BSN 246 HESI Health Assessment V1 Exam 2025/2026 (ACTUAL
EXAM) QUE TIONS AND VERIFIED ANSWERS
1. The nurse is assessing a postmenopausal client who has a BMI of
32. The client has a chest measurement of 42 inches, waist
measurement of 45 inches, and hip measurement of 50 inches. What
important message should the nurse explain to the client to promote
health promotion?: A waist circumference is greater than 35 inches in women puts
you at higher risk for type 2 diabetes and heart disease."
2. The nurse performs a physical assessment on an older female
client. Which change from the prior exam may be an indication of
osteoporosis?: Height reduction of 1.5 inches.
3. While conducting an interview to obtain a health history, the
nurse notices that the client pauses frequently and looks at the
nurse expectantly. Which response is best for the nurse to provide?: Sit
quietly to allow the client to respond comfortably.
4. A client is in the clinical for a yearly physical examination. Which
action should the nurse take when preparing to examine the client's
abdomen?: Ask the client to urinate before beginning the examination.
5. Which respiratory condition should the nurse document after
measuring a respiratory rate of 8 breaths/minute?: Bradypnea.
6. Which procedure should the nurse use to assessfor a pulse deficit?:
Measure the apical pulse and compare it to the peripheral pulse.
, BSN 246 HESI Health Assessment V1 Exam 2025/2026 (ACTUAL
EXAM) QUE TIONS AND VERIFIED ANSWERS
*A pulse deficit is a palpable ditterence between the apical pulse at the point of maximal impulse and the radial
pulse palpated at the wrist.
7. A client has been diagnosed with bilateral lower lobe atelectasis.
What percussion sound should the nurse expect to hear when
percussing over the client's lower lobes?: Dull, thud-like.
8. A client is being assessed upon admission to the medical-surgical
unit. The nurse is preparing to complete a head-to-toe assessment
and will begin at the head of the client. Which technique should the
nurse use to begin the assessment?: Inspect the hair and skin.
9. The nurse is assessing a healthy young adult during an annual
physical examination. Which assessment technique should the nurse
implement when palpating the abdominal aorta?: Deep palpation above and to
the left of the umbilicus.
10. The nurse is conducting a family history as part of the
assessment inter-view. Which action should the nurse take to ensure
that sufficient information about the client's blood relatives is obtained?:
Document at least 3 generations of the client's family medical history.
11. The nurse is testing the client's shoulders for range of motion.
What should the nurse document to record normal internal rotation?:
Range of 90 degrees when the hands are placed at the small of the back.
12. 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
13. 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
14. 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
, BSN 246 HESI Health Assessment V1 Exam 2025/2026 (ACTUAL
EXAM) QUE TIONS AND VERIFIED ANSWERS
nurse take?: Document an intact gag reflex.
15. When teaching a client how to perform a monthly breast
self-assessment, the nurse should tell the client that it is most
important to assess which part of the breast more closely for
changes?: Upper outer quadrant.
16. A client presents with a rash along the occipital area of the
hairline and reports intense itching. How should the nurse begin the
objective part of the examination?: Inspect the scalp looking for nits.
17. The nurse is assessing a client's range of motion as the client
bends the right knee up to the chest while keeping the left leg
straight, but is unable to keep the left thigh on the table. The
assessment is repeated for the left knee, and the client is unable to
keep the right thigh on the table. How should the nurse document this
finding?: A flexion deformity referred to as a positive Thomas test.
18. During a skin asssessment, the nurse notes, round and discrete
lesions that
are dark red in color and will not blanch. The lesions range from 1 to 3
mm in
, BSN 246 HESI Health Assessment V1 Exam 2025/2026 (ACTUAL
EXAM) QUE TIONS AND VERIFIED ANSWERS
size. What is the first question the nurse should ask the client?: Have you
notice any irregular bleeding
19. A client with progressive hearing loss appears distressed
when the regis-tered nurse (RN) asks open-ended questions about
the client's health history. Which forms of communication should the RN
use?: Face the client so the client can see the RN's mouth.
Check if the client's hearing aides are working
properly. Reduce environmental noise surrounding
the client.
20. A client states that she had a mastectomy of her left breast
last year and now experiences lymphedema. What should the nurse
expect to find when examining the client?: Swelling of the left arm and non-
pitting edema.
21. A client has just returned from the recovery room and asks
to get out of bed to go to the bathroom. The nurse decides to
obtain orthostatic vital signs first. How will the nurse position the
client to begin this procedure?: Lying.
22. A postmenopausal female client is undergoing a routine
physical exam-ination. She has reported nothing out of the
ordinary. When performing the examination of the genitourinary
system, the nurse finds an irregularly enlarged uterus with firm,
mobile, painless nodules in the uterine wall. How should the nurse
explain this finding to the client?: You have benign fibroid tumors, a
common occurrence in women your age.
23. A client is reporting chest pain. What statement made by
the client, helps the nurse to understand this client has a
naturalistic belief in the cause of illness?: "My life is really out of balance."
24. The nurse is preparing to assess the hearing of a client with
a history of prolonged exposure to occupational noise. Which
hearing test provides the most reliable assessment of hearing
status?: Audiometry.
EXAM) QUE TIONS AND VERIFIED ANSWERS
1. The nurse is assessing a postmenopausal client who has a BMI of
32. The client has a chest measurement of 42 inches, waist
measurement of 45 inches, and hip measurement of 50 inches. What
important message should the nurse explain to the client to promote
health promotion?: A waist circumference is greater than 35 inches in women puts
you at higher risk for type 2 diabetes and heart disease."
2. The nurse performs a physical assessment on an older female
client. Which change from the prior exam may be an indication of
osteoporosis?: Height reduction of 1.5 inches.
3. While conducting an interview to obtain a health history, the
nurse notices that the client pauses frequently and looks at the
nurse expectantly. Which response is best for the nurse to provide?: Sit
quietly to allow the client to respond comfortably.
4. A client is in the clinical for a yearly physical examination. Which
action should the nurse take when preparing to examine the client's
abdomen?: Ask the client to urinate before beginning the examination.
5. Which respiratory condition should the nurse document after
measuring a respiratory rate of 8 breaths/minute?: Bradypnea.
6. Which procedure should the nurse use to assessfor a pulse deficit?:
Measure the apical pulse and compare it to the peripheral pulse.
, BSN 246 HESI Health Assessment V1 Exam 2025/2026 (ACTUAL
EXAM) QUE TIONS AND VERIFIED ANSWERS
*A pulse deficit is a palpable ditterence between the apical pulse at the point of maximal impulse and the radial
pulse palpated at the wrist.
7. A client has been diagnosed with bilateral lower lobe atelectasis.
What percussion sound should the nurse expect to hear when
percussing over the client's lower lobes?: Dull, thud-like.
8. A client is being assessed upon admission to the medical-surgical
unit. The nurse is preparing to complete a head-to-toe assessment
and will begin at the head of the client. Which technique should the
nurse use to begin the assessment?: Inspect the hair and skin.
9. The nurse is assessing a healthy young adult during an annual
physical examination. Which assessment technique should the nurse
implement when palpating the abdominal aorta?: Deep palpation above and to
the left of the umbilicus.
10. The nurse is conducting a family history as part of the
assessment inter-view. Which action should the nurse take to ensure
that sufficient information about the client's blood relatives is obtained?:
Document at least 3 generations of the client's family medical history.
11. The nurse is testing the client's shoulders for range of motion.
What should the nurse document to record normal internal rotation?:
Range of 90 degrees when the hands are placed at the small of the back.
12. 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
13. 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
14. 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
, BSN 246 HESI Health Assessment V1 Exam 2025/2026 (ACTUAL
EXAM) QUE TIONS AND VERIFIED ANSWERS
nurse take?: Document an intact gag reflex.
15. When teaching a client how to perform a monthly breast
self-assessment, the nurse should tell the client that it is most
important to assess which part of the breast more closely for
changes?: Upper outer quadrant.
16. A client presents with a rash along the occipital area of the
hairline and reports intense itching. How should the nurse begin the
objective part of the examination?: Inspect the scalp looking for nits.
17. The nurse is assessing a client's range of motion as the client
bends the right knee up to the chest while keeping the left leg
straight, but is unable to keep the left thigh on the table. The
assessment is repeated for the left knee, and the client is unable to
keep the right thigh on the table. How should the nurse document this
finding?: A flexion deformity referred to as a positive Thomas test.
18. During a skin asssessment, the nurse notes, round and discrete
lesions that
are dark red in color and will not blanch. The lesions range from 1 to 3
mm in
, BSN 246 HESI Health Assessment V1 Exam 2025/2026 (ACTUAL
EXAM) QUE TIONS AND VERIFIED ANSWERS
size. What is the first question the nurse should ask the client?: Have you
notice any irregular bleeding
19. A client with progressive hearing loss appears distressed
when the regis-tered nurse (RN) asks open-ended questions about
the client's health history. Which forms of communication should the RN
use?: Face the client so the client can see the RN's mouth.
Check if the client's hearing aides are working
properly. Reduce environmental noise surrounding
the client.
20. A client states that she had a mastectomy of her left breast
last year and now experiences lymphedema. What should the nurse
expect to find when examining the client?: Swelling of the left arm and non-
pitting edema.
21. A client has just returned from the recovery room and asks
to get out of bed to go to the bathroom. The nurse decides to
obtain orthostatic vital signs first. How will the nurse position the
client to begin this procedure?: Lying.
22. A postmenopausal female client is undergoing a routine
physical exam-ination. She has reported nothing out of the
ordinary. When performing the examination of the genitourinary
system, the nurse finds an irregularly enlarged uterus with firm,
mobile, painless nodules in the uterine wall. How should the nurse
explain this finding to the client?: You have benign fibroid tumors, a
common occurrence in women your age.
23. A client is reporting chest pain. What statement made by
the client, helps the nurse to understand this client has a
naturalistic belief in the cause of illness?: "My life is really out of balance."
24. The nurse is preparing to assess the hearing of a client with
a history of prolonged exposure to occupational noise. Which
hearing test provides the most reliable assessment of hearing
status?: Audiometry.
