BSN 246 HESI Health Assessment V1 Exam 2026 | Complete
Study Guide | Graded A+| Nightingale College
1. Why is cultural competence important in nursing assessments?
Cultural competence is irrelevant to patient care.
Cultural competence allows nurses to provide better care by
understanding patients' backgrounds and needs.
Cultural competence only involves language skills.
Cultural competence is only necessary for specific health conditions.
2. Describe why sudden onset hearing loss in one ear may indicate a serious
condition.
It is often caused by allergies and does not require medical attention.
It is usually a benign condition that resolves on its own.
Sudden onset hearing loss in one ear may indicate a serious
condition such as an acoustic neuroma or other neurological issues
that require immediate evaluation.
It is typically associated with age-related hearing loss.
3. What is a naturalistic belief in the context of health and illness?
A belief that illness is caused by natural forces or imbalances.
A belief that illness is a punishment for wrongdoing.
A belief that illness is solely due to genetic factors.
A belief that illness is caused by supernatural entities.
,4. During which stage of the assessment process would the nurse most
effectively assess an abdominal aortic aneurysm?
Auscultation
Inspection
Percussion
Palpation
5. If a client has a family history of colon cancer, what additional assessment
might a nurse prioritize during the evaluation?
Screening for gastrointestinal symptoms
Assessing for respiratory distress
Evaluating musculoskeletal strength
Checking for skin conditions
6. The nurse is assessing a client diagnoses with mitral stenosis. Which technique
should the nurse use to listen to this condition?
With the client supine, place the bell of the stethoscope on the 2nd
left instercostal space.
With the client leaning forward, listen over the left carotid artery.
Use the diaphragm of the stethoscope to listen over the right sternal
border.
Place the bell of the stethoscope over the apex with client on left
side.
,7. 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?
The client works in a busy office setting.
The hearing loss involves high frequencies.
The client has no prior history of hearing loss.
There is no sign of associated infection.
8. A client presents with fatigue, pale lips, and a history of heavy menstrual
periods. What assessment should the nurse prioritize to determine the
underlying cause of these symptoms?
Liver function tests
Chest X-ray
Complete blood count (CBC)
Urinalysis
9. Why is it important for the nurse to inspect the affected area first during the
objective examination of a rash?
Inspecting the affected area allows the nurse to assess the
characteristics and extent of the rash.
It allows the nurse to perform a full body assessment.
It helps the nurse to determine the client's emotional state.
It provides a basis for documenting the client's vital signs.
, 10. A patient presents with unilateral hearing loss. After conducting the Weber
and Rinne tests, the nurse finds that sound lateralizes to the affected ear.
What does this indicate?
Sensorineural hearing loss in the affected ear
Normal hearing function
Conductive hearing loss in the unaffected ear
Conductive hearing loss in the affected ear
11. Describe the significance of assessing a client's remote memory during a
nursing evaluation.
Assessing remote memory is only relevant for elderly clients.
Assessing remote memory helps determine cognitive function and
the client's ability to recall past events.
Assessing remote memory focuses solely on recent events.
Assessing remote memory is not important in nursing assessments.
12. What is a common physical finding in a patient with chronic asthma and
hyperinflation of the lungs during a thoracic assessment?
Decreased breath sounds
Wheezing
Crackles
Increased tactile fremitus
13. What is the first technique a nurse should use when starting a head-to-toe
assessment?
Percussion
Study Guide | Graded A+| Nightingale College
1. Why is cultural competence important in nursing assessments?
Cultural competence is irrelevant to patient care.
Cultural competence allows nurses to provide better care by
understanding patients' backgrounds and needs.
Cultural competence only involves language skills.
Cultural competence is only necessary for specific health conditions.
2. Describe why sudden onset hearing loss in one ear may indicate a serious
condition.
It is often caused by allergies and does not require medical attention.
It is usually a benign condition that resolves on its own.
Sudden onset hearing loss in one ear may indicate a serious
condition such as an acoustic neuroma or other neurological issues
that require immediate evaluation.
It is typically associated with age-related hearing loss.
3. What is a naturalistic belief in the context of health and illness?
A belief that illness is caused by natural forces or imbalances.
A belief that illness is a punishment for wrongdoing.
A belief that illness is solely due to genetic factors.
A belief that illness is caused by supernatural entities.
,4. During which stage of the assessment process would the nurse most
effectively assess an abdominal aortic aneurysm?
Auscultation
Inspection
Percussion
Palpation
5. If a client has a family history of colon cancer, what additional assessment
might a nurse prioritize during the evaluation?
Screening for gastrointestinal symptoms
Assessing for respiratory distress
Evaluating musculoskeletal strength
Checking for skin conditions
6. The nurse is assessing a client diagnoses with mitral stenosis. Which technique
should the nurse use to listen to this condition?
With the client supine, place the bell of the stethoscope on the 2nd
left instercostal space.
With the client leaning forward, listen over the left carotid artery.
Use the diaphragm of the stethoscope to listen over the right sternal
border.
Place the bell of the stethoscope over the apex with client on left
side.
,7. 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?
The client works in a busy office setting.
The hearing loss involves high frequencies.
The client has no prior history of hearing loss.
There is no sign of associated infection.
8. A client presents with fatigue, pale lips, and a history of heavy menstrual
periods. What assessment should the nurse prioritize to determine the
underlying cause of these symptoms?
Liver function tests
Chest X-ray
Complete blood count (CBC)
Urinalysis
9. Why is it important for the nurse to inspect the affected area first during the
objective examination of a rash?
Inspecting the affected area allows the nurse to assess the
characteristics and extent of the rash.
It allows the nurse to perform a full body assessment.
It helps the nurse to determine the client's emotional state.
It provides a basis for documenting the client's vital signs.
, 10. A patient presents with unilateral hearing loss. After conducting the Weber
and Rinne tests, the nurse finds that sound lateralizes to the affected ear.
What does this indicate?
Sensorineural hearing loss in the affected ear
Normal hearing function
Conductive hearing loss in the unaffected ear
Conductive hearing loss in the affected ear
11. Describe the significance of assessing a client's remote memory during a
nursing evaluation.
Assessing remote memory is only relevant for elderly clients.
Assessing remote memory helps determine cognitive function and
the client's ability to recall past events.
Assessing remote memory focuses solely on recent events.
Assessing remote memory is not important in nursing assessments.
12. What is a common physical finding in a patient with chronic asthma and
hyperinflation of the lungs during a thoracic assessment?
Decreased breath sounds
Wheezing
Crackles
Increased tactile fremitus
13. What is the first technique a nurse should use when starting a head-to-toe
assessment?
Percussion
