BSN 246 HESI V2 HEALTH ASSESSMENT
EXAM | 100% CORRECTLY ANSWERED
AND GRADED A+ | 2025/2026 GUIDE |
NIGHTINGALE
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?
- Correct Answer - NPO
When inspecting an adult woman's skin the nurse observes several
areas of ecchymosis on her trunk and extremities. Which information in
the client's history requires additional follow-up by the nurse?
- Correct Answer - Takes an oral anticoagulant
While performing a physical assessment, the nurse is unable to palpate
the client's pedal pulses. Which action should the nurse take?
- Correct Answer - Use a doppler ultrasonic stethoscope.
The nurse is examining an older female and suspects that she has a
dysfunction in her... should the nurse perform to further assess for a hip
dysfunction?
- Correct Answer - Abduct each hip while the client is supine
, NGN- SHOULDER unable to move the arm away from the body
- Correct Answer - Abduction
NGN- ELBOW only able to straighten joint 20 degrees
- Correct Answer - Extension
NGN- wrist able to bend wrist back toward forearm
- Correct Answer - Extension
While auscultating a clients abdomen, the nurse hears a low pitched
blowing sound in the upper midline area. which is the likely indication of
this finding?
- Correct Answer - Possible renal artery stenosis.
An adult client exhibits an allergic reaction to an Insect bite. The nurse
should observe the client's skin for which finding?
- Correct Answer - Wheals
When assessing a client's rectal bleeding, which findings should the
nurse document?
- Correct Answer - characteristics of each stool
EXAM | 100% CORRECTLY ANSWERED
AND GRADED A+ | 2025/2026 GUIDE |
NIGHTINGALE
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?
- Correct Answer - NPO
When inspecting an adult woman's skin the nurse observes several
areas of ecchymosis on her trunk and extremities. Which information in
the client's history requires additional follow-up by the nurse?
- Correct Answer - Takes an oral anticoagulant
While performing a physical assessment, the nurse is unable to palpate
the client's pedal pulses. Which action should the nurse take?
- Correct Answer - Use a doppler ultrasonic stethoscope.
The nurse is examining an older female and suspects that she has a
dysfunction in her... should the nurse perform to further assess for a hip
dysfunction?
- Correct Answer - Abduct each hip while the client is supine
, NGN- SHOULDER unable to move the arm away from the body
- Correct Answer - Abduction
NGN- ELBOW only able to straighten joint 20 degrees
- Correct Answer - Extension
NGN- wrist able to bend wrist back toward forearm
- Correct Answer - Extension
While auscultating a clients abdomen, the nurse hears a low pitched
blowing sound in the upper midline area. which is the likely indication of
this finding?
- Correct Answer - Possible renal artery stenosis.
An adult client exhibits an allergic reaction to an Insect bite. The nurse
should observe the client's skin for which finding?
- Correct Answer - Wheals
When assessing a client's rectal bleeding, which findings should the
nurse document?
- Correct Answer - characteristics of each stool
