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NIGHTINGALE BSN 246 HESI HEALTH ASSESSMENT EXAM 2025 VERSION 3 WITH 500 REAL EXAM QUESTIONS AND CORRECT ANSWERS GRADED A+/ HESI HEALTH ASSESSMENT EXAM/ BSN 246 EXAM 2024/2025$30.99
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NIGHTINGALE BSN 246 HESI HEALTH ASSESSMENT EXAM 2025 VERSION 3 WITH 500 REAL EXAM QUESTIONS AND CORRECT ANSWERS GRADED A+/ HESI HEALTH ASSESSMENT EXAM/ BSN 246 EXAM 2024/2025
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Course
NIGHTINGALE BSN 246 HESI HEALTH ASSESSMENT
Institution
NIGHTINGALE BSN 246 HESI HEALTH ASSESSMENT
NIGHTINGALE BSN 246 HESI HEALTH ASSESSMENT EXAM 2025 VERSION 3 WITH 500 REAL EXAM QUESTIONS AND CORRECT ANSWERS GRADED A+/ HESI HEALTH ASSESSMENT EXAM/ BSN 246 EXAM 2024/2025
NIGHTINGALE BSN 246 HESI HEALTH
ASSESSMENT EXAM 2025 VERSION 3 WITH 500
REAL EXAM QUESTIONS AND CORRECT
ANSWERS GRADED A+/ HESI HEALTH
ASSESSMENT EXAM/ BSN 246 EXAM 2024/2025
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.
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.
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.
B
pg. 1
,A client with progressive hearing loss appears distressed when the registered nurse
(RN) asks open-ended questions about 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.
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.
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.
C
A client who is uses ipratropium reports having nausea, blurred vision, headaches,
and insomnia after using the inhaler. Which action should the registered nurse
(RN) implement first?
A. Withhold medication and report symptoms and vital signs to healthcare
provider.
B. Give PRN medication for nausea and vomiting and evaluate client in 30
minutes.
C. Reassure client that the ipratropium given will alleviate the symptoms.
pg. 2
,D. Delay administration of ipratropium until next maintenance medication is
scheduled.
A
While reviewing the client's electronic medical record (EMR), the registered nurse
(RN) assesses a client who is at risk for a possible interaction with an over-the-
counter (OTC) decongestant. Which client health history should the RN report to
the healthcare provider concerning the OTC medication? (Select all that apply).
A. Type I diabetes mellitus (DM).
B. Closed angle glaucoma.
C. Chronic hypertension.
D. Rheumatoid arthritis.
E. Crohn's disease.
B, C
The registered nurse (RN) is assessing a client who was discharged home after
management of chronic hypertension. Which equipment should the RN instruct the
client to use at home?
A. Exercise bicycle.
B. Sphygmomanometer.
C. Blood glucose monitor.
D. Weekly medication box.
B
The registered nurse (RN) notifies the spouse of a client who was admitted to
hospice with shallow respirations, of a change in the client's condition. Over the
past hour, the client's respiratory pattern has changed to a Cheyne Stokes pattern.
After receiving this information, the client's spouse begins vacuuming around the
bed. Which stage of grief is the spouse displaying during the visit?
A. Acceptance.
B. Denial.
C. Bargaining.
D. Depression.
B
A client is admitted for dehydration, weight loss, and a flat affect. After reviewing
the client's history, the registered nurse (RN) discovers that the client's spouse died
pg. 3
, 2 weeks ago. Which nursing interventions should the RN implement to help the
client begin the process of dealing with loss? (Select all that apply.)
A. Establish trust by creating an safe atmosphere for sharing.
B. Share personal stories about how other clients dealt with grief.
C. Help the client identify ways to adapt lifestyle to accommodate loss.
D. Assure the client that their grief will last a short period of time.
E. Explore ways to assist the client to make new emotional investments.
A, C, E
The registered nurse (RN) is caring for a client with peptic ulcer disease (PUD).
What assessment should the RN identify and document that is consistent with
PUD? (Select all that apply).
A. Hematemesis.
B. Gastric pain on an empty stomach.
C. Colic-like pain with fatty food ingestion.
D. intolerance of spicy foods.
E. Diarrhea and stearrhea.
A, B, D
The registered nurse (RN) is caring for a client with a newly placed nasogastric
tube (NGT). Once the placement of the NG tube is verified by x-ray, which
technique should the RN use as a reliable method to ensure the NGT is not
displaced?
A. Check pH of aspirated stomach contents obtained from the NGT.
B. Auscultate over the epigastrium while injecting air into the NGT.
C. Disconnect and place the end of NGT in water to see if bubbles appear.
D. Listen for hyperactive bowel sounds in all four quadrants of abdomen.
A
The registered nurse (RN) is evaluating a client who presents with symptoms of
viral gastroenteritis. Which assessment finding should the RN report to the
healthcare provider?
A. Dry mucous membranes and lips.
B. Rebound abdominal tenderness over right lower quadrant.
C. Dizziness when client ambulates from a sitting position.
D. Poor skin turgor over client's wrist.
pg. 4
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