BSN 246 HESI Health Assessment V2 EXAM, || Questions and Answers ||
Complete Test, Practice Questions, Verified Answer Key, and Study Guide fo
(Latest 2026 Edition)
1. In observing a client's face, which assessment find- A. Oral mucosa is cyanotic.
ing requires the most immediate intervention by the
nurse?
A. Oral mucosa is cyanotic.
B. Nasolabial folds present bilaterally
C. Smooth and even skin tone
D. Absence of facial drooping
2. While obtaining a health history, a male client tells B. Ask the client to describe
the nurse that he sometimes experiences shortness of the episodes of dyspnea in
breath. The nurse determines that the client's respira- more detail.
tors are regular and deep, and his respiratory rate is
14 breaths/minutes. What is the best nursing action?
A. Administer oxygen immediately.
B. Ask the client to describe the episodes of dyspnea in
more detail.
C. Notify the healthcare provider about the client's
condition.
D. Place the client in a prone position to ease breath-
ing.
3. When assessing a male client's respiratory status, D. Observation.
which technique should the nurse use to assess his
anterior-posterior (AP) chest diameter?
A. Intervention.
B. Assessment.
C. Documentation.
D. Observation.
4.
, BSN 246 HESI Health Assessment V2 EXAM, || Questions and Answers ||
Complete Test, Practice Questions, Verified Answer Key, and Study Guide fo
(Latest 2026 Edition)
Which assessment finding supports the client's state- B. 2+ pitting edema of an-
ment, "My feet swell all the time?" kles bilaterally.
A. No edema present.
B. 2+ pitting edema of ankles bilaterally.
C. Non-pitting edema of the lower extremities.
D. Redness and warmth in the ankles.
5. The nurse is performing a cranial nerve exam on an D. Continue the assess-
87-year- ment to the next pairs of
old client. The nurse notes that the client has a reduced cranial nerves.
upward gaze, a decreased corneal reflex, a high-fre-
quency hearing loss, and a reduced gag reflex. What
action should the nurse take next?
A. Repeat the cranial nerve test to confirm the find-
ings.
B. Document the findings and notify the healthcare
provider.
C. Ask the client if they are experiencing any unusual
symptoms.
D. Continue the assessment to the next pairs of cranial
nerves.
6. When performing a neurologic assessment on an alert A. PERRL
client, the nurse observes that the client's pupils are
both round, 3 mm in size, and respond briskly to light.
Which notation should the nurse use when document-
ing the assessment
A. PERRL
B. Dilated pupils
, BSN 246 HESI Health Assessment V2 EXAM, || Questions and Answers ||
Complete Test, Practice Questions, Verified Answer Key, and Study Guide fo
(Latest 2026 Edition)
C. Unequal pupil size
D. Sluggish pupillary reaction?
7. Which assessment technique provides the nurse with .
the best data related to the client's level of peripheral
perfusion?
8. The nurse is assessing a female client who states that A. Position the client in the
her hemorrhoids are inflamed and hurt constantly. left lateral position to in-
Which intervention is best for the nurse to complete spect the perianal area for
a focused assessment? fissures or sacs.
A. Position the client in the left lateral position to in-
spect the perianal area for fissures or sacs.
B. Palpate the perianal area with both hands to assess
skin elasticity.
C. Ask the client to stand and bend forward to assess
the sacrum.
D. Apply deep palpation to the lower abdomen to de-
tect tenderness.
9. The nurse is performing an initial assessment of a A. "Have you been sleep-
client who has an expressionless facial affect, slurred ing well?"
speech, and red conjunctivae. What question should
the nurse ask first?
A. "Have you been sleeping well?"
B. "What did you eat for breakfast today?"
C. "Do you experience any changes in your vision?"
D. "How often do you exercise during the week?"
10. After checking a client's pupillary response to light, A. Assess the client's visual
the practical nurse (PN) tells the nurse that the client's fields.
Complete Test, Practice Questions, Verified Answer Key, and Study Guide fo
(Latest 2026 Edition)
1. In observing a client's face, which assessment find- A. Oral mucosa is cyanotic.
ing requires the most immediate intervention by the
nurse?
A. Oral mucosa is cyanotic.
B. Nasolabial folds present bilaterally
C. Smooth and even skin tone
D. Absence of facial drooping
2. While obtaining a health history, a male client tells B. Ask the client to describe
the nurse that he sometimes experiences shortness of the episodes of dyspnea in
breath. The nurse determines that the client's respira- more detail.
tors are regular and deep, and his respiratory rate is
14 breaths/minutes. What is the best nursing action?
A. Administer oxygen immediately.
B. Ask the client to describe the episodes of dyspnea in
more detail.
C. Notify the healthcare provider about the client's
condition.
D. Place the client in a prone position to ease breath-
ing.
3. When assessing a male client's respiratory status, D. Observation.
which technique should the nurse use to assess his
anterior-posterior (AP) chest diameter?
A. Intervention.
B. Assessment.
C. Documentation.
D. Observation.
4.
, BSN 246 HESI Health Assessment V2 EXAM, || Questions and Answers ||
Complete Test, Practice Questions, Verified Answer Key, and Study Guide fo
(Latest 2026 Edition)
Which assessment finding supports the client's state- B. 2+ pitting edema of an-
ment, "My feet swell all the time?" kles bilaterally.
A. No edema present.
B. 2+ pitting edema of ankles bilaterally.
C. Non-pitting edema of the lower extremities.
D. Redness and warmth in the ankles.
5. The nurse is performing a cranial nerve exam on an D. Continue the assess-
87-year- ment to the next pairs of
old client. The nurse notes that the client has a reduced cranial nerves.
upward gaze, a decreased corneal reflex, a high-fre-
quency hearing loss, and a reduced gag reflex. What
action should the nurse take next?
A. Repeat the cranial nerve test to confirm the find-
ings.
B. Document the findings and notify the healthcare
provider.
C. Ask the client if they are experiencing any unusual
symptoms.
D. Continue the assessment to the next pairs of cranial
nerves.
6. When performing a neurologic assessment on an alert A. PERRL
client, the nurse observes that the client's pupils are
both round, 3 mm in size, and respond briskly to light.
Which notation should the nurse use when document-
ing the assessment
A. PERRL
B. Dilated pupils
, BSN 246 HESI Health Assessment V2 EXAM, || Questions and Answers ||
Complete Test, Practice Questions, Verified Answer Key, and Study Guide fo
(Latest 2026 Edition)
C. Unequal pupil size
D. Sluggish pupillary reaction?
7. Which assessment technique provides the nurse with .
the best data related to the client's level of peripheral
perfusion?
8. The nurse is assessing a female client who states that A. Position the client in the
her hemorrhoids are inflamed and hurt constantly. left lateral position to in-
Which intervention is best for the nurse to complete spect the perianal area for
a focused assessment? fissures or sacs.
A. Position the client in the left lateral position to in-
spect the perianal area for fissures or sacs.
B. Palpate the perianal area with both hands to assess
skin elasticity.
C. Ask the client to stand and bend forward to assess
the sacrum.
D. Apply deep palpation to the lower abdomen to de-
tect tenderness.
9. The nurse is performing an initial assessment of a A. "Have you been sleep-
client who has an expressionless facial affect, slurred ing well?"
speech, and red conjunctivae. What question should
the nurse ask first?
A. "Have you been sleeping well?"
B. "What did you eat for breakfast today?"
C. "Do you experience any changes in your vision?"
D. "How often do you exercise during the week?"
10. After checking a client's pupillary response to light, A. Assess the client's visual
the practical nurse (PN) tells the nurse that the client's fields.
