NIGHTINGALE COLLEGE BSN 246 LATEST
HESI HEALTH ASSESSMENT 2026/2027
UPDATE ACCURATE SUMMER-FALL (300
QUESTIONS CORRECTLY ANSWERED)
A client sustained a subconjunctival hemorrhage. The presence of which set of symptoms indicate
that the client needs to be seen for further evaluation by an ophthalmologist?
A. Difficulty seeing objects at a distance.
B. Diminished ability to focus on close work and excessive illumination required.
C. Increased sensitivity to bright lights.
D. Frequent headaches when reading or using a computer.
B. Diminished ability to focus on close work and excessive illumination required.
To assess a female client for hirsutism, which action should the nurse take?
A. Ask the client to smile and observe any asymmetry.
B. Check for tenderness or swelling around the client's eyes.
C. Assess the appearance of the client's face.
D. Ask the client to perform facial movements and observe for weakness.
C. Assess the appearance of the client's face.
An older adult client is admitted to the medical unit because of loss of appetite and generalized
malaise. To analyze the client medical condition, which laboratory value is most important for the
nurse to review?
A. Red blood cell count.
B. Hematocrit.
C. White blood cell count.
D. Hemoglobin.
D. Hemoglobin.
,A male client returns to the clinic for a follow-up visit after being treated for a bladder infection.
While examining the client, which finding indicated an expected response to the treatment?
A. Pain score of 1 out of 10 with urination.
B. Clear, yellow urine with no foul odor.
C. Absence of urinary frequency or urgency.
D. Normal voiding pattern without discomfort.
A. Pain score of 1 out of 10 with urination.
The nurse completes palpitation of the abdomen on an older adult client. Which finding is considered
normal for the client?
A. Bowel sounds auscultated in all four quadrants.
B. Soft, non-tender abdomen upon palpation.
C. Peristaltic waves.
D. Absence of abdominal distention.
C. Peristaltic waves.
The nurse has just completed palpitation maneuvers for lymph nodes on a 75-year-old female client.
Which findings are considered normal for this elderly client?
A. Nodes are non-palpable.
B. Nodes are firm, tender, and enlarged.
C. Nodes are irregularly shaped and immobile.
D. Nodes are rubbery and fixed.
A. Nodes are non-palpable.
A women comes to the clinic for her first prenatal visit. The nurse is conducting a health history and
the women begins to cry when asked about previous pregnancies. Which response is best for the
nurse to provide?
A. Offer the client tissues and allow her to express her feelings.
B. Continue the assessment and avoid discussing emotional topics.
C. Ask the client direct questions about why she is upset.
D. Allow the client to compose herself then change the subject.
D. Allow the client to compose herself then change the subject.
,While performing a physical assessment, the nurse is unable to palpate the client's pedal pulses.
Which action should the nurse take?
A. Use a doppler ultrasonic stethoscope.
B. Apply firm pressure and palpate again.
C. Place the client in a Trendelenburg position.
D. Warm the extremity and reattempt palpation.
A. Use a doppler ultrasonic stethoscope.
A homeless male client with a history of alcohol abuse had a cerebrovascular accident (CVA) 10 years
ago that resulted in left hemiparesis. Today he is complaining of pain in his left leg, is afebrile, has 4+
pitting edema in the lower left leg, and minimal swelling of the right leg. Which action should the
nurse implement first?
A. Inspect legs for infection or trauma.
B. Measure capillary refill time.
C. Palpate for bilateral femoral pulses.
D. Assess for signs of muscle atrophy.
A. Inspect legs for infection of trauma.
The nurse is assessing a client for goiter and is unable to observe the thyroid gland. Which action
should the nurse take?
A. Ask the client to swallow while palpating along the sides of the trachea.
B. Measure the client's neck circumference.
C. Auscultate for bruits using the bell of the stethoscope.
D. Inspect the neck for any visible masses or asymmetry.
A. Ask the client to swallow while palpating along the sides of the trachea
While completing an admission assessment for a client with gastrointestinal bleeding, the nurse
inspects the perineal area and anus. Which findings indicates a normal appearance of the anus?
A. Smooth, even skin tone and texture.
B. Pale skin with cool temperature.
C. Flushed skin and moist texture.
D. Increased pigmentation and coarse skin.
D. Increased pigmentation and coarse skin.
, Which focused assessment technique should the nurse use for a client admitted with possible
dehydration?
A. Grasp skin fold of the posterior forearm.
B. Measure the circumference of the upper arm.
C. Assess skin turgor on the neck.
D. Palpate for edema on the forearm.
A. Grasp skin fold of the posterior forearm.
The nurse begins a client's musculoskeletal assessment. While using the technique of inspection, the
nurse assesses for which possible findings? (Select all that apply)
A. Kyphosis.
B. Scoliosis.
C. Atrophy.
D. Contracture.
E. Lordosis.
A. Kyphosis.
C. Atrophy.
D. Contracture.
A client comes to the clinic due to shoulder discomfort and intermittent pain while swim ming today.
To assist normal range of motion (ROM) of the client's shoulder, which assessment techniques should
the nurse ask the client to perform?
A. Hold arms up at 90 degrees while arms are pushed downward.
B. Place arms at the sides and then lift them overhead.
C. Flex the arms at the elbows and rotate the shoulders.
D. Extend arms forward while resisting downward pressure.
A. Hold arms up at 90 degree while arms are pushed downward.
A client reports to the healthcare provider's office for a routine post-surgical evaluation six weeks
after a hysterectomy. Which history-taking approach should the nurse use to gather the needed
information?
A. Assess the client's pain level and response to pain management.
B. Monitor vital signs and check for signs of infection.
C. Collect information about the client's activities since surgery.
D. Evaluate the incision site for signs of healing or complications.
C. Collect information about the client's activities since surgery.
HESI HEALTH ASSESSMENT 2026/2027
UPDATE ACCURATE SUMMER-FALL (300
QUESTIONS CORRECTLY ANSWERED)
A client sustained a subconjunctival hemorrhage. The presence of which set of symptoms indicate
that the client needs to be seen for further evaluation by an ophthalmologist?
A. Difficulty seeing objects at a distance.
B. Diminished ability to focus on close work and excessive illumination required.
C. Increased sensitivity to bright lights.
D. Frequent headaches when reading or using a computer.
B. Diminished ability to focus on close work and excessive illumination required.
To assess a female client for hirsutism, which action should the nurse take?
A. Ask the client to smile and observe any asymmetry.
B. Check for tenderness or swelling around the client's eyes.
C. Assess the appearance of the client's face.
D. Ask the client to perform facial movements and observe for weakness.
C. Assess the appearance of the client's face.
An older adult client is admitted to the medical unit because of loss of appetite and generalized
malaise. To analyze the client medical condition, which laboratory value is most important for the
nurse to review?
A. Red blood cell count.
B. Hematocrit.
C. White blood cell count.
D. Hemoglobin.
D. Hemoglobin.
,A male client returns to the clinic for a follow-up visit after being treated for a bladder infection.
While examining the client, which finding indicated an expected response to the treatment?
A. Pain score of 1 out of 10 with urination.
B. Clear, yellow urine with no foul odor.
C. Absence of urinary frequency or urgency.
D. Normal voiding pattern without discomfort.
A. Pain score of 1 out of 10 with urination.
The nurse completes palpitation of the abdomen on an older adult client. Which finding is considered
normal for the client?
A. Bowel sounds auscultated in all four quadrants.
B. Soft, non-tender abdomen upon palpation.
C. Peristaltic waves.
D. Absence of abdominal distention.
C. Peristaltic waves.
The nurse has just completed palpitation maneuvers for lymph nodes on a 75-year-old female client.
Which findings are considered normal for this elderly client?
A. Nodes are non-palpable.
B. Nodes are firm, tender, and enlarged.
C. Nodes are irregularly shaped and immobile.
D. Nodes are rubbery and fixed.
A. Nodes are non-palpable.
A women comes to the clinic for her first prenatal visit. The nurse is conducting a health history and
the women begins to cry when asked about previous pregnancies. Which response is best for the
nurse to provide?
A. Offer the client tissues and allow her to express her feelings.
B. Continue the assessment and avoid discussing emotional topics.
C. Ask the client direct questions about why she is upset.
D. Allow the client to compose herself then change the subject.
D. Allow the client to compose herself then change the subject.
,While performing a physical assessment, the nurse is unable to palpate the client's pedal pulses.
Which action should the nurse take?
A. Use a doppler ultrasonic stethoscope.
B. Apply firm pressure and palpate again.
C. Place the client in a Trendelenburg position.
D. Warm the extremity and reattempt palpation.
A. Use a doppler ultrasonic stethoscope.
A homeless male client with a history of alcohol abuse had a cerebrovascular accident (CVA) 10 years
ago that resulted in left hemiparesis. Today he is complaining of pain in his left leg, is afebrile, has 4+
pitting edema in the lower left leg, and minimal swelling of the right leg. Which action should the
nurse implement first?
A. Inspect legs for infection or trauma.
B. Measure capillary refill time.
C. Palpate for bilateral femoral pulses.
D. Assess for signs of muscle atrophy.
A. Inspect legs for infection of trauma.
The nurse is assessing a client for goiter and is unable to observe the thyroid gland. Which action
should the nurse take?
A. Ask the client to swallow while palpating along the sides of the trachea.
B. Measure the client's neck circumference.
C. Auscultate for bruits using the bell of the stethoscope.
D. Inspect the neck for any visible masses or asymmetry.
A. Ask the client to swallow while palpating along the sides of the trachea
While completing an admission assessment for a client with gastrointestinal bleeding, the nurse
inspects the perineal area and anus. Which findings indicates a normal appearance of the anus?
A. Smooth, even skin tone and texture.
B. Pale skin with cool temperature.
C. Flushed skin and moist texture.
D. Increased pigmentation and coarse skin.
D. Increased pigmentation and coarse skin.
, Which focused assessment technique should the nurse use for a client admitted with possible
dehydration?
A. Grasp skin fold of the posterior forearm.
B. Measure the circumference of the upper arm.
C. Assess skin turgor on the neck.
D. Palpate for edema on the forearm.
A. Grasp skin fold of the posterior forearm.
The nurse begins a client's musculoskeletal assessment. While using the technique of inspection, the
nurse assesses for which possible findings? (Select all that apply)
A. Kyphosis.
B. Scoliosis.
C. Atrophy.
D. Contracture.
E. Lordosis.
A. Kyphosis.
C. Atrophy.
D. Contracture.
A client comes to the clinic due to shoulder discomfort and intermittent pain while swim ming today.
To assist normal range of motion (ROM) of the client's shoulder, which assessment techniques should
the nurse ask the client to perform?
A. Hold arms up at 90 degrees while arms are pushed downward.
B. Place arms at the sides and then lift them overhead.
C. Flex the arms at the elbows and rotate the shoulders.
D. Extend arms forward while resisting downward pressure.
A. Hold arms up at 90 degree while arms are pushed downward.
A client reports to the healthcare provider's office for a routine post-surgical evaluation six weeks
after a hysterectomy. Which history-taking approach should the nurse use to gather the needed
information?
A. Assess the client's pain level and response to pain management.
B. Monitor vital signs and check for signs of infection.
C. Collect information about the client's activities since surgery.
D. Evaluate the incision site for signs of healing or complications.
C. Collect information about the client's activities since surgery.
