BSN 246 HESI Health Assessment V1
Exam 2026/2027 (ACTUAL EXAM)
QUESTIONS AND VERIFIED ANSWERS
(NIGHTINGALE COLLEGE)
The nurse is performing a thoracic assessment on a client with
chronic asthma and hyperinflation of the lungs. Which finding
should be expected for this client? -
correct answer ✅Barrel chest
The nurse is assessing bowel sounds for a hospitalized client. The
nurse has heard bowel sounds in the right upper quadrant. What
action should the nurse take next? -
correct answer ✅Note the character and frequency of bowel
sounds
During inspection of a client's mouth and pharynx, the nurse places
a tongue blade on the back of the tongue which causes the client to
gag. After removing the tongue blade, what action should the nurse
take? -
correct answer ✅Document an intact gag reflex.
When teaching a client how to perform a monthly breast self-
assessment, the nurse should tell the client that it is most
important to assess which part of the breast more closely for
,BSN 246 HESI Health Assessment V1
Exam 2026/2027 (ACTUAL EXAM)
QUESTIONS AND VERIFIED ANSWERS
(NIGHTINGALE COLLEGE)
changes? -
correct answer ✅Upper outer quadrant.
The nurse is assessing a postmenopausal client who has a BMI of
32. The client has a chest measurement of 42 inches, waist
measurement of 45 inches, and hip measurement of 50 inches.
What important message should the nurse explain to the client to
promote health promotion? -
correct answer ✅A waist circumference is greater than 35 inches
in women puts you at higher risk for type 2 diabetes and heart
disease."
The nurse performs a physical assessment on an older female
client. Which change from the prior exam may be an indication of
osteoporosis? -
correct answer ✅Height reduction of 1.5 inches.
While conducting an interview to obtain a health history, the nurse
notices that the client pauses frequently and looks at the nurse
expectantly. Which response is best for the nurse to provide? -
,BSN 246 HESI Health Assessment V1
Exam 2026/2027 (ACTUAL EXAM)
QUESTIONS AND VERIFIED ANSWERS
(NIGHTINGALE COLLEGE)
correct answer ✅Sit quietly to allow the client to respond
comfortably.
A client is in the clinical for a yearly physical examination. Which
action should the nurse take when preparing to examine the client's
abdomen? -
correct answer ✅Ask the client to urinate before beginning the
examination.
Which respiratory condition should the nurse document after
measuring a respiratory rate of 8 breaths/minute? -
correct answer ✅Bradypnea.
Which procedure should the nurse use to assessfor a pulse deficit? -
correct answer ✅Measure the apical pulse and compare it to the
peripheral pulse.
*A pulse deficit is a palpable difference between the apical pulse at
the point of maximal impulse and the radial pulse palpated at the
wrist.
, BSN 246 HESI Health Assessment V1
Exam 2026/2027 (ACTUAL EXAM)
QUESTIONS AND VERIFIED ANSWERS
(NIGHTINGALE COLLEGE)
A client has been diagnosed with bilateral lower lobe atelectasis.
What percussion sound should the nurse expect to hear when
percussing over the client's lower lobes? -
correct answer ✅Dull, thud-like.
A client is being assessed upon admission to the medical-surgical
unit. The nurse is preparing to complete a head-to-toe assessment
and will begin at the head of the client. Which technique should the
nurse use to begin the assessment? -
correct answer ✅Inspect the hair and skin.
The nurse is assessing a healthy young adult during an annual
physical examination. Which assessment technique should the
nurse implement when palpating the abdominal aorta? -
correct answer ✅Deep palpation above and to the left of the
umbilicus.
The nurse is conducting a family history as part of the assessment
interview. Which action should the nurse take to ensure that
sufficient information about the client's blood relatives is obtained?
Exam 2026/2027 (ACTUAL EXAM)
QUESTIONS AND VERIFIED ANSWERS
(NIGHTINGALE COLLEGE)
The nurse is performing a thoracic assessment on a client with
chronic asthma and hyperinflation of the lungs. Which finding
should be expected for this client? -
correct answer ✅Barrel chest
The nurse is assessing bowel sounds for a hospitalized client. The
nurse has heard bowel sounds in the right upper quadrant. What
action should the nurse take next? -
correct answer ✅Note the character and frequency of bowel
sounds
During inspection of a client's mouth and pharynx, the nurse places
a tongue blade on the back of the tongue which causes the client to
gag. After removing the tongue blade, what action should the nurse
take? -
correct answer ✅Document an intact gag reflex.
When teaching a client how to perform a monthly breast self-
assessment, the nurse should tell the client that it is most
important to assess which part of the breast more closely for
,BSN 246 HESI Health Assessment V1
Exam 2026/2027 (ACTUAL EXAM)
QUESTIONS AND VERIFIED ANSWERS
(NIGHTINGALE COLLEGE)
changes? -
correct answer ✅Upper outer quadrant.
The nurse is assessing a postmenopausal client who has a BMI of
32. The client has a chest measurement of 42 inches, waist
measurement of 45 inches, and hip measurement of 50 inches.
What important message should the nurse explain to the client to
promote health promotion? -
correct answer ✅A waist circumference is greater than 35 inches
in women puts you at higher risk for type 2 diabetes and heart
disease."
The nurse performs a physical assessment on an older female
client. Which change from the prior exam may be an indication of
osteoporosis? -
correct answer ✅Height reduction of 1.5 inches.
While conducting an interview to obtain a health history, the nurse
notices that the client pauses frequently and looks at the nurse
expectantly. Which response is best for the nurse to provide? -
,BSN 246 HESI Health Assessment V1
Exam 2026/2027 (ACTUAL EXAM)
QUESTIONS AND VERIFIED ANSWERS
(NIGHTINGALE COLLEGE)
correct answer ✅Sit quietly to allow the client to respond
comfortably.
A client is in the clinical for a yearly physical examination. Which
action should the nurse take when preparing to examine the client's
abdomen? -
correct answer ✅Ask the client to urinate before beginning the
examination.
Which respiratory condition should the nurse document after
measuring a respiratory rate of 8 breaths/minute? -
correct answer ✅Bradypnea.
Which procedure should the nurse use to assessfor a pulse deficit? -
correct answer ✅Measure the apical pulse and compare it to the
peripheral pulse.
*A pulse deficit is a palpable difference between the apical pulse at
the point of maximal impulse and the radial pulse palpated at the
wrist.
, BSN 246 HESI Health Assessment V1
Exam 2026/2027 (ACTUAL EXAM)
QUESTIONS AND VERIFIED ANSWERS
(NIGHTINGALE COLLEGE)
A client has been diagnosed with bilateral lower lobe atelectasis.
What percussion sound should the nurse expect to hear when
percussing over the client's lower lobes? -
correct answer ✅Dull, thud-like.
A client is being assessed upon admission to the medical-surgical
unit. The nurse is preparing to complete a head-to-toe assessment
and will begin at the head of the client. Which technique should the
nurse use to begin the assessment? -
correct answer ✅Inspect the hair and skin.
The nurse is assessing a healthy young adult during an annual
physical examination. Which assessment technique should the
nurse implement when palpating the abdominal aorta? -
correct answer ✅Deep palpation above and to the left of the
umbilicus.
The nurse is conducting a family history as part of the assessment
interview. Which action should the nurse take to ensure that
sufficient information about the client's blood relatives is obtained?
