BSN 246 HESI Health Assessment V2 Nightingale College 2026 |
Most Tested Questions & Verified Answers | Latest Update |
Graded A+
1. Which laboratory value is crucial for assessing anemia in a patient with loss of
appetite?
Hematocrit.
Serum pre-albumin.
Serum Calcium.
Hemoglobin.
2. What position should the nurse place the client in for a focused assessment
of hemorrhoids?
Sitting position
Supine position
Standing position
Left lateral position
3. During a prenatal check, a patient begins to cry as the nurse asks her about
previous pregnancies. She states that she is remembering her last pregnancy,
which ended in miscarriage. The nurse's best response to her crying would
be:
"I can see that you are sad remembering this. It is all right to cry."
"I can see that you feel sad about this; why don't we talk about
something else?"
"Why don't I step out for a few minutes until you're feeling better?"
,4. What is the expected normal color of an adult client's abdomen upon
inspection?
Red color
Homogeneous color
Heterogeneous color
Blue color
5. The nurse is assessing a female client who states that her hemorrhoids are
inflamed and hurt constantly. Which intervention is best for the nurse
implement to complete a focused assessment?
Place the client in a standing position, leaning over the exam bed for
inspection.
Determine if the client uses any over- the-counter preparations for
hemorrhoids.
Ask the client how long she has experienced discomfort related to
hemorrhoids.
Position client in left lateral position to inspect perianal area for
fissures or sacs.
6. Why is it important for the nurse to ask specifically about substances like
alcohol, marijuana, and cocaine during an assessment?
It ensures that the client feels comfortable and not pressured.
Asking specifically helps to gather accurate information about the
client's substance use history.
It simplifies the assessment process for the nurse.
It allows the nurse to avoid discussing sensitive topics.
,7. The nurse has just completed a lymph assessment on a client. The nurse
expects that most lymph nodes in healthy individuals are normally:
Tender
Soft, nontender, and easily palpable
Not palpable
Large, firm, nontender, and fixed to the underlying tissue
8. Describe the implications of a brisk 4+ deep tendon reflex response in a
patient with hemiparesis.
A brisk 4+ response suggests lower motor neuron involvement.
A brisk 4+ response indicates normal reflex activity in the patient.
A brisk 4+ response indicates hyperactivity of reflexes, suggesting
an upper motor neuron disorder.
A brisk 4+ response indicates flaccid paralysis.
9. In a scenario where a client exhibits limited shoulder mobility, which
assessment technique should the nurse prioritize to evaluate the extent of the
limitation?
Hold arms up at 90 degrees while arms are pushed downward.
Alternate both index fingers to touch the tip of the nose accurately.
Extend arms straight out and hold without drifting.
Extend arms up to 180 degrees besides the ears.
10. A patient with streptococcus pharyngitis presents with a high fever and
severe throat pain. If the nurse suspects a peritonsillar abscess, what should
be the immediate nursing intervention?
, Perform a throat culture to confirm the diagnosis.
Encourage the patient to drink fluids despite the pain.
Administer antibiotics immediately without further assessment.
Notify the healthcare provider for further evaluation and possible
drainage.
11. A male client returns to the clinic for a follow-up visit after being treated for a
bladder infection. While examining the client, which finding indicated an
expected response to the treatment?
Post-voided residual volume of 50 mL.
Orange sized prostate gland.
Decreasing sperm cell count.
Pain score of 1 out of 10 with urination.
12. A nurse is conducting a physical assessment of a young adult. Which
information provides the best indication of the individual nutritional status?
History of a recent weight loss.
Status of current appetite.
A 24-hour diet history.
Condition of hair, nails, and skin.
13. Describe the significance of auscultating for a carotid artery bruit during a
health assessment.
A carotid artery bruit is a normal finding and indicates healthy blood
flow.
A carotid artery bruit signifies the presence of a heart murmur.
Most Tested Questions & Verified Answers | Latest Update |
Graded A+
1. Which laboratory value is crucial for assessing anemia in a patient with loss of
appetite?
Hematocrit.
Serum pre-albumin.
Serum Calcium.
Hemoglobin.
2. What position should the nurse place the client in for a focused assessment
of hemorrhoids?
Sitting position
Supine position
Standing position
Left lateral position
3. During a prenatal check, a patient begins to cry as the nurse asks her about
previous pregnancies. She states that she is remembering her last pregnancy,
which ended in miscarriage. The nurse's best response to her crying would
be:
"I can see that you are sad remembering this. It is all right to cry."
"I can see that you feel sad about this; why don't we talk about
something else?"
"Why don't I step out for a few minutes until you're feeling better?"
,4. What is the expected normal color of an adult client's abdomen upon
inspection?
Red color
Homogeneous color
Heterogeneous color
Blue color
5. The nurse is assessing a female client who states that her hemorrhoids are
inflamed and hurt constantly. Which intervention is best for the nurse
implement to complete a focused assessment?
Place the client in a standing position, leaning over the exam bed for
inspection.
Determine if the client uses any over- the-counter preparations for
hemorrhoids.
Ask the client how long she has experienced discomfort related to
hemorrhoids.
Position client in left lateral position to inspect perianal area for
fissures or sacs.
6. Why is it important for the nurse to ask specifically about substances like
alcohol, marijuana, and cocaine during an assessment?
It ensures that the client feels comfortable and not pressured.
Asking specifically helps to gather accurate information about the
client's substance use history.
It simplifies the assessment process for the nurse.
It allows the nurse to avoid discussing sensitive topics.
,7. The nurse has just completed a lymph assessment on a client. The nurse
expects that most lymph nodes in healthy individuals are normally:
Tender
Soft, nontender, and easily palpable
Not palpable
Large, firm, nontender, and fixed to the underlying tissue
8. Describe the implications of a brisk 4+ deep tendon reflex response in a
patient with hemiparesis.
A brisk 4+ response suggests lower motor neuron involvement.
A brisk 4+ response indicates normal reflex activity in the patient.
A brisk 4+ response indicates hyperactivity of reflexes, suggesting
an upper motor neuron disorder.
A brisk 4+ response indicates flaccid paralysis.
9. In a scenario where a client exhibits limited shoulder mobility, which
assessment technique should the nurse prioritize to evaluate the extent of the
limitation?
Hold arms up at 90 degrees while arms are pushed downward.
Alternate both index fingers to touch the tip of the nose accurately.
Extend arms straight out and hold without drifting.
Extend arms up to 180 degrees besides the ears.
10. A patient with streptococcus pharyngitis presents with a high fever and
severe throat pain. If the nurse suspects a peritonsillar abscess, what should
be the immediate nursing intervention?
, Perform a throat culture to confirm the diagnosis.
Encourage the patient to drink fluids despite the pain.
Administer antibiotics immediately without further assessment.
Notify the healthcare provider for further evaluation and possible
drainage.
11. A male client returns to the clinic for a follow-up visit after being treated for a
bladder infection. While examining the client, which finding indicated an
expected response to the treatment?
Post-voided residual volume of 50 mL.
Orange sized prostate gland.
Decreasing sperm cell count.
Pain score of 1 out of 10 with urination.
12. A nurse is conducting a physical assessment of a young adult. Which
information provides the best indication of the individual nutritional status?
History of a recent weight loss.
Status of current appetite.
A 24-hour diet history.
Condition of hair, nails, and skin.
13. Describe the significance of auscultating for a carotid artery bruit during a
health assessment.
A carotid artery bruit is a normal finding and indicates healthy blood
flow.
A carotid artery bruit signifies the presence of a heart murmur.
