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HESI Health Assessment V2 – 2 Set Exams with NGN & Rationales (2025/2026)

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This exam prep document includes two complete HESI-style Health Assessment exams for BSN 246 students. Designed with Next Generation NCLEX (NGN) formatting, it features over 100 multiple-choice questions and clinical case scenarios with expert-verified answers and rationales. Topics include head-to-toe physical assessment, cranial nerves, abnormal findings, vital signs, skin and wound analysis, cardiovascular and respiratory assessments, and musculoskeletal system evaluations. The resource supports both formative and summative evaluation in preparation for the NCLEX and clinical practice. Keywords: BSN 246, HESI Health Assessment, NGN exams, physical exam, cranial nerves, NCLEX prep, patient assessment, clinical scenarios, nursing exam review, case-based questions, rationales, fundamentals, test bank

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BSN HESI 246 Health Assesssment
Course
BSN HESI 246 Health Assesssment

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BSN 246 HESI
Health Assessment V2 EXAM
(2 Set Exams)
Nightingale College

Actual Qs & Verified Ans to Pass the Exam
This Hesi test contains:
 passing score Guarantee
 (2 Set Exams)
 Format Set of Multiple-choice
 questions with incorporating Next Generation NCLEX

(NGN) and Case scenarios questions

 Expert-Verified Explanations & Solutions

, Table of Contents
BSN 246 HESI Health Assessment V2 Exam 1............................ 2

BSN 246 HESI Health Assessment V2 Exam 2.......................... 61




BSN 246 HESI Health Assessment V2 Exam 1
### Question 1
The nurse examines a client's abdomen. Which finding indicates an abnormal

response when palpating the spleen?
- A) No palpable mass noted.
- B) Tenderness reported upon deep palpation.
- C) Firm mass palpated at bottom of left rib cage.
- D) Softness in the lateral aspect of the abdomen.


ANSWER:C) Firm mass palpated at bottom of left rib cage.



Expert Rationale:The spleen is usually not palpable unless it is enlarged. A

firm mass in this area may indicate splenomegaly, which is abnormal.

,### Question 2
In auscultating for the presence of a carotid artery bruit, the nurse places

the bell of the stethoscope at which location?




- A) Over the left subclavian artery.
- B) Over the aortic arch.
- C) Over the carotid artery.
- D) Over the temporal artery.



ANSWER:C) Over the carotid artery.



Expert Rationale:The bell of the stethoscope is applied directly over the

carotid artery to listen for bruits, which are abnormal sounds indicating

turbulent blood flow, possibly due to stenosis.


### Question 3

, A male client arrives at the clinic for a follow-up health assessment after

recent antibiotic treatment for pneumonia without

hospitalization. Which technique should the nurse implement to assess

for adventitious lung sounds?
- A) Place the stethoscope's diaphragm lightly on the skin.
- B) Press the stethoscope's diaphragm firmly on the skin over each lung

field.

- C) Ask the client to breathe normally while using the bell of

the stethoscope.
- D) Use the diaphragm lightly over each lung field and listen for changes.


ANSWER:B) Press the stethoscope's diaphragm firmly on the skin over
each lung field.



Expert Rationale:Applying the diaphragm firmly enhances the

transmission of breath sounds and allows the nurse to detect any

adventitious sounds such as wheezes or crackles effectively.


### Question 4
A 29-year-old male client informs the nurse that he came to the clinic to

see if, "Maybe I have lung cancer or something," and wants to get

checked out since, "I can't seem to get rid of this body-wracking dry

cough that has been hanging around for the last six weeks." Which

computer documentation of this client's concerns should the nurse enter?

- A) "Patient reports a persistent cough accompanied by wheezing."

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Institution
BSN HESI 246 Health Assesssment
Course
BSN HESI 246 Health Assesssment

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Uploaded on
July 4, 2025
Number of pages
187
Written in
2024/2025
Type
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Questions & answers

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