BSN 246
HESI Health Assessment | Questions & Answers with
Rationales | Complete Study Guide 2026
RESOURCE FEATURES
• BSN 246 HESI Health Assessment practice questions
• Answers for self-assessment
• Detailed rationales and explanations
• Clinical scenario-based questions
• Physical-examination review
• Normal/abnormal finding identification
• Nursing clinical judgment practice
• 2026 exam preparation
,TABLE OF CONTENT
Cardiovascular:………… 1, 5, 9, 10, 22, 24, 25, 30, 35, 46, 50, 51
Respiratory:……………… 4, 14, 16, 26, 38, 43, 44, 45
Gastrointestinal:………… 11, 13, 21, 28, 30, 33, 37, 39, 47, 48
Neurological/Psychiatric: ..2, 15, 23, 27, 28, 29, 31, 36, 41
Hematology/Immunology: …3, 8, 16, 42, 44
Musculoskeletal:……………… 6, 10, 12, 18
Renal/Urinary:…………….. 25, 49
Endocrine: ……………….17, 19, 27
Medications: …………5, 16, 17, 20, 22, 31, 34, 36, 38, 45, 51
Cultural Considerations:…… 7, 23, 32, 42
Hearing/Sensory:………………. 40
,Question 1
A client with chest pain, dizziness, and vomiting for the last 2
hours is admitted for evaluation for Acute Coronary Syndrome
(ACS). Which cardiac biomarker should the registered nurse (RN)
anticipate to be elevated if the client experienced myocardial
damage?
A. Creatine Kinase (CK-MB)
B. Serum troponin
C. Myoglobin
D. Ischemia modified albumin
Answer: B. Serum troponin
Rationale: Troponin is the most sensitive and specific test for
myocardial damage. Troponin elevation is more specific than CK-
MB.
Question 2
The registered nurse (RN) is developing the plan of care for a
client who is admitted for alcohol detoxification. Which goal
should be most important for the RN to primarily focus the
client's care?
, A. The client maintains optimal nutritional status
B. The client will remain alert and oriented
C. The client will remain free from injury
D. The client will remain alcohol free during hospitalization
Answer: C. The client will remain free from injury
Rationale: The client is at highest risk for injury due to altered
cognitive and sensory disturbances as well as delirium tremors
during withdrawal. Remaining free from injury is the most
important goal for the acute phase of alcohol withdrawal.
Question 3
The registered nurse (RN) is caring for a client with aplastic
anemia who is hospitalized for weight loss and generalized
weakness. Laboratory values show a white blood count (WBC) of
2,500/mm³ and a platelet count of 160,000/mm³. Which
intervention is the primary focus in the client's plan of care for the
RN to implement?
A. Assist with frequent ambulation
B. Encourage visitors to visit
C. Maintain strict protective precautions
D. Avoid peripheral injections
HESI Health Assessment | Questions & Answers with
Rationales | Complete Study Guide 2026
RESOURCE FEATURES
• BSN 246 HESI Health Assessment practice questions
• Answers for self-assessment
• Detailed rationales and explanations
• Clinical scenario-based questions
• Physical-examination review
• Normal/abnormal finding identification
• Nursing clinical judgment practice
• 2026 exam preparation
,TABLE OF CONTENT
Cardiovascular:………… 1, 5, 9, 10, 22, 24, 25, 30, 35, 46, 50, 51
Respiratory:……………… 4, 14, 16, 26, 38, 43, 44, 45
Gastrointestinal:………… 11, 13, 21, 28, 30, 33, 37, 39, 47, 48
Neurological/Psychiatric: ..2, 15, 23, 27, 28, 29, 31, 36, 41
Hematology/Immunology: …3, 8, 16, 42, 44
Musculoskeletal:……………… 6, 10, 12, 18
Renal/Urinary:…………….. 25, 49
Endocrine: ……………….17, 19, 27
Medications: …………5, 16, 17, 20, 22, 31, 34, 36, 38, 45, 51
Cultural Considerations:…… 7, 23, 32, 42
Hearing/Sensory:………………. 40
,Question 1
A client with chest pain, dizziness, and vomiting for the last 2
hours is admitted for evaluation for Acute Coronary Syndrome
(ACS). Which cardiac biomarker should the registered nurse (RN)
anticipate to be elevated if the client experienced myocardial
damage?
A. Creatine Kinase (CK-MB)
B. Serum troponin
C. Myoglobin
D. Ischemia modified albumin
Answer: B. Serum troponin
Rationale: Troponin is the most sensitive and specific test for
myocardial damage. Troponin elevation is more specific than CK-
MB.
Question 2
The registered nurse (RN) is developing the plan of care for a
client who is admitted for alcohol detoxification. Which goal
should be most important for the RN to primarily focus the
client's care?
, A. The client maintains optimal nutritional status
B. The client will remain alert and oriented
C. The client will remain free from injury
D. The client will remain alcohol free during hospitalization
Answer: C. The client will remain free from injury
Rationale: The client is at highest risk for injury due to altered
cognitive and sensory disturbances as well as delirium tremors
during withdrawal. Remaining free from injury is the most
important goal for the acute phase of alcohol withdrawal.
Question 3
The registered nurse (RN) is caring for a client with aplastic
anemia who is hospitalized for weight loss and generalized
weakness. Laboratory values show a white blood count (WBC) of
2,500/mm³ and a platelet count of 160,000/mm³. Which
intervention is the primary focus in the client's plan of care for the
RN to implement?
A. Assist with frequent ambulation
B. Encourage visitors to visit
C. Maintain strict protective precautions
D. Avoid peripheral injections
