BSN 246 HESI HEALTH ASSESSMENT
QUESTION BANK 2026 COMPLETE
PROBLEMS AND STEP BY STEP SOLUTIONS
◉ Assessments to identify and document that are consistent with
PUD (peptic ulcer disease).
Answer: hematemsis, gastric pain, intolerance of spicy foods
◉ steatorrhea.
Answer: fatty stool- not associated with peptic ulcer disease (PUD)
◉ Common complications of systemic lupus erythematosus.
Answer: weight loss, anorexia, depressed mood, break in tissue
integrity
◉ Systemic lupus erythematosus (SLE)- complications that should
be reported immediately.
Answer: fever related to infection- secondary infections are a major
concern due to use of corticosteroids and chemotherapeutic agents
that suppress the immune system
◉ Common symptoms of viral gastroenteritis (stomach flu).
,Answer: dehydration (from diarrhea and throwing up), dizziness
when ambulating due to fluid volume deficit, poor skin turgor, dry
mucous membranes and lips
◉ Rebound abdominal tenderness over right lower quadrant.
Answer: could be an indication of appendicitis- notify provider. It is
not common for those with gastroenteritis
◉ weak pedal pulse and what else is consistent with diminished
peripheral circulation.
Answer: diminished hair on legs, skin cool to touch (decreased
arterial blood flow)
◉ Common complications of immobility include.
Answer: - stiff joints (early warning of contractures and atrophy)
- osteoporosis, decreased flexibility
- DVT, PE
- orthostatic hypotension
- atelectasis and pneumonia
- retention, UTIs, kidney stones
- pressure ulcers
- depression, anxiety, cognitive decline
, ◉ Early signs of hypovolemic shock.
Answer: - lethargy, AMS
- tachycardia,
- cool, clammy, pale or mottled skin
tachypneic
decreased urine output (oliguria)
- delayed cap refill
Blood pressure doesn't decrease until later stages
◉ asthma treated with Beta 2 receptor expected response.
Answer: rapid resolution of wheezing
improved pulse ox
◉ esophageal varices.
Answer: abnormally dilated veins in lower esophagus. Caused by
portal hypertension most common cause is liver cirrhosis. high risk
of rupturing.
- usually asymptotic until they rupture-
signs of bleeding
- hematemesis, melena (black tarry stools), anemia, hypovolemic
shock
QUESTION BANK 2026 COMPLETE
PROBLEMS AND STEP BY STEP SOLUTIONS
◉ Assessments to identify and document that are consistent with
PUD (peptic ulcer disease).
Answer: hematemsis, gastric pain, intolerance of spicy foods
◉ steatorrhea.
Answer: fatty stool- not associated with peptic ulcer disease (PUD)
◉ Common complications of systemic lupus erythematosus.
Answer: weight loss, anorexia, depressed mood, break in tissue
integrity
◉ Systemic lupus erythematosus (SLE)- complications that should
be reported immediately.
Answer: fever related to infection- secondary infections are a major
concern due to use of corticosteroids and chemotherapeutic agents
that suppress the immune system
◉ Common symptoms of viral gastroenteritis (stomach flu).
,Answer: dehydration (from diarrhea and throwing up), dizziness
when ambulating due to fluid volume deficit, poor skin turgor, dry
mucous membranes and lips
◉ Rebound abdominal tenderness over right lower quadrant.
Answer: could be an indication of appendicitis- notify provider. It is
not common for those with gastroenteritis
◉ weak pedal pulse and what else is consistent with diminished
peripheral circulation.
Answer: diminished hair on legs, skin cool to touch (decreased
arterial blood flow)
◉ Common complications of immobility include.
Answer: - stiff joints (early warning of contractures and atrophy)
- osteoporosis, decreased flexibility
- DVT, PE
- orthostatic hypotension
- atelectasis and pneumonia
- retention, UTIs, kidney stones
- pressure ulcers
- depression, anxiety, cognitive decline
, ◉ Early signs of hypovolemic shock.
Answer: - lethargy, AMS
- tachycardia,
- cool, clammy, pale or mottled skin
tachypneic
decreased urine output (oliguria)
- delayed cap refill
Blood pressure doesn't decrease until later stages
◉ asthma treated with Beta 2 receptor expected response.
Answer: rapid resolution of wheezing
improved pulse ox
◉ esophageal varices.
Answer: abnormally dilated veins in lower esophagus. Caused by
portal hypertension most common cause is liver cirrhosis. high risk
of rupturing.
- usually asymptotic until they rupture-
signs of bleeding
- hematemesis, melena (black tarry stools), anemia, hypovolemic
shock
