BSN 246 HESI Health Assessment Exam V1 (Latest 2026/ 2027
Update) Questions & Answers| Grade A| 100% Correct
(Verified Solutions)- Nightingale
BSN 246 V1
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?
*CAGE is the acronym for Cut down, Annoyed, Guilty, and Eye-opener. Nurse can
use it to assess for possible alcohol abuse.
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.
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.
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
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 with and understand
this population? (Select all that apply.)
Be open to people who are different.
Have a curiosity about people.
Become culturally competent.
,Which findings can the nurse determine by palpating a client's skin? (Select all
that apply.)
Diaphoresis.
Scaling.
Which question should the nurse ask in order to test a client's remote memory?
What is your date of birth?
While assessing level of consciousness, the nurse finds that a client localizes to
pain, is confused during conversation, and opens the eyes to sound. How should
the nurse document the Glasgow score of this client?
12.
The Glasgow Coma Scale is used to establish baseline data based on eye opening,
motor response, and verbal response. The lowest possible score is 3 and
thehighest is 15. This client's Glasgow Coma Scale (GCS) score is 12: Opening eyes
to sound is a score of 3, localizing to pain is a 5, and confusion during a
conversation is a 4 (3 + 5 + 4 = 12).
A client is in the clinic and is reporting lower abdominal pain and constipation.
Which information is of greatest concern to the nurse when obtaining the
health history from this client?
Family history of colon cancer on mother's side.
An adult client is in the clinic for a regular physical examination. The nurse is
assessing the client's hydration status by pinching then releasing the client's
skin. Which finding is indicative of good hydration status?
The skin immediately returns to normal position.
A client comes to the clinic with a report of fever and a recent exposure to
someone who was diagnosed with meningitis. Which nursing assessment should
be completed during the initial examination of this client?
Level of consciousness.
, While palpating a client's breasts, the nurse detects a nontender, solitary, round
lobular mass that is solid and firm and slides easily through the breast tissue .
The findings of this breast exam are consistent with which condition?
Fibroadenoma.
The client is experiencing severe pruritus and small papules and burrows on
areas over one hand and the inner thighs. Which assessment data best explains
the condition the client is experiencing?
The client works in a daycare setting that has had a scabies outbreak.
When assessing facial nerve function of a 96-year-old, the nurse asks the client
to smile in an exaggerated manner. Which finding is most important for the
nurse to further asses?
Only one side of the mouth moves when smiling.
When performing range of motion exercises on the joints of an older adult
client, the nurse notes that joint range is greater with passive ranging than with
active ranging. A goniometer indicates that this difference is as much as 15% in
some joints. How should this finding be documented?
Abnormal.
Which action should the registered nurse (RN) implement to complete an
assessment for a client while using an interpreter?
Maintain eye contact with the client while listening to the translation.
A client is in the clinic for a routine health examination. The nurse notices the
client appears underweight. Which question is most important for the nurse to
ask when completing the health history of this client?
Have you experienced sudden weight loss?
A male executive is seen in the primary care clinic for a physical examination.
While obtaining the client's health history, the nurse inquires about his drug and
alcohol use. The executive denies drug use, but reports that he has "two glasses
of wine" per night. Which response is best for the nurse to provide?
"What effect do you think your use of alcohol may have on you?"
Update) Questions & Answers| Grade A| 100% Correct
(Verified Solutions)- Nightingale
BSN 246 V1
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?
*CAGE is the acronym for Cut down, Annoyed, Guilty, and Eye-opener. Nurse can
use it to assess for possible alcohol abuse.
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.
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.
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
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 with and understand
this population? (Select all that apply.)
Be open to people who are different.
Have a curiosity about people.
Become culturally competent.
,Which findings can the nurse determine by palpating a client's skin? (Select all
that apply.)
Diaphoresis.
Scaling.
Which question should the nurse ask in order to test a client's remote memory?
What is your date of birth?
While assessing level of consciousness, the nurse finds that a client localizes to
pain, is confused during conversation, and opens the eyes to sound. How should
the nurse document the Glasgow score of this client?
12.
The Glasgow Coma Scale is used to establish baseline data based on eye opening,
motor response, and verbal response. The lowest possible score is 3 and
thehighest is 15. This client's Glasgow Coma Scale (GCS) score is 12: Opening eyes
to sound is a score of 3, localizing to pain is a 5, and confusion during a
conversation is a 4 (3 + 5 + 4 = 12).
A client is in the clinic and is reporting lower abdominal pain and constipation.
Which information is of greatest concern to the nurse when obtaining the
health history from this client?
Family history of colon cancer on mother's side.
An adult client is in the clinic for a regular physical examination. The nurse is
assessing the client's hydration status by pinching then releasing the client's
skin. Which finding is indicative of good hydration status?
The skin immediately returns to normal position.
A client comes to the clinic with a report of fever and a recent exposure to
someone who was diagnosed with meningitis. Which nursing assessment should
be completed during the initial examination of this client?
Level of consciousness.
, While palpating a client's breasts, the nurse detects a nontender, solitary, round
lobular mass that is solid and firm and slides easily through the breast tissue .
The findings of this breast exam are consistent with which condition?
Fibroadenoma.
The client is experiencing severe pruritus and small papules and burrows on
areas over one hand and the inner thighs. Which assessment data best explains
the condition the client is experiencing?
The client works in a daycare setting that has had a scabies outbreak.
When assessing facial nerve function of a 96-year-old, the nurse asks the client
to smile in an exaggerated manner. Which finding is most important for the
nurse to further asses?
Only one side of the mouth moves when smiling.
When performing range of motion exercises on the joints of an older adult
client, the nurse notes that joint range is greater with passive ranging than with
active ranging. A goniometer indicates that this difference is as much as 15% in
some joints. How should this finding be documented?
Abnormal.
Which action should the registered nurse (RN) implement to complete an
assessment for a client while using an interpreter?
Maintain eye contact with the client while listening to the translation.
A client is in the clinic for a routine health examination. The nurse notices the
client appears underweight. Which question is most important for the nurse to
ask when completing the health history of this client?
Have you experienced sudden weight loss?
A male executive is seen in the primary care clinic for a physical examination.
While obtaining the client's health history, the nurse inquires about his drug and
alcohol use. The executive denies drug use, but reports that he has "two glasses
of wine" per night. Which response is best for the nurse to provide?
"What effect do you think your use of alcohol may have on you?"
