BSN 246 HESI Health Assessment Exam V2
(Latest 2025/ 2026 Update) Questions and
Verified Answers |100% Correct| Grade A-
Nightingale
1. The nurse is performing a thoracic assessment on a client with chronic
asthma and hyperinflation of the lungs. Which finding should be expected
for this client? - ✔️Barrel chest
2. The nurse is assessing bowel sounds for a hospitalized client. The nurse
has heard bowel sounds in the right upper quadrant. What action should
the nurse take next? - ✔️Note the character and frequency of bowel
sounds
3. During inspection of a client's mouth and pharynx, the nurse places a
tongue blade on the back of the tongue which causes the client to gag.
After removing the tongue blade, what action should the nurse take? -
✔️Document an intact gag reflex.
4. When teaching a client how to perform a monthly breast self-assessment,
the nurse should tell the client that it is most important to assess which
part of the breast more closely for changes? - ✔️Upper outer quadrant.
5. The nurse is assessing a postmenopausal client who has a BMI of 32. The
client has a chest measurement of 42 inches, waist measurement of 45
inches, and hip measurement of 50 inches. What important message
should the nurse explain to the client to promote health promotion? - ✔️A
waist circumference is greater than 35 inches in women puts you at higher
risk for type 2 diabetes and heart disease."
6. The nurse performs a physical assessment on an older female client.
Which change from the prior exam may be an indication of osteoporosis?
- ✔️Height reduction of 1.5 inches.
7. While conducting an interview to obtain a health history, the nurse notices
that the client pauses frequently and looks at the nurse expectantly. Which
response is best for the nurse to provide? - ✔️Sit quietly to allow the
client to respond comfortably.
8. A client is in the clinical for a yearly physical examination. Which action
should the nurse take when preparing to examine the client's abdomen? -
✔️Ask the client to urinate before beginning the examination.
9. Which respiratory condition should the nurse document after measuring a
respiratory rate of 8 breaths/minute? - ✔️Bradypnea.
10. Which procedure should the nurse use to assessfor a pulse deficit? -
✔️Measure the apical pulse and compare it to the peripheral pulse.
,11. *A pulse deficit is a palpable difference between the apical pulse at the
point of maximal impulse and the radial pulse palpated at the wrist.
12. A client has been diagnosed with bilateral lower lobe atelectasis. What
percussion sound should the nurse expect to hear when percussing over
the client's lower lobes? - ✔️Dull, thud-like.
13. A client is being assessed upon admission to the medical-surgical unit.
The nurse is preparing to complete a head-to-toe assessment and will
begin at the head of the client. Which technique should the nurse use to
begin the assessment? - ✔️Inspect the hair and skin.
14. The nurse is assessing a healthy young adult during an annual physical
examination. Which assessment technique should the nurse implement
when palpating the abdominal aorta? - ✔️Deep palpation above and to
the left of the umbilicus.
15. The nurse is conducting a family history as part of the assessment
interview. Which action should the nurse take to ensure that sufficient
information about the client's blood relatives is obtained? - ✔️Document
at least 3 generations of the client's family medical history.
16. The nurse is testing the client's shoulders for range of motion. What
should the nurse document to record normal internal rotation? - ✔️Range
of 90 degrees when the hands are placed at the small of the back.
17. A client presents with a rash along the occipital area of the hairline and
reports intense itching. How should the nurse begin the objective part of
the examination? - ✔️Inspect the scalp looking for nits.
18. The nurse is assessing a client's range of motion as the client bends the
right knee up to the chest while keeping the left leg straight, but is unable
to keep the left thigh on the table. The assessment is repeated for the left
knee, and the client is unable to keep the right thigh on the table. How
should the nurse document this finding? - ✔️A flexion deformity referred
to as a positive Thomas test.
19. During a skin asssessment, the nurse notes, round and discrete lesions that
are dark red in color and will not blanch. The lesions range from 1 to 3
mm in size. What is the first question the nurse should ask the client? -
✔️Have you notice any irregular bleeding
20. A client with progressive hearing loss appears distressed when the
registered nurse (RN) asks open-ended questions about the client's health
history. Which forms of communication should the RN use? - ✔️Face the
client so the client can see the RN's mouth.
21. Check if the client's hearing aides are working properly.
22. Reduce environmental noise surrounding the client.
, 23. A client states that she had a mastectomy of her left breast last year and
now experiences lymphedema. What should the nurse expect to find when
examining the client? - ✔️Swelling of the left arm and non-pitting
edema.
24. A client has just returned from the recovery room and asks to get out of
bed to go to the bathroom. The nurse decides to obtain orthostatic vital
signs first. How will the nurse position the client to begin this procedure?
- ✔️Lying.
25. A postmenopausal female client is undergoing a routine physical
examination. She has reported nothing out of the ordinary. When
performing the examination of the genitourinary system, the nurse finds
an irregularly enlarged uterus with firm, mobile, painless nodules in the
uterine wall. How should the nurse explain this finding to the client? -
✔️You have benign fibroid tumors, a common occurrence in women your
age.
26. A client is reporting chest pain. What statement made by the client, helps
the nurse to understand this client has a naturalistic belief in the cause of
illness? - ✔️"My life is really out of balance."
27. The nurse is preparing to assess the hearing of a client with a history of
prolonged exposure to occupational noise. Which hearing test provides
the most reliable assessment of hearing status? - ✔️Audiometry.
28. The nurse is performing a routine physical examination on an adult client.
When gathering a health history, which question is included in the CAGE
questionnaire? - ✔️Have you ever felt guilty about your drinking?
29. *CAGE is the acronym for Cut down, Annoyed, Guilty, and Eye-opener.
Nurse can use it to assess for possible alcohol abuse.
30. The nurse is examining the hip joint of a client who reports hip pain.
Which other assessment is most helpful in determining the cause of the
client's pain? - ✔️Knee joint evaluation.
31. The nurse performs a series of cranial nerve tests on a client with a head
injury. Which test should the nurse use to assess damage to the first
cranial nerve? - ✔️Occlude one nostril and have the client identify
various odors.
32. The client reports to the nurse a recent exposure to the mumps. Which
assessment finding suggests the client has contracted the mumps? -
✔️Swelling anterior to the ear lobe on one side of the face
33. A nurse is working in a healthcare facility that serves a diverse
population. What action(s) by the nurse will allow the nurse to empathize
(Latest 2025/ 2026 Update) Questions and
Verified Answers |100% Correct| Grade A-
Nightingale
1. The nurse is performing a thoracic assessment on a client with chronic
asthma and hyperinflation of the lungs. Which finding should be expected
for this client? - ✔️Barrel chest
2. The nurse is assessing bowel sounds for a hospitalized client. The nurse
has heard bowel sounds in the right upper quadrant. What action should
the nurse take next? - ✔️Note the character and frequency of bowel
sounds
3. During inspection of a client's mouth and pharynx, the nurse places a
tongue blade on the back of the tongue which causes the client to gag.
After removing the tongue blade, what action should the nurse take? -
✔️Document an intact gag reflex.
4. When teaching a client how to perform a monthly breast self-assessment,
the nurse should tell the client that it is most important to assess which
part of the breast more closely for changes? - ✔️Upper outer quadrant.
5. The nurse is assessing a postmenopausal client who has a BMI of 32. The
client has a chest measurement of 42 inches, waist measurement of 45
inches, and hip measurement of 50 inches. What important message
should the nurse explain to the client to promote health promotion? - ✔️A
waist circumference is greater than 35 inches in women puts you at higher
risk for type 2 diabetes and heart disease."
6. The nurse performs a physical assessment on an older female client.
Which change from the prior exam may be an indication of osteoporosis?
- ✔️Height reduction of 1.5 inches.
7. While conducting an interview to obtain a health history, the nurse notices
that the client pauses frequently and looks at the nurse expectantly. Which
response is best for the nurse to provide? - ✔️Sit quietly to allow the
client to respond comfortably.
8. A client is in the clinical for a yearly physical examination. Which action
should the nurse take when preparing to examine the client's abdomen? -
✔️Ask the client to urinate before beginning the examination.
9. Which respiratory condition should the nurse document after measuring a
respiratory rate of 8 breaths/minute? - ✔️Bradypnea.
10. Which procedure should the nurse use to assessfor a pulse deficit? -
✔️Measure the apical pulse and compare it to the peripheral pulse.
,11. *A pulse deficit is a palpable difference between the apical pulse at the
point of maximal impulse and the radial pulse palpated at the wrist.
12. A client has been diagnosed with bilateral lower lobe atelectasis. What
percussion sound should the nurse expect to hear when percussing over
the client's lower lobes? - ✔️Dull, thud-like.
13. A client is being assessed upon admission to the medical-surgical unit.
The nurse is preparing to complete a head-to-toe assessment and will
begin at the head of the client. Which technique should the nurse use to
begin the assessment? - ✔️Inspect the hair and skin.
14. The nurse is assessing a healthy young adult during an annual physical
examination. Which assessment technique should the nurse implement
when palpating the abdominal aorta? - ✔️Deep palpation above and to
the left of the umbilicus.
15. The nurse is conducting a family history as part of the assessment
interview. Which action should the nurse take to ensure that sufficient
information about the client's blood relatives is obtained? - ✔️Document
at least 3 generations of the client's family medical history.
16. The nurse is testing the client's shoulders for range of motion. What
should the nurse document to record normal internal rotation? - ✔️Range
of 90 degrees when the hands are placed at the small of the back.
17. A client presents with a rash along the occipital area of the hairline and
reports intense itching. How should the nurse begin the objective part of
the examination? - ✔️Inspect the scalp looking for nits.
18. The nurse is assessing a client's range of motion as the client bends the
right knee up to the chest while keeping the left leg straight, but is unable
to keep the left thigh on the table. The assessment is repeated for the left
knee, and the client is unable to keep the right thigh on the table. How
should the nurse document this finding? - ✔️A flexion deformity referred
to as a positive Thomas test.
19. During a skin asssessment, the nurse notes, round and discrete lesions that
are dark red in color and will not blanch. The lesions range from 1 to 3
mm in size. What is the first question the nurse should ask the client? -
✔️Have you notice any irregular bleeding
20. A client with progressive hearing loss appears distressed when the
registered nurse (RN) asks open-ended questions about the client's health
history. Which forms of communication should the RN use? - ✔️Face the
client so the client can see the RN's mouth.
21. Check if the client's hearing aides are working properly.
22. Reduce environmental noise surrounding the client.
, 23. A client states that she had a mastectomy of her left breast last year and
now experiences lymphedema. What should the nurse expect to find when
examining the client? - ✔️Swelling of the left arm and non-pitting
edema.
24. A client has just returned from the recovery room and asks to get out of
bed to go to the bathroom. The nurse decides to obtain orthostatic vital
signs first. How will the nurse position the client to begin this procedure?
- ✔️Lying.
25. A postmenopausal female client is undergoing a routine physical
examination. She has reported nothing out of the ordinary. When
performing the examination of the genitourinary system, the nurse finds
an irregularly enlarged uterus with firm, mobile, painless nodules in the
uterine wall. How should the nurse explain this finding to the client? -
✔️You have benign fibroid tumors, a common occurrence in women your
age.
26. A client is reporting chest pain. What statement made by the client, helps
the nurse to understand this client has a naturalistic belief in the cause of
illness? - ✔️"My life is really out of balance."
27. The nurse is preparing to assess the hearing of a client with a history of
prolonged exposure to occupational noise. Which hearing test provides
the most reliable assessment of hearing status? - ✔️Audiometry.
28. The nurse is performing a routine physical examination on an adult client.
When gathering a health history, which question is included in the CAGE
questionnaire? - ✔️Have you ever felt guilty about your drinking?
29. *CAGE is the acronym for Cut down, Annoyed, Guilty, and Eye-opener.
Nurse can use it to assess for possible alcohol abuse.
30. The nurse is examining the hip joint of a client who reports hip pain.
Which other assessment is most helpful in determining the cause of the
client's pain? - ✔️Knee joint evaluation.
31. The nurse performs a series of cranial nerve tests on a client with a head
injury. Which test should the nurse use to assess damage to the first
cranial nerve? - ✔️Occlude one nostril and have the client identify
various odors.
32. The client reports to the nurse a recent exposure to the mumps. Which
assessment finding suggests the client has contracted the mumps? -
✔️Swelling anterior to the ear lobe on one side of the face
33. A nurse is working in a healthcare facility that serves a diverse
population. What action(s) by the nurse will allow the nurse to empathize
