BSN 246 HESI HEALTH ASSESSMENT V1 EXAM
2026/2027 QUESTIONS AND VERIFIED ANSWERS
NIGHTINGALE COLLEGE
A client comes to the clinic with a report of fever and a recent exposure to
someone who was diagnosed with meningitis. Which nursing assessment should be
completed during the initial examination of this client?
Level of consciousness.
While palpating a client's breasts, the nurse detects a nontender, solitary, round
lobular mass that is solid and firm and slides easily through the breast tissue . The
findings of this breast exam are consistent with which condition?
Fibroadenoma.
The client is experiencing severe pruritus and small papules and burrows on areas
over one hand and the inner thighs. Which assessment data best explains the
condition the client is experiencing?
The client works in a daycare setting that has had a scabies outbreak.
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.
The nurse is performing a thoracic assessment on a client with chronic asthma and
hyperinflation of the lungs. Which finding should be expected for this client?
Barrel chest
The nurse is assessing bowel sounds for a hospitalized client. The nurse has heard
bowel sounds in the right upper quadrant. What action should the nurse take next?
Note the character and frequency of bowel sounds
During inspection of a client's mouth and pharynx, the nurse places a tongue blade
on the back of the tongue which causes the client to gag. After removing the
tongue blade, what action should the nurse take?
Document an intact gag reflex.
2026/2027 QUESTIONS AND VERIFIED ANSWERS
NIGHTINGALE COLLEGE
A client comes to the clinic with a report of fever and a recent exposure to
someone who was diagnosed with meningitis. Which nursing assessment should be
completed during the initial examination of this client?
Level of consciousness.
While palpating a client's breasts, the nurse detects a nontender, solitary, round
lobular mass that is solid and firm and slides easily through the breast tissue . The
findings of this breast exam are consistent with which condition?
Fibroadenoma.
The client is experiencing severe pruritus and small papules and burrows on areas
over one hand and the inner thighs. Which assessment data best explains the
condition the client is experiencing?
The client works in a daycare setting that has had a scabies outbreak.
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.
The nurse is performing a thoracic assessment on a client with chronic asthma and
hyperinflation of the lungs. Which finding should be expected for this client?
Barrel chest
The nurse is assessing bowel sounds for a hospitalized client. The nurse has heard
bowel sounds in the right upper quadrant. What action should the nurse take next?
Note the character and frequency of bowel sounds
During inspection of a client's mouth and pharynx, the nurse places a tongue blade
on the back of the tongue which causes the client to gag. After removing the
tongue blade, what action should the nurse take?
Document an intact gag reflex.
