NIGHTINGALE BSN 246 HESI HEALTH ASSESSMENT EXAM
2025 “2026 LATEST VERSION WITH 200 REAL EXAM
QUESTIONS AND CORRECT ANSWERS GRADED A+
The nurse is performing a thoracic assessment on a client with chronic asthma and hyperinflation of the
lungs. Which finding should be expected for this client? - correct answer -Barrel chest
The nurse is assessing bowel sounds for a hospitalized client. The nurse has heard bowel sounds in the
right upper quadrant. What action should the nurse take next? - correct answer -Note the character
and frequency of bowel sounds
Which action should the registered nurse (RN) implement to complete an assessment for a client while
using an interpreter? - correct answer -Maintain eye contact with the client while listening to the
translation.
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? - correct answer -Have you experienced sudden weight loss?
A male executive is seen in the primary care clinic for a physical examination. While obtaining the
client's health history, the nurse inquires about his drug and alcohol use. The executive denies drug use,
but reports that he has "two glasses of wine" per night. Which response is best for the nurse to provide?
- correct answer -"What effect do you think your use of alcohol may have on you?"
Which part of the body should the nurse examine when assessing for peripheral edema in a client with
heart failure? - correct answer -Ankles.
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? - correct
answer -Use of vitamin and iron supplements.
What is the best place for the nurse to hear lower lobe lung sounds with a stethoscope? - correct
answer -Posterior chest below the 3rd intercostalspace.
,A registered nurse (RN) is performing a mini-mental state examination (MMSE) for a client who is being
admitted to an assisted living community. Which communication techniques should the RN implement
to decrease anxiety in the client? (Select all that apply.) - correct answer -Use simple sentences during
the examination.
Reduce environmental detractors during the examination.
Ask questions one at a time to decrease confusion.
The nurse is interviewing a client who reports having a persistent, productive cough during the winter
caused by bronchitis. Which additional finding should the nurse assess for bronchitis? - correct answer
-Phlegm production and wheezing.
The nurse is assessing the posterior pharynx during a physical examination. Which technique should the
nurse use? - correct answer -Press the tongue down one side at a time with a tongue depressor.
The nurse is assessing a client who has a history of mitral stenosis. How should the nurse assess this
client with a stethoscope to listen for this condition? - correct answer -Place the bell on the 5th
intercostal space, left midclavicular line.
Which statement is accurate about assessing the spleen? - correct answer -It must be enlarged at least
three times normal size for it to be palpable.
During an external examination of the eyes, the nurse gently palpates the eyes while the client's eyelids
are closed. The eyes are both very firm and resist movement back into the orbit. How should the nurse
document this finding? - correct answer -Abnormal finding.
Which tool should the nurse use when assessing the neurological status of a client with traumatic brain
injury? - correct answer -Glasgow Coma Scale.
The nurse is assessing a client with liver disease who is jaundice and exhibits scleral edema. During the
health assessment, the nurse should implement which technique to determine evidence of
hepatomegaly? - correct answer -Use a bouncing motion to tap the middle finger placed within
boundaries of the liver.
, What is the best nursing response to an older client who has not mentioned incontinence during a
genitourinary assessment? - correct answer -Ask the client specifically about any leakage of urine.
The registered nurse (RN) is caring for an Asian client who refuses to make eye contact during
conversations. How should the RN assess this client's response? - correct answer -The client is treating
the nurse with respect.
The nurse is assessing a client for a hip flexion contracture. Which finding indicates a negative Thomas
test when the client's right knee is brought toward the chest? - correct answer -The left leg remains on
the table
*The Thomas test is performed by having the client bring one knee toward the chest while the other leg
remains extended on the table. A positive Thomas test is elicited when the extended leg rises off the
table when the opposite leg's knee is brought up to the client's chest, indicating hip flexor contracture. If
the extended leg (the left leg, in this example) remains on the table, the test is negative.
The nurse is assessing a client who has a history of aortic regurgitation. Where should the nurse place
the stethoscope diaphragm to listen for this condition? - correct answer -2nd intercostal space along
the right sternal border.
The nurse is assessing a client who has experienced a sudden onset of hearing loss in the right ear.
Which finding should alert the nurse to a potentially serious medical condition that requires further
evaluation? - correct answer -There is no sign of associated infection.
Which information should the nurse obtain to identify the client's self-perception of health status? -
correct answer -Health history
During the initial assessment, the nurse notes that a client has blurred vision with cloudy lenses. Which
condition should the nurse document? - correct answer -Cataracts.
Which condition is indicated by a fluorescent, yellow-green color when the nurse uses a Wood's lamp
toexamine a client's skin lesions? - correct answer -Fungal infection.
2025 “2026 LATEST VERSION WITH 200 REAL EXAM
QUESTIONS AND CORRECT ANSWERS GRADED A+
The nurse is performing a thoracic assessment on a client with chronic asthma and hyperinflation of the
lungs. Which finding should be expected for this client? - correct answer -Barrel chest
The nurse is assessing bowel sounds for a hospitalized client. The nurse has heard bowel sounds in the
right upper quadrant. What action should the nurse take next? - correct answer -Note the character
and frequency of bowel sounds
Which action should the registered nurse (RN) implement to complete an assessment for a client while
using an interpreter? - correct answer -Maintain eye contact with the client while listening to the
translation.
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? - correct answer -Have you experienced sudden weight loss?
A male executive is seen in the primary care clinic for a physical examination. While obtaining the
client's health history, the nurse inquires about his drug and alcohol use. The executive denies drug use,
but reports that he has "two glasses of wine" per night. Which response is best for the nurse to provide?
- correct answer -"What effect do you think your use of alcohol may have on you?"
Which part of the body should the nurse examine when assessing for peripheral edema in a client with
heart failure? - correct answer -Ankles.
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? - correct
answer -Use of vitamin and iron supplements.
What is the best place for the nurse to hear lower lobe lung sounds with a stethoscope? - correct
answer -Posterior chest below the 3rd intercostalspace.
,A registered nurse (RN) is performing a mini-mental state examination (MMSE) for a client who is being
admitted to an assisted living community. Which communication techniques should the RN implement
to decrease anxiety in the client? (Select all that apply.) - correct answer -Use simple sentences during
the examination.
Reduce environmental detractors during the examination.
Ask questions one at a time to decrease confusion.
The nurse is interviewing a client who reports having a persistent, productive cough during the winter
caused by bronchitis. Which additional finding should the nurse assess for bronchitis? - correct answer
-Phlegm production and wheezing.
The nurse is assessing the posterior pharynx during a physical examination. Which technique should the
nurse use? - correct answer -Press the tongue down one side at a time with a tongue depressor.
The nurse is assessing a client who has a history of mitral stenosis. How should the nurse assess this
client with a stethoscope to listen for this condition? - correct answer -Place the bell on the 5th
intercostal space, left midclavicular line.
Which statement is accurate about assessing the spleen? - correct answer -It must be enlarged at least
three times normal size for it to be palpable.
During an external examination of the eyes, the nurse gently palpates the eyes while the client's eyelids
are closed. The eyes are both very firm and resist movement back into the orbit. How should the nurse
document this finding? - correct answer -Abnormal finding.
Which tool should the nurse use when assessing the neurological status of a client with traumatic brain
injury? - correct answer -Glasgow Coma Scale.
The nurse is assessing a client with liver disease who is jaundice and exhibits scleral edema. During the
health assessment, the nurse should implement which technique to determine evidence of
hepatomegaly? - correct answer -Use a bouncing motion to tap the middle finger placed within
boundaries of the liver.
, What is the best nursing response to an older client who has not mentioned incontinence during a
genitourinary assessment? - correct answer -Ask the client specifically about any leakage of urine.
The registered nurse (RN) is caring for an Asian client who refuses to make eye contact during
conversations. How should the RN assess this client's response? - correct answer -The client is treating
the nurse with respect.
The nurse is assessing a client for a hip flexion contracture. Which finding indicates a negative Thomas
test when the client's right knee is brought toward the chest? - correct answer -The left leg remains on
the table
*The Thomas test is performed by having the client bring one knee toward the chest while the other leg
remains extended on the table. A positive Thomas test is elicited when the extended leg rises off the
table when the opposite leg's knee is brought up to the client's chest, indicating hip flexor contracture. If
the extended leg (the left leg, in this example) remains on the table, the test is negative.
The nurse is assessing a client who has a history of aortic regurgitation. Where should the nurse place
the stethoscope diaphragm to listen for this condition? - correct answer -2nd intercostal space along
the right sternal border.
The nurse is assessing a client who has experienced a sudden onset of hearing loss in the right ear.
Which finding should alert the nurse to a potentially serious medical condition that requires further
evaluation? - correct answer -There is no sign of associated infection.
Which information should the nurse obtain to identify the client's self-perception of health status? -
correct answer -Health history
During the initial assessment, the nurse notes that a client has blurred vision with cloudy lenses. Which
condition should the nurse document? - correct answer -Cataracts.
Which condition is indicated by a fluorescent, yellow-green color when the nurse uses a Wood's lamp
toexamine a client's skin lesions? - correct answer -Fungal infection.
