BSN 246 HESI
Health Assessment V1 EXAM
Nightingale College
Actual Qs & Verified Ans to Pass the Exam
This Hesi test contains:
passing score Guarantee
Format Set of Multiple-choice
questions with incorporating Next
Generation NCLEX (NGN) and Case scenarios
questions
Expert-Verified Explanations & Solutions
,### Scenario 1:
Question: 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?
- A) Place the bell on the 2nd intercostal space, left sternal border.
- B) Place the bell on the 5th intercostal space, left midclavicular line.
- C) Use the diaphragm at the right sternal border.
- D) Assess the over the abdomen.
Correct answer: B) Place the bell on the 5th intercostal space, left
midclavicular line.
Expert Rationale: Mitral stenosis is best evaluated by using the bell of the
stethoscope at the 5th intercostal space at the left midclavicular line, where
characteristic heart sounds (like a murmur) can be more easily detected.
---
### Scenario 2:
Question: 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?
- A) 2nd intercostal space along the left sternal border.
- B) 2nd intercostal space along the right sternal border.
- C) 5th intercostal space, left midclavicular line.
- D) Apex of the heart.
,Correct answer: B) 2nd intercostal space along the right sternal border.
Expert Rationale: Aortic regurgitation is best heard at the 2nd intercostal
space along the right sternal border, where the aortic valve area is located,
allowing for optimal auscultation of associated heart sounds.
---
### Scenario 3:
Question: The client is experiencing severe pruritus and small papules
and burrows on areas over one hand and the inner thighs. Which
assessment data best explains the condition the client is experiencing?
- A) The client has a family history of eczema.
- B) The client works in a daycare setting that has had a scabies outbreak.
- C) The client travels frequently to areas with high insect populations.
- D) The client reports a recent rash after using a new soap.
Correct answer: B) The client works in a daycare setting that has had a
scabies outbreak.
Expert Rationale: Scabies is highly contagious and often spreads in
environments where close physical contact occurs, such as daycare settings.
The reported outbreak provides context for the client's symptoms.
---
, ### Scenario 4:
Question: A client is reporting chest pain. Which statement made by the
client helps the nurse to understand that this client has a naturalistic
belief in the cause of illness?
- A) "I must have done something wrong to deserve this."
- B) "My life is really out of balance."
- C) "I can’t believe this is happening to me."
- D) "This has to be a punishment from above."
Correct answer: B) "My life is really out of balance."
Expert Rationale: A naturalistic belief often attributes health problems to an
imbalance in natural forces or personal lifestyle choices. The client's
statement re2lects an understanding that their current state is linked to life
stresses or imbalances rather than a punitive or supernatural cause.
---
### Scenario 5:
Question: A nurse is working in a healthcare facility that serves a
diverse population. Which action(s) by the nurse will allow the nurse to
empathize with and understand this population? (Select all that apply.)
- A) Be open to people who are different.
- B) Have a curiosity about people.
- C) Become culturally competent.
- D) Assume all patients have the same beliefs and values.
Correct answers: A) Be open to people who are different.
B) Have a curiosity about people.
Health Assessment V1 EXAM
Nightingale College
Actual Qs & Verified Ans to Pass the Exam
This Hesi test contains:
passing score Guarantee
Format Set of Multiple-choice
questions with incorporating Next
Generation NCLEX (NGN) and Case scenarios
questions
Expert-Verified Explanations & Solutions
,### Scenario 1:
Question: 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?
- A) Place the bell on the 2nd intercostal space, left sternal border.
- B) Place the bell on the 5th intercostal space, left midclavicular line.
- C) Use the diaphragm at the right sternal border.
- D) Assess the over the abdomen.
Correct answer: B) Place the bell on the 5th intercostal space, left
midclavicular line.
Expert Rationale: Mitral stenosis is best evaluated by using the bell of the
stethoscope at the 5th intercostal space at the left midclavicular line, where
characteristic heart sounds (like a murmur) can be more easily detected.
---
### Scenario 2:
Question: 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?
- A) 2nd intercostal space along the left sternal border.
- B) 2nd intercostal space along the right sternal border.
- C) 5th intercostal space, left midclavicular line.
- D) Apex of the heart.
,Correct answer: B) 2nd intercostal space along the right sternal border.
Expert Rationale: Aortic regurgitation is best heard at the 2nd intercostal
space along the right sternal border, where the aortic valve area is located,
allowing for optimal auscultation of associated heart sounds.
---
### Scenario 3:
Question: The client is experiencing severe pruritus and small papules
and burrows on areas over one hand and the inner thighs. Which
assessment data best explains the condition the client is experiencing?
- A) The client has a family history of eczema.
- B) The client works in a daycare setting that has had a scabies outbreak.
- C) The client travels frequently to areas with high insect populations.
- D) The client reports a recent rash after using a new soap.
Correct answer: B) The client works in a daycare setting that has had a
scabies outbreak.
Expert Rationale: Scabies is highly contagious and often spreads in
environments where close physical contact occurs, such as daycare settings.
The reported outbreak provides context for the client's symptoms.
---
, ### Scenario 4:
Question: A client is reporting chest pain. Which statement made by the
client helps the nurse to understand that this client has a naturalistic
belief in the cause of illness?
- A) "I must have done something wrong to deserve this."
- B) "My life is really out of balance."
- C) "I can’t believe this is happening to me."
- D) "This has to be a punishment from above."
Correct answer: B) "My life is really out of balance."
Expert Rationale: A naturalistic belief often attributes health problems to an
imbalance in natural forces or personal lifestyle choices. The client's
statement re2lects an understanding that their current state is linked to life
stresses or imbalances rather than a punitive or supernatural cause.
---
### Scenario 5:
Question: A nurse is working in a healthcare facility that serves a
diverse population. Which action(s) by the nurse will allow the nurse to
empathize with and understand this population? (Select all that apply.)
- A) Be open to people who are different.
- B) Have a curiosity about people.
- C) Become culturally competent.
- D) Assume all patients have the same beliefs and values.
Correct answers: A) Be open to people who are different.
B) Have a curiosity about people.
