BSN 246 Week 2 HESI Prep Exam Questions and
Answers
1. A client complains of calf tenderness, and thrombophlebitis is
suspected. The nurse would next assess the client for which
finding?
A.Bilateral edema
B.Increased calf circumference
C.Diminished distal peripheral pulses
D.Coolness and pallor of the affected limb correct answer: Increased cal
circumference
2. The nurse is assessing a client's legs for the presence of edema.
The nurse notes that the client has mild pitting with slight
indentation and no perceptible swelling of the leg. How would the
nurse define and document this finding?
A. 1+ edema
B. 2+ Edema
C. 3+ Edema
D. 4+ Edema correct answer: 1+ Edema
3. A client is at risk for vasovagal attacks that cause
bradydysrhythmias. The nurse would tell the client to avoid which
actions to prevent this occurrence? Select all that apply.
A. Applying pressure on the eyes
B. Raising the arms above the head
C. Taking stool softeners on a daily basis
D. Bearing down during a bowel movement
E. Simulating a gag reflex when brushing the teeth correct answer:
Applying pressure on the eyes Raising the arms above the head
Bearing down during a bowel movement
Simulating a gag reflex when brushing the
teeth
1/
9
,BSN 246 Week 2 HESI Prep Exam Questions and
Answers
4. The nurse assesses the sternotomy incision of a client on the third
day after cardiac surgery. The incision shows some slight puffiness
along the edges and is non-reddened, with no apparent drainage.
The client's temperature is 99°
F (37.2° C) orally. The white blood cell count is 7500 mm3 (7.5 ×
109/L). How would the nurse interpret these findings?
2/
9
Answers
1. A client complains of calf tenderness, and thrombophlebitis is
suspected. The nurse would next assess the client for which
finding?
A.Bilateral edema
B.Increased calf circumference
C.Diminished distal peripheral pulses
D.Coolness and pallor of the affected limb correct answer: Increased cal
circumference
2. The nurse is assessing a client's legs for the presence of edema.
The nurse notes that the client has mild pitting with slight
indentation and no perceptible swelling of the leg. How would the
nurse define and document this finding?
A. 1+ edema
B. 2+ Edema
C. 3+ Edema
D. 4+ Edema correct answer: 1+ Edema
3. A client is at risk for vasovagal attacks that cause
bradydysrhythmias. The nurse would tell the client to avoid which
actions to prevent this occurrence? Select all that apply.
A. Applying pressure on the eyes
B. Raising the arms above the head
C. Taking stool softeners on a daily basis
D. Bearing down during a bowel movement
E. Simulating a gag reflex when brushing the teeth correct answer:
Applying pressure on the eyes Raising the arms above the head
Bearing down during a bowel movement
Simulating a gag reflex when brushing the
teeth
1/
9
,BSN 246 Week 2 HESI Prep Exam Questions and
Answers
4. The nurse assesses the sternotomy incision of a client on the third
day after cardiac surgery. The incision shows some slight puffiness
along the edges and is non-reddened, with no apparent drainage.
The client's temperature is 99°
F (37.2° C) orally. The white blood cell count is 7500 mm3 (7.5 ×
109/L). How would the nurse interpret these findings?
2/
9
