BSN 246 HESI Health Assessment Exam V2 (Latest 2026/2027 Update) Questions and Verified Answers |100% Correct| Grade A- Nightingale 2026/2027 2026/2027 | Page 1 | Passing Score: 85%
NIGHTINGALE COLLEGE
BSN 246 HESI Health Assessment Exam V2 (Latest 2026/2027 Update)
Questions and Verified Answers |100% Correct| Grade A- Nightingale 2026/2027
HEALTH ASSESSMENT · Official Exam 2026/2027
100 85% CERTIFIED
QUESTIONS PASSING SCORE RECERTIFICATION
TABLE OF CONTENTS
Section 1 Health History & Interviewing Techniques Q1-20
Section 2 Physical Examination Techniques & General Survey Q21-40
Section 3 Head, Eyes, Ears, Nose & Throat Assessment Q41-60
Section 4 Cardiovascular, Respiratory & Thorax Assessment Q61-80
Section 5 Abdominal, Musculoskeletal & Neurological Assessment Q81-100
Instructions: Select the single best answer for each question. This exam is designed for BSN 246
HESI Health Assessment Exam V2 preparation. Passing score: 85% (85 questions correct).
N 246 HESI Health Assessment Exam V2 (Latest 2026/2027 Update) Questions and Verified Answers |100% Correct| Grade A- Nightingale 2026/2027 - 2026/2027 | Passing Score: 85% | Page 1 o
, SECTION 1 | Health History & Interviewing Techniques | Q1-Q20 | BSN 246 HESI Health Assessment V2 |100% Correct| Nightingale 2026/2027
Q1 Question 1 of 100
A 45-year-old male presents to the clinic for the first time. The nurse begins the health history by
asking the patient about his current health concerns. The patient responds with a lengthy description
of multiple symptoms he has been experiencing over the past year. Which interviewing technique
should the nurse use to focus the patient's response while maintaining a therapeutic relationship?
A. Use open-ended questions initially to explore concerns, then transition to focused
questions to clarify specific symptoms
B. Interrupt the patient immediately and redirect to the chief complaint
C. Document only the patient's first stated concern and ignore the remaining symptoms
D. Ask closed-ended questions exclusively to maintain control of the interview
Correct Answer: A
Rationale:
The recommended interviewing approach begins with open-ended questions to allow the patient to express concerns
fully, followed by focused or closed-ended questions to clarify specific details. Interrupting the patient damages
rapport, documenting only the first concern misses important information, and exclusive closed-ended questioning
limits the breadth of data collected.
Q2 Question 2 of 100
A 68-year-old female patient is admitted to the medical-surgical unit with worsening heart failure.
During the health history, the nurse notices the patient provides short, vague answers and avoids
eye contact. The patient's daughter mentions that her mother has been feeling sad and withdrawn
since her husband died three months ago. Which component of the health history is most important
for the nurse to assess at this time?
A. Review of systems for cardiovascular symptoms
B. Past medical history of cardiac conditions
C. Psychosocial history including grief response and coping mechanisms
D. Family history of cardiac disease and mental illness
Correct Answer: B
Rationale:
The patient's behavior and recent bereavement indicate a need for psychosocial assessment including grief response
and coping mechanisms, which directly affect her current presentation and adherence to treatment. While
cardiovascular review of systems is important for her medical condition, the psychosocial assessment addresses the
underlying emotional factors influencing her withdrawal and vague communication.
N 246 HESI Health Assessment Exam V2 (Latest 2026/2027 Update) Questions and Verified Answers |100% Correct| Grade A- Nightingale 2026/2027 - 2026/2027 | Passing Score: 85% | Page 2 o
, Q3 Question 3 of 100
A nurse is conducting a health history interview with a 52-year-old male who recently immigrated
from Vietnam and speaks limited English. The patient's bilingual son offers to interpret for his father.
Which approach is most appropriate for obtaining an accurate health history?
A. Accept the son's offer to interpret because family members provide the most accurate
translations
B. Use a qualified medical interpreter rather than the patient's son to ensure accurate and
unbiased communication
C. Conduct the interview without an interpreter using gestures and simple English words
D. Request that the patient write down his symptoms in his native language for later translation
Correct Answer: C
Rationale:
Using a qualified medical interpreter ensures accurate, unbiased, and complete communication, whereas family
members may filter, modify, or omit information due to cultural norms or personal concerns. Gestures and simple
English cannot convey complex medical information accurately, and written communication may not capture the full
scope of the health history.
Q4 Question 4 of 100
A 35-year-old female presents with chronic abdominal pain that has been evaluated by multiple
providers without a definitive diagnosis. During the interview, she becomes tearful and states that
she feels no one believes her symptoms are real. Which communication technique best
demonstrates the nurse's empathic response to this patient?
A. Reassure the patient that the healthcare team will find the cause of her pain eventually
B. Reflect the patient's feelings by stating that it sounds frustrating to have persistent pain
without clear answers
C. Explain that chronic pain often has no identifiable cause and she may need to learn to live
with it
D. Redirect the conversation to the specific characteristics of the pain to gather more
objective data
Correct Answer: D
Rationale:
Reflection is a therapeutic communication technique that acknowledges the patient's feelings and validates her
experience, building trust and rapport. Reassurance without substance, dismissing the possibility of finding a cause,
and redirecting without addressing emotions all fail to demonstrate empathy and may damage the therapeutic
relationship.
N 246 HESI Health Assessment Exam V2 (Latest 2026/2027 Update) Questions and Verified Answers |100% Correct| Grade A- Nightingale 2026/2027 - 2026/2027 | Passing Score: 85% | Page 3 o
, Q5 Question 5 of 100
A nurse is taking a medication history from a 70-year-old male who takes eight different prescription
medications. The patient cannot remember the names or doses of several medications but says his
wife manages all his pills at home. Which strategy is most effective for obtaining an accurate
medication reconciliation?
A. Ask the patient to estimate the colors and sizes of the pills he takes daily
B. Contact the patient's pharmacy or request that the wife bring all medication bottles to the next
visit
C. Document only the medications the patient can recall from memory
D. Ask the patient to stop all medications until he can provide a complete list
Correct Answer: A
Rationale:
Contacting the pharmacy or having the wife bring all medication bottles provides the most accurate and complete
medication reconciliation for a patient who cannot recall specific medication details. Estimating pill characteristics is
unreliable, documenting only recalled medications creates an incomplete record, and stopping medications without
medical guidance is dangerous.
Q6 Question 6 of 100
A 28-year-old female presents to the women's health clinic for an annual examination. During the
health history, the nurse asks about her sexual history and the patient becomes visibly
uncomfortable. The patient states she is not comfortable discussing this topic. Which action by the
nurse is most appropriate?
A. Explain that sexual history is a required component and the patient must answer the
questions to receive care
B. Respect the patient's boundary, explain why the information is clinically relevant, and
offer to return to the topic later if the patient changes her mind
C. Skip the sexual history entirely because the patient has the right to refuse answering any
questions
D. Document that the patient was noncompliant with the health history interview
Correct Answer: B
Rationale:
The nurse should respect the patient's boundary while explaining the clinical relevance of sexual history, and offer to
discuss it later if the patient becomes comfortable. Forcing the patient to answer damages trust and autonomy,
skipping entirely may miss critical health information, and labeling the patient as noncompliant is inappropriate and
inaccurate.
N 246 HESI Health Assessment Exam V2 (Latest 2026/2027 Update) Questions and Verified Answers |100% Correct| Grade A- Nightingale 2026/2027 - 2026/2027 | Passing Score: 85% | Page 4 o
NIGHTINGALE COLLEGE
BSN 246 HESI Health Assessment Exam V2 (Latest 2026/2027 Update)
Questions and Verified Answers |100% Correct| Grade A- Nightingale 2026/2027
HEALTH ASSESSMENT · Official Exam 2026/2027
100 85% CERTIFIED
QUESTIONS PASSING SCORE RECERTIFICATION
TABLE OF CONTENTS
Section 1 Health History & Interviewing Techniques Q1-20
Section 2 Physical Examination Techniques & General Survey Q21-40
Section 3 Head, Eyes, Ears, Nose & Throat Assessment Q41-60
Section 4 Cardiovascular, Respiratory & Thorax Assessment Q61-80
Section 5 Abdominal, Musculoskeletal & Neurological Assessment Q81-100
Instructions: Select the single best answer for each question. This exam is designed for BSN 246
HESI Health Assessment Exam V2 preparation. Passing score: 85% (85 questions correct).
N 246 HESI Health Assessment Exam V2 (Latest 2026/2027 Update) Questions and Verified Answers |100% Correct| Grade A- Nightingale 2026/2027 - 2026/2027 | Passing Score: 85% | Page 1 o
, SECTION 1 | Health History & Interviewing Techniques | Q1-Q20 | BSN 246 HESI Health Assessment V2 |100% Correct| Nightingale 2026/2027
Q1 Question 1 of 100
A 45-year-old male presents to the clinic for the first time. The nurse begins the health history by
asking the patient about his current health concerns. The patient responds with a lengthy description
of multiple symptoms he has been experiencing over the past year. Which interviewing technique
should the nurse use to focus the patient's response while maintaining a therapeutic relationship?
A. Use open-ended questions initially to explore concerns, then transition to focused
questions to clarify specific symptoms
B. Interrupt the patient immediately and redirect to the chief complaint
C. Document only the patient's first stated concern and ignore the remaining symptoms
D. Ask closed-ended questions exclusively to maintain control of the interview
Correct Answer: A
Rationale:
The recommended interviewing approach begins with open-ended questions to allow the patient to express concerns
fully, followed by focused or closed-ended questions to clarify specific details. Interrupting the patient damages
rapport, documenting only the first concern misses important information, and exclusive closed-ended questioning
limits the breadth of data collected.
Q2 Question 2 of 100
A 68-year-old female patient is admitted to the medical-surgical unit with worsening heart failure.
During the health history, the nurse notices the patient provides short, vague answers and avoids
eye contact. The patient's daughter mentions that her mother has been feeling sad and withdrawn
since her husband died three months ago. Which component of the health history is most important
for the nurse to assess at this time?
A. Review of systems for cardiovascular symptoms
B. Past medical history of cardiac conditions
C. Psychosocial history including grief response and coping mechanisms
D. Family history of cardiac disease and mental illness
Correct Answer: B
Rationale:
The patient's behavior and recent bereavement indicate a need for psychosocial assessment including grief response
and coping mechanisms, which directly affect her current presentation and adherence to treatment. While
cardiovascular review of systems is important for her medical condition, the psychosocial assessment addresses the
underlying emotional factors influencing her withdrawal and vague communication.
N 246 HESI Health Assessment Exam V2 (Latest 2026/2027 Update) Questions and Verified Answers |100% Correct| Grade A- Nightingale 2026/2027 - 2026/2027 | Passing Score: 85% | Page 2 o
, Q3 Question 3 of 100
A nurse is conducting a health history interview with a 52-year-old male who recently immigrated
from Vietnam and speaks limited English. The patient's bilingual son offers to interpret for his father.
Which approach is most appropriate for obtaining an accurate health history?
A. Accept the son's offer to interpret because family members provide the most accurate
translations
B. Use a qualified medical interpreter rather than the patient's son to ensure accurate and
unbiased communication
C. Conduct the interview without an interpreter using gestures and simple English words
D. Request that the patient write down his symptoms in his native language for later translation
Correct Answer: C
Rationale:
Using a qualified medical interpreter ensures accurate, unbiased, and complete communication, whereas family
members may filter, modify, or omit information due to cultural norms or personal concerns. Gestures and simple
English cannot convey complex medical information accurately, and written communication may not capture the full
scope of the health history.
Q4 Question 4 of 100
A 35-year-old female presents with chronic abdominal pain that has been evaluated by multiple
providers without a definitive diagnosis. During the interview, she becomes tearful and states that
she feels no one believes her symptoms are real. Which communication technique best
demonstrates the nurse's empathic response to this patient?
A. Reassure the patient that the healthcare team will find the cause of her pain eventually
B. Reflect the patient's feelings by stating that it sounds frustrating to have persistent pain
without clear answers
C. Explain that chronic pain often has no identifiable cause and she may need to learn to live
with it
D. Redirect the conversation to the specific characteristics of the pain to gather more
objective data
Correct Answer: D
Rationale:
Reflection is a therapeutic communication technique that acknowledges the patient's feelings and validates her
experience, building trust and rapport. Reassurance without substance, dismissing the possibility of finding a cause,
and redirecting without addressing emotions all fail to demonstrate empathy and may damage the therapeutic
relationship.
N 246 HESI Health Assessment Exam V2 (Latest 2026/2027 Update) Questions and Verified Answers |100% Correct| Grade A- Nightingale 2026/2027 - 2026/2027 | Passing Score: 85% | Page 3 o
, Q5 Question 5 of 100
A nurse is taking a medication history from a 70-year-old male who takes eight different prescription
medications. The patient cannot remember the names or doses of several medications but says his
wife manages all his pills at home. Which strategy is most effective for obtaining an accurate
medication reconciliation?
A. Ask the patient to estimate the colors and sizes of the pills he takes daily
B. Contact the patient's pharmacy or request that the wife bring all medication bottles to the next
visit
C. Document only the medications the patient can recall from memory
D. Ask the patient to stop all medications until he can provide a complete list
Correct Answer: A
Rationale:
Contacting the pharmacy or having the wife bring all medication bottles provides the most accurate and complete
medication reconciliation for a patient who cannot recall specific medication details. Estimating pill characteristics is
unreliable, documenting only recalled medications creates an incomplete record, and stopping medications without
medical guidance is dangerous.
Q6 Question 6 of 100
A 28-year-old female presents to the women's health clinic for an annual examination. During the
health history, the nurse asks about her sexual history and the patient becomes visibly
uncomfortable. The patient states she is not comfortable discussing this topic. Which action by the
nurse is most appropriate?
A. Explain that sexual history is a required component and the patient must answer the
questions to receive care
B. Respect the patient's boundary, explain why the information is clinically relevant, and
offer to return to the topic later if the patient changes her mind
C. Skip the sexual history entirely because the patient has the right to refuse answering any
questions
D. Document that the patient was noncompliant with the health history interview
Correct Answer: B
Rationale:
The nurse should respect the patient's boundary while explaining the clinical relevance of sexual history, and offer to
discuss it later if the patient becomes comfortable. Forcing the patient to answer damages trust and autonomy,
skipping entirely may miss critical health information, and labeling the patient as noncompliant is inappropriate and
inaccurate.
N 246 HESI Health Assessment Exam V2 (Latest 2026/2027 Update) Questions and Verified Answers |100% Correct| Grade A- Nightingale 2026/2027 - 2026/2027 | Passing Score: 85% | Page 4 o
