BSN 246 HESI Health Assessment Exam V2
(Latest 2025/ 2026 Update) Questions and
Verified Answers |100% Correct| Grade A-
Nightingale
A client reports to the healthcare provider's office for a routine post-surgical
evaluation six weeks after a hysterectomy. Which history-taking approach should
the nurse use to gather the needed information?
A. Conduct a comprehensive review of systems.
B. Perform a head-to-toe physical assessment.
C. Prepare to collect a vaginal specimen for Papanicolaou smear.
D. Collect information about the client's activities since surgery. - ANSWER
Correct ANSWER is D.
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. Presents with a hacking non-productive cough of 6 weeks duration.
B. Describe having a "body-wracking dry cough" of 6 weeks duration.
C. Expresses concern of "lung cancer" symptoms for last 6 weeks.
D. Young adult male presents with fears that he has "lung cancer" -
ANSWER Correct ANSWER is B, as assessment process
includes chief complaint which is how the patient describe why he is here in the
hospital or clinic and can't include diagnosis.
,A 75-year-old client with a recent history of a cerebrovascular accident (CVA)
presents with right hemiparesis. The nurse tests the deep tendon reflexes on the
right side and elicits a brisk 4+ response. Which interpretation of this finding is
accurate?
A. A normal reflex response.
B. Absent or sluggish response consistent with a lower motor neuron lesion.
C. Flaccid paralysis.
D. Hyperactive response consistent with an upper motor neuron disorder. -
ANSWER Correct ANSWER is D, brisk 4+ response is
correlated with hyperactive response.
The nurse examines a client's abdomen. Which finding indicates an abnormal
response when palpating the spleen?
A. Pain notes when palpating McBurney's point.
B. Tip of spleen palpable when client is asked to forcefully exhale.
C. Rebound tenderness with compression over right upper quadrant. D. Firm mass
palpated at bottom of left rib cage. - ANSWER Correct
ANSWER is D. McBurney's point is related to appendicitis and not spleen.
In auscultating for the presence of a carotid artery bruit, the nurse places the bell of
the stethoscope at which location? - ANSWER *under
mandible towards lymph nodes. transverse to trachea
A male client arrives at the clinic for 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. Use the bell of the stethoscope to listen to the lung fields over lower lobes. B.
Have the client lay flat while listening to the anterior surface of the chest.
C. Press the stethoscope's diaphragm firmly on the skin over each lung field.
, D. Shave all chest hair that may distort sounds heard through the diaphragm. -
ANSWER Correct ANSWER is C. The nurse should listen to
all lungs fields during assessment and move from side to side during auscultation.
A client with streptococcus pharyngitis reports high fever, difficulty swallowing
and a muffled voice. Which complication should the nurse suspect?
A. Foreign body obstruction.
B. Laryngeal polyps.
C. Peritonsillar abscess.
D. Nasal polyps - ANSWER Correct ANSWER is C.
Since infections are associated with abscesses and pus.
A women comes to the clinic for her first prenatal visit. The nurse is conducting a
health history and the woman begins to cry when asked about previous
pregnancies. Which response is best for the nurse to provide?
A. "Why don't I come back in a few minutes after you are more composed." B.
Offer a tissue and sit quietly until the crying subsides.
C. Allow the client to compose herself then change the subject.
D. "I'm so sorry that I made you cry. I didn't mean to upset you." - ANSWER
Correct ANSWER C. Try always to listen to the patient when she is in a bad mood
or wants to express her feeling.
While performing a physical assessment, the nurse is unable to palpate the client's
pedal pulses. Which action should the nurse take?
A. Apply warm blankets to both feet.
B. Palpate pulse points with legs dependent.
C. Notify the healthcare provider.
D. Use a doppler ultrasonic stethoscope. - ANSWER
Correct ANSWER is D. Doppler ultrasonic stethoscope is used when the nurse
couldn't palpate a pedal pulse of a client.
(Latest 2025/ 2026 Update) Questions and
Verified Answers |100% Correct| Grade A-
Nightingale
A client reports to the healthcare provider's office for a routine post-surgical
evaluation six weeks after a hysterectomy. Which history-taking approach should
the nurse use to gather the needed information?
A. Conduct a comprehensive review of systems.
B. Perform a head-to-toe physical assessment.
C. Prepare to collect a vaginal specimen for Papanicolaou smear.
D. Collect information about the client's activities since surgery. - ANSWER
Correct ANSWER is D.
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. Presents with a hacking non-productive cough of 6 weeks duration.
B. Describe having a "body-wracking dry cough" of 6 weeks duration.
C. Expresses concern of "lung cancer" symptoms for last 6 weeks.
D. Young adult male presents with fears that he has "lung cancer" -
ANSWER Correct ANSWER is B, as assessment process
includes chief complaint which is how the patient describe why he is here in the
hospital or clinic and can't include diagnosis.
,A 75-year-old client with a recent history of a cerebrovascular accident (CVA)
presents with right hemiparesis. The nurse tests the deep tendon reflexes on the
right side and elicits a brisk 4+ response. Which interpretation of this finding is
accurate?
A. A normal reflex response.
B. Absent or sluggish response consistent with a lower motor neuron lesion.
C. Flaccid paralysis.
D. Hyperactive response consistent with an upper motor neuron disorder. -
ANSWER Correct ANSWER is D, brisk 4+ response is
correlated with hyperactive response.
The nurse examines a client's abdomen. Which finding indicates an abnormal
response when palpating the spleen?
A. Pain notes when palpating McBurney's point.
B. Tip of spleen palpable when client is asked to forcefully exhale.
C. Rebound tenderness with compression over right upper quadrant. D. Firm mass
palpated at bottom of left rib cage. - ANSWER Correct
ANSWER is D. McBurney's point is related to appendicitis and not spleen.
In auscultating for the presence of a carotid artery bruit, the nurse places the bell of
the stethoscope at which location? - ANSWER *under
mandible towards lymph nodes. transverse to trachea
A male client arrives at the clinic for 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. Use the bell of the stethoscope to listen to the lung fields over lower lobes. B.
Have the client lay flat while listening to the anterior surface of the chest.
C. Press the stethoscope's diaphragm firmly on the skin over each lung field.
, D. Shave all chest hair that may distort sounds heard through the diaphragm. -
ANSWER Correct ANSWER is C. The nurse should listen to
all lungs fields during assessment and move from side to side during auscultation.
A client with streptococcus pharyngitis reports high fever, difficulty swallowing
and a muffled voice. Which complication should the nurse suspect?
A. Foreign body obstruction.
B. Laryngeal polyps.
C. Peritonsillar abscess.
D. Nasal polyps - ANSWER Correct ANSWER is C.
Since infections are associated with abscesses and pus.
A women comes to the clinic for her first prenatal visit. The nurse is conducting a
health history and the woman begins to cry when asked about previous
pregnancies. Which response is best for the nurse to provide?
A. "Why don't I come back in a few minutes after you are more composed." B.
Offer a tissue and sit quietly until the crying subsides.
C. Allow the client to compose herself then change the subject.
D. "I'm so sorry that I made you cry. I didn't mean to upset you." - ANSWER
Correct ANSWER C. Try always to listen to the patient when she is in a bad mood
or wants to express her feeling.
While performing a physical assessment, the nurse is unable to palpate the client's
pedal pulses. Which action should the nurse take?
A. Apply warm blankets to both feet.
B. Palpate pulse points with legs dependent.
C. Notify the healthcare provider.
D. Use a doppler ultrasonic stethoscope. - ANSWER
Correct ANSWER is D. Doppler ultrasonic stethoscope is used when the nurse
couldn't palpate a pedal pulse of a client.
