Health Assessment V2 EXAM

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

• / 4

### Question 1 The nurse examines a client's abdomen. Which r)o.)ou indicates an abnormal response when palpating the spleen?

• No palpable mass noted.
• Tenderness reported upon deep palpation.
• Firm mass palpated at bottom of left rib cage.
• 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?

• / 4

• Over the left subclavian artery.
• Over the aortic arch.
• Over the carotid artery.
• 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?

• Place the stethoscope's diaphragm lightly on the skin.
• Press the stethoscope's diaphragm "irmly on the skin over each lung

"ield.

• Ask the client to breathe normally while using the bell of the

stethoscope.

• 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.

• / 4

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?

• "Patient reports a persistent cough accompanied by wheezing."
• "Client describes having a 'body-wracking dry cough' of 6 weeks

duration."

• "The client expresses concern about possible lung cancer symptoms."
• "Client presents with a cough lasting more than a month."

Correct Answer: B) "Client describes having a 'body-wracking dry cough' of

• 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.

---

• / 4