BSN 246 HESI HEALTH ASSESSMENT V2 EXAM PRACTICE EXAM | STUDY GUIDE |
TESTBANK | LATEST UPDATE 2026/2027 | QUESTIONS | 100% CORRECT ANSWERS
Table of Contents
1. Health History and Interview Techniques
2. Communication and Therapeutic Interaction
3. General Survey and Vital Signs
4. Pain Assessment
5. Skin, Hair, and Nails Assessment
6. Head, Face, Neck, and Lymphatic Assessment
7. Eye and Ear Assessment
8. Nose, Mouth, and Throat Assessment
9. Respiratory Assessment
10. Cardiovascular Assessment
11. Peripheral Vascular Assessment
12. Abdominal Assessment
13. Musculoskeletal Assessment
14. Neurological Assessment
15. Documentation and Clinical Judgment
Health assessment is a foundational nursing competency that integrates
communication, observation, physical examination, critical thinking, and clinical
judgment. The BSN 246 HESI Health Assessment V2 examination evaluates a
student's ability to collect accurate health histories, perform systematic assessments,
interpret findings, identify abnormalities, and prioritize nursing actions. Questions
commonly emphasize application of knowledge through realistic patient scenarios
rather than simple recall. Students are expected to demonstrate proficiency in
inspection, palpation, percussion, auscultation, documentation, and evidence-based
assessment techniques across body systems. This practice examination is designed to
strengthen diagnostic reasoning, improve examination skills, and prepare learners for
advanced nursing assessment challenges encountered in academic and clinical
settings.
Question 1
,A nurse begins a health history interview with a newly admitted patient. Which
approach is most likely to promote accurate and comprehensive data collection?
A. Start with focused yes/no questions
B. Begin with open-ended questions and active listening
C. Complete documentation before asking questions
D. Limit discussion to current symptoms only
Correct Answer: B
Explanation: Open-ended questions encourage patients to provide detailed
information and establish rapport.
Question 2
During assessment, a patient repeatedly avoids eye contact and provides brief
answers. What is the nurse's best response?
A. Confront the patient about withholding information
B. Continue the interview while using therapeutic silence
C. End the interview and return later
D. Ask only closed-ended questions
Correct Answer: B
Explanation: Therapeutic silence allows patients time to process and often
encourages disclosure.
Question 3
A nurse notes a respiratory rate of 28 breaths/minute in an adult patient. Which
interpretation is most appropriate?
A. Eupnea
B. Bradypnea
C. Tachypnea
D. Apnea
, Correct Answer: C
Explanation: Tachypnea refers to an abnormally rapid respiratory rate.
Question 4
Which assessment finding during a general survey requires immediate follow-up?
A. BMI of 24 kg/m²
B. Alert and oriented status
C. Use of accessory muscles during breathing
D. Steady gait
Correct Answer: C
Explanation: Accessory muscle use may indicate significant respiratory distress.
Question 5
A patient reports pain rated 8/10 that worsens with movement and improves with
rest. Which component of pain assessment is being evaluated?
A. Timing
B. Quality
C. Provoking and relieving factors
D. Severity only
Correct Answer: C
Explanation: Identifying aggravating and relieving factors is a key aspect of pain
assessment.
Question 6
Which skin finding is most concerning in an older adult?
A. Even pigmentation
B. Warm, dry skin
C. Nonblanchable erythema over the sacrum
D. Sparse hair on extremities
, Correct Answer: C
Explanation: Nonblanchable redness may indicate a stage 1 pressure injury.
Question 7
While assessing skin turgor, delayed recoil is noted. This finding most strongly
suggests:
A. Hypervolemia
B. Dehydration
C. Infection
D. Hypertension
Correct Answer: B
Explanation: Poor skin turgor commonly indicates fluid volume deficit.
Question 8
The nurse palpates enlarged, tender cervical lymph nodes. What is the most likely
interpretation?
A. Normal aging change
B. Possible inflammatory or infectious process
C. Expected finding after exercise
D. Sign of adequate immune function
Correct Answer: B
Explanation: Tender lymphadenopathy commonly occurs with infection or
inflammation.
Question 9
When assessing the pupils, the acronym PERRLA evaluates:
A. Vision only
B. Eye muscle strength only
C. Pupillary characteristics and accommodation
D. Intraocular pressure
TESTBANK | LATEST UPDATE 2026/2027 | QUESTIONS | 100% CORRECT ANSWERS
Table of Contents
1. Health History and Interview Techniques
2. Communication and Therapeutic Interaction
3. General Survey and Vital Signs
4. Pain Assessment
5. Skin, Hair, and Nails Assessment
6. Head, Face, Neck, and Lymphatic Assessment
7. Eye and Ear Assessment
8. Nose, Mouth, and Throat Assessment
9. Respiratory Assessment
10. Cardiovascular Assessment
11. Peripheral Vascular Assessment
12. Abdominal Assessment
13. Musculoskeletal Assessment
14. Neurological Assessment
15. Documentation and Clinical Judgment
Health assessment is a foundational nursing competency that integrates
communication, observation, physical examination, critical thinking, and clinical
judgment. The BSN 246 HESI Health Assessment V2 examination evaluates a
student's ability to collect accurate health histories, perform systematic assessments,
interpret findings, identify abnormalities, and prioritize nursing actions. Questions
commonly emphasize application of knowledge through realistic patient scenarios
rather than simple recall. Students are expected to demonstrate proficiency in
inspection, palpation, percussion, auscultation, documentation, and evidence-based
assessment techniques across body systems. This practice examination is designed to
strengthen diagnostic reasoning, improve examination skills, and prepare learners for
advanced nursing assessment challenges encountered in academic and clinical
settings.
Question 1
,A nurse begins a health history interview with a newly admitted patient. Which
approach is most likely to promote accurate and comprehensive data collection?
A. Start with focused yes/no questions
B. Begin with open-ended questions and active listening
C. Complete documentation before asking questions
D. Limit discussion to current symptoms only
Correct Answer: B
Explanation: Open-ended questions encourage patients to provide detailed
information and establish rapport.
Question 2
During assessment, a patient repeatedly avoids eye contact and provides brief
answers. What is the nurse's best response?
A. Confront the patient about withholding information
B. Continue the interview while using therapeutic silence
C. End the interview and return later
D. Ask only closed-ended questions
Correct Answer: B
Explanation: Therapeutic silence allows patients time to process and often
encourages disclosure.
Question 3
A nurse notes a respiratory rate of 28 breaths/minute in an adult patient. Which
interpretation is most appropriate?
A. Eupnea
B. Bradypnea
C. Tachypnea
D. Apnea
, Correct Answer: C
Explanation: Tachypnea refers to an abnormally rapid respiratory rate.
Question 4
Which assessment finding during a general survey requires immediate follow-up?
A. BMI of 24 kg/m²
B. Alert and oriented status
C. Use of accessory muscles during breathing
D. Steady gait
Correct Answer: C
Explanation: Accessory muscle use may indicate significant respiratory distress.
Question 5
A patient reports pain rated 8/10 that worsens with movement and improves with
rest. Which component of pain assessment is being evaluated?
A. Timing
B. Quality
C. Provoking and relieving factors
D. Severity only
Correct Answer: C
Explanation: Identifying aggravating and relieving factors is a key aspect of pain
assessment.
Question 6
Which skin finding is most concerning in an older adult?
A. Even pigmentation
B. Warm, dry skin
C. Nonblanchable erythema over the sacrum
D. Sparse hair on extremities
, Correct Answer: C
Explanation: Nonblanchable redness may indicate a stage 1 pressure injury.
Question 7
While assessing skin turgor, delayed recoil is noted. This finding most strongly
suggests:
A. Hypervolemia
B. Dehydration
C. Infection
D. Hypertension
Correct Answer: B
Explanation: Poor skin turgor commonly indicates fluid volume deficit.
Question 8
The nurse palpates enlarged, tender cervical lymph nodes. What is the most likely
interpretation?
A. Normal aging change
B. Possible inflammatory or infectious process
C. Expected finding after exercise
D. Sign of adequate immune function
Correct Answer: B
Explanation: Tender lymphadenopathy commonly occurs with infection or
inflammation.
Question 9
When assessing the pupils, the acronym PERRLA evaluates:
A. Vision only
B. Eye muscle strength only
C. Pupillary characteristics and accommodation
D. Intraocular pressure
