BSN 246 HESI HEALTH ASSESSMENT V1/
FINAL EXAM TESTBANK 2025/2026
(ACTUAL EXAM) QUESTIONS WITH
CORRECT DETAILED ANSWERS ||
ALREADY GRADED A+RECENT VERSION
The registered nurse (RN) is caring for an Asian client who refuses to make eye
contact during conversations. How should the RN assess this client's response? -
ANSWER The client is treating the nurse with respect.
The nurse is assessing a client for a hip flexion contracture. Which finding
indicates a negative Thomas test when the client's right knee is brought toward the
chest? - ANSWER The left leg remains on the table
*The Thomas test is performed by having the client bring one knee toward the
chest while the other leg remains extended on the table. A positive Thomas test is
elicited when the extended leg rises off the table when the opposite leg's knee is
brought up to the client's chest, indicating hip flexor contracture. If the extended
leg (the left leg, in this example) remains on the table, the test is negative.
The nurse is assessing a client who has a history of aortic regurgitation. Where
should the nurse place the stethoscope diaphragm to listen for this condition? -
ANSWER 2nd intercostal space along the right sternal border.
The nurse is assessing a client who has experienced a sudden onset of hearing loss
in the right ear. Which finding should alert the nurse to a potentially serious
,medical condition that requires further evaluation? - ANSWER There is no sign
of associated infection.
Which information should the nurse obtain to identify the client's self-perception
of health status? - ANSWER Health history
During the initial assessment, the nurse notes that a client has blurred vision with
cloudy lenses. Which condition should the nurse document? -
ANSWER Cataracts.
Which condition is indicated by a fluorescent, yellow-green color when the nurse
uses a Wood's lamp to examine a client's skin lesions? - ANSWER Fungal
infection.
A client with dark skin is reporting a painful and itching area on the lower left leg.
What should the nurse look for when assessing this client's skin for inflammation?
- ANSWER Change in consistency.
A client reports pain when taking a deep breath. Which lung auscultation sound
should the nurse anticipate hearing? - ANSWER Pleural friction rub
A nurse is completing a nutritional assessment with a client. What is the easiest
method for the nurse to use to get information about the client's nutritional intake?
- ANSWER 24-hour dietary recall
, The nurse palpates a weak pedal pulse in the client's right foot. Which assessment
findings should the RN document that are consistent with diminished peripheral
circulation? (Select all that apply.) - ANSWER Diminished hair on legs.
Skin is cool to the touch.
The nurse is completing a physical assessment of a client who fell from a tree. The
client's abdomen is soft with hyperactive bowel sounds in all four quadrants.
Which assessment technique should the nurse implement when evaluating the
client's spleen? - ANSWER Percuss the splenic area as the client takes a deep
breath.
The nurse enters an examination room to conduct a routine health assessment on
an adolescent female client, who is accompanied by her mother. Which action by
the nurse is likely to facilitate accurate responses to personal and social history
questions? - ANSWER Request that the mother leave the exam room.
While performing a mental status exam (MSE), the nurse asks a client to
remember three unrelated words and repeat them later. The client was able to
repeat the words as directed. Which computer documentation is accurate? -
ANSWER "Short-term memory is intact."
Which technique should the nurse implement when performing a Weber test? -
ANSWER Place a vibrating tuning fork midline on top of the head
Which technique should the nurse use to assess a client for scoliosis? -
ANSWER Observe spine while the client is erect and bent forward
, Which term should the nurse use to document in the client's medical record for a
high-pitched scratchy sound during auscultation of the heart? -
ANSWER Friction rub
While performing a head-to-toe assessment, the nurse assesses the client's
pupillary accommodation. During the second portion of the test, the nurse notes
that the client's pupils constrict and there is convergence of the axes of the eyes.
What action should the nurse implement next? - ANSWER Document a normal
finding.
The nurse performs the Weber and Rinne tests to assess which cranial nerve? -
ANSWER VIII - vestibulocochlear
The nurse uses a tongue depressor to assess a client's mouth. Which structure
should the nurse be able to visualize? - ANSWER Pharynx
As a part of a routine health assessment, the nurse assesses the kidneys as part of
the abdominal assessment. Which assessment finding should the nurse conclude is
normal when palpating the client's right kidney? - ANSWER A round smooth
mass that slides between the fingers.
A client reports lower abdominal pain and a feeling of pressure in the bladder.
Which assessment finding indicates acute urinary retention? - ANSWER Dull
sound percussed over the bladder.
*Clients with acute urinary retention may present with lower abdominal pain and
bladder distension. Percussion (tapping on the body wall) is performed to detect
FINAL EXAM TESTBANK 2025/2026
(ACTUAL EXAM) QUESTIONS WITH
CORRECT DETAILED ANSWERS ||
ALREADY GRADED A+RECENT VERSION
The registered nurse (RN) is caring for an Asian client who refuses to make eye
contact during conversations. How should the RN assess this client's response? -
ANSWER The client is treating the nurse with respect.
The nurse is assessing a client for a hip flexion contracture. Which finding
indicates a negative Thomas test when the client's right knee is brought toward the
chest? - ANSWER The left leg remains on the table
*The Thomas test is performed by having the client bring one knee toward the
chest while the other leg remains extended on the table. A positive Thomas test is
elicited when the extended leg rises off the table when the opposite leg's knee is
brought up to the client's chest, indicating hip flexor contracture. If the extended
leg (the left leg, in this example) remains on the table, the test is negative.
The nurse is assessing a client who has a history of aortic regurgitation. Where
should the nurse place the stethoscope diaphragm to listen for this condition? -
ANSWER 2nd intercostal space along the right sternal border.
The nurse is assessing a client who has experienced a sudden onset of hearing loss
in the right ear. Which finding should alert the nurse to a potentially serious
,medical condition that requires further evaluation? - ANSWER There is no sign
of associated infection.
Which information should the nurse obtain to identify the client's self-perception
of health status? - ANSWER Health history
During the initial assessment, the nurse notes that a client has blurred vision with
cloudy lenses. Which condition should the nurse document? -
ANSWER Cataracts.
Which condition is indicated by a fluorescent, yellow-green color when the nurse
uses a Wood's lamp to examine a client's skin lesions? - ANSWER Fungal
infection.
A client with dark skin is reporting a painful and itching area on the lower left leg.
What should the nurse look for when assessing this client's skin for inflammation?
- ANSWER Change in consistency.
A client reports pain when taking a deep breath. Which lung auscultation sound
should the nurse anticipate hearing? - ANSWER Pleural friction rub
A nurse is completing a nutritional assessment with a client. What is the easiest
method for the nurse to use to get information about the client's nutritional intake?
- ANSWER 24-hour dietary recall
, The nurse palpates a weak pedal pulse in the client's right foot. Which assessment
findings should the RN document that are consistent with diminished peripheral
circulation? (Select all that apply.) - ANSWER Diminished hair on legs.
Skin is cool to the touch.
The nurse is completing a physical assessment of a client who fell from a tree. The
client's abdomen is soft with hyperactive bowel sounds in all four quadrants.
Which assessment technique should the nurse implement when evaluating the
client's spleen? - ANSWER Percuss the splenic area as the client takes a deep
breath.
The nurse enters an examination room to conduct a routine health assessment on
an adolescent female client, who is accompanied by her mother. Which action by
the nurse is likely to facilitate accurate responses to personal and social history
questions? - ANSWER Request that the mother leave the exam room.
While performing a mental status exam (MSE), the nurse asks a client to
remember three unrelated words and repeat them later. The client was able to
repeat the words as directed. Which computer documentation is accurate? -
ANSWER "Short-term memory is intact."
Which technique should the nurse implement when performing a Weber test? -
ANSWER Place a vibrating tuning fork midline on top of the head
Which technique should the nurse use to assess a client for scoliosis? -
ANSWER Observe spine while the client is erect and bent forward
, Which term should the nurse use to document in the client's medical record for a
high-pitched scratchy sound during auscultation of the heart? -
ANSWER Friction rub
While performing a head-to-toe assessment, the nurse assesses the client's
pupillary accommodation. During the second portion of the test, the nurse notes
that the client's pupils constrict and there is convergence of the axes of the eyes.
What action should the nurse implement next? - ANSWER Document a normal
finding.
The nurse performs the Weber and Rinne tests to assess which cranial nerve? -
ANSWER VIII - vestibulocochlear
The nurse uses a tongue depressor to assess a client's mouth. Which structure
should the nurse be able to visualize? - ANSWER Pharynx
As a part of a routine health assessment, the nurse assesses the kidneys as part of
the abdominal assessment. Which assessment finding should the nurse conclude is
normal when palpating the client's right kidney? - ANSWER A round smooth
mass that slides between the fingers.
A client reports lower abdominal pain and a feeling of pressure in the bladder.
Which assessment finding indicates acute urinary retention? - ANSWER Dull
sound percussed over the bladder.
*Clients with acute urinary retention may present with lower abdominal pain and
bladder distension. Percussion (tapping on the body wall) is performed to detect
