BSN 246 HESI
Health Assessment V1 EXAM
(3 Set Exams)
Nightingale College
Actual Qs & Verified Ans to Pass the Exam
This Hesi test contains:
❖ passing score Guarantee
❖ (3 Set Exams)
❖ Format Set of Multiple-choice
❖ questions with incorporating Next Generation NCLEX
(NGN) and Case scenarios questions
❖ Expert-Verified Explanations & Solutions
,PREVIEW QUESTIONS BELOW
Get the Complete PDF After Purchase
"If you require further clarification or in need of
any study resources, feel free to Message me."
,Table of Contents
BSN 246 HESI Health Assessment V1 Exam 1 .................... 2
BSN 246 HESI Health Assessment V1 Exam 2 .................. 48
BSN 246 HESI Health Assessment V1 Exam 3 .................. 80
BSN 246 HESI Health Assessment V1 Exam 1
### Scenario 1:
Question: To assess a client's pupillary reaction to accommodation,
what action should the nurse take?
- A) Use an ophthalmoscope for detailed examination
- B) Shine a penlight in each eye
- C) Observe pupil size when focusing on a near object and then a far
object
- D) Measure the pupil diameter in centimeters
Correct Answer: C) Observe pupil size when focusing on a near object
and then a far object
Expert Rationale: Assessing a pupillary reaction to accommodation
involves observing how the pupils change size when a patient focuses on a
,near object and then on a distant object. This tests the function of cranial
nerves II and III, important for visual acuity and ocular health.
---
### Scenario 2:
Question: During an abdominal assessment, a client with a
temperature of 103° F (39.4° C) experiences pain and abruptly stops
inhaling during deep palpation. Which prescription is most important
for the nurse to implement?
- A) Administer NSAIDs as prescribed
- B) Maintain the client on a regular diet
- C) NPO (nothing by mouth)
- D) Perform a rectal examination immediately
Correct Answer: C) NPO (nothing by mouth)
Expert Rationale: The client exhibiting pain and guarding during palpation
suggests possible acute abdomen or a surgical emergency. Keeping the
client NPO is critical to prepare for any necessary surgical interventions or
imaging studies, as well as to prevent the risk of aspiration.
---
### Scenario 3:
Question: When inspecting an adult woman's skin, the nurse
observes several areas of ecchymosis on her trunk and extremities.
,Which information in the client's history requires additional follow-up
by the nurse?
- A) Engages in regular physical activity
- B) Takes an oral anticoagulant
- C) Reports a recent fall
- D) Has a history of hypertension
Correct Answer: B) Takes an oral anticoagulant
Expert Rationale: The presence of ecchymosis combined with the use of
anticoagulants raises concerns about potential bleeding disorders or
inadequate coagulation management. This necessitates further inquiry to
evaluate the need for adjustments in medication or assessment of liver
function.
---
### Scenario 4:
Question: While performing a physical assessment, the nurse is
unable to palpate the client's pedal pulses. Which action should the
nurse take?
- A) Reposition the patient's legs and attempt palpation again
- B) Use a Doppler ultrasonic stethoscope
- C) Document that pulses are not palpable
- D) Refer the client for a vascular consult
Correct Answer: B) Use a Doppler ultrasonic stethoscope
,Expert Rationale: If pedal pulses are not palpable, using a Doppler allows
for non-invasive confirmation of blood flow in the arteries of the foot.
Documenting findings accurately and further investigating with the Doppler
is essential for evaluating potential vascular compromise.
### Scenario 5:
Question: The nurse asks a female client about the proverb "Glass
Houses," and she replies, "It will break the windows." Which
conclusion should be documented about this client's response?
- A) Impaired thinking
- B) Insightful observation
- C) A misunderstanding of idiomatic expressions
- D) Normal cognitive functioning
Correct Answer: A) Impaired thinking
Expert Rationale: The client's response indicates a lack of understanding
of the proverb, suggesting cognitive impairment. The phrase "People who
live in glass houses shouldn't throw stones" implies that one should not
criticize others when they have similar vulnerabilities. Her literal
interpretation showcases impaired cognitive processing.
---
### Scenario 6:
,Question: In assessing a client's neck, the nurse hears a blowing
swish when auscultating the carotid artery. How should the nurse
document this finding?
- A) Normal carotid artery sounds bilateral
- B) Bilateral carotid bruits present
- C) Left carotid artery bruit present, no bruit heard in the right carotid artery
- D) Abnormal vascular sounds noted in both carotid arteries
Correct Answer: C) Left carotid artery bruit present, no bruit heard in the
right carotid artery
Expert Rationale: The presence of a blowing swish sound (bruit) indicates
turbulent blood flow, often associated with carotid artery stenosis. Accurate
documentation specifying which side has the bruit is crucial for further
evaluation and intervention.
### Scenario 7:
Question: The nurse is examining an older female and suspects that
she has a dysfunction in her hip. Which action should the nurse
perform to further assess for hip dysfunction?
- A) Flex and extend the knee while in a sitting position
- B) Observe the client's gait while walking
- C) Abduct each hip while the client is supine
- D) Assess range of motion in the standing position
Correct Answer: C) Abduct each hip while the client is supine
,Expert Rationale: Abducting the hip joint while the client is in a supine
position provides insight into hip mobility and function while minimizing
discomfort that may occur in a standing position. Observing range of
motion and strength in this position helps confirm suspicions of hip
dysfunction.
### Scenario 8:
Question: The nurse assesses a client who is unable to move the arm
away from the body. Which term best describes this limitation?
- A) Adduction
- B) Abduction
- C) Flexion
- D) Extension
Correct Answer: B) Abduction
Expert Rationale: Abduction refers to the movement of a limb away from
the midline of the body. The client's inability to perform this action with the
shoulder indicates a potential dysfunction in the muscles or joints involved
in the abduction process, often necessitating further assessment or
intervention.
---
### Scenario 9:
,Question: During a physical examination, the nurse notes that the
client can only straighten the elbow joint to 20 degrees. How should
the nurse document this finding?
- A) Complete extension
- B) Partial extension
- C) Flexion limitation
- D) Hyperextension
Correct Answer: B) Partial extension
Expert Rationale: The inability to fully straighten the elbow indicates a
limitation in extension. Documenting it as "partial extension" reflects the
specific degree of movement observed, which is critical for ongoing
assessment and treatment planning.
---
### Scenario 10:
Question: The nurse observes that the client is able to bend the wrist
backward toward the forearm. What term describes this movement?
- A) Flexion
- B) Extension
- C) Hyperextension
- D) Abduction
Correct Answer: B) Extension
Expert Rationale: Bending the wrist backward towards the forearm is
defined as wrist extension. Understanding joint movements is essential for
, accurately documenting a client's range of motion and assessing functional
capabilities.
---
### Scenario 11:
Question: While auscultating a client's abdomen, the nurse hears a
low-pitched blowing sound in the upper midline area. Which condition
does this finding most likely indicate?
- A) Bowel obstruction
- B) Renal artery stenosis
- C) Pancreatitis
- D) Aortic aneurysm
Correct Answer: B) Renal artery stenosis
Expert Rationale: A low-pitched blowing sound (bruit) in the upper midline
suggests turbulent blood flow, commonly associated with renal artery
stenosis. This finding warrants further investigation to assess renal function
and vascular health.
---
### Scenario 12:
Question: An adult client exhibits an allergic reaction to an insect bite.
What skin finding should the nurse specifically observe for?
- A) Erythema
- B) Petechiae
- C) Wheals
Health Assessment V1 EXAM
(3 Set Exams)
Nightingale College
Actual Qs & Verified Ans to Pass the Exam
This Hesi test contains:
❖ passing score Guarantee
❖ (3 Set Exams)
❖ Format Set of Multiple-choice
❖ questions with incorporating Next Generation NCLEX
(NGN) and Case scenarios questions
❖ Expert-Verified Explanations & Solutions
,PREVIEW QUESTIONS BELOW
Get the Complete PDF After Purchase
"If you require further clarification or in need of
any study resources, feel free to Message me."
,Table of Contents
BSN 246 HESI Health Assessment V1 Exam 1 .................... 2
BSN 246 HESI Health Assessment V1 Exam 2 .................. 48
BSN 246 HESI Health Assessment V1 Exam 3 .................. 80
BSN 246 HESI Health Assessment V1 Exam 1
### Scenario 1:
Question: To assess a client's pupillary reaction to accommodation,
what action should the nurse take?
- A) Use an ophthalmoscope for detailed examination
- B) Shine a penlight in each eye
- C) Observe pupil size when focusing on a near object and then a far
object
- D) Measure the pupil diameter in centimeters
Correct Answer: C) Observe pupil size when focusing on a near object
and then a far object
Expert Rationale: Assessing a pupillary reaction to accommodation
involves observing how the pupils change size when a patient focuses on a
,near object and then on a distant object. This tests the function of cranial
nerves II and III, important for visual acuity and ocular health.
---
### Scenario 2:
Question: During an abdominal assessment, a client with a
temperature of 103° F (39.4° C) experiences pain and abruptly stops
inhaling during deep palpation. Which prescription is most important
for the nurse to implement?
- A) Administer NSAIDs as prescribed
- B) Maintain the client on a regular diet
- C) NPO (nothing by mouth)
- D) Perform a rectal examination immediately
Correct Answer: C) NPO (nothing by mouth)
Expert Rationale: The client exhibiting pain and guarding during palpation
suggests possible acute abdomen or a surgical emergency. Keeping the
client NPO is critical to prepare for any necessary surgical interventions or
imaging studies, as well as to prevent the risk of aspiration.
---
### Scenario 3:
Question: When inspecting an adult woman's skin, the nurse
observes several areas of ecchymosis on her trunk and extremities.
,Which information in the client's history requires additional follow-up
by the nurse?
- A) Engages in regular physical activity
- B) Takes an oral anticoagulant
- C) Reports a recent fall
- D) Has a history of hypertension
Correct Answer: B) Takes an oral anticoagulant
Expert Rationale: The presence of ecchymosis combined with the use of
anticoagulants raises concerns about potential bleeding disorders or
inadequate coagulation management. This necessitates further inquiry to
evaluate the need for adjustments in medication or assessment of liver
function.
---
### Scenario 4:
Question: While performing a physical assessment, the nurse is
unable to palpate the client's pedal pulses. Which action should the
nurse take?
- A) Reposition the patient's legs and attempt palpation again
- B) Use a Doppler ultrasonic stethoscope
- C) Document that pulses are not palpable
- D) Refer the client for a vascular consult
Correct Answer: B) Use a Doppler ultrasonic stethoscope
,Expert Rationale: If pedal pulses are not palpable, using a Doppler allows
for non-invasive confirmation of blood flow in the arteries of the foot.
Documenting findings accurately and further investigating with the Doppler
is essential for evaluating potential vascular compromise.
### Scenario 5:
Question: The nurse asks a female client about the proverb "Glass
Houses," and she replies, "It will break the windows." Which
conclusion should be documented about this client's response?
- A) Impaired thinking
- B) Insightful observation
- C) A misunderstanding of idiomatic expressions
- D) Normal cognitive functioning
Correct Answer: A) Impaired thinking
Expert Rationale: The client's response indicates a lack of understanding
of the proverb, suggesting cognitive impairment. The phrase "People who
live in glass houses shouldn't throw stones" implies that one should not
criticize others when they have similar vulnerabilities. Her literal
interpretation showcases impaired cognitive processing.
---
### Scenario 6:
,Question: In assessing a client's neck, the nurse hears a blowing
swish when auscultating the carotid artery. How should the nurse
document this finding?
- A) Normal carotid artery sounds bilateral
- B) Bilateral carotid bruits present
- C) Left carotid artery bruit present, no bruit heard in the right carotid artery
- D) Abnormal vascular sounds noted in both carotid arteries
Correct Answer: C) Left carotid artery bruit present, no bruit heard in the
right carotid artery
Expert Rationale: The presence of a blowing swish sound (bruit) indicates
turbulent blood flow, often associated with carotid artery stenosis. Accurate
documentation specifying which side has the bruit is crucial for further
evaluation and intervention.
### Scenario 7:
Question: The nurse is examining an older female and suspects that
she has a dysfunction in her hip. Which action should the nurse
perform to further assess for hip dysfunction?
- A) Flex and extend the knee while in a sitting position
- B) Observe the client's gait while walking
- C) Abduct each hip while the client is supine
- D) Assess range of motion in the standing position
Correct Answer: C) Abduct each hip while the client is supine
,Expert Rationale: Abducting the hip joint while the client is in a supine
position provides insight into hip mobility and function while minimizing
discomfort that may occur in a standing position. Observing range of
motion and strength in this position helps confirm suspicions of hip
dysfunction.
### Scenario 8:
Question: The nurse assesses a client who is unable to move the arm
away from the body. Which term best describes this limitation?
- A) Adduction
- B) Abduction
- C) Flexion
- D) Extension
Correct Answer: B) Abduction
Expert Rationale: Abduction refers to the movement of a limb away from
the midline of the body. The client's inability to perform this action with the
shoulder indicates a potential dysfunction in the muscles or joints involved
in the abduction process, often necessitating further assessment or
intervention.
---
### Scenario 9:
,Question: During a physical examination, the nurse notes that the
client can only straighten the elbow joint to 20 degrees. How should
the nurse document this finding?
- A) Complete extension
- B) Partial extension
- C) Flexion limitation
- D) Hyperextension
Correct Answer: B) Partial extension
Expert Rationale: The inability to fully straighten the elbow indicates a
limitation in extension. Documenting it as "partial extension" reflects the
specific degree of movement observed, which is critical for ongoing
assessment and treatment planning.
---
### Scenario 10:
Question: The nurse observes that the client is able to bend the wrist
backward toward the forearm. What term describes this movement?
- A) Flexion
- B) Extension
- C) Hyperextension
- D) Abduction
Correct Answer: B) Extension
Expert Rationale: Bending the wrist backward towards the forearm is
defined as wrist extension. Understanding joint movements is essential for
, accurately documenting a client's range of motion and assessing functional
capabilities.
---
### Scenario 11:
Question: While auscultating a client's abdomen, the nurse hears a
low-pitched blowing sound in the upper midline area. Which condition
does this finding most likely indicate?
- A) Bowel obstruction
- B) Renal artery stenosis
- C) Pancreatitis
- D) Aortic aneurysm
Correct Answer: B) Renal artery stenosis
Expert Rationale: A low-pitched blowing sound (bruit) in the upper midline
suggests turbulent blood flow, commonly associated with renal artery
stenosis. This finding warrants further investigation to assess renal function
and vascular health.
---
### Scenario 12:
Question: An adult client exhibits an allergic reaction to an insect bite.
What skin finding should the nurse specifically observe for?
- A) Erythema
- B) Petechiae
- C) Wheals
