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BSN 246 HESI Health Assessment Exam V1 –
Nightingale College – 2025/2026 – 200 Verified Questions
with 100% Correct Answers – A guide
The nurse is interviewing a client who reports having a persistent, productive cough during the winter caused by bronchitis. Which additional finding should the nurse assess for bronchitis? Phlegm production and wheezing. The nurse is assessing the posterior pharynx during a physical examination. Which technique should the nurse use? Press the tongue down one side at a time with a tongue depressor. The nurse is assessing a client who has a history of mitral stenosis. How should the nurse assess this client with a stethoscope to listen for this condition? Place the bell on the 5th intercostal space, lef t midclavicular line. Which statement is accurate about assessing the spleen? It must be enlarged at least three times normal size for it to be palpable.
During an external examination of the eyes, the nurse gently palpates the eyes while the client's eyelids are closed. The eyes are both very firm and resist movement back into the orbit. How should the nurse document this finding? Abnormal finding. Which tool should the nurse use when assessing the neurological status of a client with traumatic brain injury? Glasgow Coma Scale. The nurse is assessing a client with liver disease who is jaundice and exhibits scleral edema. During the health assessment, the nurse should implement which technique to determine evidence of hepatomegaly? Use a bouncing motion to tap the middle finger placed within boundaries of the liver. What is the best nursing response to an older client who has not mentioned incontinence during a genitourinary assessment? Ask the client specifically about any leakage of urine.
Which binformation bshould bthe bnurse bobtain bto bidentify bthe bclient's bself-perception bof bhealth bstatus? Health bhistory During bthe binitial bassessment, bthe bnurse bnotes bthat ba bclient bhas bblurred bvision bwith bcloudy blenses. bWhich bcondition bshould bthe bnurse bdocument? Cataracts. Which bcondition bis bindicated bby ba bfluorescent, byellow-green bcolor bwhen bthe bnurse buses ba bWood's blamp btoexamine ba bclient's bskin blesions? Fungal binfection. A bclient bwith bdark bskin bis breporting ba bpainful band bitching barea bon bthe blower bleft bleg. bWhat bshould bthe bnurse blook bfor bwhen bassessing bthis bclient's bskin bfor binflammation? Change bin bconsistency.
The bnurse bis bperforming ba bthoracic bassessment bon ba bclient bwith bchronic basthma band bhyperinflation bof bthe blungs. bWhich bfinding bshould bbe bexpected bfor bthis bclient? Barrel bchest The bnurse bis bassessing bbowel bsounds bfor ba bhospitalized bclient. bThe bnurse bhas bheard bbowel bsounds bin bthe bright bupper bquadrant. bWhat baction bshould bthe bnurse btake bnext? Note bthe bcharacter band bfrequency bof bbowel bsounds During binspection bof ba bclient's bmouth band bpharynx, bthe bnurse bplaces ba btongue bblade bon bthe bback bof bthe btongue bwhich bcauses bthe bclient bto bgag. bAfter bremoving bthe btongue bblade, bwhat baction bshould bthe bnurse btake? Document ban bintact bgag breflex. When bteaching ba bclient bhow bto bperform ba bmonthly bbreast bself-assessment, bthe bnurse bshould btell bthe bclient bthat bit bis bmost bimportant bto bassess bwhich bpart bof bthe bbreast bmore bclosely bfor bchanges? Upper bouter bquadrant. The bnurse bis bassessing ba bpostmenopausal bclient bwho bhas ba bBMI bof b32. bThe bclient bhas ba bchest bmeasurement bof b 42 binches, bwaist bmeasurement bof b 45 binches, band bhip bmeasurement bof b 50
Bradypnea. Which bprocedure bshould bthe bnurse buse bto bassessfor ba bpulse bdeficit? *Measure bthe bapical bpulse band bcompare bit bto bthe bperipheral bpulse. A bpulse bdeficit bis ba bpalpable bdifference bbetween bthe bapical bpulse bat bthe bpoint bof bmaximal bimpulse band bthe bradial bpulse bpalpated bat bthe bwrist. A bclient bhas bbeen bdiagnosed bwith bbilateral blower blobe batelectasis. bWhat bpercussion bsound bshould bthe bnurse bexpect bto bhear bwhen bpercussing bover bthe bclient's blower blobes? Dull, bthud-like. A bclient bis bbeing bassessed bupon badmission bto bthe bmedical-surgical bunit. bThe bnurse bis bpreparing bto bcomplete ba bhead-to-toe bassessment band bwill bbegin bat bthe bhead bof bthe bclient. bWhich btechnique bshould bthe bnurse buse bto bbegin bthe bassessment? Inspect bthe bhair band bskin. The bnurse bis bassessing ba bhealthy byoung badult bduring ban bannual bphysical bexamination. bWhich bassessment btechnique bshould bthe bnurse bimplement bwhen bpalpating bthe babdominal baorta?
Deep bpalpation babove band bto bthe bleft bof bthe bumbilicus. The bnurse bis bconducting ba bfamily bhistory bas bpart bof bthe bassessment binterview. bWhich baction bshould bthe bnurse btake bto bensure bthat bsufficient binformation babout bthe bclient's bblood brelatives bis bobtained? Document bat bleast b 3 bgenerations bof bthe bclient's bfamily bmedical bhistory. The bnurse bis btesting bthe bclient's bshoulders bfor brange bof bmotion. bWhat bshould bthe bnurse bdocument bto brecord bnormal binternal brotation? Range bof b 90 bdegrees bwhen bthe bhands bare bplaced bat bthe bsmall bof bthe bback. A bclient bpresents bwith ba brash balong bthe boccipital barea bof bthe bhairline band breports bintense bitching. bHow bshould bthe bnurse bbegin bthe bobjective bpart bof bthe bexamination? Inspect bthe bscalp blooking bfor bnits. The bnurse bis bassessing ba bclient's brange bof bmotion bas bthe bclient bbends bthe bright bknee bup bto bthe bchest bwhile bkeeping bthe bleft bleg bstraight, bbut bis bunable bto bkeep bthe bleft bthigh bon bthe btable. bThe bassessment bis brepeated bfor bthe bleft bknee, band bthe bclient bis bunable bto bkeep bthe bright bthigh bon bthe btable. bHow bshould bthe bnurse bdocument bthis bfinding? A bflexion bdeformity breferred bto bas ba bpositive bThomas btest.
Lying. A bpostmenopausal bfemale bclient bis bundergoing ba broutine bphysical bexamination. bShe bhas breported bnothing bout bof bthe bordinary. bWhen bperforming bthe bexamination bof bthe bgenitourinary bsystem, bthe bnurse bfinds ban birregularly benlarged buterus bwith bfirm, bmobile, bpainless bnodules bin bthe buterine bwall. bHow bshould bthe bnurse bexplain bthis bfinding bto bthe bclient? You bhave bbenign bfibroid btumors, ba bcommon boccurrence bin bwomen byour bage. A bclient bis breporting bchest bpain. bWhat bstatement bmade bby bthe bclient, bhelps bthe bnurse bto bunderstand bthis bclient bhas ba bnaturalistic bbelief bin bthe bcause bof billness? "My blife bis breally bout bof bbalance." The bnurse bis bpreparing bto bassess bthe bhearing bof ba bclient bwith ba bhistory bof bprolonged bexposure bto occupational bnoise. bWhich bhearing btest bprovides bthe bmost breliable bassessment bof bhearing bstatus? bAudiometry. The bnurse bis bperforming ba broutine bphysical bexamination bon ban badult bclient. bWhen bgathering ba bhealth bhistory, bwhich bquestion bis bincluded bin bthe bCAGE bquestionnaire? Have byou bever bfelt bguilty babout byour bdrinking?
*CAGE bis bthe bacronym bfor bCut bdown, bAnnoyed, bGuilty, band bEye-opener. bNurse bcan buse bit bto bassess bfor bpossible balcohol babuse. The bnurse bis bexamining bthe bhip bjoint bof ba bclient bwho breports bhip bpain. bWhich bother bassessment bis bmost bhelpful bin bdetermining bthe bcause bof bthe bclient's bpain? Knee bjoint bevaluation. The bnurse bperforms ba bseries bof bcranial bnerve btests bon ba bclient bwith ba bhead binjury. bWhich btest bshould bthe bnurse buse bto bassess bdamage bto bthe bfirst bcranial bnerve? Occlude bone bnostril band bhave bthe bclient bidentify bvarious bodors. The bclient breports bto bthe bnurse ba brecent bexposure bto bthe bmumps. bWhich bassessment bfinding bsuggests bthe bclient bhas bcontracted bthe bmumps? Swelling banterior bto bthe bear blobe bon bone bside bof bthe bface A bnurse bis bworking bin ba bhealthcare bfacility bthat bserves ba bdiverse bpopulation. bWhat baction(s) bby bthe bnurse bwill ballow bthe bnurse bto bempathize bwith band bunderstand bthis bpopulation? b(Select ball bthat bapply.) Be bopen bto bpeople bwho bare bdifferent.
A bclient bis bin bthe bclinic band bis breporting blower babdominal bpain band bconstipation. bWhich information bis bof bgreatest bconcern bto bthe bnurse bwhen bobtaining bthe bhealth bhistory bfrom bthis bclient? Family bhistory bof bcolon bcancer bon bmother's bside. An badult bclient bis bin bthe bclinic bfor ba bregular bphysical bexamination. bThe bnurse bis bassessing bthe bclient's bhydration bstatus bby bpinching bthen breleasing bthe bclient's bskin. bWhich bfinding bis bindicative bof bgood bhydration bstatus? The bskin bimmediately breturns bto bnormal bposition. A bclient bcomes bto bthe bclinic bwith ba breport bof bfever band ba brecent bexposure bto bsomeone bwho bwas bdiagnosed bwith bmeningitis. bWhich bnursing bassessment bshould bbe bcompleted bduring bthe binitial bexamination bof bthis bclient? Level bof bconsciousness. While bpalpating ba bclient's bbreasts, bthe bnurse bdetects ba bnontender, bsolitary, bround blobular bmass bthat bis bsolid band bfirm band bslides beasily bthrough bthe bbreast btissue b. bThe bfindings bof bthis bbreast bexam bare bconsistent bwith bwhich bcondition? Fibroadenoma.
The bclient bis bexperiencing bsevere bpruritus band bsmall bpapules band bburrows bon bareas bover bone bhand band bthe binner bthighs. bWhich bassessment bdata bbest bexplains bthe bcondition bthe bclient bis bexperiencing? The bclient bworks bin ba bdaycare bsetting bthat bhas bhad ba bscabies boutbreak. When bassessing bfacial bnerve bfunction bof ba b 96 - year-old, bthe bnurse basks bthe bclient bto bsmile bin ban bexaggerated bmanner. bWhich bfinding bis bmost bimportant bfor bthe bnurse bto bfurther basses? Only bone bside bof bthe bmouth bmoves bwhen bsmiling. When bperforming brange bof bmotion bexercises bon bthe bjoints bof ban bolder badult bclient, bthe bnurse bnotes bthat bjoint brange bis bgreater bwith bpassive branging bthan bwith bactive branging. bA bgoniometer bindicates bthat bthis bdifference bis bas bmuch bas b15% bin bsome bjoints. bHow bshould bthis bfinding bbe bdocumented? Abnormal. Which baction bshould bthe bregistered bnurse b(RN) bimplement bto bcomplete ban bassessment bfor ba bclient bwhile busing ban binterpreter? Maintain beye bcontact bwith bthe bclient bwhile blistening bto bthe btranslation.
Posterior bchest bbelow bthe b3rd bintercostalspace. A bregistered bnurse b(RN) bis bperforming ba bmini-mental bstate bexamination b(MMSE) bfor ba bclient bwho bis bbeing badmitted bto ban bassisted bliving bcommunity. bWhich bcommunication btechniques bshould bthe bRN bimplement bto bdecrease banxiety bin bthe bclient? b(Select ball bthat bapply.) Use bsimple bsentences bduring bthe bexamination. Reduce benvironmental bdetractors bduring bthe bexamination. bAsk bquestions bone bat ba btime bto bdecrease bconfusion. A bclient breports bpain bwhen btaking ba bdeep bbreath. bWhich blung bauscultation bsound bshould bthe bnurse banticipate bhearing? Pleural bfriction brub A bnurse bis bcompleting ba bnutritional bassessment bwith ba bclient. bWhat bis bthe beasiest bmethod bfor bthe bnurse bto buse bto bget binformation babout bthe bclient's bnutritional bintake? 24 - hour bdietary brecall The bnurse bpalpates ba bweak bpedal bpulse bin bthe bclient's bright bfoot. bWhich bassessment bfindings bshould bthe bRN bdocument bthat bare bconsistent bwith bdiminished bperipheral bcirculation? b(Select ball bthat bapply.)
Diminished bhair bon blegs. bSkin bcool bto btouch. The bnurse bis bcompleting ba bphysical bassessment bof ba bclient bwho bfeel bfrom ba btree. bThe bclient's babdomen bis bsoft bwith bhyperactive bbowel bsounds bin ball bfour bquadrants. bWhich bassessment btechnique bshould bthe bnurse bimplement bwhen bevaluating bthe bclient's bspleen? Percuss bthe bsplenic barea bas bthe bclient btakes ba bdeep bbreath. The bnurse benters ban bexamination broom bto bconduct ba broutine bhealth bassessment bon ban adolescent bfemale bclient, bwho bis baccompanied bby bher bmother. bWhich baction bby bthe bnurse bis blikely bto bfacilitate baccurate bresponses bto bpersonal band bsocial bhistory bquestions? Request bthat bthe bmother bleave bthe bexam broom. While bperforming ba bmental bstatus bexam b(MSE), bthe bnurse basks ba bclient bto bremember bthree bunrelated bwords band brepeat bthem blater. bThe bclient bwas bable bto brepeat bthe bwords bas bdirected. bWhich bcomputer bdocumentation bis baccurate? "Short-term bmemory bis bintact." Which btechnique bshould bthe bnurse bimplement bwhen bperforming ba bWeber btest? bPlace ba bvibrating btuning bfork bmidline bon btop bof bthe bhead
The bnurse buses ba btongue bdepressor bto bassess ba bclient's bmouth. bWhich bstructure bshould bthe bnurse bbe bable bto bvisualize? Pharynx As ba bpart bof ba broutine bhealth bassessment, bthe bnurse bassesses bthe bkidneys bas bpart bof bthe abdominal bassessment. bWhich bassessment bfinding bshould bthe bnurse bconclude bis bnormal bwhen bpalpating bthe bclient's bright bkidney? A bround bsmooth bmass bthat bslides bbetween bthe bfingers. A bclient breports blower babdominal bpain band ba bfeeling bof bpressure bin bthe bbladder. bWhich bassessment bfinding bindicates bacute burinary bretention? Dull bsound bpercussed bover bbladder. *Clients bwith bacute burinary bretention bmay bpresent bwith blower babdominal bpain band bbladder bdistension. bPercussion b(tapping bon bthe bbody bwall) bis bperformed bto bdetect bdifferences bin bpitch. bA bdull bsound bproduced bwhen bpercussing ba bdistended burinary bbladder bis ban bindication bof burinary bretention. The bnurse bexamines bthe bskin bof ban bolder badult bclient. bWhich bskin bvariation bis bconsidered ba bnormal bfinding bfor ba bclient bin bthis bage bgroup? Lentigines.
*Lentigines bor bcommonly breferred bto bas bliver bspots bare birregularly bshaped bdark bspots bon bthe bskin bcaused bby baging band bextensive bsun bexposure. bThis bskin bvariation bis ba bnormal bfinding bin ban bolder badult bclient. During ba bclient's broutine bwell-woman bphysical bexam, bthe bnurse bexamines bthe bbreasts. bWhich bassessment btechnique bshould bthe bnurse bimplement bto bevaluate bfor bany babnormal blumps? With bboth barms bat bclient's bside, blift bone barm band bpalpate bthe baxilla. The bnurse bis bcompleting ba bphysical bexam bon ban badult bclient. bWhich bthyroid bfinding bis bconsidered bnormal? Gland bis bnot bpalpable. How bshould bthe bnurse bassess bfor blower bextremity bedema bin ba bclient bwho bhas bbeen bdiagnosed bwith bheart bfailure? Measure bbilateral bankle bcircumference bwith ba bnon-stretchable btape bmeasure. A bclient bhas bcome bto bthe bclinic bfor ba broutine bhealth bassessment. bWhat bis bthe bbest bassessment bquestion bfor bthe bnurse bto bask ba bclient bafter bobserving btophi bon bthe bclient's bear bcartilage? Have byou bhad bsudden band bsevere bpain bin bthe btoes bor bfeet?
