BSN 246 HESI Health Assessment Version
Exam (2 Set Exams) Nightingale College
Guaranteed Pass
Question 1
When performing a neurologic assessment on an alert client, the nurse observes that
the client's pupils are both round, 3 mm in size, and respond briskly to light. Which
notation should the nurse use when documenting the assessment
A. PERRL
B. Dilated pupils
C. Unequal pupil size
D. Sluggish pupillary reaction?
Correct Answer
A. PERRL
Question 2
Which question by the nurse is likely to elicit the most information regarding a client's
use of medications to treat a chronic cough?
A. What medications are you currently taking?
B. Have you experienced any changes in your appetite?
C. Have you noticed any changes in your energy levels?
D. Have you had any recent surgeries or hospitalizations?
Correct Answer
A. What medications are you currently taking?
Page 1 of 72
,Question 3
The nurse is obtaining a health history for a client prior to a scheduled
cholecystectomy.
While interviewing the client, which assessment technique should the nurse use when
asking about the client's use of illegal drugs and alcohol?
A. Ask about any recent changes in mood or behavior.
B. Inquire about any history of mental health disorders in the family.
C. Ask specifically about alcohol, marijuana, cocaine, heroin, and amounts.
D. Assess for any history of chronic illnesses such as diabetes or hypertension.
Correct Answer
C. Ask specifically about alcohol, marijuana, cocaine, heroin, and amounts.
Question 4
A client is being evaluated for environmental allergies. While examining the client's
nasal passage, which finding suggests to the nurse that the client is experiencing
allergic rhinitis?
A. Clear nasal discharge and itching of the nose.
B. Difficulty breathing through the nose and dry mouth.
C. Intranasal edema and swelling of turbinates.
D. Frequent nosebleeds and pain in the nasal area.
Correct Answer
C. intranasal edema and swelling of turbinates
Question 5
Food safety doesn't apply to associates working in grocery or customer service
departments.
Correct Answer
False
Page 2 of 72
,Question 6
After placing a client in a supine position, the nurse uses the diaphragm of the
stethoscope to auscultate bowel sounds and hears a loud, high-pitched pitched
almost continuous gurgling in two quadrants. What action should the nurse
implement?
A. Inspect the abdomen for symmetry.
B. Palpate the abdomen for tenderness.
C. Percuss the abdomen for abnormal sounds.
D. Auscultate the remaining two quadrants.
Correct Answer
D. Auscultate the remaining two quadrants.
Question 7
How often should you wash your hands?
Correct Answer
Frequently
Question 8
When washing your hands you should..
(Check all that apply.)
Correct Answer
Scrub your fingertips and clean between your fingers.
Rub your hands together for at least 20 seconds.
Dry your hands and forearms with a paper towel.
Scrub exposed portions of your arms up to the elbow.
Use the paper towel to turn off the water faucet.
(Just check all of them.)
Page 3 of 72
, Question 9
Select the point below that doesn't help you
establish firm footing before lifting.
Correct Answer
Test the traction of your non-slip shoes
Question 10
Vendors and contractors are excluded from
washing their hands.
Correct Answer
False
Question 11
After a young adult woman describes feeling palpitations when she lies on her left
side it is most important for the nurse to auscultate heart sounds at which anatomical
location?
A. Left upper sternal border, second intercostal space.
B. Right upper sternal border, second intercostal space.
C. Over the xiphoid process.
D. Apex of the heart at the left fifth intercostal space at the midclavicular line.
Correct Answer
D. Apex of the heart at the left fifth intercostal space at the midclavicular line.
Question 12
During an abdominal assessment, a client with a temperature of 103 F (39.4 C)
experiences pain and abruptly stops inhaling during deep palpation. Which
prescription is most important for the nurse to implement?
A. Nothing by mouth.
B. Clear liquids only.
C. Soft diet.
D. Full liquids only.
Correct Answer
A. Nothing by mouth.
Page 4 of 72
Exam (2 Set Exams) Nightingale College
Guaranteed Pass
Question 1
When performing a neurologic assessment on an alert client, the nurse observes that
the client's pupils are both round, 3 mm in size, and respond briskly to light. Which
notation should the nurse use when documenting the assessment
A. PERRL
B. Dilated pupils
C. Unequal pupil size
D. Sluggish pupillary reaction?
Correct Answer
A. PERRL
Question 2
Which question by the nurse is likely to elicit the most information regarding a client's
use of medications to treat a chronic cough?
A. What medications are you currently taking?
B. Have you experienced any changes in your appetite?
C. Have you noticed any changes in your energy levels?
D. Have you had any recent surgeries or hospitalizations?
Correct Answer
A. What medications are you currently taking?
Page 1 of 72
,Question 3
The nurse is obtaining a health history for a client prior to a scheduled
cholecystectomy.
While interviewing the client, which assessment technique should the nurse use when
asking about the client's use of illegal drugs and alcohol?
A. Ask about any recent changes in mood or behavior.
B. Inquire about any history of mental health disorders in the family.
C. Ask specifically about alcohol, marijuana, cocaine, heroin, and amounts.
D. Assess for any history of chronic illnesses such as diabetes or hypertension.
Correct Answer
C. Ask specifically about alcohol, marijuana, cocaine, heroin, and amounts.
Question 4
A client is being evaluated for environmental allergies. While examining the client's
nasal passage, which finding suggests to the nurse that the client is experiencing
allergic rhinitis?
A. Clear nasal discharge and itching of the nose.
B. Difficulty breathing through the nose and dry mouth.
C. Intranasal edema and swelling of turbinates.
D. Frequent nosebleeds and pain in the nasal area.
Correct Answer
C. intranasal edema and swelling of turbinates
Question 5
Food safety doesn't apply to associates working in grocery or customer service
departments.
Correct Answer
False
Page 2 of 72
,Question 6
After placing a client in a supine position, the nurse uses the diaphragm of the
stethoscope to auscultate bowel sounds and hears a loud, high-pitched pitched
almost continuous gurgling in two quadrants. What action should the nurse
implement?
A. Inspect the abdomen for symmetry.
B. Palpate the abdomen for tenderness.
C. Percuss the abdomen for abnormal sounds.
D. Auscultate the remaining two quadrants.
Correct Answer
D. Auscultate the remaining two quadrants.
Question 7
How often should you wash your hands?
Correct Answer
Frequently
Question 8
When washing your hands you should..
(Check all that apply.)
Correct Answer
Scrub your fingertips and clean between your fingers.
Rub your hands together for at least 20 seconds.
Dry your hands and forearms with a paper towel.
Scrub exposed portions of your arms up to the elbow.
Use the paper towel to turn off the water faucet.
(Just check all of them.)
Page 3 of 72
, Question 9
Select the point below that doesn't help you
establish firm footing before lifting.
Correct Answer
Test the traction of your non-slip shoes
Question 10
Vendors and contractors are excluded from
washing their hands.
Correct Answer
False
Question 11
After a young adult woman describes feeling palpitations when she lies on her left
side it is most important for the nurse to auscultate heart sounds at which anatomical
location?
A. Left upper sternal border, second intercostal space.
B. Right upper sternal border, second intercostal space.
C. Over the xiphoid process.
D. Apex of the heart at the left fifth intercostal space at the midclavicular line.
Correct Answer
D. Apex of the heart at the left fifth intercostal space at the midclavicular line.
Question 12
During an abdominal assessment, a client with a temperature of 103 F (39.4 C)
experiences pain and abruptly stops inhaling during deep palpation. Which
prescription is most important for the nurse to implement?
A. Nothing by mouth.
B. Clear liquids only.
C. Soft diet.
D. Full liquids only.
Correct Answer
A. Nothing by mouth.
Page 4 of 72
