 3% NaCl.
3. Restrict fluids to 800 mL over 24 hours.
5. Administer a vasopressin antagonist as prescribed.
The nurse is completing an assessment on a client who is being admitted for a
diagnostic workup for primary hyperparathyroidism. Which client complaints
would be characteristic of this disorder? Select all that apply.
1. Polyuria
2. Headache
3. Bone pain
4. Nervousness
5. Weight gain
1. Polyuria
3. Bone pain
A client with a diagnosis of addisonian crisis is being admitted to the intensive care
unit. Which findings will the interprofessional health care team focus on? Select all
that apply.
1. Hypotension
2. Leukocytosis
pg. 4
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