BSN 246 HESI HEALTH ASSESSMENT V1 EXAM ACTUAL EXAM
2026/2027 | COMPLETE EXAM-STYLE QUESTIONS | 100% VERIFIED –
DETAILED RATIONALES – PASS GUARANTEED – A+ GRADED
* **⚠️ Crucial Note on Source Reliability**: I strongly advise you to use these to **test your
knowledge**, not to memorize. The rationales may contain errors, and exam content changes. Always
verify these answers against your course textbooks and lecture notes.
Here is the compiled set of questions, answers, and rationales for questions 1-50 from the BSN 246 HESI
Health Assessment V1 exam based on the available files.
### BSN 246 HESI Health Assessment V1: Questions 1-50
**1. A client has been diagnosed with bilateral lower lobe atelectasis. What percussion sound should the
nurse expect to hear when percussing over the client's lower lobes?**
- **Answer:** Dull, thud-like.
- **Rationale:** Atelectasis involves the collapse of alveoli, which replaces air with more dense
tissue or fluid. This increased density produces a dull or thud-like sound upon percussion, rather than
the resonant sound of healthy, air-filled lungs.
**2. A client is being assessed upon admission to the medical-surgical unit. The nurse is preparing to
complete a head-to-toe assessment and will begin at the head. Which technique should the nurse use to
begin the assessment?**
- **Answer:** Inspect the hair and skin.
- **Rationale:** Inspection is always the first technique used in a physical assessment. By visually
inspecting the hair and skin, the nurse gathers objective baseline data before moving on to palpation,
percussion, or auscultation.
**3. The nurse is assessing a healthy young adult during an annual physical examination. Which
assessment technique should the nurse implement when palpating the abdominal aorta?**
- **Answer:** Deep palpation above and to the left of the umbilicus.
- **Rationale:** The abdominal aorta is a deep structure. Light palpation is insufficient. The
aorta is located in the midline, slightly to the left of the umbilicus, so deep palpation in that area is
correct.
, **4. The nurse is conducting a family history as part of the assessment interview. Which action should
the nurse take to ensure that sufficient information about the client's blood relatives is obtained?**
- **Answer:** Document at least 3 generations of the client's family medical history.
- **Rationale:** A comprehensive family history includes three generations to identify hereditary
patterns and risks for conditions like heart disease, diabetes, or cancer. Limiting to first-degree relatives
can miss important trends.
**5. While inspecting the nails, the nurse notes a clubbing appearance. What is the most appropriate
follow-up question?**
- **Answer:** "Do you experience chronic respiratory or cardiovascular conditions?"
- **Rationale:** Clubbing is associated with chronic hypoxia from conditions such as COPD, cystic
fibrosis, or congenital heart disease. Assessing for systemic causes is the priority.
**6. A client reports abdominal pain in the right lower quadrant. On palpation, the nurse notes rebound
tenderness. What should the nurse suspect?**
- **Answer:** Appendicitis.
- **Rationale:** Rebound tenderness (pain that increases when pressure is rapidly released) in
the right lower quadrant is a classic sign of peritoneal irritation, most commonly associated with
appendicitis.
**7. During an eye assessment, the nurse shines a light into the client's pupils and notes unequal
constriction. What is the term for this finding?**
- **Answer:** Anisocoria.
- **Rationale:** Anisocoria is the medical term for unequal pupil sizes. This can be a benign
variation or a sign of a neurological injury, cranial nerve dysfunction, or other ocular pathology.
**8. The nurse observes jugular vein distention (JVD) at 45 degrees. What condition is this most
consistent with?**
- **Answer:** Right-sided heart failure.
- **Rationale:** JVD is a key indicator of increased central venous pressure. When the heart's
right side fails to pump effectively, blood backs up into the venous system, causing the jugular veins to
distend.
2026/2027 | COMPLETE EXAM-STYLE QUESTIONS | 100% VERIFIED –
DETAILED RATIONALES – PASS GUARANTEED – A+ GRADED
* **⚠️ Crucial Note on Source Reliability**: I strongly advise you to use these to **test your
knowledge**, not to memorize. The rationales may contain errors, and exam content changes. Always
verify these answers against your course textbooks and lecture notes.
Here is the compiled set of questions, answers, and rationales for questions 1-50 from the BSN 246 HESI
Health Assessment V1 exam based on the available files.
### BSN 246 HESI Health Assessment V1: Questions 1-50
**1. A client has been diagnosed with bilateral lower lobe atelectasis. What percussion sound should the
nurse expect to hear when percussing over the client's lower lobes?**
- **Answer:** Dull, thud-like.
- **Rationale:** Atelectasis involves the collapse of alveoli, which replaces air with more dense
tissue or fluid. This increased density produces a dull or thud-like sound upon percussion, rather than
the resonant sound of healthy, air-filled lungs.
**2. A client is being assessed upon admission to the medical-surgical unit. The nurse is preparing to
complete a head-to-toe assessment and will begin at the head. Which technique should the nurse use to
begin the assessment?**
- **Answer:** Inspect the hair and skin.
- **Rationale:** Inspection is always the first technique used in a physical assessment. By visually
inspecting the hair and skin, the nurse gathers objective baseline data before moving on to palpation,
percussion, or auscultation.
**3. The nurse is assessing a healthy young adult during an annual physical examination. Which
assessment technique should the nurse implement when palpating the abdominal aorta?**
- **Answer:** Deep palpation above and to the left of the umbilicus.
- **Rationale:** The abdominal aorta is a deep structure. Light palpation is insufficient. The
aorta is located in the midline, slightly to the left of the umbilicus, so deep palpation in that area is
correct.
, **4. The nurse is conducting a family history as part of the assessment interview. Which action should
the nurse take to ensure that sufficient information about the client's blood relatives is obtained?**
- **Answer:** Document at least 3 generations of the client's family medical history.
- **Rationale:** A comprehensive family history includes three generations to identify hereditary
patterns and risks for conditions like heart disease, diabetes, or cancer. Limiting to first-degree relatives
can miss important trends.
**5. While inspecting the nails, the nurse notes a clubbing appearance. What is the most appropriate
follow-up question?**
- **Answer:** "Do you experience chronic respiratory or cardiovascular conditions?"
- **Rationale:** Clubbing is associated with chronic hypoxia from conditions such as COPD, cystic
fibrosis, or congenital heart disease. Assessing for systemic causes is the priority.
**6. A client reports abdominal pain in the right lower quadrant. On palpation, the nurse notes rebound
tenderness. What should the nurse suspect?**
- **Answer:** Appendicitis.
- **Rationale:** Rebound tenderness (pain that increases when pressure is rapidly released) in
the right lower quadrant is a classic sign of peritoneal irritation, most commonly associated with
appendicitis.
**7. During an eye assessment, the nurse shines a light into the client's pupils and notes unequal
constriction. What is the term for this finding?**
- **Answer:** Anisocoria.
- **Rationale:** Anisocoria is the medical term for unequal pupil sizes. This can be a benign
variation or a sign of a neurological injury, cranial nerve dysfunction, or other ocular pathology.
**8. The nurse observes jugular vein distention (JVD) at 45 degrees. What condition is this most
consistent with?**
- **Answer:** Right-sided heart failure.
- **Rationale:** JVD is a key indicator of increased central venous pressure. When the heart's
right side fails to pump effectively, blood backs up into the venous system, causing the jugular veins to
distend.
