BSN 246 HESI PRACTICE
2025/2026
For more info:
, BSN 246 HESI Practice 2025/2026
Question 1
The primary nurse asks another nurse to assist in checking a client for an apical-radial pulse
deficit. One nurse counts an apical pulse of 72 beats/minute while the other nurse counts a
radial pulse of 88 beats/minute. Which action should the primary nurse take?
A Check the reading after the other nurse leaves the room.
B Document a pulse deficit of 16 beats per minute.
C Report the results of the deficit to the healthcare provider.
D Repeat the assessment to obtain another reading.
Correct Answer
D Repeat the assessment to obtain another reading.
Question 2
The nurse observes that a client is experiencing melena. Which serum laboratory test should
the nurse monitor in response to this finding?
A White blood cell count (WBC).
B Glucose.
C Blood urea nitrogen (BUN).
D Hematocrit.
Correct Answer
D Hematocrit.
Question 3
When obtaining a client's health history related to smoking cigarettes, the nurse plans to
determine the client's smoking pack years. Which information should the nurse obtain for
this calculation? Select all that apply.
A. Number of attempts to quit smoking.
B. Packs of cigarettes smoked per day.
C. Client's current age.
D. Number of years the client smoked.
E. Age when the client started smoking.
Correct Answer
B. Packs of cigarettes smoked per day.
D. Number of years the client smoked.
E. Age when the client started smoking.
Question 4
The nurse is performing an admission assessment for a client with pyelonephritis who has
urgency and burning while urinating. Which finding indicates an expected response when
the nurse percusses the costovertebral angle?
A Audible thud without pain.
,B Rigidity and firmness.
C Rebound tenderness.
D Sharp, severe pain.
Correct Answer
D Sharp, severe pain.
Question 5
In assessing a client's level of consciousness, what should the nurse assess first?
A Motor response.
B Eye opening.
C Control Pane
D Level of alertness.
Correct Answer
D Level of alertness.
Question 6
In reading a client's record, the nurse notes that the client is experiencing tinnitus. Which
assessment provides the nurse with the information needed to evaluate the effects of this
condition?
A Observe chest and upper neck for a rash.
B Perform a hearing test.
C Evaluate for a loss of peripheral vision.
D Assess deep tendon reflexes
Correct Answer
B Perform a hearing test.
Question 7
While assessing a client, the nurse notices that the client's legs are asymmetrical. Which
additional physical data should the nurse collect?
A Perform passive range of motion and compare the findings.
B Compare measured circumferences of each extremity joint.
C Instruct client to walk across room and observe the gait.
D Measure the length of each leg and document the findings.
** has two answers of compare or measure..
Correct Answer
D Measure the length of each leg and document the findings.
** has two answers of compare or measure..
Question 8
The nurse is performing an initial assessment of a client who has an expressionless facial
affect, slurred speech, and red conjunctivae. Which question should the nurse ask first?
"Have you..."
, A "ever had problems with your blood sugar?"
B "been sleeping well?
C "had anything to eat in the last 24 hours?
D "been depressed lately?
Correct Answer
B "been sleeping well?
Question 9
The nurse observes an older adult client walking aimlessly in the hallway and staring straight
ahead with a blank expression. How should the nurse enter documentation of this finding in
the client's electronic medical record (EMR)?
A Appears confused and depressed.
B Demonstrates signs of early dementia.
C Ambulatory and disoriented to place.
D Wandering behavior with flat affect.
Correct Answer
D Wandering behavior with flat affect.
Question 10
The nurse is examining the abdomen of an older male client who expresses suprapubic
tenderness on palpation. The client states that it sometimes feels like there is still pressure in
that area after urination. Which additional finding should the nurse expect with continued
interview of the client?
A Black tarry stool.
B A cloudy discharge.
C An overactive bladder
D A weak urinary stream.
Correct Answer
D A weak urinary stream.
Question 11
A client is seen in the emergent care clinic for right wrist pain with a pattern of ecchymosis
observed on the wrist. Which motion should the nurse instruct the client to perform to
assess the wrist mobility?
A Hyperextension and palmar flexion.
B Plantar flexion.
C Forearm pronation.
D Forearm supination.
Correct Answer
A Hyperextension and palmar flexion.
Question 12
2025/2026
For more info:
, BSN 246 HESI Practice 2025/2026
Question 1
The primary nurse asks another nurse to assist in checking a client for an apical-radial pulse
deficit. One nurse counts an apical pulse of 72 beats/minute while the other nurse counts a
radial pulse of 88 beats/minute. Which action should the primary nurse take?
A Check the reading after the other nurse leaves the room.
B Document a pulse deficit of 16 beats per minute.
C Report the results of the deficit to the healthcare provider.
D Repeat the assessment to obtain another reading.
Correct Answer
D Repeat the assessment to obtain another reading.
Question 2
The nurse observes that a client is experiencing melena. Which serum laboratory test should
the nurse monitor in response to this finding?
A White blood cell count (WBC).
B Glucose.
C Blood urea nitrogen (BUN).
D Hematocrit.
Correct Answer
D Hematocrit.
Question 3
When obtaining a client's health history related to smoking cigarettes, the nurse plans to
determine the client's smoking pack years. Which information should the nurse obtain for
this calculation? Select all that apply.
A. Number of attempts to quit smoking.
B. Packs of cigarettes smoked per day.
C. Client's current age.
D. Number of years the client smoked.
E. Age when the client started smoking.
Correct Answer
B. Packs of cigarettes smoked per day.
D. Number of years the client smoked.
E. Age when the client started smoking.
Question 4
The nurse is performing an admission assessment for a client with pyelonephritis who has
urgency and burning while urinating. Which finding indicates an expected response when
the nurse percusses the costovertebral angle?
A Audible thud without pain.
,B Rigidity and firmness.
C Rebound tenderness.
D Sharp, severe pain.
Correct Answer
D Sharp, severe pain.
Question 5
In assessing a client's level of consciousness, what should the nurse assess first?
A Motor response.
B Eye opening.
C Control Pane
D Level of alertness.
Correct Answer
D Level of alertness.
Question 6
In reading a client's record, the nurse notes that the client is experiencing tinnitus. Which
assessment provides the nurse with the information needed to evaluate the effects of this
condition?
A Observe chest and upper neck for a rash.
B Perform a hearing test.
C Evaluate for a loss of peripheral vision.
D Assess deep tendon reflexes
Correct Answer
B Perform a hearing test.
Question 7
While assessing a client, the nurse notices that the client's legs are asymmetrical. Which
additional physical data should the nurse collect?
A Perform passive range of motion and compare the findings.
B Compare measured circumferences of each extremity joint.
C Instruct client to walk across room and observe the gait.
D Measure the length of each leg and document the findings.
** has two answers of compare or measure..
Correct Answer
D Measure the length of each leg and document the findings.
** has two answers of compare or measure..
Question 8
The nurse is performing an initial assessment of a client who has an expressionless facial
affect, slurred speech, and red conjunctivae. Which question should the nurse ask first?
"Have you..."
, A "ever had problems with your blood sugar?"
B "been sleeping well?
C "had anything to eat in the last 24 hours?
D "been depressed lately?
Correct Answer
B "been sleeping well?
Question 9
The nurse observes an older adult client walking aimlessly in the hallway and staring straight
ahead with a blank expression. How should the nurse enter documentation of this finding in
the client's electronic medical record (EMR)?
A Appears confused and depressed.
B Demonstrates signs of early dementia.
C Ambulatory and disoriented to place.
D Wandering behavior with flat affect.
Correct Answer
D Wandering behavior with flat affect.
Question 10
The nurse is examining the abdomen of an older male client who expresses suprapubic
tenderness on palpation. The client states that it sometimes feels like there is still pressure in
that area after urination. Which additional finding should the nurse expect with continued
interview of the client?
A Black tarry stool.
B A cloudy discharge.
C An overactive bladder
D A weak urinary stream.
Correct Answer
D A weak urinary stream.
Question 11
A client is seen in the emergent care clinic for right wrist pain with a pattern of ecchymosis
observed on the wrist. Which motion should the nurse instruct the client to perform to
assess the wrist mobility?
A Hyperextension and palmar flexion.
B Plantar flexion.
C Forearm pronation.
D Forearm supination.
Correct Answer
A Hyperextension and palmar flexion.
Question 12
