HESI RN 246 Health Assessment Proctored Exam (nightingale College)

Free preview · Original latest version

Sample questions from HESI RN 246 Health Assessment Proctored Exam (nightingale College)

This material has 75 questions with answers and rationales. Here are the first 5.

1. 1.In a community clinic, a client says, "I have not felt right for a while." Which response best elicits the client's present concern without prematurely narrowing the history?

   • A.Have you been sleeping poorly or feeling anxious?
   • B.Is the problem mainly pain or nausea?
   • C.When did the discomfort begin, and what makes it worse?
   • D.Tell me more about what "not felt right" means to you.

   Rationale: Inviting the client to explain the concern in their own words is an open-ended approach that supports a fuller account before the nurse focuses the interview. Asking about onset and aggravating factors is useful after the concern is clarified. Questions about anxiety or specific symptoms can introduce assumptions or restrict the client's response. Begin broadly, then use focused questions to clarify details.

2. 2.During medication reconciliation at a home visit, a client reports taking "one blood pressure pill every morning," but cannot recall its name or dose. Which action is best to improve the accuracy of the medication history?

   • A.Ask permission to review medication containers or a current medication list.
   • B.Record the medication as prescribed and verify it at the next appointment.
   • C.Ask the client to estimate the dose based on the tablet's size.
   • D.Document the medication as an antihypertensive and continue the interview.

   Rationale: Reviewing containers or a current list, with the client's permission, helps identify the medication and dose using a reliable source. Documenting only a drug class leaves important details unverified, while tablet size is not a dependable way to determine dose. Deferring verification risks carrying inaccurate information forward. Record what the client reports and clearly distinguish it from information verified in a source.

3. 3.At a school-based clinic, a 16-year-old arrives with a parent and requests to discuss a sensitive health concern. Which approaches support a respectful, developmentally appropriate health history? Select all that apply.

   • A.Offer the adolescent an opportunity to speak with the nurse privately.
   • B.Explain confidentiality and its limits in language the adolescent can understand.
   • C.Promise that no information will ever be shared with anyone.
   • D.Direct every question to the parent because the parent provided transportation.
   • E.Use neutral, nonjudgmental questions and allow time for the adolescent to respond.

   Rationale: Explaining confidentiality and its limits sets honest expectations, and offering private time supports an adolescent's ability to share sensitive information. Neutral questions and adequate response time promote accurate, respectful communication. Directing all questions to the parent can silence the adolescent and does not respect the client's role in the interview. A promise of absolute confidentiality is inappropriate because some disclosures may require action under applicable law or policy.

4. 4.At a prenatal visit, a client who has limited English proficiency nods while the nurse reviews the health history but gives no verbal answers. What is the best next step?

   • A.Ask a family member to translate the remaining questions.
   • B.Arrange for a qualified medical interpreter and address questions to the client.
   • C.Continue using simple English and interpret the nod as agreement.
   • D.Provide a translated form and ask the client to complete it without assistance.

   Answer and rationale are in the full material.

5. 5.At change of shift in a clinic, which situation calls for a focused assessment rather than a comprehensive assessment?

   • A.A client who has not seen a health professional in several years and requests a full history
   • B.A client establishing care who wants to review overall health and preventive needs
   • C.A client returning for follow-up of a previously assessed ankle sprain with new localized swelling
   • D.A client attending an initial health evaluation before beginning a new exercise program

   Answer and rationale are in the full material.