,BSN 246 HESI Health Assessment V1 Exam 2026 –
NGN-Style Nursing Questions & Answers with Detailed
Rationales | Nightingale College | Updated 2026/2027
Edition | Instant Digital Download
Core Topics Covered
Section Topic Area Questions NGN Focus
I Health History & Interview 1–20 Case studies, prioritization
II General Survey & Vital Signs 21–40 Clinical judgment scenarios
III Integumentary & Lymphatic 41–55 Assessment findings, SATA
IV Head, Neck, & Neurological 56–75 Bow-tie, case studies
V Eye & Ear Assessment 76–95 NGN case studies
VI Respiratory Assessment 96–115 Matrix, prioritization
VII Cardiovascular & Peripheral 116–140 Bow-tie, drag-and-drop
VIII Abdominal Assessment 141–160 Case studies, SATA
IX Musculoskeletal Assessment 161–180 Clinical judgment
X NGN Comprehensive Cases 181–200 All NGN formats
,✅ FULL 200-QUESTION NGN-STYLE PRACTICE EXAM
SECTION I: HEALTH HISTORY & INTERVIEW TECHNIQUES
(Questions 1–20)
Question 1 (NGN – Case Study)
A nurse is conducting a health history interview with a 72-year-old client who is hard of
hearing. The client's spouse is present and answers most questions for the client.
Question: Which action by the nurse is most appropriate?
A. Direct all questions to the spouse since they know the client best
B. Speak loudly and directly to the client while maintaining eye contact
C. Ask the spouse to leave and conduct the interview in writing
D. Continue the interview with the spouse as the primary historian
Correct Answer: B
Rationale: The nurse should speak directly to the client, using appropriate volume and
clear enunciation while maintaining eye contact. Directing questions to the spouse (A)
excludes the client. Asking the spouse to leave (C) may not be practical or comfortable.
Continuing with the spouse as primary historian (D) undermines the client's autonomy.
Question 2 (NGN – Prioritization)
A client reports, "I've been having chest pain on and off for the past week." Which
question should the nurse ask first to further assess this symptom?
A. "On a scale of 0–10, how would you rate the pain?"
B. "Can you describe what the pain feels like?"
C. "What were you doing when the pain started?"
D. "Does the pain radiate to your arm or jaw?"
Correct Answer: C
Rationale: The first step in assessing pain is to determine the onset and precipitating
, factors. Understanding what the client was doing when the pain started provides critical
context. Rating the pain (A), describing quality (B), and assessing radiation (D) are all
important but follow the initial onset assessment.
Question 3 (NGN – SATA)
A nurse is assessing a client's psychosocial history. Which questions should the nurse
include? Select all that apply.
A. "Who lives with you at home?"
B. "What do you do for work?"
C. "Do you have any allergies to medications?"
D. "How do you usually cope with stress?"
E. "Do you have any family history of cancer?"
Correct Answers: A, B, D
Rationale: Psychosocial history includes living situation (A), occupation (B), and coping
mechanisms (D). Allergies (C) are part of the allergy history. Family history of cancer (E)
is part of family history, not psychosocial.
Question 4 (NGN – Case Study)
A nurse is interviewing a client who speaks a different language. The client's adult child
offers to interpret.
Question: What should the nurse do?
A. Accept the child's offer as it is convenient and cost-effective
B. Use a certified medical interpreter for accurate communication
C. Speak slowly and loudly in English so the client can understand
D. Use written translation materials and have the client read them
Correct Answer: B
Rationale: A certified medical interpreter ensures accurate communication and
maintains confidentiality. Family members (A) may not be trained and may filter or alter
information. Speaking loudly (C) does not improve understanding. Written materials (D)
may not be adequate for complex health information.
NGN-Style Nursing Questions & Answers with Detailed
Rationales | Nightingale College | Updated 2026/2027
Edition | Instant Digital Download
Core Topics Covered
Section Topic Area Questions NGN Focus
I Health History & Interview 1–20 Case studies, prioritization
II General Survey & Vital Signs 21–40 Clinical judgment scenarios
III Integumentary & Lymphatic 41–55 Assessment findings, SATA
IV Head, Neck, & Neurological 56–75 Bow-tie, case studies
V Eye & Ear Assessment 76–95 NGN case studies
VI Respiratory Assessment 96–115 Matrix, prioritization
VII Cardiovascular & Peripheral 116–140 Bow-tie, drag-and-drop
VIII Abdominal Assessment 141–160 Case studies, SATA
IX Musculoskeletal Assessment 161–180 Clinical judgment
X NGN Comprehensive Cases 181–200 All NGN formats
,✅ FULL 200-QUESTION NGN-STYLE PRACTICE EXAM
SECTION I: HEALTH HISTORY & INTERVIEW TECHNIQUES
(Questions 1–20)
Question 1 (NGN – Case Study)
A nurse is conducting a health history interview with a 72-year-old client who is hard of
hearing. The client's spouse is present and answers most questions for the client.
Question: Which action by the nurse is most appropriate?
A. Direct all questions to the spouse since they know the client best
B. Speak loudly and directly to the client while maintaining eye contact
C. Ask the spouse to leave and conduct the interview in writing
D. Continue the interview with the spouse as the primary historian
Correct Answer: B
Rationale: The nurse should speak directly to the client, using appropriate volume and
clear enunciation while maintaining eye contact. Directing questions to the spouse (A)
excludes the client. Asking the spouse to leave (C) may not be practical or comfortable.
Continuing with the spouse as primary historian (D) undermines the client's autonomy.
Question 2 (NGN – Prioritization)
A client reports, "I've been having chest pain on and off for the past week." Which
question should the nurse ask first to further assess this symptom?
A. "On a scale of 0–10, how would you rate the pain?"
B. "Can you describe what the pain feels like?"
C. "What were you doing when the pain started?"
D. "Does the pain radiate to your arm or jaw?"
Correct Answer: C
Rationale: The first step in assessing pain is to determine the onset and precipitating
, factors. Understanding what the client was doing when the pain started provides critical
context. Rating the pain (A), describing quality (B), and assessing radiation (D) are all
important but follow the initial onset assessment.
Question 3 (NGN – SATA)
A nurse is assessing a client's psychosocial history. Which questions should the nurse
include? Select all that apply.
A. "Who lives with you at home?"
B. "What do you do for work?"
C. "Do you have any allergies to medications?"
D. "How do you usually cope with stress?"
E. "Do you have any family history of cancer?"
Correct Answers: A, B, D
Rationale: Psychosocial history includes living situation (A), occupation (B), and coping
mechanisms (D). Allergies (C) are part of the allergy history. Family history of cancer (E)
is part of family history, not psychosocial.
Question 4 (NGN – Case Study)
A nurse is interviewing a client who speaks a different language. The client's adult child
offers to interpret.
Question: What should the nurse do?
A. Accept the child's offer as it is convenient and cost-effective
B. Use a certified medical interpreter for accurate communication
C. Speak slowly and loudly in English so the client can understand
D. Use written translation materials and have the client read them
Correct Answer: B
Rationale: A certified medical interpreter ensures accurate communication and
maintains confidentiality. Family members (A) may not be trained and may filter or alter
information. Speaking loudly (C) does not improve understanding. Written materials (D)
may not be adequate for complex health information.
