BSN 246 HESI Health Assessment Exam V2 Actual Exam 2026/2027:
Complete Exam-Style Questions with Detailed Rationales | 100%
Verified | Pass Guaranteed – A+ Graded
Time Allowed: 90 Minutes
Total Questions: 55
1.
The nurse obtains a temperature on a client. Which site yields the most accurate core
temperature reading?
A) Oral
B) Axillary
C) Tympanic
D) Rectal ✓
Correct Answer: D) Rectal
Rationale: Rectal temperature most accurately reflects core body temperature.
2.
A client stands after lying supine. The nurse notes a systolic drop of 22 mmHg and
dizziness. This indicates what finding?
A) Hypertension
B) Orthostatic hypotension ✓
C) Normal variation
D) Vasovagal response
Correct Answer: B) Orthostatic hypotension
Rationale: A systolic drop exceeding 20 mmHg upon standing indicates orthostatic
hypotension.
3.
The nurse asks a postoperative client to rate pain. Which scale is most appropriate for
adults who can communicate?
A) FLACC scale
B) Wong-Baker FACES
,C) Numeric rating scale 0-10 ✓
D) CRIES scale
Correct Answer: C) Numeric rating scale 0-10
Rationale: The numeric rating scale is the standard self-report tool for adult pain
assessment.
4.
A client weighs 80 kg and is 1.75 m tall. The nurse calculates BMI. What is the result?
A) 22.1
B) 24.5
C) 26.1 ✓
D) 28.3
Correct Answer: C) 26.1
Rationale: BMI equals weight in kilograms divided by height in meters squared.
5.
The nurse palpates a radial pulse of 72 and auscultates an apical rate of 84. What is this
finding called?
A) Bigeminy
B) Pulse deficit ✓
C) Tachycardia
D) Arrhythmia
Correct Answer: B) Pulse deficit
Rationale: Pulse deficit occurs when the radial pulse rate is lower than the apical rate.
6.
The nurse performs a general survey. Which findings are assessed during this phase?
(Select All That Apply)
A) Level of consciousness
B) Skin turgor
C) Body posture
D) Vital signs
E) Overall appearance
, Correct Answers: A, C, E
Rationale: General survey includes appearance, behavior, posture, and level of
consciousness, not detailed skin or vital signs.
7.
The nurse counts respirations on a resting adult. The normal range is ___________
breaths per minute.
Correct Answer: 12 to 20
Rationale: Normal adult respiratory rate ranges from 12 to 20 breaths per minute.
8.
The nurse selects a blood pressure cuff. Which guideline ensures the most accurate
reading?
A) Cuff width equals 20% of arm circumference
B) Cuff width equals 40% of arm circumference ✓
C) Cuff length equals 60% of arm circumference
D) Cuff length equals 100% of arm circumference
Correct Answer: B) Cuff width equals 40% of arm circumference
Rationale: The cuff bladder width should cover 40% of the upper arm circumference for
accuracy.
9.
The nurse notes a client has tenting of the skin on the forearm. This indicates which
condition?
A) Edema
B) Dehydration ✓
C) Hypervolemia
D) Jaundice
Correct Answer: B) Dehydration
Rationale: Skin tenting indicates decreased skin turgor from dehydration.
10.
Complete Exam-Style Questions with Detailed Rationales | 100%
Verified | Pass Guaranteed – A+ Graded
Time Allowed: 90 Minutes
Total Questions: 55
1.
The nurse obtains a temperature on a client. Which site yields the most accurate core
temperature reading?
A) Oral
B) Axillary
C) Tympanic
D) Rectal ✓
Correct Answer: D) Rectal
Rationale: Rectal temperature most accurately reflects core body temperature.
2.
A client stands after lying supine. The nurse notes a systolic drop of 22 mmHg and
dizziness. This indicates what finding?
A) Hypertension
B) Orthostatic hypotension ✓
C) Normal variation
D) Vasovagal response
Correct Answer: B) Orthostatic hypotension
Rationale: A systolic drop exceeding 20 mmHg upon standing indicates orthostatic
hypotension.
3.
The nurse asks a postoperative client to rate pain. Which scale is most appropriate for
adults who can communicate?
A) FLACC scale
B) Wong-Baker FACES
,C) Numeric rating scale 0-10 ✓
D) CRIES scale
Correct Answer: C) Numeric rating scale 0-10
Rationale: The numeric rating scale is the standard self-report tool for adult pain
assessment.
4.
A client weighs 80 kg and is 1.75 m tall. The nurse calculates BMI. What is the result?
A) 22.1
B) 24.5
C) 26.1 ✓
D) 28.3
Correct Answer: C) 26.1
Rationale: BMI equals weight in kilograms divided by height in meters squared.
5.
The nurse palpates a radial pulse of 72 and auscultates an apical rate of 84. What is this
finding called?
A) Bigeminy
B) Pulse deficit ✓
C) Tachycardia
D) Arrhythmia
Correct Answer: B) Pulse deficit
Rationale: Pulse deficit occurs when the radial pulse rate is lower than the apical rate.
6.
The nurse performs a general survey. Which findings are assessed during this phase?
(Select All That Apply)
A) Level of consciousness
B) Skin turgor
C) Body posture
D) Vital signs
E) Overall appearance
, Correct Answers: A, C, E
Rationale: General survey includes appearance, behavior, posture, and level of
consciousness, not detailed skin or vital signs.
7.
The nurse counts respirations on a resting adult. The normal range is ___________
breaths per minute.
Correct Answer: 12 to 20
Rationale: Normal adult respiratory rate ranges from 12 to 20 breaths per minute.
8.
The nurse selects a blood pressure cuff. Which guideline ensures the most accurate
reading?
A) Cuff width equals 20% of arm circumference
B) Cuff width equals 40% of arm circumference ✓
C) Cuff length equals 60% of arm circumference
D) Cuff length equals 100% of arm circumference
Correct Answer: B) Cuff width equals 40% of arm circumference
Rationale: The cuff bladder width should cover 40% of the upper arm circumference for
accuracy.
9.
The nurse notes a client has tenting of the skin on the forearm. This indicates which
condition?
A) Edema
B) Dehydration ✓
C) Hypervolemia
D) Jaundice
Correct Answer: B) Dehydration
Rationale: Skin tenting indicates decreased skin turgor from dehydration.
10.
