BSN 246 EXAM SCRIPT FINAL PAPER 2026
FULL SOLUTION VIEW AHEAD
◉ A male executive is seen in the primary care clinic for a physical
examination. While obtaining the client's health history, the nurse
inquires about his drug and alcohol use. The executive denies drug
use, but reports that he has "two glasses of wine" per night. Which
response is best for the nurse to provide?.
Answer: "What effect do you think your use of alcohol may have on
you?"
◉ Which part of the body should the nurse examine when assessing
for peripheral edema in a client with heart failure?.
Answer: Ankles.
◉ A client reports feeling increasingly fatigued for several months,
and the nurse observes that the client's lips are pale. Which
additional data should the nurse collect based on this presentation?.
Answer: Use of vitamin and iron supplements.
◉ What is the best place for the nurse to hear lower lobe lung
sounds with a stethoscope?.
Answer: Posterior chest below the 3rd intercostalspace.
,◉ A 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.).
Answer: Use simple sentences during the examination.
Reduce environmental detractors during the examination.
Ask questions one at a time to decrease confusion.
◉ The nurse is interviewing a client who reports having a persistent,
productive cough during the winter caused by bronchitis. Which
additional finding should the nurse assess for bronchitis?.
Answer: Phlegm production and wheezing.
◉ The nurse is assessing the posterior pharynx during a physical
examination. Which technique should the nurse use?.
Answer: Press the tongue down one side at a time with a tongue
depressor.
◉ The nurse is assessing a client who has a history of mitral
stenosis. How should the nurse assess this client with a stethoscope
to listen for this condition?.
Answer: Place the bell on the 5th intercostal space, left midclavicular
line.
,◉ Which statement is accurate about assessing the spleen?.
Answer: It must be enlarged at least three times normal size for it to
be palpable.
◉ During an external examination of the eyes, the nurse gently
palpates the eyes while the client's eyelids are closed. The eyes are
both very firm and resist movement back into the orbit. How should
the nurse document this finding?.
Answer: Abnormal finding.
◉ Which tool should the nurse use when assessing the neurological
status of a client with traumatic brain injury?.
Answer: Glasgow Coma Scale.
◉ The nurse is assessing a client with liver disease who is jaundice
and exhibits scleral edema. During the health assessment, the nurse
should implement which technique to determine evidence of
hepatomegaly?.
Answer: Use a bouncing motion to tap the middle finger placed
within boundaries of the liver.
◉ What is the best nursing response to an older client who has not
mentioned incontinence during a genitourinary assessment?.
, Answer: Ask the client specifically about any leakage of urine.
◉ The registered nurse (RN) is caring for an Asian client who
refuses to make eye contact during conversations. How should the
RN assess this client's response?.
Answer: The client is treating the nurse with respect.
◉ The nurse is assessing a client for a hip flexion contracture. Which
finding indicates a negative Thomas test when the client's right knee
is brought toward the chest?.
Answer: The left leg remains on the table
*The Thomas test is performed by having the client bring one knee
toward the chest while the other leg remains extended on the table.
A positive Thomas test is elicited when the extended leg rises off the
table when the opposite leg's knee is brought up to the client's chest,
indicating hip flexor contracture. If the extended leg (the left leg, in
this example) remains on the table, the test is negative.
◉ The nurse is assessing a client who has a history of aortic
regurgitation. Where should the nurse place the stethoscope
diaphragm to listen for this condition?.
Answer: 2nd intercostal space along the right sternal border.
FULL SOLUTION VIEW AHEAD
◉ A male executive is seen in the primary care clinic for a physical
examination. While obtaining the client's health history, the nurse
inquires about his drug and alcohol use. The executive denies drug
use, but reports that he has "two glasses of wine" per night. Which
response is best for the nurse to provide?.
Answer: "What effect do you think your use of alcohol may have on
you?"
◉ Which part of the body should the nurse examine when assessing
for peripheral edema in a client with heart failure?.
Answer: Ankles.
◉ A client reports feeling increasingly fatigued for several months,
and the nurse observes that the client's lips are pale. Which
additional data should the nurse collect based on this presentation?.
Answer: Use of vitamin and iron supplements.
◉ What is the best place for the nurse to hear lower lobe lung
sounds with a stethoscope?.
Answer: Posterior chest below the 3rd intercostalspace.
,◉ A 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.).
Answer: Use simple sentences during the examination.
Reduce environmental detractors during the examination.
Ask questions one at a time to decrease confusion.
◉ The nurse is interviewing a client who reports having a persistent,
productive cough during the winter caused by bronchitis. Which
additional finding should the nurse assess for bronchitis?.
Answer: Phlegm production and wheezing.
◉ The nurse is assessing the posterior pharynx during a physical
examination. Which technique should the nurse use?.
Answer: Press the tongue down one side at a time with a tongue
depressor.
◉ The nurse is assessing a client who has a history of mitral
stenosis. How should the nurse assess this client with a stethoscope
to listen for this condition?.
Answer: Place the bell on the 5th intercostal space, left midclavicular
line.
,◉ Which statement is accurate about assessing the spleen?.
Answer: It must be enlarged at least three times normal size for it to
be palpable.
◉ During an external examination of the eyes, the nurse gently
palpates the eyes while the client's eyelids are closed. The eyes are
both very firm and resist movement back into the orbit. How should
the nurse document this finding?.
Answer: Abnormal finding.
◉ Which tool should the nurse use when assessing the neurological
status of a client with traumatic brain injury?.
Answer: Glasgow Coma Scale.
◉ The nurse is assessing a client with liver disease who is jaundice
and exhibits scleral edema. During the health assessment, the nurse
should implement which technique to determine evidence of
hepatomegaly?.
Answer: Use a bouncing motion to tap the middle finger placed
within boundaries of the liver.
◉ What is the best nursing response to an older client who has not
mentioned incontinence during a genitourinary assessment?.
, Answer: Ask the client specifically about any leakage of urine.
◉ The registered nurse (RN) is caring for an Asian client who
refuses to make eye contact during conversations. How should the
RN assess this client's response?.
Answer: The client is treating the nurse with respect.
◉ The nurse is assessing a client for a hip flexion contracture. Which
finding indicates a negative Thomas test when the client's right knee
is brought toward the chest?.
Answer: The left leg remains on the table
*The Thomas test is performed by having the client bring one knee
toward the chest while the other leg remains extended on the table.
A positive Thomas test is elicited when the extended leg rises off the
table when the opposite leg's knee is brought up to the client's chest,
indicating hip flexor contracture. If the extended leg (the left leg, in
this example) remains on the table, the test is negative.
◉ The nurse is assessing a client who has a history of aortic
regurgitation. Where should the nurse place the stethoscope
diaphragm to listen for this condition?.
Answer: 2nd intercostal space along the right sternal border.
