BSN 246 HESI Health Assessment Remediation
(2025/2026 Update)
100% Correct Questions and Verified Answers | Grade A Nightingale
Instructions
This remediation exam consists of 80 multiple-choice questions designed to align with Nightin-
gale Colleges BSN 246 HESI Health Assessment objectives. Each question includes a verified
answer and expert rationale to reinforce key concepts in health assessment. Select the best
answer for each question.
Questions
1. What is the first step in a comprehensive health assessment?
a. Obtain vital signs
b. Collect health history
c. Perform physical exam
d. Review lab results
Answer: b. Collect health history Rationale: Collecting a health history is the
initial step, providing critical data about the patients past and present health to guide
the physical exam and interventions.
2. Which technique is used to assess for fluid in the lungs?
a. Palpation
b. Auscultation
c. Inspection
d. Percussion
Answer: b. Auscultation Rationale: Auscultation with a stethoscope detects
adventitious lung sounds, such as crackles, indicating fluid in the lungs.
3. What is a normal adult heart rate range at rest?
a. 4060 beats per minute
b. 60100 beats per minute
c. 100120 beats per minute
d. 120140 beats per minute
Answer: b. 60100 beats per minute Rationale: A normal resting heart rate for
adults is 60100 beats per minute, reflecting healthy cardiovascular function.
1
,4. Which cranial nerve is assessed by testing the gag reflex?
a. Cranial nerve VII
b. Cranial nerve IX
c. Cranial nerve X
d. Cranial nerve XII
Answer: b. Cranial nerve IX Rationale: Cranial nerve IX (glossopharyngeal) is
assessed by testing the gag reflex, which evaluates swallowing and pharyngeal function.
5. What does a positive Romberg test indicate?
a. Peripheral neuropathy
b. Cerebellar dysfunction
c. Visual impairment
d. Muscle weakness
Answer: b. Cerebellar dysfunction Rationale: A positive Romberg test (swaying
or falling with eyes closed) suggests cerebellar dysfunction or impaired proprioception
affecting balance.
6. Which assessment finding indicates dehydration in an older adult?
a. Increased skin turgor
b. Dry mucous membranes
c. Elevated blood pressure
d. Increased urine output
Answer: b. Dry mucous membranes Rationale: Dry mucous membranes are a
classic sign of dehydration, especially in older adults, due to reduced fluid volume.
7. What is the correct order for abdominal assessment?
a. Palpation, inspection, auscultation, percussion
b. Inspection, auscultation, percussion, palpation
c. Auscultation, inspection, palpation, percussion
d. Percussion, palpation, inspection, auscultation
Answer: b. Inspection, auscultation, percussion, palpation Rationale: This
order prevents altering bowel sounds or causing discomfort, starting with visual in-
spection, followed by auscultation, percussion, and palpation.
8. What does a bruit heard over the carotid artery suggest?
a. Hypertension
2
, b. Arterial narrowing
c. Heart murmur
d. Venous insufficiency
Answer: b. Arterial narrowing Rationale: A bruit indicates turbulent blood
flow, often due to arterial narrowing from atherosclerosis, requiring further evaluation.
9. Which finding is normal when inspecting the tympanic membrane?
a. Redness and swelling
b. Pearly white color
c. Fluid behind the membrane
d. Perforation
Answer: b. Pearly white color Rationale: A normal tympanic membrane appears
pearly white or light gray, with a visible light reflex, indicating no infection or fluid.
10. What is the purpose of the Snellen chart in a health assessment?
a. Assess color vision
b. Evaluate visual acuity
c. Test peripheral vision
d. Measure eye pressure
Answer: b. Evaluate visual acuity Rationale: The Snellen chart measures dis-
tance visual acuity, identifying vision impairments like myopia or hyperopia.
11. Which pulse is assessed at the posterior tibial artery?
a. Radial pulse
b. Pedal pulse
c. Femoral pulse
d. Carotid pulse
Answer: b. Pedal pulse Rationale: The posterior tibial artery pulse, located
behind the medial malleolus, is a pedal pulse used to assess lower extremity circulation.
12. What does a positive Murphys sign indicate?
a. Appendicitis
b. Cholecystitis
c. Pancreatitis
d. Hepatitis
3
(2025/2026 Update)
100% Correct Questions and Verified Answers | Grade A Nightingale
Instructions
This remediation exam consists of 80 multiple-choice questions designed to align with Nightin-
gale Colleges BSN 246 HESI Health Assessment objectives. Each question includes a verified
answer and expert rationale to reinforce key concepts in health assessment. Select the best
answer for each question.
Questions
1. What is the first step in a comprehensive health assessment?
a. Obtain vital signs
b. Collect health history
c. Perform physical exam
d. Review lab results
Answer: b. Collect health history Rationale: Collecting a health history is the
initial step, providing critical data about the patients past and present health to guide
the physical exam and interventions.
2. Which technique is used to assess for fluid in the lungs?
a. Palpation
b. Auscultation
c. Inspection
d. Percussion
Answer: b. Auscultation Rationale: Auscultation with a stethoscope detects
adventitious lung sounds, such as crackles, indicating fluid in the lungs.
3. What is a normal adult heart rate range at rest?
a. 4060 beats per minute
b. 60100 beats per minute
c. 100120 beats per minute
d. 120140 beats per minute
Answer: b. 60100 beats per minute Rationale: A normal resting heart rate for
adults is 60100 beats per minute, reflecting healthy cardiovascular function.
1
,4. Which cranial nerve is assessed by testing the gag reflex?
a. Cranial nerve VII
b. Cranial nerve IX
c. Cranial nerve X
d. Cranial nerve XII
Answer: b. Cranial nerve IX Rationale: Cranial nerve IX (glossopharyngeal) is
assessed by testing the gag reflex, which evaluates swallowing and pharyngeal function.
5. What does a positive Romberg test indicate?
a. Peripheral neuropathy
b. Cerebellar dysfunction
c. Visual impairment
d. Muscle weakness
Answer: b. Cerebellar dysfunction Rationale: A positive Romberg test (swaying
or falling with eyes closed) suggests cerebellar dysfunction or impaired proprioception
affecting balance.
6. Which assessment finding indicates dehydration in an older adult?
a. Increased skin turgor
b. Dry mucous membranes
c. Elevated blood pressure
d. Increased urine output
Answer: b. Dry mucous membranes Rationale: Dry mucous membranes are a
classic sign of dehydration, especially in older adults, due to reduced fluid volume.
7. What is the correct order for abdominal assessment?
a. Palpation, inspection, auscultation, percussion
b. Inspection, auscultation, percussion, palpation
c. Auscultation, inspection, palpation, percussion
d. Percussion, palpation, inspection, auscultation
Answer: b. Inspection, auscultation, percussion, palpation Rationale: This
order prevents altering bowel sounds or causing discomfort, starting with visual in-
spection, followed by auscultation, percussion, and palpation.
8. What does a bruit heard over the carotid artery suggest?
a. Hypertension
2
, b. Arterial narrowing
c. Heart murmur
d. Venous insufficiency
Answer: b. Arterial narrowing Rationale: A bruit indicates turbulent blood
flow, often due to arterial narrowing from atherosclerosis, requiring further evaluation.
9. Which finding is normal when inspecting the tympanic membrane?
a. Redness and swelling
b. Pearly white color
c. Fluid behind the membrane
d. Perforation
Answer: b. Pearly white color Rationale: A normal tympanic membrane appears
pearly white or light gray, with a visible light reflex, indicating no infection or fluid.
10. What is the purpose of the Snellen chart in a health assessment?
a. Assess color vision
b. Evaluate visual acuity
c. Test peripheral vision
d. Measure eye pressure
Answer: b. Evaluate visual acuity Rationale: The Snellen chart measures dis-
tance visual acuity, identifying vision impairments like myopia or hyperopia.
11. Which pulse is assessed at the posterior tibial artery?
a. Radial pulse
b. Pedal pulse
c. Femoral pulse
d. Carotid pulse
Answer: b. Pedal pulse Rationale: The posterior tibial artery pulse, located
behind the medial malleolus, is a pedal pulse used to assess lower extremity circulation.
12. What does a positive Murphys sign indicate?
a. Appendicitis
b. Cholecystitis
c. Pancreatitis
d. Hepatitis
3
