Bsn 246 Hesi Health Assessment V1 Exam 2025/2026 (Actual Exam) Questions And Correct Verified Answers (Nightingale College)

BSN 246 HESI HEALTH ASSESSMENT V1
EXAM 2025/2026 (ACTUAL EXAM)
QUESTIONS AND CORRECT VERIFIED
ANSWERS (NIGHTINGALE COLLEGE)
TheA2nurseA2isA2performingA2aA2thoracicA2assessmentA2onA2aA2clientA2withA2chronicA2asth
maA2andA2hyperinflationA2ofA2theA2lungs.A2WhichA2findingA2shouldA2beA2expectedA2forA2thi
sA2client?A2-A2Ans--BarrelA2chest

TheA2nurseA2isA2assessingA2bowelA2soundsA2forA2aA2hospitalizedA2client.A2TheA2nurseA2ha
sA2heardA2bowelA2soundsA2inA2theA2rightA2upperA2quadrant.A2WhatA2actionA2shouldA2theA2n
urseA2takeA2next?A2-A2Ans--NoteA2theA2characterA2andA2frequencyA2ofA2bowelA2sounds

DuringA2inspectionA2ofA2aA2client'sA2mouthA2andA2pharynx,A2theA2nurseA2placesA2aA2tongu
eA2bladeA2onA2theA2backA2ofA2theA2tongueA2whichA2causesA2theA2clientA2toA2gag.A2AfterA2re
movingA2theA2tongueA2blade,A2whatA2actionA2shouldA2theA2nurseA2take?A2-A2Ans--
DocumentA2anA2intactA2gagA2reflex.

WhenA2teachingA2aA2clientA2howA2toA2performA2aA2monthlyA2breastA2self-
assessment,A2theA2nurseA2shouldA2tellA2theA2clientA2thatA2itA2isA2mostA2importantA2toA2asse
ssA2whichA2partA2ofA2theA2breastA2moreA2closelyA2forA2changes?A2-A2Ans--
UpperA2outerA2quadrant.

TheA2nurseA2isA2assessingA2aA2postmenopausalA2clientA2whoA2hasA2aA2BMIA2ofA232.A2The
A2clientA2hasA2aA2chestA2measurementA2ofA242A2inches,A2waistA2measurementA2ofA245A2in
ches,A2andA2hipA2measurementA2ofA250A2inches.A2WhatA2importantA2messageA2shouldA2th
eA2nurseA2explainA2toA2theA2clientA2toA2promoteA2healthA2promotion?A2-A2Ans--
AA2waistA2circumferenceA2isA2greaterA2thanA235A2inchesA2inA2womenA2putsA2youA2atA2high
erA2riskA2forA2typeA22A2diabetesA2andA2heartA2disease."

TheA2nurseA2performsA2aA2physicalA2assessmentA2onA2anA2olderA2femaleA2client.A2WhichA
2changeA2fromA2theA2priorA2examA2mayA2beA2anA2indicationA2ofA2osteoporosis?A2-A2Ans--
HeightA2reductionA2ofA21.5A2inches.

WhileA2conductingA2anA2interviewA2toA2obtainA2aA2healthA2history,A2theA2nurseA2noticesA2th
atA2theA2clientA2pausesA2frequentlyA2andA2looksA2atA2theA2nurseA2expectantly.A2WhichA2res
ponseA2isA2bestA2forA2theA2nurseA2toA2provide?A2-A2Ans--
SitA2quietlyA2toA2allowA2theA2clientA2toA2respondA2comfortably.

AA2clientA2isA2inA2theA2clinicalA2forA2aA2yearlyA2physicalA2examination.A2WhichA2actionA2sho
uldA2theA2nurseA2takeA2whenA2preparingA2toA2examineA2theA2client'sA2abdomen?A2-A2Ans--
AskA2theA2clientA2toA2urinateA2beforeA2beginningA2theA2examination.

,WhichA2respiratoryA2conditionA2shouldA2theA2nurseA2documentA2afterA2measuringA2aA2res
piratoryA2rateA2ofA28A2breaths/minute?A2-A2Ans--Bradypnea.

WhichA2procedureA2shouldA2theA2nurseA2useA2toA2assessforA2aA2pulseA2deficit?A2-A2Ans--
MeasureA2theA2apicalA2pulseA2andA2compareA2itA2toA2theA2peripheralA2pulse.

*AA2pulseA2deficitA2isA2aA2palpableA2differenceA2betweenA2theA2apicalA2pulseA2atA2theA2poi
ntA2ofA2maximalA2impulseA2andA2theA2radialA2pulseA2palpatedA2atA2theA2wrist.

AA2clientA2hasA2beenA2diagnosedA2withA2bilateralA2lowerA2lobeA2atelectasis.A2WhatA2percu
ssionA2soundA2shouldA2theA2nurseA2expectA2toA2hearA2whenA2percussingA2overA2theA2clien
t'sA2lowerA2lobes?A2-A2Ans--Dull,A2thud-like.

AA2clientA2isA2beingA2assessedA2uponA2admissionA2toA2theA2medical-
surgicalA2unit.A2TheA2nurseA2isA2preparingA2toA2completeA2aA2head-to-
toeA2assessmentA2andA2willA2beginA2atA2theA2headA2ofA2theA2client.A2WhichA2techniqueA2sh
ouldA2theA2nurseA2useA2toA2beginA2theA2assessment?A2-A2Ans--
InspectA2theA2hairA2andA2skin.

TheA2nurseA2isA2assessingA2aA2healthyA2youngA2adultA2duringA2anA2annualA2physicalA2exa
mination.A2WhichA2assessmentA2techniqueA2shouldA2theA2nurseA2implementA2whenA2palp
atingA2theA2abdominalA2aorta?A2-A2Ans--
DeepA2palpationA2aboveA2andA2toA2theA2leftA2ofA2theA2umbilicus.

TheA2nurseA2isA2conductingA2aA2familyA2historyA2asA2partA2ofA2theA2assessmentA2interview
.A2WhichA2actionA2shouldA2theA2nurseA2takeA2toA2ensureA2thatA2sufficientA2informationA2ab
outA2theA2client'sA2bloodA2relativesA2isA2obtained?A2-A2Ans--
DocumentA2atA2leastA23A2generationsA2ofA2theA2client'sA2familyA2medicalA2history.

TheA2nurseA2isA2testingA2theA2client'sA2shouldersA2forA2rangeA2ofA2motion.A2WhatA2shouldA
2theA2nurseA2documentA2toA2recordA2normalA2internalA2rotation?A2-A2Ans--
RangeA2ofA290A2degreesA2whenA2theA2handsA2areA2placedA2atA2theA2smallA2ofA2theA2back.

AA2clientA2presentsA2withA2aA2rashA2alongA2theA2occipitalA2areaA2ofA2theA2hairlineA2andA2re
portsA2intenseA2itching.A2HowA2shouldA2theA2nurseA2beginA2theA2objectiveA2partA2ofA2theA2
examination?A2-A2Ans--InspectA2theA2scalpA2lookingA2forA2nits.

TheA2nurseA2isA2assessingA2aA2client'sA2rangeA2ofA2motionA2asA2theA2clientA2bendsA2theA2ri
ghtA2kneeA2upA2toA2theA2chestA2whileA2keepingA2theA2leftA2legA2straight,A2butA2isA2unableA2t
oA2keepA2theA2leftA2thighA2onA2theA2table.A2TheA2assessmentA2isA2repeatedA2forA2theA2leftA2
knee,A2andA2theA2clientA2isA2unableA2toA2keepA2theA2rightA2thighA2onA2theA2table.A2HowA2sh
ouldA2theA2nurseA2documentA2thisA2finding?A2-A2Ans--
AA2flexionA2deformityA2referredA2toA2asA2aA2positiveA2ThomasA2test.

DuringA2aA2skinA2asssessment,A2theA2nurseA2notes,A2roundA2andA2discreteA2lesionsA2thatA
2areA2darkA2redA2inA2colorA2andA2willA2notA2blanch.A2TheA2lesionsA2rangeA2fromA21A2toA23A2

, mmA2inA2size.A2WhatA2isA2theA2firstA2questionA2theA2nurseA2shouldA2askA2theA2client?A2-
A2Ans--HaveA2youA2noticeA2anyA2irregularA2bleeding


AA2clientA2withA2progressiveA2hearingA2lossA2appearsA2distressedA2whenA2theA2registeredA
2nurseA2(RN)A2asksA2open-
endedA2questionsA2aboutA2theA2client'sA2healthA2history.A2WhichA2formsA2ofA2communicati
onA2shouldA2theA2RNA2use?A2-A2Ans--
FaceA2theA2clientA2soA2theA2clientA2canA2seeA2theA2RN'sA2mouth.
CheckA2ifA2theA2client'sA2hearingA2aidesA2areA2workingA2properly.
ReduceA2environmentalA2noiseA2surroundingA2theA2client.

AA2clientA2statesA2thatA2sheA2hadA2aA2mastectomyA2ofA2herA2leftA2breastA2lastA2yearA2andA2
nowA2experiencesA2lymphedema.A2WhatA2shouldA2theA2nurseA2expectA2toA2findA2whenA2e
xaminingA2theA2client?A2-A2Ans--SwellingA2ofA2theA2leftA2armA2andA2non-pittingA2edema.

AA2clientA2hasA2justA2returnedA2fromA2theA2recoveryA2roomA2andA2asksA2toA2getA2outA2ofA2b
edA2toA2goA2toA2theA2bathroom.A2TheA2nurseA2decidesA2toA2obtainA2orthostaticA2vitalA2sign
sA2first.A2HowA2willA2theA2nurseA2positionA2theA2clientA2toA2beginA2thisA2procedure?A2-
A2Ans--Lying.


AA2postmenopausalA2femaleA2clientA2isA2undergoingA2aA2routineA2physicalA2examination.A
2SheA2hasA2reportedA2nothingA2outA2ofA2theA2ordinary.A2WhenA2performingA2theA2examinat
ionA2ofA2theA2genitourinaryA2system,A2theA2nurseA2findsA2anA2irregularlyA2enlargedA2uterus
A2withA2firm,A2mobile,A2painlessA2nodulesA2inA2theA2uterineA2wall.A2HowA2shouldA2theA2nurs
eA2explainA2thisA2findingA2toA2theA2client?A2-A2Ans--
YouA2haveA2benignA2fibroidA2tumors,A2aA2commonA2occurrenceA2inA2womenA2yourA2age.

AA2clientA2isA2reportingA2chestA2pain.A2WhatA2statementA2madeA2byA2theA2client,A2helpsA2t
heA2nurseA2toA2understandA2thisA2clientA2hasA2aA2naturalisticA2beliefA2inA2theA2causeA2ofA2il
lness?A2-A2Ans--"MyA2lifeA2isA2reallyA2outA2ofA2balance."

TheA2nurseA2isA2preparingA2toA2assessA2theA2hearingA2ofA2aA2clientA2withA2aA2historyA2ofA2p
rolongedA2exposureA2toA2occupationalA2noise.A2WhichA2hearingA2testA2providesA2theA2mo
stA2reliableA2assessmentA2ofA2hearingA2status?A2-A2Ans--Audiometry.

TheA2nurseA2isA2performingA2aA2routineA2physicalA2examinationA2onA2anA2adultA2client.A2W
henA2gatheringA2aA2healthA2history,A2whichA2questionA2isA2includedA2inA2theA2CAGEA2ques
tionnaire?A2-A2Ans--HaveA2youA2everA2feltA2guiltyA2aboutA2yourA2drinking?


*CAGEA2isA2theA2acronymA2forA2CutA2down,A2Annoyed,A2Guilty,A2andA2Eye-
opener.A2NurseA2canA2useA2itA2toA2assessA2forA2possibleA2alcoholA2abuse.

TheA2nurseA2isA2examiningA2theA2hipA2jointA2ofA2aA2clientA2whoA2reportsA2hipA2pain.A2Which
A2otherA2assessmentA2isA2mostA2helpfulA2inA2determiningA2theA2causeA2ofA2theA2client'sA2p
ain?A2-A2Ans--KneeA2jointA2evaluation.