BSN 246 HESI
Health Assessment V2 EXAM
Nightingale College
Actual Qs & Verified Ans to Pass the Exam
This Hesi test contains:
passing score Guarantee
Format Set of Multiple-choice
questions with incorporating Next
Generation NCLEX (NGN) and Case scenarios
questions
Expert-Verified Explanations & Solutions
,### Question 1
The nurse examines a client's abdomen. Which inding indicates an
abnormal response when palpating the spleen?
- A) No palpable mass noted.
- B) Tenderness reported upon deep palpation.
- C) Firm mass palpated at bottom of left rib cage.
- D) Softness in the lateral aspect of the abdomen.
Correct Answer: C) Firm mass palpated at bottom of left rib cage.
Expert Rationale:
The spleen is usually not palpable unless it is enlarged. A "irm mass in this
area may indicate splenomegaly, which is abnormal.
### Question 2
In auscultating for the presence of a carotid artery bruit, the nurse
places the bell of the stethoscope at which location?
,- A) Over the left subclavian artery.
- B) Over the aortic arch.
- C) Over the carotid artery.
- D) Over the temporal artery.
Correct Answer: C) Over the carotid artery.
Expert Rationale:
The bell of the stethoscope is applied directly over the carotid artery to listen
for bruits, which are abnormal sounds indicating turbulent blood "low,
possibly due to stenosis.
### Question 3
A male client arrives at the clinic for a follow-up health assessment
after recent antibiotic treatment for pneumonia without
hospitalization. Which technique should the nurse implement to assess
for adventitious lung sounds?
- A) Place the stethoscope's diaphragm lightly on the skin.
- B) Press the stethoscope's diaphragm "irmly on the skin over each lung
"ield.
- C) Ask the client to breathe normally while using the bell of the
stethoscope.
- D) Use the diaphragm lightly over each lung "ield and listen for changes.
Correct Answer: B) Press the stethoscope's diaphragm "irmly on the skin
over each lung "ield.
, Expert Rationale:
Applying the diaphragm "irmly enhances the transmission of breath sounds
and allows the nurse to detect any adventitious sounds such as wheezes or
crackles effectively.
### Question 4
A 29-year-old male client informs the nurse that he came to the clinic
to see if, "Maybe I have lung cancer or something," and wants to get
checked out since, "I can't seem to get rid of this body-wracking dry
cough that has been hanging around for the last six weeks." Which
computer documentation of this client's concerns should the nurse
enter?
- A) "Patient reports a persistent cough accompanied by wheezing."
- B) "Client describes having a 'body-wracking dry cough' of 6 weeks
duration."
- C) "The client expresses concern about possible lung cancer symptoms."
- D) "Client presents with a cough lasting more than a month."
Correct Answer: B) "Client describes having a 'body-wracking dry cough' of
6 weeks duration."
Expert Rationale:
The documentation should re"lect the client's own description of their
symptoms. Using the client's words captures the severity and character of
the cough, providing clear information for future assessments.
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Health Assessment V2 EXAM
Nightingale College
Actual Qs & Verified Ans to Pass the Exam
This Hesi test contains:
passing score Guarantee
Format Set of Multiple-choice
questions with incorporating Next
Generation NCLEX (NGN) and Case scenarios
questions
Expert-Verified Explanations & Solutions
,### Question 1
The nurse examines a client's abdomen. Which inding indicates an
abnormal response when palpating the spleen?
- A) No palpable mass noted.
- B) Tenderness reported upon deep palpation.
- C) Firm mass palpated at bottom of left rib cage.
- D) Softness in the lateral aspect of the abdomen.
Correct Answer: C) Firm mass palpated at bottom of left rib cage.
Expert Rationale:
The spleen is usually not palpable unless it is enlarged. A "irm mass in this
area may indicate splenomegaly, which is abnormal.
### Question 2
In auscultating for the presence of a carotid artery bruit, the nurse
places the bell of the stethoscope at which location?
,- A) Over the left subclavian artery.
- B) Over the aortic arch.
- C) Over the carotid artery.
- D) Over the temporal artery.
Correct Answer: C) Over the carotid artery.
Expert Rationale:
The bell of the stethoscope is applied directly over the carotid artery to listen
for bruits, which are abnormal sounds indicating turbulent blood "low,
possibly due to stenosis.
### Question 3
A male client arrives at the clinic for a follow-up health assessment
after recent antibiotic treatment for pneumonia without
hospitalization. Which technique should the nurse implement to assess
for adventitious lung sounds?
- A) Place the stethoscope's diaphragm lightly on the skin.
- B) Press the stethoscope's diaphragm "irmly on the skin over each lung
"ield.
- C) Ask the client to breathe normally while using the bell of the
stethoscope.
- D) Use the diaphragm lightly over each lung "ield and listen for changes.
Correct Answer: B) Press the stethoscope's diaphragm "irmly on the skin
over each lung "ield.
, Expert Rationale:
Applying the diaphragm "irmly enhances the transmission of breath sounds
and allows the nurse to detect any adventitious sounds such as wheezes or
crackles effectively.
### Question 4
A 29-year-old male client informs the nurse that he came to the clinic
to see if, "Maybe I have lung cancer or something," and wants to get
checked out since, "I can't seem to get rid of this body-wracking dry
cough that has been hanging around for the last six weeks." Which
computer documentation of this client's concerns should the nurse
enter?
- A) "Patient reports a persistent cough accompanied by wheezing."
- B) "Client describes having a 'body-wracking dry cough' of 6 weeks
duration."
- C) "The client expresses concern about possible lung cancer symptoms."
- D) "Client presents with a cough lasting more than a month."
Correct Answer: B) "Client describes having a 'body-wracking dry cough' of
6 weeks duration."
Expert Rationale:
The documentation should re"lect the client's own description of their
symptoms. Using the client's words captures the severity and character of
the cough, providing clear information for future assessments.
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