BSN 246 HESI Health Assessment Exam V1 PDF (Latest
2026/ 2027 Update) Questions and Verified Answers |100%
Correct| Grade A- Nightingale
When assessing facial nerve function of a 96-year-old, the nurse asks the client to
smile in an exaggerated manner. Which finding is most important for the nurse to
further asses?
Only one side of the mouth moves when smiling.
When performing range of motion exercises on the joints of an older adult client, the
nurse notes that joint range is greater with passive ranging than with active ranging.
A goniometer indicates that this difference is as much as 15% in some joints. How
should this finding be documented?
Abnormal.
Which action should the registered nurse (RN) implement to complete an assessment
for a client while using an interpreter?
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?
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?
"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?
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?
Use of vitamin and iron supplements.
What is the best place for the nurse to hear lower lobe lung sounds with a
stethoscope?
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.)
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?
Phlegm production and wheezing.
The nurse is assessing the posterior pharynx during a physical examination. Which
technique should the nurse use?
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?
Place the bell on the 5th intercostal space, left midclavicular line.
Which statement is accurate about assessing the spleen?
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?
Abnormal finding.
2026/ 2027 Update) Questions and Verified Answers |100%
Correct| Grade A- Nightingale
When assessing facial nerve function of a 96-year-old, the nurse asks the client to
smile in an exaggerated manner. Which finding is most important for the nurse to
further asses?
Only one side of the mouth moves when smiling.
When performing range of motion exercises on the joints of an older adult client, the
nurse notes that joint range is greater with passive ranging than with active ranging.
A goniometer indicates that this difference is as much as 15% in some joints. How
should this finding be documented?
Abnormal.
Which action should the registered nurse (RN) implement to complete an assessment
for a client while using an interpreter?
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?
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?
"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?
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?
Use of vitamin and iron supplements.
What is the best place for the nurse to hear lower lobe lung sounds with a
stethoscope?
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.)
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?
Phlegm production and wheezing.
The nurse is assessing the posterior pharynx during a physical examination. Which
technique should the nurse use?
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?
Place the bell on the 5th intercostal space, left midclavicular line.
Which statement is accurate about assessing the spleen?
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?
Abnormal finding.
