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BSN 246 HESI Health Assessment Exam
V2 (2025/2026 Update) – 55 Questions
and Verified Answers | 100% Correct |
Grade A – Nightingale
Question 1
During a general survey, which observation indicates a potential health concern?
A. Symmetrical posture
B. Pallor of the skin
C. Regular respiratory rate
D. Alert mental status
Rationale: Pallor may indicate anemia, shock, or hypoxia, requiring further assessment.
Symmetrical posture, regular respirations, and alertness are normal findings during a general
survey.
Question 2
When assessing a client’s respiratory rate, what is the normal range for an adult at rest?
A. 8–12 breaths/min
B. 12–20 breaths/min
C. 20–28 breaths/min
D. 28–36 breaths/min
Rationale: Normal adult respiratory rate at rest is 12–20 breaths/min. Deviations may suggest
respiratory or cardiovascular issues, requiring further evaluation.
Question 3
Which technique is used to assess for tactile fremitus?
A. Auscultation
B. Palpation
C. Percussion
D. Inspection
Rationale: Tactile fremitus is assessed by palpating the chest while the client says “ninety-nine,”
detecting vibrations from lung consolidation or masses.
Question 4
A client reports chest pain during inspiration. What term describes this finding?
, 2
A. Dyspnea
B. Pleuritic pain
C. Angina pectoris
D. Costochondritis
Rationale: Pleuritic pain is sharp and worsens with inspiration, often due to pleural
inflammation. Dyspnea is difficulty breathing, angina is cardiac-related, and costochondritis
involves cartilage inflammation.
Question 5
When inspecting the abdomen, which finding suggests ascites?
A. Flat contour
B. Bulging flanks
C. Hyperactive bowel sounds
D. Soft consistency
Rationale: Bulging flanks indicate fluid accumulation in ascites, often seen in liver disease. Flat
contour is normal, hyperactive sounds suggest obstruction, and soft consistency is non-specific.
Question 6
What is the correct sequence for abdominal assessment?
A. Auscultation, inspection, percussion, palpation
B. Inspection, auscultation, percussion, palpation
C. Palpation, percussion, auscultation, inspection
D. Inspection, palpation, auscultation, percussion
Rationale: Inspection, auscultation, percussion, palpation prevents altering bowel sounds with
palpation or percussion, ensuring accurate assessment per 2025 guidelines.
Question 7
A nurse is assessing cranial nerve VII (facial). Which action tests this nerve?
A. Ask the client to close their eyes tightly
B. Ask the client to smile and puff cheeks
C. Test pupil response to light
D. Assess tongue movement
Rationale: Cranial nerve VII controls facial movements; smiling and puffing cheeks test
symmetry and strength. Eye closure tests CN III, pupil response tests CN II/III, and tongue
movement tests CN XII.
Question 8
Which finding during a cardiovascular assessment indicates a heart murmur?
BSN 246 HESI Health Assessment Exam
V2 (2025/2026 Update) – 55 Questions
and Verified Answers | 100% Correct |
Grade A – Nightingale
Question 1
During a general survey, which observation indicates a potential health concern?
A. Symmetrical posture
B. Pallor of the skin
C. Regular respiratory rate
D. Alert mental status
Rationale: Pallor may indicate anemia, shock, or hypoxia, requiring further assessment.
Symmetrical posture, regular respirations, and alertness are normal findings during a general
survey.
Question 2
When assessing a client’s respiratory rate, what is the normal range for an adult at rest?
A. 8–12 breaths/min
B. 12–20 breaths/min
C. 20–28 breaths/min
D. 28–36 breaths/min
Rationale: Normal adult respiratory rate at rest is 12–20 breaths/min. Deviations may suggest
respiratory or cardiovascular issues, requiring further evaluation.
Question 3
Which technique is used to assess for tactile fremitus?
A. Auscultation
B. Palpation
C. Percussion
D. Inspection
Rationale: Tactile fremitus is assessed by palpating the chest while the client says “ninety-nine,”
detecting vibrations from lung consolidation or masses.
Question 4
A client reports chest pain during inspiration. What term describes this finding?
, 2
A. Dyspnea
B. Pleuritic pain
C. Angina pectoris
D. Costochondritis
Rationale: Pleuritic pain is sharp and worsens with inspiration, often due to pleural
inflammation. Dyspnea is difficulty breathing, angina is cardiac-related, and costochondritis
involves cartilage inflammation.
Question 5
When inspecting the abdomen, which finding suggests ascites?
A. Flat contour
B. Bulging flanks
C. Hyperactive bowel sounds
D. Soft consistency
Rationale: Bulging flanks indicate fluid accumulation in ascites, often seen in liver disease. Flat
contour is normal, hyperactive sounds suggest obstruction, and soft consistency is non-specific.
Question 6
What is the correct sequence for abdominal assessment?
A. Auscultation, inspection, percussion, palpation
B. Inspection, auscultation, percussion, palpation
C. Palpation, percussion, auscultation, inspection
D. Inspection, palpation, auscultation, percussion
Rationale: Inspection, auscultation, percussion, palpation prevents altering bowel sounds with
palpation or percussion, ensuring accurate assessment per 2025 guidelines.
Question 7
A nurse is assessing cranial nerve VII (facial). Which action tests this nerve?
A. Ask the client to close their eyes tightly
B. Ask the client to smile and puff cheeks
C. Test pupil response to light
D. Assess tongue movement
Rationale: Cranial nerve VII controls facial movements; smiling and puffing cheeks test
symmetry and strength. Eye closure tests CN III, pupil response tests CN II/III, and tongue
movement tests CN XII.
Question 8
Which finding during a cardiovascular assessment indicates a heart murmur?
