BSN 246 HESI Health Assessment V1 Exam 2025/2026 (ACTUAL EXAM) QUESTIONS AND VERIFIED ANSWERS (NIGHTINGALE COLLEGE)

BSN 246 HESI Health Assessment V1
Exam 2025/2026 (ACTUAL EXAM)
QUESTIONS AND VERIFIED
ANSWERS (NIGHTINGALE COLLEGE)
1. Themnursemismperformingmamthoracicmassessmentmonmamclientmwithmchronicmasthmamandmh
yperinflationmofmthemlungs.mWhichmfindingmshouldmbemexpectedmformthismclient?m-
mCORRECTmANSWERmBarrelmchest




2. Themnursemismassessingmbowelmsoundsmformamhospitalizedmclient.mThemnursemhasmheardmbo
welmsoundsminmthemrightmuppermquadrant.mWhatmactionmshouldmthemnursemtakemnext?m-
mCORRECTmANSWERmNotemthemcharactermandmfrequencymofmbowelmsounds




3. Duringminspectionmofmamclient'smmouthmandmpharynx,mthemnursemplacesmamtonguemblademo
nmthembackmofmthemtonguemwhichmcausesmthemclientmtomgag.mAftermremovingmthemtonguemb
lade,mwhatmactionmshouldmthemnursemtake?m-
mCORRECTmANSWERmDocumentmanmintactmgagmreflex.




4. Whenmteachingmamclientmhowmtomperformmammonthlymbreastmself-
assessment,mthemnursemshouldmtellmthemclientmthatmitmismmostmimportantmtomassessmwhichm
partmofmthembreastmmoremcloselymformchanges?m-
mCORRECTmANSWERmUppermoutermquadrant.




5. ThemnursemismassessingmampostmenopausalmclientmwhomhasmamBMImofm32.mThemclientmhasma
mchestmmeasurementmofm42minches,mwaistmmeasurementmofm45minches,mandmhipmmeasure


mentmofm50minches.mWhatmimportantmmessagemshouldmthemnursemexplainmtomthemclientmto
mpromotemhealthmpromotion?m-


mCORRECTmANSWERmAmwaistmcircumferencemismgreatermthanm35minchesminmwomenmputsmy


oumatmhighermriskmformtypem2mdiabetesmandmheartmdisease."

,6. Themnursemperformsmamphysicalmassessmentmonmanmoldermfemalemclient.mWhichmchangemfr
ommthempriormexammmaymbemanmindicationmofmosteoporosis?m-
mCORRECTmANSWERmHeightmreductionmofm1.5minches.




7. Whilemconductingmanminterviewmtomobtainmamhealthmhistory,mthemnursemnoticesmthatmthemc
lientmpausesmfrequentlymandmlooksmatmthemnursemexpectantly.mWhichmresponsemismbestmfor
mthemnursemtomprovide?m-


mCORRECTmANSWERmSitmquietlymtomallowmthemclientmtomrespondmcomfortably.




8. Amclientmisminmthemclinicalmformamyearlymphysicalmexamination.mWhichmactionmshouldmthemn
ursemtakemwhenmpreparingmtomexaminemthemclient'smabdomen?m-
mCORRECTmANSWERmAskmthemclientmtomurinatembeforembeginningmthemexamination.




9. Whichmrespiratorymconditionmshouldmthemnursemdocumentmaftermmeasuringmamrespiratory
mratemofm8mbreaths/minute?m-mCORRECTmANSWERmBradypnea.




10. Whichmproceduremshouldmthemnursemusemtomassessformampulsemdeficit?m-
mCORRECTmANSWERmMeasuremthemapicalmpulsemandmcomparemitmtomthemperipheralmpulse.




11. *Ampulsemdeficitmismampalpablemdifferencembetweenmthemapicalmpulsematmthempointmofmmaxi
malmimpulsemandmthemradialmpulsempalpatedmatmthemwrist.



12. Amclientmhasmbeenmdiagnosedmwithmbilateralmlowermlobematelectasis.mWhatmpercussionmso
undmshouldmthemnursemexpectmtomhearmwhenmpercussingmovermthemclient'smlowermlobes?m-
mCORRECTmANSWERmDull,mthud-like.




13. Amclientmismbeingmassessedmuponmadmissionmtomthemmedical-
surgicalmunit.mThemnursemismpreparingmtomcompletemamhead-to-
toemassessmentmandmwillmbeginmatmthemheadmofmthemclient.mWhichmtechniquemshouldmthem
nursemusemtombeginmthemassessment?m-mCORRECTmANSWERmInspectmthemhairmandmskin.

, 14. Themnursemismassessingmamhealthymyoungmadultmduringmanmannualmphysicalmexamination.m
Whichmassessmentmtechniquemshouldmthemnursemimplementmwhenmpalpatingmthemabdomi
nalmaorta?m-
mCORRECTmANSWERmDeepmpalpationmabovemandmtomthemleftmofmthemumbilicus.




15. Themnursemismconductingmamfamilymhistorymasmpartmofmthemassessmentminterview.mWhichma
ctionmshouldmthemnursemtakemtomensuremthatmsufficientminformationmaboutmthemclient'smbl
oodmrelativesmismobtained?m-
mCORRECTmANSWERmDocumentmatmleastm3mgenerationsmofmthemclient'smfamilymmedicalmhis


tory.



16. Themnursemismtestingmthemclient'smshouldersmformrangemofmmotion.mWhatmshouldmthemnurs
emdocumentmtomrecordmnormalminternalmrotation?m-
mCORRECTmANSWERmRangemofm90mdegreesmwhenmthemhandsmaremplacedmatmthemsmallmofmt


hemback.



17. Amclientmpresentsmwithmamrashmalongmthemoccipitalmareamofmthemhairlinemandmreportsminten
semitching.mHowmshouldmthemnursembeginmthemobjectivempartmofmthemexamination?m-
mCORRECTmANSWERmInspectmthemscalpmlookingmformnits.




18. Themnursemismassessingmamclient'smrangemofmmotionmasmthemclientmbendsmthemrightmkneemu
pmtomthemchestmwhilemkeepingmthemleftmlegmstraight,mbutmismunablemtomkeepmthemleftmthighm
onmthemtable.mThemassessmentmismrepeatedmformthemleftmknee,mandmthemclientmismunablemto
mkeepmthemrightmthighmonmthemtable.mHowmshouldmthemnursemdocumentmthismfinding?m-


mCORRECTmANSWERmAmflexionmdeformitymreferredmtomasmampositivemThomasmtest.




19. Duringmamskinmasssessment,mthemnursemnotes,mroundmandmdiscretemlesionsmthatmaremdarkm
redminmcolormandmwillmnotmblanch.mThemlesionsmrangemfromm1mtom3mmmminmsize.mWhatmismth
emfirstmquestionmthemnursemshouldmaskmthemclient?m-
mCORRECTmANSWERmHavemyoumnoticemanymirregularmbleeding