NIGHTINGALE COLLEGE
Exam Coverage
Exam coverage for the BSN 246 HESI Health Assessment V1 -
Nightingale College includes comprehensive nursing health-
assessment knowledge and clinical judgment skills used to collect,
interpret, and document patient data across the lifespan.
Nightingale College identifies the RN Specialty: Health Assessment
HESI as the standardized exam associated with BSN 246.
Additional topics include health-history collection, therapeutic
communication, physical examination techniques, vital signs, pain
assessment, general survey, skin and integumentary assessment,
,head and neck, eyes, ears, nose and throat, respiratory and
cardiovascular assessment, peripheral vascular assessment,
abdominal and gastrointestinal assessment, musculoskeletal and
neurological assessment, reproductive and genitourinary
assessment, mental health assessment, developmental
considerations, cultural considerations, nutrition, health promotion,
and documentation. Candidates are expected to demonstrate
proficiency in distinguishing normal from abnormal findings,
interpreting assessment data, identifying priority concerns, selecting
appropriate follow-up assessments, communicating findings
effectively, and applying clinical reasoning to individualized patient
care. The exam may also incorporate scenario-based and higher-
level clinical reasoning questions consistent with HESI-style
assessment.
,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.
, 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.