hesi -246 Exam Questions and
Answers
1. The nurse applies pressure an area of the lower abdomen where
the client reports pain. The client denies pain upon palpation , but
reports pain the pressure is released. What action should the nurse
implement?
obtain a prescription to catheterize the client bladder? correct answer: Notify
the healthcare provider of
the rebound tenderness.
Correct answer is D. As this could be a sign of appendicitis.
2. During an abdominal assessment, a client with a temperature of
103 F (39.4 C) experiences pain and abruptly stops inhaling during
deep palpation. Which prescription is most important for the nurse
to implement?A. Electrocardio- gram.B. Complete bed rest.C.
Monitor urinary output.D. Nothing by mouth. correct answer: D.
Nothing by mouth.
3. After placing a client in a supine position, the nurse uses the
diaphragm of the stethoscope to auscultate bowel sounds and hears
a loud, high pitched almost continuous gurgling in two quadrants.
What action should the nurse implement?A. Use the bell of the
stethoscope to auscultate again.B. Elevate the head of the client's
bed immediately.C. Document the presence of borbo- rygmi.D.
Auscultate the remaining two quadrants. correct answer: Correct answer is D.
Full assessment of all parts of the lungs, side by side, should be performed before taking any
other action or document the findings.
4. Nurse assessing a client heart sounds the nurse hears S1 and S2
correct answer:
5. while performing a mental status examination which questions
should be nurse ask when attempting to evaluate a client's
judgment ?
Do you write checks if you know the bank account is
1/
9
,hesi -246 Exam Questions and
Answers
overdrawn? Can you recall the date the twin towers in New
York were destroyed? What is the difference between a
hamster and a rabbit as a pet ?
Should someone who lives in a glass house throw stones? correct answer:
Do you write checks if you
know the bank account is overdrawn?
6. The nurse completes of the abdomen on an older adults client?
Which finding is considered normal for this client ?
A. Non-tender.
B. Gallop
C. Thrill
D. Peristaltic waves. correct answer: Peristaltic waves.
2/
9
Answers
1. The nurse applies pressure an area of the lower abdomen where
the client reports pain. The client denies pain upon palpation , but
reports pain the pressure is released. What action should the nurse
implement?
obtain a prescription to catheterize the client bladder? correct answer: Notify
the healthcare provider of
the rebound tenderness.
Correct answer is D. As this could be a sign of appendicitis.
2. During an abdominal assessment, a client with a temperature of
103 F (39.4 C) experiences pain and abruptly stops inhaling during
deep palpation. Which prescription is most important for the nurse
to implement?A. Electrocardio- gram.B. Complete bed rest.C.
Monitor urinary output.D. Nothing by mouth. correct answer: D.
Nothing by mouth.
3. After placing a client in a supine position, the nurse uses the
diaphragm of the stethoscope to auscultate bowel sounds and hears
a loud, high pitched almost continuous gurgling in two quadrants.
What action should the nurse implement?A. Use the bell of the
stethoscope to auscultate again.B. Elevate the head of the client's
bed immediately.C. Document the presence of borbo- rygmi.D.
Auscultate the remaining two quadrants. correct answer: Correct answer is D.
Full assessment of all parts of the lungs, side by side, should be performed before taking any
other action or document the findings.
4. Nurse assessing a client heart sounds the nurse hears S1 and S2
correct answer:
5. while performing a mental status examination which questions
should be nurse ask when attempting to evaluate a client's
judgment ?
Do you write checks if you know the bank account is
1/
9
,hesi -246 Exam Questions and
Answers
overdrawn? Can you recall the date the twin towers in New
York were destroyed? What is the difference between a
hamster and a rabbit as a pet ?
Should someone who lives in a glass house throw stones? correct answer:
Do you write checks if you
know the bank account is overdrawn?
6. The nurse completes of the abdomen on an older adults client?
Which finding is considered normal for this client ?
A. Non-tender.
B. Gallop
C. Thrill
D. Peristaltic waves. correct answer: Peristaltic waves.
2/
9
