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BSN 246 HESI Health Assessment V2 Exam
| Nightingale College
Questions 1–200 | 2 Full Set Exams with
Verified Answers & Rationales | 100% Pass
Guaranteed | Graded A+
1. A nurse is performing a health history on a client who reports a
history of asthma. Which of the following questions should the nurse
ask to assess the severity of the client's condition?
A. "Do you have any pets at home?"
B. "How often do you use your rescue inhaler?"
C. "Have you ever been hospitalized for pneumonia?"
D. "Do you smoke cigarettes?"
Correct Answer: B
Explanation: The frequency of rescue inhaler use is a direct indicator of
asthma control and severity. Using a rescue inhaler more than twice
weekly suggests poor control. Asking about pets (A) assesses triggers but
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not severity. Hospitalization for pneumonia (C) is not specific to asthma
severity. Smoking (D) is a contributing factor but does not directly
measure severity.
2. A nurse is assessing a client's skin turgor. Which of the following
techniques should the nurse use?
A. Pinch a fold of skin on the client's forearm and observe how quickly it
returns to normal
B. Press the client's nail bed and observe the time it takes for color to
return
C. Press the client's skin over the sternum and observe for blanching
D. Measure the client's skin temperature using the dorsal surface of the
hand
Correct Answer: A
Explanation: Skin turgor is assessed by pinching a fold of skin, typically on
the forearm, sternum, or abdomen, and observing how quickly it returns to
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its normal position. Poor turgor (tenting) indicates dehydration. Capillary
refill (B) assesses peripheral perfusion. Blanching (C) assesses for edema.
Skin temperature (D) assesses circulation and inflammation.
3. A nurse is preparing to auscultate a client's lungs. Which of the
following instructions should the nurse give to the client?
A. "Breathe deeply through your mouth."
B. "Breathe rapidly through your nose."
C. "Hold your breath while I listen."
D. "Cough forcefully before I begin."
Correct Answer: A
Explanation: The client should breathe deeply through the mouth to allow
the nurse to hear breath sounds clearly. Breathing rapidly (B) can cause
hyperventilation and is not necessary. Holding the breath (C) does not
allow assessment of breath sounds. Coughing (D) may be done after
auscultation if secretions are present.
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4. A nurse is assessing a client's cranial nerve function. Which of the
following tests assesses cranial nerve VII (facial nerve)?
A. Ask the client to shrug their shoulders against resistance
B. Ask the client to smile, frown, and puff out their cheeks
C. Ask the client to stick out their tongue and move it side to side
D. Ask the client to identify a familiar scent with each nostril
Correct Answer: B
Explanation: Cranial nerve VII (facial nerve) controls facial expressions.
Asking the client to smile, frown, and puff out their cheeks assesses this
nerve. Shrugging shoulders (A) assesses cranial nerve XI (spinal
accessory). Tongue movement (C) assesses cranial nerve XII (hypoglossal).
Identifying scents (D) assesses cranial nerve I (olfactory).
BSN 246 HESI Health Assessment V2 Exam
| Nightingale College
Questions 1–200 | 2 Full Set Exams with
Verified Answers & Rationales | 100% Pass
Guaranteed | Graded A+
1. A nurse is performing a health history on a client who reports a
history of asthma. Which of the following questions should the nurse
ask to assess the severity of the client's condition?
A. "Do you have any pets at home?"
B. "How often do you use your rescue inhaler?"
C. "Have you ever been hospitalized for pneumonia?"
D. "Do you smoke cigarettes?"
Correct Answer: B
Explanation: The frequency of rescue inhaler use is a direct indicator of
asthma control and severity. Using a rescue inhaler more than twice
weekly suggests poor control. Asking about pets (A) assesses triggers but
, 2
not severity. Hospitalization for pneumonia (C) is not specific to asthma
severity. Smoking (D) is a contributing factor but does not directly
measure severity.
2. A nurse is assessing a client's skin turgor. Which of the following
techniques should the nurse use?
A. Pinch a fold of skin on the client's forearm and observe how quickly it
returns to normal
B. Press the client's nail bed and observe the time it takes for color to
return
C. Press the client's skin over the sternum and observe for blanching
D. Measure the client's skin temperature using the dorsal surface of the
hand
Correct Answer: A
Explanation: Skin turgor is assessed by pinching a fold of skin, typically on
the forearm, sternum, or abdomen, and observing how quickly it returns to
, 3
its normal position. Poor turgor (tenting) indicates dehydration. Capillary
refill (B) assesses peripheral perfusion. Blanching (C) assesses for edema.
Skin temperature (D) assesses circulation and inflammation.
3. A nurse is preparing to auscultate a client's lungs. Which of the
following instructions should the nurse give to the client?
A. "Breathe deeply through your mouth."
B. "Breathe rapidly through your nose."
C. "Hold your breath while I listen."
D. "Cough forcefully before I begin."
Correct Answer: A
Explanation: The client should breathe deeply through the mouth to allow
the nurse to hear breath sounds clearly. Breathing rapidly (B) can cause
hyperventilation and is not necessary. Holding the breath (C) does not
allow assessment of breath sounds. Coughing (D) may be done after
auscultation if secretions are present.
, 4
4. A nurse is assessing a client's cranial nerve function. Which of the
following tests assesses cranial nerve VII (facial nerve)?
A. Ask the client to shrug their shoulders against resistance
B. Ask the client to smile, frown, and puff out their cheeks
C. Ask the client to stick out their tongue and move it side to side
D. Ask the client to identify a familiar scent with each nostril
Correct Answer: B
Explanation: Cranial nerve VII (facial nerve) controls facial expressions.
Asking the client to smile, frown, and puff out their cheeks assesses this
nerve. Shrugging shoulders (A) assesses cranial nerve XI (spinal
accessory). Tongue movement (C) assesses cranial nerve XII (hypoglossal).
Identifying scents (D) assesses cranial nerve I (olfactory).
