BSN 246 HESI Health Assessment Complete
Exam | Questions and Answers | Latest
2025/2026 Update | Verified Solutions | 100%
Correct | GRADED A – Nightingale
1. During an interview, the nurse states, "You mentioned the pain is
in your stomach. Can you point to where exactly you feel it?" This is
an example of what type of communication technique?
A. Summarizing
B. Clarifying
C. Reflecting
D. Confronting
2. A client's lab report shows a potassium level of 5.8 mEq/L. The
nurse should assess for which clinical manifestation associated with
this finding?
A. Muscle weakness and fatigue
B. Tetany and positive Chvostek's sign
C. Tall T-waves on ECG and cardiac arrhythmias
D. Polyuria and polydipsia
3. When performing a respiratory assessment, the nurse identifies
low-pitched, soft sounds over the lung periphery. How should this
finding be documented?
A. Bronchial breath sounds
B. Bronchovesicular breath sounds
C. Vesicular breath sounds
D. Adventitious breath sounds
,4. The nurse is preparing to assess a client's thyroid gland. Which
action is most appropriate for the nurse to take?
A. Palpate the thyroid from behind the client.
B. Ask the client to flex their neck onto their chest.
C. Use the bell of the stethoscope to auscultate for bruits.
D. Inspect the gland while the client is in a supine position.
5. A client has a blood pressure reading of 146/92 mm Hg in the left
arm. What is the nurse's most appropriate next action?
A. Diagnose the client with Stage 1 Hypertension.
B. Administer a PRN antihypertensive medication.
C. Recheck the blood pressure in the right arm.
D. Immediately notify the primary care provider.
6. When using the otoscope to examine an adult's ear, the nurse
should:
A. Pull the pinna down and back.
B. Pull the pinna up and back.
C. Tilt the client's head forward.
D. Insert the speculum directly into the canal.
7. The nurse is assessing a client's cranial nerves. To assess cranial
nerve II (Optic Nerve), the nurse should ask the client to:
A. Identify a familiar scent with eyes closed.
B. Read from a standardized Snellen chart.
C. Follow a penlight through the six cardinal positions of gaze.
D. Shrug their shoulders against resistance.
8. A client presents with a productive cough of thick, green sputum
and fever. Which part of the health history does this data belong to?
A. Past Medical History
B. Review of Systems
, C. Family History
D. Present Health Illness
9. During a cardiac assessment, the nurse palpates a thrill at the
second left intercostal space. This finding is most commonly
associated with:
A. Aortic stenosis
B. Pulmonic stenosis
C. Mitral regurgitation
D. Tricuspid regurgitation
10. The Glasgow Coma Scale (GCS) is used to assess a client's level
of consciousness. The three components assessed are:
A. Pupillary response, motor response, and verbal response.
B. Eye opening, motor response, and verbal response.
C. Orientation, memory, and calculation.
D. Level of consciousness, behavior, and cognition.
11. When percussing the abdomen, the nurse notes a loud, drum-like
sound. This sound is documented as:
A. Resonance
B. Tympany
C. Dullness
D. Flatness
12. A client reports pain and tenderness in the right upper quadrant
that radiates to the right scapula. This is most suggestive of a
problem with which organ?
A. Appendix
B. Gallbladder
C. Pancreas
D. Spleen
Exam | Questions and Answers | Latest
2025/2026 Update | Verified Solutions | 100%
Correct | GRADED A – Nightingale
1. During an interview, the nurse states, "You mentioned the pain is
in your stomach. Can you point to where exactly you feel it?" This is
an example of what type of communication technique?
A. Summarizing
B. Clarifying
C. Reflecting
D. Confronting
2. A client's lab report shows a potassium level of 5.8 mEq/L. The
nurse should assess for which clinical manifestation associated with
this finding?
A. Muscle weakness and fatigue
B. Tetany and positive Chvostek's sign
C. Tall T-waves on ECG and cardiac arrhythmias
D. Polyuria and polydipsia
3. When performing a respiratory assessment, the nurse identifies
low-pitched, soft sounds over the lung periphery. How should this
finding be documented?
A. Bronchial breath sounds
B. Bronchovesicular breath sounds
C. Vesicular breath sounds
D. Adventitious breath sounds
,4. The nurse is preparing to assess a client's thyroid gland. Which
action is most appropriate for the nurse to take?
A. Palpate the thyroid from behind the client.
B. Ask the client to flex their neck onto their chest.
C. Use the bell of the stethoscope to auscultate for bruits.
D. Inspect the gland while the client is in a supine position.
5. A client has a blood pressure reading of 146/92 mm Hg in the left
arm. What is the nurse's most appropriate next action?
A. Diagnose the client with Stage 1 Hypertension.
B. Administer a PRN antihypertensive medication.
C. Recheck the blood pressure in the right arm.
D. Immediately notify the primary care provider.
6. When using the otoscope to examine an adult's ear, the nurse
should:
A. Pull the pinna down and back.
B. Pull the pinna up and back.
C. Tilt the client's head forward.
D. Insert the speculum directly into the canal.
7. The nurse is assessing a client's cranial nerves. To assess cranial
nerve II (Optic Nerve), the nurse should ask the client to:
A. Identify a familiar scent with eyes closed.
B. Read from a standardized Snellen chart.
C. Follow a penlight through the six cardinal positions of gaze.
D. Shrug their shoulders against resistance.
8. A client presents with a productive cough of thick, green sputum
and fever. Which part of the health history does this data belong to?
A. Past Medical History
B. Review of Systems
, C. Family History
D. Present Health Illness
9. During a cardiac assessment, the nurse palpates a thrill at the
second left intercostal space. This finding is most commonly
associated with:
A. Aortic stenosis
B. Pulmonic stenosis
C. Mitral regurgitation
D. Tricuspid regurgitation
10. The Glasgow Coma Scale (GCS) is used to assess a client's level
of consciousness. The three components assessed are:
A. Pupillary response, motor response, and verbal response.
B. Eye opening, motor response, and verbal response.
C. Orientation, memory, and calculation.
D. Level of consciousness, behavior, and cognition.
11. When percussing the abdomen, the nurse notes a loud, drum-like
sound. This sound is documented as:
A. Resonance
B. Tympany
C. Dullness
D. Flatness
12. A client reports pain and tenderness in the right upper quadrant
that radiates to the right scapula. This is most suggestive of a
problem with which organ?
A. Appendix
B. Gallbladder
C. Pancreas
D. Spleen
