BSN 246 HESI HEALTH ASSESSMENT V3
2026/2027 | Nightingale College |
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1. Which question is best for beginning a patient's health history?
A. “You don't have any major problems, correct?”
B. “What brings you to the clinic today?”
C. “Have you taken your medication?”
D. “Is your pain severe?”
CORRECT ANSWER: B
Rationale:
An open-ended question encourages the patient to describe the primary concern in their own
words.
2. Which finding is considered subjective data?
A. Blood pressure of 148/88 mmHg
B. Temperature of 38.2°C
C. Patient reports severe abdominal pain
D. Respiratory rate of 24/min
, CORRECT ANSWER: C
Rationale:
Subjective data are symptoms or experiences reported by the patient. Vital signs are objective
findings.
3. Which sequence represents the usual order of physical examination techniques?
A. Auscultation, inspection, palpation, percussion
B. Inspection, palpation, percussion, auscultation
C. Palpation, percussion, inspection, auscultation
D. Percussion, auscultation, palpation, inspection
CORRECT ANSWER: B
Rationale:
For most body systems, assessment proceeds through inspection → palpation → percussion →
auscultation. The abdomen is an important exception because auscultation occurs before
palpation and percussion.
4. Which technique should be performed first when assessing the abdomen?
A. Palpation
B. Percussion
C. Auscultation
D. Deep palpation
, CORRECT ANSWER: C
Rationale:
Auscultation is performed before percussion or palpation because manipulating the abdomen
can alter bowel sounds.
5. Which finding represents tachycardia in an adult?
A. Heart rate of 52/min
B. Heart rate of 68/min
C. Heart rate of 84/min
D. Heart rate of 112/min
CORRECT ANSWER: D
Rationale:
A resting adult heart rate above approximately 100 beats/min is considered tachycardic.
6. Which finding represents tachypnea?
A. Respiratory rate of 8/min
B. Respiratory rate of 12/min
C. Respiratory rate of 18/min
D. Respiratory rate of 28/min
, CORRECT ANSWER: D
Rationale:
A respiratory rate above the expected adult resting range is tachypnea.
7. A patient's blood pressure is 138/84 mmHg. Which component represents the systolic
pressure?
A. 84 mmHg
B. 138 mmHg
C. Pulse pressure
D. Mean arterial pressure
CORRECT ANSWER: B
Rationale:
Systolic pressure is the pressure generated during ventricular contraction and is the first/top
number of a blood-pressure reading.
8. Which situation requires the nurse to select another extremity for blood-pressure
measurement?
A. The patient has a functioning IV infusion in the arm
B. The patient has no restrictions
C. The patient is sitting comfortably
D. The patient has a normal radial pulse
2026/2027 | Nightingale College |
GRADED A | Pass Guaranteed - A+
Graded
1. Which question is best for beginning a patient's health history?
A. “You don't have any major problems, correct?”
B. “What brings you to the clinic today?”
C. “Have you taken your medication?”
D. “Is your pain severe?”
CORRECT ANSWER: B
Rationale:
An open-ended question encourages the patient to describe the primary concern in their own
words.
2. Which finding is considered subjective data?
A. Blood pressure of 148/88 mmHg
B. Temperature of 38.2°C
C. Patient reports severe abdominal pain
D. Respiratory rate of 24/min
, CORRECT ANSWER: C
Rationale:
Subjective data are symptoms or experiences reported by the patient. Vital signs are objective
findings.
3. Which sequence represents the usual order of physical examination techniques?
A. Auscultation, inspection, palpation, percussion
B. Inspection, palpation, percussion, auscultation
C. Palpation, percussion, inspection, auscultation
D. Percussion, auscultation, palpation, inspection
CORRECT ANSWER: B
Rationale:
For most body systems, assessment proceeds through inspection → palpation → percussion →
auscultation. The abdomen is an important exception because auscultation occurs before
palpation and percussion.
4. Which technique should be performed first when assessing the abdomen?
A. Palpation
B. Percussion
C. Auscultation
D. Deep palpation
, CORRECT ANSWER: C
Rationale:
Auscultation is performed before percussion or palpation because manipulating the abdomen
can alter bowel sounds.
5. Which finding represents tachycardia in an adult?
A. Heart rate of 52/min
B. Heart rate of 68/min
C. Heart rate of 84/min
D. Heart rate of 112/min
CORRECT ANSWER: D
Rationale:
A resting adult heart rate above approximately 100 beats/min is considered tachycardic.
6. Which finding represents tachypnea?
A. Respiratory rate of 8/min
B. Respiratory rate of 12/min
C. Respiratory rate of 18/min
D. Respiratory rate of 28/min
, CORRECT ANSWER: D
Rationale:
A respiratory rate above the expected adult resting range is tachypnea.
7. A patient's blood pressure is 138/84 mmHg. Which component represents the systolic
pressure?
A. 84 mmHg
B. 138 mmHg
C. Pulse pressure
D. Mean arterial pressure
CORRECT ANSWER: B
Rationale:
Systolic pressure is the pressure generated during ventricular contraction and is the first/top
number of a blood-pressure reading.
8. Which situation requires the nurse to select another extremity for blood-pressure
measurement?
A. The patient has a functioning IV infusion in the arm
B. The patient has no restrictions
C. The patient is sitting comfortably
D. The patient has a normal radial pulse
