1
HESI RN Health Assessment Exam V1
– Latest 2025/2026 actual Exam
Questions with Verified A+ Answers |
BSN 246 Nursing
Health History (20 Questions)
1. A nurse is collecting a health history from a 45-year-old female client. Which question is
most important to assess cardiovascular risk?
A. Do you have a history of seasonal allergies?
B. Do you have a family history of heart disease?
C. What is your usual daily fluid intake?
D. Have you ever had a broken bone?
Rationale: Family history of heart disease is a key risk factor for cardiovascular issues,
guiding further assessment.
2. A client reports occasional headaches. What should the nurse ask to assess severity?
A. What is your occupation?
B. How would you rate the pain on a scale of 0–10?
C. Do you prefer tea or coffee?
D. Have you traveled recently?
Rationale: Pain scale assessment quantifies headache severity, aiding in diagnosis and
treatment planning.
3. A 60-year-old male reports fatigue. Which question best identifies potential causes?
A. Do you have pets at home?
B. Have you noticed changes in sleep or appetite?
C. What is your favorite hobby?
D. Do you use public transportation?
Rationale: Changes in sleep or appetite may indicate underlying conditions like
depression or thyroid issues.
4. During a health history, a client mentions smoking. What should the nurse ask next?
A. Do you drink alcohol?
B. How many pack-years have you smoked?
, 2
C. What is your exercise routine?
D. Do you have a history of asthma?
Rationale: Pack-years quantify smoking exposure, critical for assessing respiratory and
cardiovascular risks.
5. A 30-year-old female reports irregular menstrual cycles. What should the nurse inquire
about?
A. Recent weight changes
B. All of the above
C. Stress levels
D. Exercise habits
Rationale: Weight changes, stress, and exercise can all affect menstrual cycles, requiring
comprehensive inquiry.
6. A client with a history of diabetes is interviewed. Which question is priority?
A. Do you have seasonal allergies?
B. How often do you monitor your blood glucose?
C. What is your daily water intake?
D. Have you had recent dental work?
Rationale: Blood glucose monitoring frequency is critical for diabetes management and
complication prevention.
7. A 50-year-old client reports chest discomfort. What should the nurse ask to clarify?
A. Have you had recent dental pain?
B. Can you describe the onset and duration of the discomfort?
C. Do you have a history of migraines?
D. What is your usual diet?
Rationale: Onset and duration of chest discomfort help differentiate cardiac from non-
cardiac causes.
8. A client mentions frequent heartburn. What should the nurse explore?
A. Exercise frequency
B. Triggers such as food or stress
C. Recent travel history
D. Family history of cancer
Rationale: Identifying heartburn triggers guides diagnosis and management of
conditions like GERD.
9. A 25-year-old male reports joint pain. What is the most relevant question?
A. Do you drink coffee daily?
B. Is the pain associated with swelling or stiffness?
, 3
C. What is your occupation?
D. Have you had recent vaccinations?
Rationale: Swelling or stiffness with joint pain suggests inflammatory conditions like
arthritis.
10. A client reports a history of asthma. What should the nurse ask?
A. Do you have pets at home?
B. What triggers your asthma symptoms?
C. What is your favorite food?
D. Do you use public transportation?
Rationale: Identifying asthma triggers is essential for symptom management and
prevention.
11. A 70-year-old female reports memory issues. What should the nurse ask first?
A. What is your daily routine?
B. Have you noticed confusion or difficulty concentrating?
C. Do you enjoy reading?
D. What is your exercise regimen?
Rationale: Confusion or difficulty concentrating may indicate cognitive impairment,
requiring further assessment.
12. A client with hypertension is interviewed. Which question is priority?
A. Do you have a history of allergies?
B. Are you compliant with your antihypertensive medications?
C. What is your favorite hobby?
D. Have you traveled recently?
Rationale: Medication compliance is critical for hypertension control and complication
prevention.
13. A 35-year-old client reports fatigue and weight loss. What should the nurse ask?
A. Do you have a pet?
B. Have you experienced night sweats or fever?
C. What is your daily water intake?
D. Do you use public transportation?
Rationale: Night sweats and fever with fatigue and weight loss suggest serious
conditions like infection or malignancy.
14. During a health history, a client reports a recent fall. What should the nurse inquire
about?
A. Favorite foods
B. Circumstances and injuries from the fall
HESI RN Health Assessment Exam V1
– Latest 2025/2026 actual Exam
Questions with Verified A+ Answers |
BSN 246 Nursing
Health History (20 Questions)
1. A nurse is collecting a health history from a 45-year-old female client. Which question is
most important to assess cardiovascular risk?
A. Do you have a history of seasonal allergies?
B. Do you have a family history of heart disease?
C. What is your usual daily fluid intake?
D. Have you ever had a broken bone?
Rationale: Family history of heart disease is a key risk factor for cardiovascular issues,
guiding further assessment.
2. A client reports occasional headaches. What should the nurse ask to assess severity?
A. What is your occupation?
B. How would you rate the pain on a scale of 0–10?
C. Do you prefer tea or coffee?
D. Have you traveled recently?
Rationale: Pain scale assessment quantifies headache severity, aiding in diagnosis and
treatment planning.
3. A 60-year-old male reports fatigue. Which question best identifies potential causes?
A. Do you have pets at home?
B. Have you noticed changes in sleep or appetite?
C. What is your favorite hobby?
D. Do you use public transportation?
Rationale: Changes in sleep or appetite may indicate underlying conditions like
depression or thyroid issues.
4. During a health history, a client mentions smoking. What should the nurse ask next?
A. Do you drink alcohol?
B. How many pack-years have you smoked?
, 2
C. What is your exercise routine?
D. Do you have a history of asthma?
Rationale: Pack-years quantify smoking exposure, critical for assessing respiratory and
cardiovascular risks.
5. A 30-year-old female reports irregular menstrual cycles. What should the nurse inquire
about?
A. Recent weight changes
B. All of the above
C. Stress levels
D. Exercise habits
Rationale: Weight changes, stress, and exercise can all affect menstrual cycles, requiring
comprehensive inquiry.
6. A client with a history of diabetes is interviewed. Which question is priority?
A. Do you have seasonal allergies?
B. How often do you monitor your blood glucose?
C. What is your daily water intake?
D. Have you had recent dental work?
Rationale: Blood glucose monitoring frequency is critical for diabetes management and
complication prevention.
7. A 50-year-old client reports chest discomfort. What should the nurse ask to clarify?
A. Have you had recent dental pain?
B. Can you describe the onset and duration of the discomfort?
C. Do you have a history of migraines?
D. What is your usual diet?
Rationale: Onset and duration of chest discomfort help differentiate cardiac from non-
cardiac causes.
8. A client mentions frequent heartburn. What should the nurse explore?
A. Exercise frequency
B. Triggers such as food or stress
C. Recent travel history
D. Family history of cancer
Rationale: Identifying heartburn triggers guides diagnosis and management of
conditions like GERD.
9. A 25-year-old male reports joint pain. What is the most relevant question?
A. Do you drink coffee daily?
B. Is the pain associated with swelling or stiffness?
, 3
C. What is your occupation?
D. Have you had recent vaccinations?
Rationale: Swelling or stiffness with joint pain suggests inflammatory conditions like
arthritis.
10. A client reports a history of asthma. What should the nurse ask?
A. Do you have pets at home?
B. What triggers your asthma symptoms?
C. What is your favorite food?
D. Do you use public transportation?
Rationale: Identifying asthma triggers is essential for symptom management and
prevention.
11. A 70-year-old female reports memory issues. What should the nurse ask first?
A. What is your daily routine?
B. Have you noticed confusion or difficulty concentrating?
C. Do you enjoy reading?
D. What is your exercise regimen?
Rationale: Confusion or difficulty concentrating may indicate cognitive impairment,
requiring further assessment.
12. A client with hypertension is interviewed. Which question is priority?
A. Do you have a history of allergies?
B. Are you compliant with your antihypertensive medications?
C. What is your favorite hobby?
D. Have you traveled recently?
Rationale: Medication compliance is critical for hypertension control and complication
prevention.
13. A 35-year-old client reports fatigue and weight loss. What should the nurse ask?
A. Do you have a pet?
B. Have you experienced night sweats or fever?
C. What is your daily water intake?
D. Do you use public transportation?
Rationale: Night sweats and fever with fatigue and weight loss suggest serious
conditions like infection or malignancy.
14. During a health history, a client reports a recent fall. What should the nurse inquire
about?
A. Favorite foods
B. Circumstances and injuries from the fall
