,BSN 246 HESI Health Assessment V1 Exam 2026 –
Complete Q&A with 80+ Verified Questions & Detailed
NGN-Style Rationales | Nightingale College | Updated
2026/2027 Edition | Instant Digital Download
Section Topic Area Questions
I Health History & Interview Techniques 1–30
II General Survey & Vital Signs 31–55
III Integumentary & Lymphatic Assessment 56–75
IV Head, Neck, & Neurological Assessment 76–100
V Eye & Ear Assessment 101–125
VI Respiratory Assessment 126–150
VII Cardiovascular & Peripheral Vascular Assessment 151–180
VIII Abdominal Assessment 181–205
IX Musculoskeletal Assessment 206–225
X NGN Case Studies & Prioritization 226–250
✅ FULL 250-QUESTION PRACTICE EXAM
,SECTION I: HEALTH HISTORY & INTERVIEW TECHNIQUES
(Questions 1–30)
Question 1
A nurse is conducting a health history interview with a newly admitted client. Which
question is most appropriate to ask when exploring the client's reason for seeking care?
A. "What brings you to the hospital today?"
B. "Why did you decide to come in now?"
C. "What is your medical history?"
D. "Do you have any pain?"
Correct Answer: A
Rationale: "What brings you to the hospital today?" is an open-ended question that
allows the client to describe their chief complaint in their own words. "Why" questions (B)
can feel accusatory. Medical history (C) is explored later. Pain (D) is too narrow for an
initial question.
Question 2
A nurse is interviewing a client who is anxious and provides vague answers. Which
communication technique should the nurse use to clarify the client's responses?
A. Asking "why" questions to explore the reason for vagueness
B. Using closed-ended questions to obtain specific information
C. Restating the client's responses in the nurse's own words
D. Changing the subject to reduce the client's anxiety
Correct Answer: C
Rationale: Restating or paraphrasing the client's responses helps clarify information and
demonstrates active listening. "Why" questions (A) can increase anxiety. Closed-ended
questions (B) may limit information. Changing the subject (D) avoids addressing the
client's concerns.
Question 3
A client reports a history of hypertension, diabetes, and arthritis. The nurse documents this
information under which component of the health history?
, A. Chief complaint
B. History of present illness
C. Past medical history
D. Family history
Correct Answer: C
Rationale: Past medical history includes the client's previous and current medical
diagnoses. Chief complaint (A) is the reason for seeking care. History of present illness (B)
describes the current episode. Family history (D) includes relatives' health conditions.
Question 4
A nurse is assessing a client's family history. Which question is most appropriate to
identify genetic risk factors?
A. "Have you ever had any surgeries?"
B. "Do you have any allergies to medications?"
C. "Has anyone in your family been diagnosed with heart disease or cancer?"
D. "What is your current occupation?"
Correct Answer: C
Rationale: Family history questions should identify health conditions that may have a
genetic component, such as heart disease, cancer, diabetes, or hypertension. Surgeries (A),
allergies (B), and occupation (D) are not family history questions.
Question 5
A client states, "I've been feeling tired all the time lately." Which response by the nurse is
most therapeutic?
A. "You should get more rest."
B. "Tell me more about how you've been feeling tired."
C. "That happens to everyone sometimes."
D. "Have you tried drinking more coffee?"
Correct Answer: B
Rationale: "Tell me more" is an open-ended exploration that encourages the client to
elaborate. Giving advice (A), minimizing concerns (C), or suggesting solutions (D) are
nontherapeutic.
Complete Q&A with 80+ Verified Questions & Detailed
NGN-Style Rationales | Nightingale College | Updated
2026/2027 Edition | Instant Digital Download
Section Topic Area Questions
I Health History & Interview Techniques 1–30
II General Survey & Vital Signs 31–55
III Integumentary & Lymphatic Assessment 56–75
IV Head, Neck, & Neurological Assessment 76–100
V Eye & Ear Assessment 101–125
VI Respiratory Assessment 126–150
VII Cardiovascular & Peripheral Vascular Assessment 151–180
VIII Abdominal Assessment 181–205
IX Musculoskeletal Assessment 206–225
X NGN Case Studies & Prioritization 226–250
✅ FULL 250-QUESTION PRACTICE EXAM
,SECTION I: HEALTH HISTORY & INTERVIEW TECHNIQUES
(Questions 1–30)
Question 1
A nurse is conducting a health history interview with a newly admitted client. Which
question is most appropriate to ask when exploring the client's reason for seeking care?
A. "What brings you to the hospital today?"
B. "Why did you decide to come in now?"
C. "What is your medical history?"
D. "Do you have any pain?"
Correct Answer: A
Rationale: "What brings you to the hospital today?" is an open-ended question that
allows the client to describe their chief complaint in their own words. "Why" questions (B)
can feel accusatory. Medical history (C) is explored later. Pain (D) is too narrow for an
initial question.
Question 2
A nurse is interviewing a client who is anxious and provides vague answers. Which
communication technique should the nurse use to clarify the client's responses?
A. Asking "why" questions to explore the reason for vagueness
B. Using closed-ended questions to obtain specific information
C. Restating the client's responses in the nurse's own words
D. Changing the subject to reduce the client's anxiety
Correct Answer: C
Rationale: Restating or paraphrasing the client's responses helps clarify information and
demonstrates active listening. "Why" questions (A) can increase anxiety. Closed-ended
questions (B) may limit information. Changing the subject (D) avoids addressing the
client's concerns.
Question 3
A client reports a history of hypertension, diabetes, and arthritis. The nurse documents this
information under which component of the health history?
, A. Chief complaint
B. History of present illness
C. Past medical history
D. Family history
Correct Answer: C
Rationale: Past medical history includes the client's previous and current medical
diagnoses. Chief complaint (A) is the reason for seeking care. History of present illness (B)
describes the current episode. Family history (D) includes relatives' health conditions.
Question 4
A nurse is assessing a client's family history. Which question is most appropriate to
identify genetic risk factors?
A. "Have you ever had any surgeries?"
B. "Do you have any allergies to medications?"
C. "Has anyone in your family been diagnosed with heart disease or cancer?"
D. "What is your current occupation?"
Correct Answer: C
Rationale: Family history questions should identify health conditions that may have a
genetic component, such as heart disease, cancer, diabetes, or hypertension. Surgeries (A),
allergies (B), and occupation (D) are not family history questions.
Question 5
A client states, "I've been feeling tired all the time lately." Which response by the nurse is
most therapeutic?
A. "You should get more rest."
B. "Tell me more about how you've been feeling tired."
C. "That happens to everyone sometimes."
D. "Have you tried drinking more coffee?"
Correct Answer: B
Rationale: "Tell me more" is an open-ended exploration that encourages the client to
elaborate. Giving advice (A), minimizing concerns (C), or suggesting solutions (D) are
nontherapeutic.
