BSN246 HESI Health Assessment Exam
V2 – Nightingale College 2025/2026 |
Verified Questions and Correct Answers
(Grade A, Latest Update)
The HESI Health Assessment Exam V2 for BSN246 at Nightingale College evaluates core
competencies in health history taking, physical examination, vital signs, and clinical reasoning.
This version (V2) includes 55 questions (50 scored, 5 pilot), with a minimum passing score of
900 for progression. The 2025/2026 update emphasizes cultural competence, telehealth
assessments, and NGN-style items (e.g., select-all-that-apply, case studies). This guide provides
55 verified questions with correct answers and rationales, drawn from official HESI V2 banks
and Nightingale College resources. All content aligns with Health Assessment for Nursing
Practice (Wilson & Giddens, 7th ed., 2021) and APA guidelines. Use for remediation; aim for
100% accuracy.
Key Topics Covered:
Health History and Interviewing
Physical Examination Techniques
Vital Signs and Abnormal Findings
Clinical Reasoning and Prioritization
Section 1: Health History and Interviewing (15 Questions)
Question 1: The nurse is interviewing a client who speaks limited English. What is the most
appropriate action?
Answer: Request a professional interpreter.
Rationale: Professional interpreters ensure accurate communication and maintain
confidentiality, avoiding potential biases from family or untrained staff. (HESI V2 2025 Update)
Question 2: A client reports "I feel like I'm always sick." What is the best follow-up question?
Answer: Tell me more about what you mean by "always sick."
Rationale: Open-ended questions encourage elaboration to gather detailed subjective data.
(HESI V2 2025)
, Question 3: Which interviewing techniques are effective for building rapport? (Select all that
apply)
Answer: Active listening; Nonverbal cues like nodding; Empathic responses.
Rationale: These foster trust and open communication; avoid closed questions early on. (HESI
V2 Practice)
Question 4: The hot/cold theory of health is most associated with which cultural perspective?
Answer: Humoral balance in Hispanic or Asian traditions.
Rationale: Illness results from imbalance; treatments aim to restore equilibrium (e.g., hot foods
for cold illnesses). (HESI V2 2025/2026)
Question 5: A client reports "joint pain that worsens with weather changes." What is the most
appropriate follow-up?
Answer: How does the pain affect your daily activities?
Rationale: Assesses functional impact for comprehensive history. (HESI V2)
Question 6: When documenting a client's social history, what is essential to include?
Answer: Occupation, living situation, and support system.
Rationale: Provides context for health risks and resources. (HESI V2 2025)
Question 8: A client reports drinking 3 beers daily. How should the nurse calculate alcohol use?
Answer: 21 standard drinks per week.
Rationale: 1 beer ≈ 1 standard drink; assess for risky use (>14/week for men). (HESI V2)
Question 9: A client reports a family history of breast cancer. What is the priority question?
Answer: At what age were family members diagnosed?
Rationale: Early onset increases hereditary risk (e.g., BRCA). (HESI V2 2025)
Question 10: Which elements are part of the OLDCARTS acronym for pain assessment? (Select
all that apply)
Answer: Onset; Location; Duration; Characteristics; Aggravating/alleviating factors; Related
symptoms; Treatments; Severity.
Rationale: Systematic tool for thorough symptom evaluation. (HESI V2)
Question 11: A client seems hesitant to discuss substance use. What is the best approach?
Answer: Use nonjudgmental language and normalize screening questions.
Rationale: Reduces stigma and encourages honesty. (HESI V2)
Question 12: For a pediatric client, the nurse should use:
Answer: Age-appropriate language and play techniques.
Rationale: Enhances engagement and accuracy in young children. (HESI V2 2025)
Question 13: A client reports "dizziness when standing." What is the priority history question?
Answer: How long does the dizziness last, and what relieves it?
Rationale: Differentiates orthostatic hypotension from other causes. (HESI V2)
V2 – Nightingale College 2025/2026 |
Verified Questions and Correct Answers
(Grade A, Latest Update)
The HESI Health Assessment Exam V2 for BSN246 at Nightingale College evaluates core
competencies in health history taking, physical examination, vital signs, and clinical reasoning.
This version (V2) includes 55 questions (50 scored, 5 pilot), with a minimum passing score of
900 for progression. The 2025/2026 update emphasizes cultural competence, telehealth
assessments, and NGN-style items (e.g., select-all-that-apply, case studies). This guide provides
55 verified questions with correct answers and rationales, drawn from official HESI V2 banks
and Nightingale College resources. All content aligns with Health Assessment for Nursing
Practice (Wilson & Giddens, 7th ed., 2021) and APA guidelines. Use for remediation; aim for
100% accuracy.
Key Topics Covered:
Health History and Interviewing
Physical Examination Techniques
Vital Signs and Abnormal Findings
Clinical Reasoning and Prioritization
Section 1: Health History and Interviewing (15 Questions)
Question 1: The nurse is interviewing a client who speaks limited English. What is the most
appropriate action?
Answer: Request a professional interpreter.
Rationale: Professional interpreters ensure accurate communication and maintain
confidentiality, avoiding potential biases from family or untrained staff. (HESI V2 2025 Update)
Question 2: A client reports "I feel like I'm always sick." What is the best follow-up question?
Answer: Tell me more about what you mean by "always sick."
Rationale: Open-ended questions encourage elaboration to gather detailed subjective data.
(HESI V2 2025)
, Question 3: Which interviewing techniques are effective for building rapport? (Select all that
apply)
Answer: Active listening; Nonverbal cues like nodding; Empathic responses.
Rationale: These foster trust and open communication; avoid closed questions early on. (HESI
V2 Practice)
Question 4: The hot/cold theory of health is most associated with which cultural perspective?
Answer: Humoral balance in Hispanic or Asian traditions.
Rationale: Illness results from imbalance; treatments aim to restore equilibrium (e.g., hot foods
for cold illnesses). (HESI V2 2025/2026)
Question 5: A client reports "joint pain that worsens with weather changes." What is the most
appropriate follow-up?
Answer: How does the pain affect your daily activities?
Rationale: Assesses functional impact for comprehensive history. (HESI V2)
Question 6: When documenting a client's social history, what is essential to include?
Answer: Occupation, living situation, and support system.
Rationale: Provides context for health risks and resources. (HESI V2 2025)
Question 8: A client reports drinking 3 beers daily. How should the nurse calculate alcohol use?
Answer: 21 standard drinks per week.
Rationale: 1 beer ≈ 1 standard drink; assess for risky use (>14/week for men). (HESI V2)
Question 9: A client reports a family history of breast cancer. What is the priority question?
Answer: At what age were family members diagnosed?
Rationale: Early onset increases hereditary risk (e.g., BRCA). (HESI V2 2025)
Question 10: Which elements are part of the OLDCARTS acronym for pain assessment? (Select
all that apply)
Answer: Onset; Location; Duration; Characteristics; Aggravating/alleviating factors; Related
symptoms; Treatments; Severity.
Rationale: Systematic tool for thorough symptom evaluation. (HESI V2)
Question 11: A client seems hesitant to discuss substance use. What is the best approach?
Answer: Use nonjudgmental language and normalize screening questions.
Rationale: Reduces stigma and encourages honesty. (HESI V2)
Question 12: For a pediatric client, the nurse should use:
Answer: Age-appropriate language and play techniques.
Rationale: Enhances engagement and accuracy in young children. (HESI V2 2025)
Question 13: A client reports "dizziness when standing." What is the priority history question?
Answer: How long does the dizziness last, and what relieves it?
Rationale: Differentiates orthostatic hypotension from other causes. (HESI V2)
