BSN 246 HESI HEALTH ASSESSMENT EXAM 2025-2026
LATEST VERSION WITH 130 REAL EXAM QUESTIONS AND
CORRECT ANSWERS WITH DEEP EXPLANATIONS GRADED
A+/ HESI HEALTH ASSESSMENT EXAM/ BSN 246 EXAM
2025/2025
Overview
Developed to reflect the structure, depth, and clinical expectations of the BSN 246 HESI
Health Assessment Exam, this comprehensive study resource reinforces foundational and
advanced assessment skills essential for safe, accurate nursing practice. Covering holistic
health assessment, physical examination techniques, normal and abnormal findings, cultural
considerations, communication strategies, and evidence-based assessment principles, this
guide aligns with the 2025–2026 BSN curriculum and current HESI testing standards.
Designed for clarity, accuracy, and high-yield learning, it equips nursing students with the
clinical judgment, assessment proficiency, and test-taking skills required to excel on the
HESI Health Assessment Exam and perform thorough patient assessments in clinical settings.
─────────────────────────────
Purpose
• To provide a complete, exam-focused review for the BSN 246 HESI Health Assessment
Exam
• To strengthen foundational and system-focused assessment skills
• To reinforce accurate identification of normal vs. abnormal findings
• To enhance exam readiness, clinical confidence, and overall nursing assessment
competence
─────────────────────────────
Recommended For
• Nursing students preparing for the 2025–2026 BSN 246 HESI Health Assessment Exam
• Learners seeking to improve their health assessment knowledge and physical exam skills
• Instructors, tutors, and academic coaches developing structured HESI assessment review
materials
─────────────────────────────
Your Complete BSN 246 HESI Health Assessment Study
Resource
,With 130 expertly crafted exam-style questions, correct answers, and deep explanations,
the BSN 246 HESI Health Assessment Exam Review (2025–2026 Latest Edition) offers the
most comprehensive, reliable, and effective tool for mastering health assessment concepts
and achieving top-tier, A+ exam performance.
1. The nurse is completing a health assessment of a 42-year-old female with
suspected Graves' disease. The nurse should assess this client for:
1. Anorexia.
2. Tachycardia.
3. Weight gain.
4. Cold skin. - ANSWER-2. Graves' disease, the most common type of
thyrotoxicosis, is a state of hypermetabolism. The increased metabolic rate
generates heat and produces tachycardia and fine muscle tremors. Anorexia is
associated with hypothyroidism. Loss of weight, despite a good appetite and
adequate caloric intake, is a common feature of hyperthyroidism. Cold skin is
associated with hypothyroidism.
CN: Physiological adaptation; CL: Analyze
2. When conducting a health history with a female client with thyrotoxicosis, the
nurse should ask about which of the following changes in the menstrual cycle?
1. Dysmenorrhea.
2. Metrorrhagia.
3. Oligomenorrhea.
4. Menorrhagia. - ANSWER-3. A change in the menstrual interval, diminished
menstrual flow
(oligomenorrhea), or even the absence of menstruation (amenorrhea) may result from
the hormonal imbalances of thyrotoxicosis. Oligomenorrhea in women and decreased
libido and impotence in men are common features of thyrotoxicosis. Dysmenorrhea is
painful menstruation. Metrorrhagia, blood loss between menstrual periods, is a symptom
of hypothyroidism. Menorrhagia, excessive bleeding during menstrual periods, is a
symptom of hypothyroidism.
,CN: Physiological adaptation; CL: Analyze
3. A 34-year-old female is diagnosed with hypothyroidism. The nurse should assess
the client for which of the following? Select all that apply.
1. Rapid pulse.
2. Decreased energy and fatigue.
3. Weight gain of 10 lb (4.5 kg).
4. Fine, thin hair with hair loss.
5. Constipation.
6. Menorrhagia. - ANSWER-2, 3, 5, 6. Clients with hypothyroidism exhibit
symptoms indicating a
lack of thyroid hormone. Bradycardia, decreased energy and lethargy, memory problems, weight
gain, coarse hair, constipation, and menorrhagia are common signs and symptoms of
hypothyroidism.
CN: Physiological adaptation; CL: Analyze
4. Propylthiouracil (PTU) is prescribed for a client with Graves' disease. The nurse
should teach the client to immediately report which of the following?
1. Sore throat.
2. Painful, excessive menstruation.
3. Constipation.
4. Increased urine output. - ANSWER-1. The most serious adverse effects of PTU
are leukopenia and agranulocytosis, which usually occur within the first 3 months
of treatment. The client should be taught to promptly report to the health care
provider signs and symptoms of infection, such as a sore throat and fever. Clients
having a sore throat and fever should have an immediate white blood cell count
and differential performed, and the drug must be withheld until the results are
obtained. Painful menstruation, constipation, and increased urine output are not
associated with PTU therapy.
CN: Pharmacological and parenteral therapies; CL: Synthesize
, 5. A client with thyrotoxicosis says to the nurse, "I am so irritable. I am having
problems at work because I lose my temper very easily." Which of the following
responses by the nurse would give the client the most accurate explanation of her
behavior?
1. "Your behavior is caused by temporary confusion brought on by your illness."
2. "Your behavior is caused by the excess thyroid hormone in your system." 3.
"Your behavior is caused by your worrying about the seriousness of your
illness."
4. "Your behavior is caused by the stress of trying to manage a career and cope with illness." -
ANSWER-2. A typical sign of thyrotoxicosis is irritability caused by the high levels of circulating
thyroid hormones in the body. This symptom decreases as the client responds to therapy.
Thyrotoxicosis does not cause confusion. The client may be worried about her illness, and stress
may influence her mood; however, irritability is a common symptom of thyrotoxicosis and the
client should be informed of that fact rather than blamed.
CN: Psychosocial integrity; CL: Synthesize
6. The nurse is evaluating a client with hyperthyroidism who is taking
Propylthiouracil (PTU) 100 mg/day in three divided doses for maintenance therapy.
Which of the following statements from the client indicates the desired outcome of the
drug?
1. "I have excess energy throughout the day."
2. "I am able to sleep and rest at night."
3. "I have lost weight since taking this medication."
4. "I do perspire throughout the entire day." - ANSWER-2. PTU is a prototype of
thioamide antithyroid drugs. It inhibits production of thyroid hormones and
peripheral conversion of T4 to the more active T3. A client taking this antithyroid
drug should be able to sleep and rest well at night since the level of thyroid
hormones is reduced in the blood. Excess energy throughout the day, loss of weight
and perspiring through the day are symptoms of hyperthyroidism indicating the
drug has not produced its outcome.
LATEST VERSION WITH 130 REAL EXAM QUESTIONS AND
CORRECT ANSWERS WITH DEEP EXPLANATIONS GRADED
A+/ HESI HEALTH ASSESSMENT EXAM/ BSN 246 EXAM
2025/2025
Overview
Developed to reflect the structure, depth, and clinical expectations of the BSN 246 HESI
Health Assessment Exam, this comprehensive study resource reinforces foundational and
advanced assessment skills essential for safe, accurate nursing practice. Covering holistic
health assessment, physical examination techniques, normal and abnormal findings, cultural
considerations, communication strategies, and evidence-based assessment principles, this
guide aligns with the 2025–2026 BSN curriculum and current HESI testing standards.
Designed for clarity, accuracy, and high-yield learning, it equips nursing students with the
clinical judgment, assessment proficiency, and test-taking skills required to excel on the
HESI Health Assessment Exam and perform thorough patient assessments in clinical settings.
─────────────────────────────
Purpose
• To provide a complete, exam-focused review for the BSN 246 HESI Health Assessment
Exam
• To strengthen foundational and system-focused assessment skills
• To reinforce accurate identification of normal vs. abnormal findings
• To enhance exam readiness, clinical confidence, and overall nursing assessment
competence
─────────────────────────────
Recommended For
• Nursing students preparing for the 2025–2026 BSN 246 HESI Health Assessment Exam
• Learners seeking to improve their health assessment knowledge and physical exam skills
• Instructors, tutors, and academic coaches developing structured HESI assessment review
materials
─────────────────────────────
Your Complete BSN 246 HESI Health Assessment Study
Resource
,With 130 expertly crafted exam-style questions, correct answers, and deep explanations,
the BSN 246 HESI Health Assessment Exam Review (2025–2026 Latest Edition) offers the
most comprehensive, reliable, and effective tool for mastering health assessment concepts
and achieving top-tier, A+ exam performance.
1. The nurse is completing a health assessment of a 42-year-old female with
suspected Graves' disease. The nurse should assess this client for:
1. Anorexia.
2. Tachycardia.
3. Weight gain.
4. Cold skin. - ANSWER-2. Graves' disease, the most common type of
thyrotoxicosis, is a state of hypermetabolism. The increased metabolic rate
generates heat and produces tachycardia and fine muscle tremors. Anorexia is
associated with hypothyroidism. Loss of weight, despite a good appetite and
adequate caloric intake, is a common feature of hyperthyroidism. Cold skin is
associated with hypothyroidism.
CN: Physiological adaptation; CL: Analyze
2. When conducting a health history with a female client with thyrotoxicosis, the
nurse should ask about which of the following changes in the menstrual cycle?
1. Dysmenorrhea.
2. Metrorrhagia.
3. Oligomenorrhea.
4. Menorrhagia. - ANSWER-3. A change in the menstrual interval, diminished
menstrual flow
(oligomenorrhea), or even the absence of menstruation (amenorrhea) may result from
the hormonal imbalances of thyrotoxicosis. Oligomenorrhea in women and decreased
libido and impotence in men are common features of thyrotoxicosis. Dysmenorrhea is
painful menstruation. Metrorrhagia, blood loss between menstrual periods, is a symptom
of hypothyroidism. Menorrhagia, excessive bleeding during menstrual periods, is a
symptom of hypothyroidism.
,CN: Physiological adaptation; CL: Analyze
3. A 34-year-old female is diagnosed with hypothyroidism. The nurse should assess
the client for which of the following? Select all that apply.
1. Rapid pulse.
2. Decreased energy and fatigue.
3. Weight gain of 10 lb (4.5 kg).
4. Fine, thin hair with hair loss.
5. Constipation.
6. Menorrhagia. - ANSWER-2, 3, 5, 6. Clients with hypothyroidism exhibit
symptoms indicating a
lack of thyroid hormone. Bradycardia, decreased energy and lethargy, memory problems, weight
gain, coarse hair, constipation, and menorrhagia are common signs and symptoms of
hypothyroidism.
CN: Physiological adaptation; CL: Analyze
4. Propylthiouracil (PTU) is prescribed for a client with Graves' disease. The nurse
should teach the client to immediately report which of the following?
1. Sore throat.
2. Painful, excessive menstruation.
3. Constipation.
4. Increased urine output. - ANSWER-1. The most serious adverse effects of PTU
are leukopenia and agranulocytosis, which usually occur within the first 3 months
of treatment. The client should be taught to promptly report to the health care
provider signs and symptoms of infection, such as a sore throat and fever. Clients
having a sore throat and fever should have an immediate white blood cell count
and differential performed, and the drug must be withheld until the results are
obtained. Painful menstruation, constipation, and increased urine output are not
associated with PTU therapy.
CN: Pharmacological and parenteral therapies; CL: Synthesize
, 5. A client with thyrotoxicosis says to the nurse, "I am so irritable. I am having
problems at work because I lose my temper very easily." Which of the following
responses by the nurse would give the client the most accurate explanation of her
behavior?
1. "Your behavior is caused by temporary confusion brought on by your illness."
2. "Your behavior is caused by the excess thyroid hormone in your system." 3.
"Your behavior is caused by your worrying about the seriousness of your
illness."
4. "Your behavior is caused by the stress of trying to manage a career and cope with illness." -
ANSWER-2. A typical sign of thyrotoxicosis is irritability caused by the high levels of circulating
thyroid hormones in the body. This symptom decreases as the client responds to therapy.
Thyrotoxicosis does not cause confusion. The client may be worried about her illness, and stress
may influence her mood; however, irritability is a common symptom of thyrotoxicosis and the
client should be informed of that fact rather than blamed.
CN: Psychosocial integrity; CL: Synthesize
6. The nurse is evaluating a client with hyperthyroidism who is taking
Propylthiouracil (PTU) 100 mg/day in three divided doses for maintenance therapy.
Which of the following statements from the client indicates the desired outcome of the
drug?
1. "I have excess energy throughout the day."
2. "I am able to sleep and rest at night."
3. "I have lost weight since taking this medication."
4. "I do perspire throughout the entire day." - ANSWER-2. PTU is a prototype of
thioamide antithyroid drugs. It inhibits production of thyroid hormones and
peripheral conversion of T4 to the more active T3. A client taking this antithyroid
drug should be able to sleep and rest well at night since the level of thyroid
hormones is reduced in the blood. Excess energy throughout the day, loss of weight
and perspiring through the day are symptoms of hyperthyroidism indicating the
drug has not produced its outcome.
