BSN 246 HESI
Health Assessment V2 EXAM
Nightingale College
Actual Qs & Verified Ans to Pass the Exam
,THIS DOCUMENT CONTAINS THE FOLLOWING:
passing score Guarantee
Format Set of Multiple-choice
questions with incorporating Next Generation NCLEX
(NGN) and Case scenarios questions
Expert-Verified Explanations & Solutions
NBSN 246 HESI HEALTH ASSESSMENT V2 EXAM 001
, 1. The nurse is assessing a female client who states that her hemorrhoids are inflamed and
hurt constantly. Which intervention is best for the nurse to complete a focused
assessment?
- A) Position the client in the left lateral position to inspect the perianal area for fissures or sacs.
- B) Ask the client to describe the pain on a scale from 1 to 10.
- C) Inquire about the client’s bowel habits over the past week.
- D) Palpate the abdomen for tenderness.
Correct Answer: A) Position the client in the left lateral position to inspect the perianal area for fissures or
sacs.
Expert Rationale:
Positioning the client appropriately facilitates a thorough visual inspection of the perianal area, which is
essential in evaluating the extent and cause of the hemorrhoidal condition.
---
2. The nurse is performing an initial assessment of a client who has an expressionless facial
affect, slurred speech, and red conjunctivae. What Question should the nurse ask first?
- A) "Have you been sleeping well?"
- B) "What medications are you currently taking?"
- C) "Do you have a history of stroke or cardiovascular disease?"
- D) "Can you tell me about your recent social activities?"
Correct Answer: A) "Have you been sleeping well?"
Expert Rationale:
This Question addresses potential acute concerns such as substance use or fatigue that can exacerbate
the observed symptoms. This first step directs the assessment toward immediate needs.
---
, 3. After checking a client's pupillary response to light, the practical nurse (PN) tells the nurse
that the client's pupils are constricted with minimal response to light. Before verifying the
PN's findings, which action should the nurse take?
- A) Assess the client's visual fields.
- B) Document the findings as reported.
- C) Refer the client for a vision assessment.
- D) Recheck the pupillary response independently.
Correct Answer: D) Recheck the pupillary response independently.
Expert Rationale:
Independent verification of critical findings like pupillary response is vital to identify variations in
neurological status accurately and ensure patient safety.
---
4. The nurse completes inspection of the abdomen on an adult client. Which finding is
considered normal for this client?
- A) Homogeneous color.
- B) Visible peristaltic waves.
- C) Dullness over the left flank.
- D) Presence of a midline pulsation.
Correct Answer: A) Homogeneous color.
Expert Rationale:
A homogeneous color in the abdomen is a normal finding, indicating no significant abnormalities such as
lesions that may warrant further investigation.
---
Health Assessment V2 EXAM
Nightingale College
Actual Qs & Verified Ans to Pass the Exam
,THIS DOCUMENT CONTAINS THE FOLLOWING:
passing score Guarantee
Format Set of Multiple-choice
questions with incorporating Next Generation NCLEX
(NGN) and Case scenarios questions
Expert-Verified Explanations & Solutions
NBSN 246 HESI HEALTH ASSESSMENT V2 EXAM 001
, 1. The nurse is assessing a female client who states that her hemorrhoids are inflamed and
hurt constantly. Which intervention is best for the nurse to complete a focused
assessment?
- A) Position the client in the left lateral position to inspect the perianal area for fissures or sacs.
- B) Ask the client to describe the pain on a scale from 1 to 10.
- C) Inquire about the client’s bowel habits over the past week.
- D) Palpate the abdomen for tenderness.
Correct Answer: A) Position the client in the left lateral position to inspect the perianal area for fissures or
sacs.
Expert Rationale:
Positioning the client appropriately facilitates a thorough visual inspection of the perianal area, which is
essential in evaluating the extent and cause of the hemorrhoidal condition.
---
2. The nurse is performing an initial assessment of a client who has an expressionless facial
affect, slurred speech, and red conjunctivae. What Question should the nurse ask first?
- A) "Have you been sleeping well?"
- B) "What medications are you currently taking?"
- C) "Do you have a history of stroke or cardiovascular disease?"
- D) "Can you tell me about your recent social activities?"
Correct Answer: A) "Have you been sleeping well?"
Expert Rationale:
This Question addresses potential acute concerns such as substance use or fatigue that can exacerbate
the observed symptoms. This first step directs the assessment toward immediate needs.
---
, 3. After checking a client's pupillary response to light, the practical nurse (PN) tells the nurse
that the client's pupils are constricted with minimal response to light. Before verifying the
PN's findings, which action should the nurse take?
- A) Assess the client's visual fields.
- B) Document the findings as reported.
- C) Refer the client for a vision assessment.
- D) Recheck the pupillary response independently.
Correct Answer: D) Recheck the pupillary response independently.
Expert Rationale:
Independent verification of critical findings like pupillary response is vital to identify variations in
neurological status accurately and ensure patient safety.
---
4. The nurse completes inspection of the abdomen on an adult client. Which finding is
considered normal for this client?
- A) Homogeneous color.
- B) Visible peristaltic waves.
- C) Dullness over the left flank.
- D) Presence of a midline pulsation.
Correct Answer: A) Homogeneous color.
Expert Rationale:
A homogeneous color in the abdomen is a normal finding, indicating no significant abnormalities such as
lesions that may warrant further investigation.
---
