Hesi Health Assessment 246 Exam
Questions & Answers (Grade A+)
A client with chest pain, dizziness, and vomiting for the last 2 hours
is admitted for evaluation for Acute Coronary Syndrome (ACS).
Which cardiac biomarker should the registered nurse (RN)
anticipate to be elevated if the client experienced myocardial
damage?
Creatine Kinase (CK-MB).
Serum troponin.
Myoglobin.
Ischemia modified albumin. -
correct answer ✅Serum troponin.
Troponin is the most sensitive and specific test for myocardial
damage. Troponin elevation is more specific than CK-MB.
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. -
correct answer ✅The client will remain free from injury.
Rationale
,Hesi Health Assessment 246 Exam
Questions & Answers (Grade A+)
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.
The registered nurse (RN) is caring for a client with aplastic anemia
who is hospitalized for weight loss and generalized weakness.
Laboratory values show a white blood count (WBC) of 2,500/mm3
and a platelet countof 160,000/mm3. Which intervention is the
primary focus in the client's plan of care for the RN to implement?
Assist with frequent ambulation.
Encourage visitors to visit.
Maintain strict protective precautions.
Avoid peripheral injections. -
correct answer ✅Maintain strict protective precautions.
Rationale
The client should be under strict protective transmission
precautions because the WBC values are low and normal WBC
levels are 4,000-10,000/mm3, so the client is an increased high risk
for infection.
,Hesi Health Assessment 246 Exam
Questions & Answers (Grade A+)
The registered nurse (RN) assesses a client's results for arterial
blood gases who has emphysema. Which finding is consistent with
respiratory acidosis?
pH 7.32, pCO2 46 mmHg, HCO3 24 MEq/L.
pH 7.45 , pCO2 37 mmHg, HCO3 24 mEq/L.
pH 7.34, pCO2 36 mmHg, HCO3 21 mEq/L.
pH 7.46, pCO2 35 mmHg, HCO3 28 mEq/L. -
correct answer ✅pH 7.32, pCO2 46 mmHg, HCO3 24 MEq/L.
Rationale
Normal ABG ranges are pH 7.35 to 7.45; pCO2 35 to 45 mmHg;
HCO3 21 to 28 mEq/L, and pO2 80 to 100 mmHg. An ABG of pH
7.32, pCO2 46 mmHg, HCO3 24 MEq/L represents a client with
respiratory acidosis which is characterized by: low pH, pCO2higher
than normal, and HCO3 within normal limits.
The registered nurse (RN) is caring for a client who has taken
atenolol for 2 years. The healthcare provider recently changed the
medication to enalaprilto manage the client's blood pressure.
Which instruction should the RN provide the client regarding the
new medication?
Take the medication at bedtime.
Report presence of increased bruising.
, Hesi Health Assessment 246 Exam
Questions & Answers (Grade A+)
Check pulse before taking medication.
Rise slowly when getting out of bed or chair. -
correct answer ✅Rise slowly when getting out of bed or chair.
Rationale
The client's new medication is an angiotensin-converting enzyme
(ACE) inhibitor, which has the side effect oforthostatic hypotension.
Instructing the client to rise slowly from a sitting or lying down
position is important to teach the client to avoid dizziness and
potentially falling.
The registered nurse (RN) places an ice pack on a middle school
student who comes to the school clinic complaining of a sprained
ankle. Which therapeutic response should the RN anticipate?
Reduced pain and minimized brusing.
Lowering of body core temperature.
Increased circulation around injury.
Reabsorption of edema at injury. -
correct answer ✅Reduced pain and minimized brusing.
Rationale
Cold applications produce a topical anesthetic effect to reduce pain
as well as constricts blood vessels to minimize bruising.
Questions & Answers (Grade A+)
A client with chest pain, dizziness, and vomiting for the last 2 hours
is admitted for evaluation for Acute Coronary Syndrome (ACS).
Which cardiac biomarker should the registered nurse (RN)
anticipate to be elevated if the client experienced myocardial
damage?
Creatine Kinase (CK-MB).
Serum troponin.
Myoglobin.
Ischemia modified albumin. -
correct answer ✅Serum troponin.
Troponin is the most sensitive and specific test for myocardial
damage. Troponin elevation is more specific than CK-MB.
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. -
correct answer ✅The client will remain free from injury.
Rationale
,Hesi Health Assessment 246 Exam
Questions & Answers (Grade A+)
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.
The registered nurse (RN) is caring for a client with aplastic anemia
who is hospitalized for weight loss and generalized weakness.
Laboratory values show a white blood count (WBC) of 2,500/mm3
and a platelet countof 160,000/mm3. Which intervention is the
primary focus in the client's plan of care for the RN to implement?
Assist with frequent ambulation.
Encourage visitors to visit.
Maintain strict protective precautions.
Avoid peripheral injections. -
correct answer ✅Maintain strict protective precautions.
Rationale
The client should be under strict protective transmission
precautions because the WBC values are low and normal WBC
levels are 4,000-10,000/mm3, so the client is an increased high risk
for infection.
,Hesi Health Assessment 246 Exam
Questions & Answers (Grade A+)
The registered nurse (RN) assesses a client's results for arterial
blood gases who has emphysema. Which finding is consistent with
respiratory acidosis?
pH 7.32, pCO2 46 mmHg, HCO3 24 MEq/L.
pH 7.45 , pCO2 37 mmHg, HCO3 24 mEq/L.
pH 7.34, pCO2 36 mmHg, HCO3 21 mEq/L.
pH 7.46, pCO2 35 mmHg, HCO3 28 mEq/L. -
correct answer ✅pH 7.32, pCO2 46 mmHg, HCO3 24 MEq/L.
Rationale
Normal ABG ranges are pH 7.35 to 7.45; pCO2 35 to 45 mmHg;
HCO3 21 to 28 mEq/L, and pO2 80 to 100 mmHg. An ABG of pH
7.32, pCO2 46 mmHg, HCO3 24 MEq/L represents a client with
respiratory acidosis which is characterized by: low pH, pCO2higher
than normal, and HCO3 within normal limits.
The registered nurse (RN) is caring for a client who has taken
atenolol for 2 years. The healthcare provider recently changed the
medication to enalaprilto manage the client's blood pressure.
Which instruction should the RN provide the client regarding the
new medication?
Take the medication at bedtime.
Report presence of increased bruising.
, Hesi Health Assessment 246 Exam
Questions & Answers (Grade A+)
Check pulse before taking medication.
Rise slowly when getting out of bed or chair. -
correct answer ✅Rise slowly when getting out of bed or chair.
Rationale
The client's new medication is an angiotensin-converting enzyme
(ACE) inhibitor, which has the side effect oforthostatic hypotension.
Instructing the client to rise slowly from a sitting or lying down
position is important to teach the client to avoid dizziness and
potentially falling.
The registered nurse (RN) places an ice pack on a middle school
student who comes to the school clinic complaining of a sprained
ankle. Which therapeutic response should the RN anticipate?
Reduced pain and minimized brusing.
Lowering of body core temperature.
Increased circulation around injury.
Reabsorption of edema at injury. -
correct answer ✅Reduced pain and minimized brusing.
Rationale
Cold applications produce a topical anesthetic effect to reduce pain
as well as constricts blood vessels to minimize bruising.
