BSN 246 HESI Health Assessment Exam V2
(Latest 2025/2026 Update)
Questions and Verified Answers | 100% Correct | Grade A –
Nightingale
1 Introduction
This document features the complete and updated set of verified questions
and 100% correct answers from the BSN 246 HESI Health Assessment
Exam Version 2, aligned with Nightingale College’s curriculum and fully
updated for the 2025/2026 academic year. Designed to support Bachelor
of Science in Nursing (BSN) students, it facilitates mastery of physical
examination techniques, body system assessment, and critical thinking.
The questions cover Vital Signs & General Survey, Integumentary System,
Respiratory & Cardiovascular, GI, GU, Musculoskeletal, and Neurological
& Cultural Assessment, preparing students for clinical practice and the
HESI exam.
2 Exam Questions and Answers
The following 100 questions mirror the BSN 246 HESI Health Assessment
Exam V2 format. Each question includes four answer options, with the
correct answer highlighted in bold green. A brief clinical rationale rein-
forces learning.
1. During a general survey, what is the nurse’s initial action?
A. Auscultate heart sounds C. Measure blood pressure
B. Observe patient’s overall ap-
pearance D. Palpate abdomen
Rationale: Observing appearance provides immediate insight into the patient’s
health status.
2. Which vital sign is most sensitive to early dehydration?
A. Temperature C. Blood pressure
B. Pulse rate D. Oxygen saturation
Rationale: Tachycardia is an early compensatory response to dehydration.
BSN 246 HESI Health Assessment Exam V2 | Verified Grade A Answers | 2025/2026 –
Nightingale
,3. What is the normal adult blood pressure range?
A. <120/80 mmHg C. 140–159/90–99 mmHg
B. 130–139/80–89 mmHg D. �160/100 mmHg
Rationale: Normal BP is less than 120/80 mmHg per guidelines.
4. A patient has a respiratory rate of 28 breaths/min. This is:
A. Normal C. Bradypnea
B. Tachypnea D. Apnea
Rationale: Tachypnea is a respiratory rate >20 breaths/min.
5. Which pulse site is used for infants during assessment?
A. Radial C. Carotid
B. Brachial D. Pedal
Rationale: The brachial pulse is reliable in infants.
6. A patient appears lethargic during the general survey. This suggests:
A. Hypoxia or metabolic distur- C. Stable condition
bance
B. Normal behavior D. Hydration
Rationale: Lethargy indicates potential serious underlying issues.
7. What is the correct method for measuring oral temperature?
A. Place thermometer under C. Insert rectally
tongue for 3 minutes
B. Place in armpit D. Hold on forehead
Rationale: Oral temperature is measured sublingually for accuracy.
8. A patient’s BP is 90/60 mmHg. This indicates:
A. Normal BP C. Hypotension
B. Hypertension D. Prehypertension
Rationale: Hypotension is BP <90/60 mmHg.
9. What is the normal adult oxygen saturation range?
BSN 246 HESI Health Assessment Exam V2 | Verified Grade A Answers | 2025/2026 –
Nightingale
, A. 80–85% C. 95–100%
B. 85–90% D. 90–95%
Rationale: Normal SpO2 is 95–100% in healthy adults.
10. How should the nurse assess pain in a general survey?
A. Use a 0–10 pain scale C. Palpate joints
B. Measure pulse rate D. Auscultate lungs
Rationale: A pain scale quantifies subjective pain experience.
11. A weak, thready pulse suggests:
A. Hypovolemia or shock C. Hyperthyroidism
B. Normal circulation D. Stable condition
Rationale: A thready pulse indicates reduced cardiac output.
12. What is the correct position for assessing orthostatic BP?
A. Supine, then standing C. Sitting only
B. Standing only D. Prone
Rationale: Orthostatic BP measures changes from supine to standing.
13. A patient’s temperature is 95.0°F. This indicates:
A. Normal temperature C. Hypothermia
B. Fever D. Hyperthermia
Rationale: Hypothermia is defined as temperature <95.0°F.
14. What is assessed during inspection of posture?
A. Spinal alignment and symme- C. Lung sounds
try
B. Heart rate D. Skin turgor
Rationale: Posture assessment evaluates musculoskeletal alignment.
15. A patient has a BMI of 27. This is classified as:
A. Normal C. Obese
B. Overweight D. Underweight
Rationale: BMI 25–29.9 is overweight.
16. What does central cyanosis indicate?
BSN 246 HESI Health Assessment Exam V2 | Verified Grade A Answers | 2025/2026 –
Nightingale
(Latest 2025/2026 Update)
Questions and Verified Answers | 100% Correct | Grade A –
Nightingale
1 Introduction
This document features the complete and updated set of verified questions
and 100% correct answers from the BSN 246 HESI Health Assessment
Exam Version 2, aligned with Nightingale College’s curriculum and fully
updated for the 2025/2026 academic year. Designed to support Bachelor
of Science in Nursing (BSN) students, it facilitates mastery of physical
examination techniques, body system assessment, and critical thinking.
The questions cover Vital Signs & General Survey, Integumentary System,
Respiratory & Cardiovascular, GI, GU, Musculoskeletal, and Neurological
& Cultural Assessment, preparing students for clinical practice and the
HESI exam.
2 Exam Questions and Answers
The following 100 questions mirror the BSN 246 HESI Health Assessment
Exam V2 format. Each question includes four answer options, with the
correct answer highlighted in bold green. A brief clinical rationale rein-
forces learning.
1. During a general survey, what is the nurse’s initial action?
A. Auscultate heart sounds C. Measure blood pressure
B. Observe patient’s overall ap-
pearance D. Palpate abdomen
Rationale: Observing appearance provides immediate insight into the patient’s
health status.
2. Which vital sign is most sensitive to early dehydration?
A. Temperature C. Blood pressure
B. Pulse rate D. Oxygen saturation
Rationale: Tachycardia is an early compensatory response to dehydration.
BSN 246 HESI Health Assessment Exam V2 | Verified Grade A Answers | 2025/2026 –
Nightingale
,3. What is the normal adult blood pressure range?
A. <120/80 mmHg C. 140–159/90–99 mmHg
B. 130–139/80–89 mmHg D. �160/100 mmHg
Rationale: Normal BP is less than 120/80 mmHg per guidelines.
4. A patient has a respiratory rate of 28 breaths/min. This is:
A. Normal C. Bradypnea
B. Tachypnea D. Apnea
Rationale: Tachypnea is a respiratory rate >20 breaths/min.
5. Which pulse site is used for infants during assessment?
A. Radial C. Carotid
B. Brachial D. Pedal
Rationale: The brachial pulse is reliable in infants.
6. A patient appears lethargic during the general survey. This suggests:
A. Hypoxia or metabolic distur- C. Stable condition
bance
B. Normal behavior D. Hydration
Rationale: Lethargy indicates potential serious underlying issues.
7. What is the correct method for measuring oral temperature?
A. Place thermometer under C. Insert rectally
tongue for 3 minutes
B. Place in armpit D. Hold on forehead
Rationale: Oral temperature is measured sublingually for accuracy.
8. A patient’s BP is 90/60 mmHg. This indicates:
A. Normal BP C. Hypotension
B. Hypertension D. Prehypertension
Rationale: Hypotension is BP <90/60 mmHg.
9. What is the normal adult oxygen saturation range?
BSN 246 HESI Health Assessment Exam V2 | Verified Grade A Answers | 2025/2026 –
Nightingale
, A. 80–85% C. 95–100%
B. 85–90% D. 90–95%
Rationale: Normal SpO2 is 95–100% in healthy adults.
10. How should the nurse assess pain in a general survey?
A. Use a 0–10 pain scale C. Palpate joints
B. Measure pulse rate D. Auscultate lungs
Rationale: A pain scale quantifies subjective pain experience.
11. A weak, thready pulse suggests:
A. Hypovolemia or shock C. Hyperthyroidism
B. Normal circulation D. Stable condition
Rationale: A thready pulse indicates reduced cardiac output.
12. What is the correct position for assessing orthostatic BP?
A. Supine, then standing C. Sitting only
B. Standing only D. Prone
Rationale: Orthostatic BP measures changes from supine to standing.
13. A patient’s temperature is 95.0°F. This indicates:
A. Normal temperature C. Hypothermia
B. Fever D. Hyperthermia
Rationale: Hypothermia is defined as temperature <95.0°F.
14. What is assessed during inspection of posture?
A. Spinal alignment and symme- C. Lung sounds
try
B. Heart rate D. Skin turgor
Rationale: Posture assessment evaluates musculoskeletal alignment.
15. A patient has a BMI of 27. This is classified as:
A. Normal C. Obese
B. Overweight D. Underweight
Rationale: BMI 25–29.9 is overweight.
16. What does central cyanosis indicate?
BSN 246 HESI Health Assessment Exam V2 | Verified Grade A Answers | 2025/2026 –
Nightingale
