BSN 246 HESI Health Assessment Exam V1 (Latest
2024/ 2025 Update) Questions and Verified Answers
|100% Correct| Grade A- Nightingale
A client comes to the clinic with a report of fever and a recent exposure to someone who was diagnosed
with meningitis. Which nursing assessment should be completed during the initial examination of this
client? - ANSWER-Level of consciousness.
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? - ANSWER-Dull, thud-like.
A client has come to the clinic for a routine health assessment. What is the best assessment question for
the nurse to ask a client after observing tophi on the client's ear cartilage? - ANSWER-Have you had
sudden and severe pain in the toes or feet?
A client has just returned from the recovery room and asks to get out of bed to go to the bathroom. The
nurse decides to obtain orthostatic vital signs first. How will the nurse position the client to begin this
procedure? - ANSWER-Lying.
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? - ANSWER-Inspect the hair and skin.
A client is in the clinic and is reporting lower abdominal pain and constipation. Which information is of
greatest concern to the nurse when obtaining the health history from this client? - ANSWER-Family
history of colon cancer on mother's side.
A client is in the clinic for a routine health examination. The nurse notices the client appears
underweight. Which question is most important for the nurse to ask when completing the health history
of this client? - ANSWER-Have you experienced sudden weight loss?
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? - ANSWER-Ask the client to urinate before beginning the
examination.
, BSN 246 HESI Health Assessment Exam V1 (Latest
2024/ 2025 Update) Questions and Verified Answers
|100% Correct| Grade A- Nightingale
A client is reporting chest pain. What statement made by the client, helps the nurse to understand this
client has a naturalistic belief in the cause of illness? - ANSWER-"My life is really out of balance."
A client presents with a rash along the occipital area of the hairline and reports intense itching. How
should the nurse begin the objective part of the examination? - ANSWER-Inspect the scalp looking for
nits.
A client reports feeling increasingly fatigued for several months, and the nurse observes that the client's
lips are pale. Which additional data should the nurse collect based on this presentation? - ANSWER-Use
of vitamin and iron supplements.
A client reports lower abdominal pain and a feeling of pressure in the bladder. Which assessment finding
indicates acute urinary retention? - ANSWER-Dull sound percussed over bladder.
*Clients with acute urinary retention may present with lower abdominal pain and bladder distension.
Percussion (tapping on the body wall) is performed to detect differences in pitch. A dull sound produced
when percussing a distended urinary bladder is an indication of urinary retention.
A client reports pain when taking a deep breath. Which lung auscultation sound should the nurse
anticipate hearing? - ANSWER-Pleural friction rub
A client states that she had a mastectomy of her left breast last year and now experiences lymphedema.
What should the nurse expect to find when examining the client? - ANSWER-Swelling of the left arm and
non-pitting edema.
A client with dark skin is reporting a painful and itching area on the lower left leg. What should the nurse
look for when assessing this client's skin for inflammation? - ANSWER-Change in consistency.
A client with progressive hearing loss appears distressed when the registered nurse (RN) asks open-
ended questions about the client's health history. Which forms of communication should the RN use? -
ANSWER-Face the client so the client can see the RN's mouth.
2024/ 2025 Update) Questions and Verified Answers
|100% Correct| Grade A- Nightingale
A client comes to the clinic with a report of fever and a recent exposure to someone who was diagnosed
with meningitis. Which nursing assessment should be completed during the initial examination of this
client? - ANSWER-Level of consciousness.
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? - ANSWER-Dull, thud-like.
A client has come to the clinic for a routine health assessment. What is the best assessment question for
the nurse to ask a client after observing tophi on the client's ear cartilage? - ANSWER-Have you had
sudden and severe pain in the toes or feet?
A client has just returned from the recovery room and asks to get out of bed to go to the bathroom. The
nurse decides to obtain orthostatic vital signs first. How will the nurse position the client to begin this
procedure? - ANSWER-Lying.
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? - ANSWER-Inspect the hair and skin.
A client is in the clinic and is reporting lower abdominal pain and constipation. Which information is of
greatest concern to the nurse when obtaining the health history from this client? - ANSWER-Family
history of colon cancer on mother's side.
A client is in the clinic for a routine health examination. The nurse notices the client appears
underweight. Which question is most important for the nurse to ask when completing the health history
of this client? - ANSWER-Have you experienced sudden weight loss?
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? - ANSWER-Ask the client to urinate before beginning the
examination.
, BSN 246 HESI Health Assessment Exam V1 (Latest
2024/ 2025 Update) Questions and Verified Answers
|100% Correct| Grade A- Nightingale
A client is reporting chest pain. What statement made by the client, helps the nurse to understand this
client has a naturalistic belief in the cause of illness? - ANSWER-"My life is really out of balance."
A client presents with a rash along the occipital area of the hairline and reports intense itching. How
should the nurse begin the objective part of the examination? - ANSWER-Inspect the scalp looking for
nits.
A client reports feeling increasingly fatigued for several months, and the nurse observes that the client's
lips are pale. Which additional data should the nurse collect based on this presentation? - ANSWER-Use
of vitamin and iron supplements.
A client reports lower abdominal pain and a feeling of pressure in the bladder. Which assessment finding
indicates acute urinary retention? - ANSWER-Dull sound percussed over bladder.
*Clients with acute urinary retention may present with lower abdominal pain and bladder distension.
Percussion (tapping on the body wall) is performed to detect differences in pitch. A dull sound produced
when percussing a distended urinary bladder is an indication of urinary retention.
A client reports pain when taking a deep breath. Which lung auscultation sound should the nurse
anticipate hearing? - ANSWER-Pleural friction rub
A client states that she had a mastectomy of her left breast last year and now experiences lymphedema.
What should the nurse expect to find when examining the client? - ANSWER-Swelling of the left arm and
non-pitting edema.
A client with dark skin is reporting a painful and itching area on the lower left leg. What should the nurse
look for when assessing this client's skin for inflammation? - ANSWER-Change in consistency.
A client with progressive hearing loss appears distressed when the registered nurse (RN) asks open-
ended questions about the client's health history. Which forms of communication should the RN use? -
ANSWER-Face the client so the client can see the RN's mouth.
