BSN 246 HESI HEALTH ASSESSMENT
EXAM V1 2026/2027 | Latest Update
Questions and Verified Answers | 100%
Correct Grade A | Nightingale | Pass
Guaranteed
BSN 246 HESI HEALTH ASSESSMENT EXAM V1
Question 1: To assess a client's pupillary reaction to accommodation, what action
should the nurse take?
A) Use an ophthalmoscope for detailed examination
B) Shine a penlight in each eye
C) Observe pupil size when focusing on a near object and then a far object
D) Measure the pupil diameter in centimeters
Correct Answer: C
Rationale: Assessing pupillary reaction to accommodation involves observing pupil size
changes when a patient focuses on a near object and then a distant object. This tests
cranial nerves II and III .
Question 2: The nurse is performing a thoracic assessment on a client with chronic
asthma and hyperinflation of the lungs. Which finding should be expected?
A) Pectus excavatum
B) Barrel chest
C) Kyphosis
D) Scoliosis
,Correct Answer: B
Rationale: Chronic asthma with lung hyperinflation leads to increased anteroposterior
chest diameter, resulting in a barrel chest appearance .
Question 3: During an abdominal assessment, a client with a temperature of 103°F
(39.4°C) experiences pain and abruptly stops inhaling during deep palpation.
Which prescription is most important for the nurse to implement?
A) Administer NSAIDs as prescribed
B) Maintain the client on a regular diet
C) NPO (nothing by mouth)
D) Perform a rectal examination immediately
Correct Answer: C
Rationale: This presentation suggests peritoneal inflammation (rebound tenderness).
NPO status is critical to prepare for possible surgical intervention .
Question 4: While performing a physical assessment, the nurse is unable to palpate
the client's pedal pulses. Which action should the nurse take?
A) Reposition the patient's legs and attempt palpation again
B) Use a Doppler ultrasonic stethoscope
C) Document that pulses are not palpable
D) Refer the client for a vascular consult
Correct Answer: B
Rationale: A Doppler allows non-invasive confirmation of blood flow when pulses are
non-palpable, essential for evaluating potential vascular compromise .
Question 5: The nurse asks a female client about the proverb "Glass Houses," and
she replies, "It will break the windows." Which conclusion should be documented?
,A) Impaired thinking
B) Insightful observation
C) A misunderstanding of idiomatic expressions
D) Normal cognitive functioning
Correct Answer: A
Rationale: Literal interpretation of a proverb indicates impaired cognitive processing,
suggesting possible cognitive impairment .
Question 6: In assessing a client's neck, the nurse hears a blowing swish when
auscultating the carotid artery. How should the nurse document this finding?
A) Normal carotid artery sounds bilateral
B) Bilateral carotid bruits present
C) Left carotid artery bruit present, no bruit heard in the right carotid artery
D) Abnormal vascular sounds noted in both carotid arteries
Correct Answer: C
Rationale: A blowing swish sound (bruit) indicates turbulent blood flow associated with
carotid artery stenosis. Accurate documentation specifying which side is crucial .
Question 7: The nurse is examining an older female and suspects hip dysfunction.
Which action should the nurse perform to further assess?
A) Flex and extend the knee while in a sitting position
B) Observe the client's gait while walking
C) Abduct each hip while the client is supine
D) Assess range of motion in the standing position
Correct Answer: C
Rationale: Abducting the hip while supine provides insight into hip mobility and
function while minimizing discomfort .
, Question 8: The nurse assesses a client who is unable to move the arm away from
the body. Which term best describes this limitation?
A) Adduction
B) Abduction
C) Flexion
D) Extension
Correct Answer: B
Rationale: Abduction refers to movement of a limb away from the midline. Inability to
perform this action indicates potential dysfunction in muscles or joints .
Question 9: During a physical examination, the nurse notes that the client can only
straighten the elbow joint to 20 degrees. How should the nurse document this
finding?
A) Complete extension
B) Partial extension
C) Flexion limitation
D) Hyperextension
Correct Answer: B
Rationale: Inability to fully straighten the elbow indicates a limitation in extension.
Documenting "partial extension" reflects the specific degree of movement observed .
Question 10: The nurse observes that the client is able to bend the wrist backward
toward the forearm. What term describes this movement?
A) Flexion
B) Extension
C) Hyperextension
D) Abduction
Correct Answer: B
Rationale: Bending the wrist backward toward the forearm is defined as wrist
extension .
EXAM V1 2026/2027 | Latest Update
Questions and Verified Answers | 100%
Correct Grade A | Nightingale | Pass
Guaranteed
BSN 246 HESI HEALTH ASSESSMENT EXAM V1
Question 1: To assess a client's pupillary reaction to accommodation, what action
should the nurse take?
A) Use an ophthalmoscope for detailed examination
B) Shine a penlight in each eye
C) Observe pupil size when focusing on a near object and then a far object
D) Measure the pupil diameter in centimeters
Correct Answer: C
Rationale: Assessing pupillary reaction to accommodation involves observing pupil size
changes when a patient focuses on a near object and then a distant object. This tests
cranial nerves II and III .
Question 2: The nurse is performing a thoracic assessment on a client with chronic
asthma and hyperinflation of the lungs. Which finding should be expected?
A) Pectus excavatum
B) Barrel chest
C) Kyphosis
D) Scoliosis
,Correct Answer: B
Rationale: Chronic asthma with lung hyperinflation leads to increased anteroposterior
chest diameter, resulting in a barrel chest appearance .
Question 3: During an abdominal assessment, a client with a temperature of 103°F
(39.4°C) experiences pain and abruptly stops inhaling during deep palpation.
Which prescription is most important for the nurse to implement?
A) Administer NSAIDs as prescribed
B) Maintain the client on a regular diet
C) NPO (nothing by mouth)
D) Perform a rectal examination immediately
Correct Answer: C
Rationale: This presentation suggests peritoneal inflammation (rebound tenderness).
NPO status is critical to prepare for possible surgical intervention .
Question 4: While performing a physical assessment, the nurse is unable to palpate
the client's pedal pulses. Which action should the nurse take?
A) Reposition the patient's legs and attempt palpation again
B) Use a Doppler ultrasonic stethoscope
C) Document that pulses are not palpable
D) Refer the client for a vascular consult
Correct Answer: B
Rationale: A Doppler allows non-invasive confirmation of blood flow when pulses are
non-palpable, essential for evaluating potential vascular compromise .
Question 5: The nurse asks a female client about the proverb "Glass Houses," and
she replies, "It will break the windows." Which conclusion should be documented?
,A) Impaired thinking
B) Insightful observation
C) A misunderstanding of idiomatic expressions
D) Normal cognitive functioning
Correct Answer: A
Rationale: Literal interpretation of a proverb indicates impaired cognitive processing,
suggesting possible cognitive impairment .
Question 6: In assessing a client's neck, the nurse hears a blowing swish when
auscultating the carotid artery. How should the nurse document this finding?
A) Normal carotid artery sounds bilateral
B) Bilateral carotid bruits present
C) Left carotid artery bruit present, no bruit heard in the right carotid artery
D) Abnormal vascular sounds noted in both carotid arteries
Correct Answer: C
Rationale: A blowing swish sound (bruit) indicates turbulent blood flow associated with
carotid artery stenosis. Accurate documentation specifying which side is crucial .
Question 7: The nurse is examining an older female and suspects hip dysfunction.
Which action should the nurse perform to further assess?
A) Flex and extend the knee while in a sitting position
B) Observe the client's gait while walking
C) Abduct each hip while the client is supine
D) Assess range of motion in the standing position
Correct Answer: C
Rationale: Abducting the hip while supine provides insight into hip mobility and
function while minimizing discomfort .
, Question 8: The nurse assesses a client who is unable to move the arm away from
the body. Which term best describes this limitation?
A) Adduction
B) Abduction
C) Flexion
D) Extension
Correct Answer: B
Rationale: Abduction refers to movement of a limb away from the midline. Inability to
perform this action indicates potential dysfunction in muscles or joints .
Question 9: During a physical examination, the nurse notes that the client can only
straighten the elbow joint to 20 degrees. How should the nurse document this
finding?
A) Complete extension
B) Partial extension
C) Flexion limitation
D) Hyperextension
Correct Answer: B
Rationale: Inability to fully straighten the elbow indicates a limitation in extension.
Documenting "partial extension" reflects the specific degree of movement observed .
Question 10: The nurse observes that the client is able to bend the wrist backward
toward the forearm. What term describes this movement?
A) Flexion
B) Extension
C) Hyperextension
D) Abduction
Correct Answer: B
Rationale: Bending the wrist backward toward the forearm is defined as wrist
extension .
