BSN 246 HESI Health Assessment
Exam V3 (Latest 2025/2026
Update) | Questions and Verified
Answers | 100% Correct | Grade A –
Nightingale
Introduction
This document contains 100 verified multiple-choice questions and 100% correct answers
for the BSN 246 HESI Health Assessment Exam Version 3, updated for the 2025/2026
academic year and aligned with Nightingale College’s BSN curriculum. It is designed
to support nursing students in mastering physical examination techniques, body sys-
tem assessments, and critical thinking skills for clinical practice. This resource ensures
comprehensive preparation for the exam and enhances clinical competency.
Exam Questions and Answers
1. [Vital Signs & General Survey] A nurse observes a patient with a rigid posture
and fixed gaze. This may indicate:
A. Anxiety or neurological disorder
B. Normal behavior
C. Hypothyroidism
D. Dehydration
Clinical Rationale: Rigid posture and fixed gaze can reflect heightened anxiety or neu-
rological conditions like Parkinson’s disease.
2. [Integumentary System] A nurse notes a patient’s skin is pale and cool to the
touch. This is most consistent with:
A. Poor perfusion or shock
B. Fever
C. Hyperthyroidism
D. Chronic sun exposure
Clinical Rationale: Pale, cool skin suggests vasoconstriction due to reduced blood flow,
as seen in shock or hypovolemia.
3. [Respiratory & Cardiovascular] During heart auscultation, the nurse hears a
holosystolic murmur at the apex. This is associated with:
A. Mitral regurgitation
BSN 246 HESI Health Assessment Exam V3 | Verified Grade A Answers | 2025/2026 –
Nightingale
, B. Aortic stenosis
C. Heart failure
D. Normal finding
Clinical Rationale: A holosystolic murmur at the apex indicates blood leaking through
the mitral valve during systole.
4. [GI, GU, Musculoskeletal] A patient reports pain with percussion over the cos-
tovertebral angle. This suggests:
A. Pyelonephritis
B. Appendicitis
C. Cholecystitis
D. Diverticulitis
Clinical Rationale: Costovertebral angle tenderness indicates kidney inflammation, often
due to pyelonephritis.
5. [Neurological & Cultural Assessment] A patient hesitates to discuss symptoms
due to cultural beliefs. The nurse should:
A. Build trust and explore beliefs
B. Document without further inquiry
C. Refer to a social worker
D. Use standardized questions
Clinical Rationale: Understanding cultural beliefs fosters trust and improves communi-
cation during the assessment.
6. [Vital Signs & General Survey] A patient’s blood pressure is 132/84 mmHg.
This is classified as:
A. Stage 1 hypertension
B. Normal
C. Stage 2 hypertension
D. Prehypertension
Clinical Rationale: Per AHA guidelines, stage 1 hypertension is systolic 130–139 or
diastolic 80–89 mmHg.
7. [Integumentary System] A nurse observes a patient with linear stretch marks
on the abdomen. These are termed:
A. Striae
B. Telangiectasias
C. Petechiae
D. Ecchymosis
BSN 246 HESI Health Assessment Exam V3 | Verified Grade A Answers | 2025/2026 –
Nightingale
Exam V3 (Latest 2025/2026
Update) | Questions and Verified
Answers | 100% Correct | Grade A –
Nightingale
Introduction
This document contains 100 verified multiple-choice questions and 100% correct answers
for the BSN 246 HESI Health Assessment Exam Version 3, updated for the 2025/2026
academic year and aligned with Nightingale College’s BSN curriculum. It is designed
to support nursing students in mastering physical examination techniques, body sys-
tem assessments, and critical thinking skills for clinical practice. This resource ensures
comprehensive preparation for the exam and enhances clinical competency.
Exam Questions and Answers
1. [Vital Signs & General Survey] A nurse observes a patient with a rigid posture
and fixed gaze. This may indicate:
A. Anxiety or neurological disorder
B. Normal behavior
C. Hypothyroidism
D. Dehydration
Clinical Rationale: Rigid posture and fixed gaze can reflect heightened anxiety or neu-
rological conditions like Parkinson’s disease.
2. [Integumentary System] A nurse notes a patient’s skin is pale and cool to the
touch. This is most consistent with:
A. Poor perfusion or shock
B. Fever
C. Hyperthyroidism
D. Chronic sun exposure
Clinical Rationale: Pale, cool skin suggests vasoconstriction due to reduced blood flow,
as seen in shock or hypovolemia.
3. [Respiratory & Cardiovascular] During heart auscultation, the nurse hears a
holosystolic murmur at the apex. This is associated with:
A. Mitral regurgitation
BSN 246 HESI Health Assessment Exam V3 | Verified Grade A Answers | 2025/2026 –
Nightingale
, B. Aortic stenosis
C. Heart failure
D. Normal finding
Clinical Rationale: A holosystolic murmur at the apex indicates blood leaking through
the mitral valve during systole.
4. [GI, GU, Musculoskeletal] A patient reports pain with percussion over the cos-
tovertebral angle. This suggests:
A. Pyelonephritis
B. Appendicitis
C. Cholecystitis
D. Diverticulitis
Clinical Rationale: Costovertebral angle tenderness indicates kidney inflammation, often
due to pyelonephritis.
5. [Neurological & Cultural Assessment] A patient hesitates to discuss symptoms
due to cultural beliefs. The nurse should:
A. Build trust and explore beliefs
B. Document without further inquiry
C. Refer to a social worker
D. Use standardized questions
Clinical Rationale: Understanding cultural beliefs fosters trust and improves communi-
cation during the assessment.
6. [Vital Signs & General Survey] A patient’s blood pressure is 132/84 mmHg.
This is classified as:
A. Stage 1 hypertension
B. Normal
C. Stage 2 hypertension
D. Prehypertension
Clinical Rationale: Per AHA guidelines, stage 1 hypertension is systolic 130–139 or
diastolic 80–89 mmHg.
7. [Integumentary System] A nurse observes a patient with linear stretch marks
on the abdomen. These are termed:
A. Striae
B. Telangiectasias
C. Petechiae
D. Ecchymosis
BSN 246 HESI Health Assessment Exam V3 | Verified Grade A Answers | 2025/2026 –
Nightingale
