BSN 246 HESI HEALTH ASSESSMENT EXAM V2
|ACTUAL QUESTIONS AND VERIFIED
ANSWERS|BRAND NEW 2026-2027
UPDATE|GRADED A+
Question 1
In observing a client's face, which assessment finding requires the most immediate
intervention by the nurse?
A. Oral mucosa is cyanotic.
B. Nasolabial folds present bilaterally
C. Smooth and even skin tone
D. Absence of facial drooping
CORRECT ANSWER
A. Oral mucosa is cyanotic.
Question 2
While obtaining a health history, a male client tells the nurse that he sometimes
experiences shortness of breath. The nurse determines that the client's respirators are
regular and deep, and his respiratory rate is 14 breaths/minutes. What is the best nursing
action?
A. Administer oxygen immediately.
B. Ask the client to describe the episodes of dyspnea in more detail.
C. Notify the healthcare provider about the client's condition.
D. Place the client in a prone position to ease breathing.
CORRECT ANSWER
B. Ask the client to describe the episodes of dyspnea in more detail.
1
,Question 3
When assessing a male client's respiratory status, which technique should the nurse use to
assess his anterior-posterior (AP) chest diameter?
A. Intervention.
B. Assessment.
C. Documentation.
D. Observation.
CORRECT ANSWER
D. Observation.
Question 4
Which assessment finding supports the client's statement, "My feet swell all the time?"
A. No edema present.
B. 2+ pitting edema of ankles bilaterally.
C. Non-pitting edema of the lower extremities.
D. Redness and warmth in the ankles.
CORRECT ANSWER
B. 2+ pitting edema of ankles bilaterally.
Question 5
The nurse is performing a cranial nerve exam on an 87-year-
old client. The nurse notes that the client has a reduced upward gaze, a decreased corneal
reflex, a high-frequency hearing loss, and a reduced gag reflex. What action should the nurse
take next?
A. Repeat the cranial nerve test to confirm the findings.
2
,B. Document the findings and notify the healthcare provider.
C. Ask the client if they are experiencing any unusual symptoms.
D. Continue the assessment to the next pairs of cranial nerves.
CORRECT ANSWER
D. Continue the assessment to the next pairs of cranial nerves.
Question 6
When performing a neurologic assessment on an alert client, the nurse observes that the
client's pupils are both round, 3 mm in size, and respond briskly to light. Which notation
should the nurse use when documenting the assessment
A. PERRL
B. Dilated pupils
C. Unequal pupil size
D. Sluggish pupillary reaction?
CORRECT ANSWER
A. PERRL
Question 7
Which assessment technique provides the nurse with the best data related to the client's
level of peripheral perfusion?
CORRECT ANSWER
.
Question 8
3
, The nurse is assessing a female client who states that her hemorrhoids are inflamed and
hurt constantly. Which intervention is best for the nurse to complete a focused
assessment?
A. Position the client in the left lateral position to inspect the perianal area for fissures or
sacs.
B. Palpate the perianal area with both hands to assess skin elasticity.
C. Ask the client to stand and bend forward to assess the sacrum.
D. Apply deep palpation to the lower abdomen to detect tenderness.
CORRECT ANSWER
A. Position the client in the left lateral position to inspect the perianal area for fissures or
sacs.
Question 9
The nurse is performing an initial assessment of a client who has an expressionless facial
affect, slurred speech, and red conjunctivae. What question should the nurse ask first?
A. "Have you been sleeping well?"
B. "What did you eat for breakfast today?"
C. "Do you experience any changes in your vision?"
D. "How often do you exercise during the week?"
CORRECT ANSWER
A. "Have you been sleeping well?"
Question 10
After checking a client's pupillary response to light, the practical nurse (PN) tells the nurse
that the client's pupils are constricted with minimal response to light. Before verifying the
PN's findings, which action should the nurse take?
A. Assess the client's visual fields
B. Check the client's blood pressure
4
|ACTUAL QUESTIONS AND VERIFIED
ANSWERS|BRAND NEW 2026-2027
UPDATE|GRADED A+
Question 1
In observing a client's face, which assessment finding requires the most immediate
intervention by the nurse?
A. Oral mucosa is cyanotic.
B. Nasolabial folds present bilaterally
C. Smooth and even skin tone
D. Absence of facial drooping
CORRECT ANSWER
A. Oral mucosa is cyanotic.
Question 2
While obtaining a health history, a male client tells the nurse that he sometimes
experiences shortness of breath. The nurse determines that the client's respirators are
regular and deep, and his respiratory rate is 14 breaths/minutes. What is the best nursing
action?
A. Administer oxygen immediately.
B. Ask the client to describe the episodes of dyspnea in more detail.
C. Notify the healthcare provider about the client's condition.
D. Place the client in a prone position to ease breathing.
CORRECT ANSWER
B. Ask the client to describe the episodes of dyspnea in more detail.
1
,Question 3
When assessing a male client's respiratory status, which technique should the nurse use to
assess his anterior-posterior (AP) chest diameter?
A. Intervention.
B. Assessment.
C. Documentation.
D. Observation.
CORRECT ANSWER
D. Observation.
Question 4
Which assessment finding supports the client's statement, "My feet swell all the time?"
A. No edema present.
B. 2+ pitting edema of ankles bilaterally.
C. Non-pitting edema of the lower extremities.
D. Redness and warmth in the ankles.
CORRECT ANSWER
B. 2+ pitting edema of ankles bilaterally.
Question 5
The nurse is performing a cranial nerve exam on an 87-year-
old client. The nurse notes that the client has a reduced upward gaze, a decreased corneal
reflex, a high-frequency hearing loss, and a reduced gag reflex. What action should the nurse
take next?
A. Repeat the cranial nerve test to confirm the findings.
2
,B. Document the findings and notify the healthcare provider.
C. Ask the client if they are experiencing any unusual symptoms.
D. Continue the assessment to the next pairs of cranial nerves.
CORRECT ANSWER
D. Continue the assessment to the next pairs of cranial nerves.
Question 6
When performing a neurologic assessment on an alert client, the nurse observes that the
client's pupils are both round, 3 mm in size, and respond briskly to light. Which notation
should the nurse use when documenting the assessment
A. PERRL
B. Dilated pupils
C. Unequal pupil size
D. Sluggish pupillary reaction?
CORRECT ANSWER
A. PERRL
Question 7
Which assessment technique provides the nurse with the best data related to the client's
level of peripheral perfusion?
CORRECT ANSWER
.
Question 8
3
, The nurse is assessing a female client who states that her hemorrhoids are inflamed and
hurt constantly. Which intervention is best for the nurse to complete a focused
assessment?
A. Position the client in the left lateral position to inspect the perianal area for fissures or
sacs.
B. Palpate the perianal area with both hands to assess skin elasticity.
C. Ask the client to stand and bend forward to assess the sacrum.
D. Apply deep palpation to the lower abdomen to detect tenderness.
CORRECT ANSWER
A. Position the client in the left lateral position to inspect the perianal area for fissures or
sacs.
Question 9
The nurse is performing an initial assessment of a client who has an expressionless facial
affect, slurred speech, and red conjunctivae. What question should the nurse ask first?
A. "Have you been sleeping well?"
B. "What did you eat for breakfast today?"
C. "Do you experience any changes in your vision?"
D. "How often do you exercise during the week?"
CORRECT ANSWER
A. "Have you been sleeping well?"
Question 10
After checking a client's pupillary response to light, the practical nurse (PN) tells the nurse
that the client's pupils are constricted with minimal response to light. Before verifying the
PN's findings, which action should the nurse take?
A. Assess the client's visual fields
B. Check the client's blood pressure
4
