BSN 246 HESI Health Assessment V1
Exam 2026/2027 (ACTUAL EXAM)
QUESTIONS AND VERIFIED ANSWERS
(NIGHTINGALE COLLEGE)
2 hour postprandial (post consuming) blood glucose ranges - ANS-must be less than 140 for
teens
A purchaser comes to the clinic with a report of fever and a latest exposure to a person who
turned into identified with meningitis. Which nursing evaluation should be finished in the course
of the initial exam of this purchaser? - ANS-Level of recognition.
A patron has been recognized with bilateral decrease lobe atelectasis. What percussion sound
have to the nurse assume to hear while percussing over the purchaser's lower lobes? -
ANS-Dull, thud-like.
A consumer has come to the health center for a habitual fitness assessment. What is the quality
assessment question for the nurse to ask a customer after looking at tophi at the client's ear
cartilage? - ANS-Have you had sudden and excessive ache inside the ft or feet?
A purchaser has simply back from the restoration room and asks to get out of bed to go to the
bathroom. The nurse makes a decision to reap orthostatic crucial symptoms first. How will the
nurse position the patron to start this system? - ANS-Lying.
A purchaser is being assessed upon admission to the scientific-surgical unit. The nurse is
getting ready to complete a head-to-toe assessment and could start at the head of the
consumer. Which approach must the nurse use to start the evaluation? - ANS-Inspect the hair
and skin.
A patron is within the health center and is reporting decrease stomach ache and constipation.
Which facts is of greatest problem to the nurse while acquiring the fitness history from this
patron? - ANS-Family history of colon cancer on mother's side.
A consumer is within the health center for a recurring health examination. The nurse notices the
consumer seems underweight. Which query is most vital for the nurse to invite whilst finishing
the fitness records of this consumer? - ANS-Have you experienced unexpected weight loss?
,A purchaser is in the clinical for a yearly bodily exam. Which action must the nurse take when
making ready to observe the patron's stomach? - ANS-Ask the purchaser to urinate earlier than
starting the exam.
A customer is reporting chest ache. What assertion made via the customer, allows the nurse to
apprehend this patron has a naturalistic notion in the cause of contamination? - ANS-"My
lifestyles is actually out of stability."
A patron provides with a rash along the occipital place of the hairline and reviews severe itching.
How should the nurse begin the objective part of the examination? - ANS-Inspect the scalp
searching out nits.
A patron reports feeling more and more fatigued for numerous months, and the nurse observes
that the patron's lips are pale. Which extra information must the nurse accumulate based in this
presentation? - ANS-Use of vitamin and iron supplements.
A customer reviews lower belly ache and a feeling of pressure within the bladder. Which
evaluation finding suggests acute urinary retention? - ANS-Dull sound percussed over bladder.
*Clients with acute urinary retention may gift with decrease stomach pain and bladder
distension. Percussion (tapping on the body wall) is achieved to discover variations in pitch. A
dull sound produced when percussing a distended urinary bladder is an indication of urinary
retention.
A purchaser reports pain while taking a deep breath. Which lung auscultation sound ought to
the nurse count on listening to? - ANS-Pleural friction rub
A consumer states that she had a mastectomy of her left breast ultimate yr and now stories
lymphedema. What must the nurse assume to find while inspecting the consumer? -
ANS-Swelling of the left arm and non-pitting edema.
A client with darkish skin is reporting a painful and itching vicinity at the decrease left leg. What
need to the nurse search for whilst assessing this consumer's skin for inflammation? -
ANS-Change in consistency.
A purchaser with innovative listening to loss appears distressed when the registered nurse (RN)
asks open-ended questions on the client's fitness history. Which kinds of communique must the
RN use? - ANS-Face the patron so the purchaser can see the RN's mouth.
Check if the customer's listening to aides are running nicely.
Reduce environmental noise surrounding the customer.
A male govt is seen in the number one care medical institution for a physical exam. While
acquiring the customer's fitness history, the nurse inquires about his drug and alcohol use. The
government denies drug use, however reports that he has "two glasses of wine" according to
, night time. Which reaction is high-quality for the nurse to offer? - ANS-"What impact do you
think your use of alcohol may have on you?"
A Muslim male patron refuses to let the lady registered nurse (RN) pay attention to his breath
sounds during the exam. How must the RN respond? - ANS-Request a male nurse or
healthcare company to perform the exam.
A nurse is completing a dietary evaluation with a consumer. What is the easiest approach for
the nurse to apply to get records approximately the customer's nutritional intake? - ANS-24-hour
nutritional take into account
A nurse is operating in a healthcare facility that serves a diverse population. What movement(s)
with the aid of the nurse will allow the nurse to empathize with and recognize this populace?
(Select all that practice.) - ANS-Be open to folks that are special.
Have a interest about people.
Become culturally able.
A postmenopausal woman consumer is undergoing a routine bodily exam. She has stated
nothing out of the ordinary. When appearing the examination of the genitourinary machine, the
nurse finds an irregularly enlarged uterus with organization, cellular, painless nodules inside the
uterine wall. How ought to the nurse explain this locating to the purchaser? - ANS-You have
benign fibroid tumors, a not unusual prevalence in women your age.
A registered nurse (RN) is appearing a mini-intellectual kingdom exam (MMSE) for a consumer
who's being admitted to an assisted living community. Which communication strategies ought to
the RN implement to lower tension in the patron? (Select all that practice.) - ANS-Use simple
sentences during the exam.
Reduce environmental detractors in the course of the examination.
Ask questions one by one to decrease confusion.
ABG - ANS-normal degrees
pH 7.35-7.45
pCO2 35-45
HCO3 21-28
pO2 eighty-one hundred
ABG low pH, low pCO2, and occasional HCO3 - ANS-metabolic acidosis with resp
reimbursement
abnormal lung sounds - ANS-bronchophony- repeat "ninety nine" and can be heard
whispered pectoriloquy- whispers 1,2,3 and can be heard honestly
Acute COPD exacerbation, expected assessment findings - ANS-hyperinflated chest on x ray
and flattened diaphragm
Exam 2026/2027 (ACTUAL EXAM)
QUESTIONS AND VERIFIED ANSWERS
(NIGHTINGALE COLLEGE)
2 hour postprandial (post consuming) blood glucose ranges - ANS-must be less than 140 for
teens
A purchaser comes to the clinic with a report of fever and a latest exposure to a person who
turned into identified with meningitis. Which nursing evaluation should be finished in the course
of the initial exam of this purchaser? - ANS-Level of recognition.
A patron has been recognized with bilateral decrease lobe atelectasis. What percussion sound
have to the nurse assume to hear while percussing over the purchaser's lower lobes? -
ANS-Dull, thud-like.
A consumer has come to the health center for a habitual fitness assessment. What is the quality
assessment question for the nurse to ask a customer after looking at tophi at the client's ear
cartilage? - ANS-Have you had sudden and excessive ache inside the ft or feet?
A purchaser has simply back from the restoration room and asks to get out of bed to go to the
bathroom. The nurse makes a decision to reap orthostatic crucial symptoms first. How will the
nurse position the patron to start this system? - ANS-Lying.
A purchaser is being assessed upon admission to the scientific-surgical unit. The nurse is
getting ready to complete a head-to-toe assessment and could start at the head of the
consumer. Which approach must the nurse use to start the evaluation? - ANS-Inspect the hair
and skin.
A patron is within the health center and is reporting decrease stomach ache and constipation.
Which facts is of greatest problem to the nurse while acquiring the fitness history from this
patron? - ANS-Family history of colon cancer on mother's side.
A consumer is within the health center for a recurring health examination. The nurse notices the
consumer seems underweight. Which query is most vital for the nurse to invite whilst finishing
the fitness records of this consumer? - ANS-Have you experienced unexpected weight loss?
,A purchaser is in the clinical for a yearly bodily exam. Which action must the nurse take when
making ready to observe the patron's stomach? - ANS-Ask the purchaser to urinate earlier than
starting the exam.
A customer is reporting chest ache. What assertion made via the customer, allows the nurse to
apprehend this patron has a naturalistic notion in the cause of contamination? - ANS-"My
lifestyles is actually out of stability."
A patron provides with a rash along the occipital place of the hairline and reviews severe itching.
How should the nurse begin the objective part of the examination? - ANS-Inspect the scalp
searching out nits.
A patron reports feeling more and more fatigued for numerous months, and the nurse observes
that the patron's lips are pale. Which extra information must the nurse accumulate based in this
presentation? - ANS-Use of vitamin and iron supplements.
A customer reviews lower belly ache and a feeling of pressure within the bladder. Which
evaluation finding suggests acute urinary retention? - ANS-Dull sound percussed over bladder.
*Clients with acute urinary retention may gift with decrease stomach pain and bladder
distension. Percussion (tapping on the body wall) is achieved to discover variations in pitch. A
dull sound produced when percussing a distended urinary bladder is an indication of urinary
retention.
A purchaser reports pain while taking a deep breath. Which lung auscultation sound ought to
the nurse count on listening to? - ANS-Pleural friction rub
A consumer states that she had a mastectomy of her left breast ultimate yr and now stories
lymphedema. What must the nurse assume to find while inspecting the consumer? -
ANS-Swelling of the left arm and non-pitting edema.
A client with darkish skin is reporting a painful and itching vicinity at the decrease left leg. What
need to the nurse search for whilst assessing this consumer's skin for inflammation? -
ANS-Change in consistency.
A purchaser with innovative listening to loss appears distressed when the registered nurse (RN)
asks open-ended questions on the client's fitness history. Which kinds of communique must the
RN use? - ANS-Face the patron so the purchaser can see the RN's mouth.
Check if the customer's listening to aides are running nicely.
Reduce environmental noise surrounding the customer.
A male govt is seen in the number one care medical institution for a physical exam. While
acquiring the customer's fitness history, the nurse inquires about his drug and alcohol use. The
government denies drug use, however reports that he has "two glasses of wine" according to
, night time. Which reaction is high-quality for the nurse to offer? - ANS-"What impact do you
think your use of alcohol may have on you?"
A Muslim male patron refuses to let the lady registered nurse (RN) pay attention to his breath
sounds during the exam. How must the RN respond? - ANS-Request a male nurse or
healthcare company to perform the exam.
A nurse is completing a dietary evaluation with a consumer. What is the easiest approach for
the nurse to apply to get records approximately the customer's nutritional intake? - ANS-24-hour
nutritional take into account
A nurse is operating in a healthcare facility that serves a diverse population. What movement(s)
with the aid of the nurse will allow the nurse to empathize with and recognize this populace?
(Select all that practice.) - ANS-Be open to folks that are special.
Have a interest about people.
Become culturally able.
A postmenopausal woman consumer is undergoing a routine bodily exam. She has stated
nothing out of the ordinary. When appearing the examination of the genitourinary machine, the
nurse finds an irregularly enlarged uterus with organization, cellular, painless nodules inside the
uterine wall. How ought to the nurse explain this locating to the purchaser? - ANS-You have
benign fibroid tumors, a not unusual prevalence in women your age.
A registered nurse (RN) is appearing a mini-intellectual kingdom exam (MMSE) for a consumer
who's being admitted to an assisted living community. Which communication strategies ought to
the RN implement to lower tension in the patron? (Select all that practice.) - ANS-Use simple
sentences during the exam.
Reduce environmental detractors in the course of the examination.
Ask questions one by one to decrease confusion.
ABG - ANS-normal degrees
pH 7.35-7.45
pCO2 35-45
HCO3 21-28
pO2 eighty-one hundred
ABG low pH, low pCO2, and occasional HCO3 - ANS-metabolic acidosis with resp
reimbursement
abnormal lung sounds - ANS-bronchophony- repeat "ninety nine" and can be heard
whispered pectoriloquy- whispers 1,2,3 and can be heard honestly
Acute COPD exacerbation, expected assessment findings - ANS-hyperinflated chest on x ray
and flattened diaphragm
