BSNl 246l HESIl Healthl Assessmentl Examl V2l (Latestl 2025/l 2026l Update)l Questionsl &l Answers|l Gradel A|l 100%l Correctl (Verifiedl Solutions)-l Nightingale
Q:l Thel nursel isl conductingl al familyl historyl asl partl ofl thel assessmentl interview.l Whichl actionl shouldl thel nursel takel tol ensurel thatl sufficientl informationl aboutl thel client'sl bloodl relativesl isl obtained?
Answer:
Documentl atl leastl 3l generationsl ofl thel client'sl familyl medicall history.l Correct
Q:l Anl olderl clientl hasl justl returnedl tol thel rooml followingl al surgicall procedure.l Whichl painl scalel shouldl thel nursel usel whenl assessingl thel client'sl painl level?
Answer:
Verball descriptorl scale.
Q:l Al clientl reportsl lowerl abdominall painl andl al feelingl ofl pressurel inl thel bladder.l Whichl assessmentl findingl indicatesl acutel urinaryl retention?
Answer:
Dulll soundl percussedl overl bladder.
Q:l Whichl terml shouldl thel nursel usel tol documentl thel conditionl ofl al clientl whol reportsl wakingl upl frequentlyl duringl thel nightl tol urinate?
Answer:
Nocturia.
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Q:l Whichl procedurel shouldl thel nursel usel tol assessl forl al pulsel deficit?
Answer:
Measurel thel apicall pulsel andl comparel itl tol thel peripherall pulse.
Q:l Al clientl isl inl thel clinicall forl al yearlyl physicall examination.l Whichl actionl shouldl thel nursel takel whenl preparingl tol examinel thel client'sl abdomen?
Answer:
Askl thel clientl tol urinatel beforel beginningl thel examination.
Q:l Whichl terml shouldl thel nursel usel tol documentl inl thel client'sl medicall recordl forl al high-pitchedl scratchyl soundl duringl auscultationl ofl thel heart?
Answer:
Frictionl rub.
Q:l Thel nursel isl assessingl forl thel presencel ofl al hernia.l Whichl actionl shouldl thel nursel askl thel clientl tol performl whilel lyingl supine?
Answer:
Usel abdominall musclesl tol sitl up.
Q:l Thel nursel isl assessingl bowell soundsl forl al hospitalizedl client.l Thel nursel hasl heardl bowell soundsl inl thel rightl upperl quadrant.l Whatl actionl shouldl thel nursel takel next?
Answer:
Notel thel characterl andl frequencyl ofl bowell sounds.
Q:l Al clientl isl beingl assessedl uponl admissionl tol thel medical-surgicall unit.l Thel nursel isl preparingl tol completel al head-to-toel assessmentl andl willl beginl atl thel headl ofl thel client.l Whichl techniquel shouldl thel nursel usel tol beginl thel assessment?
Answer: 2 / 3
Inspectl thel hairl andl skin.
Q:l Thel nursel performsl al physicall assessmentl onl anl olderl femalel client.l Whichl changel froml thel priorl examl mayl bel anl indicationl ofl osteoporosis?
Answer:
Heightl reductionl ofl 1.5l inches.
Q:l Thel nursel examinesl thel skinl ofl anl olderl adultl client.l Whichl skinl variationl isl consideredl al normall findingl forl al clientl inl thisl agel group?
Answer:
Lentigines.
Q:l Thel nursel isl assessingl al clientl whol reportsl havingl shoulderl pain.l Whichl signl isl thel bestl indicatorl ofl al rotatorl cuffl tear?
Answer:
Inabilityl tol slowlyl lowerl thel arml whenl abducted.
Q:l Thel nursel usesl al tonguel depressorl tol assessl al client'sl mouth.l Whichl structurel shouldl thel nursel bel ablel tol visualize?
Answer:
Pharynx.
Q:l Whenl assessingl al clientl withl dyspnea,l thel nursel hearsl anl audiblel inspiratoryl crowingl sound.l Whichl lungl soundl shouldl thel nursel document?
Answer:
Stridor.
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