BSN HESI 246 HEALTH ASSESSMENT V1
EXAM QUESTIONS AND ANSWERS LATEST
2025-2026 UPDATE
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 of the client. Which technique should the nurse use to
begin the assessment? - Answer-Inspect the hair and skin.
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.
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.
The nurse is testing the client's shoulders for range of motion. What
should the nurse document to record normal internal rotation? - Answer-
Range of 90 degrees when the hands are placed at the small of the back.
, A client presents with a rash along the occipital area of the hairline and
reports intense itching. How should the nurse begin the objective part of
the examination? - Answer-Inspect the scalp looking for nits.
The nurse is assessing a client's range of motion as the client bends the
right knee up to the chest while keeping the left leg straight, but is
unable to keep the left thigh on the table. The assessment is repeated for
the left knee, and the client is unable to keep the right thigh on the table.
How should the nurse document this finding? - Answer-A flexion
deformity referred to as a positive Thomas test.
During a skin asssessment, the nurse notes, round and discrete lesions
that are dark red in color and will not blanch. The lesions range from 1
to 3 mm in size. What is the first question the nurse should ask the
client? - Answer-Have you notice any irregular bleeding
A client with progressive hearing loss appears distressed when the
registered nurse (RN) asks open-ended questions about the client's
health history. Which forms of communication should the RN use? -
Answer-Face the client so the client can see the RN's mouth.
Check if the client's hearing aides are working properly.
Reduce environmental noise surrounding the client.
A client states that she had a mastectomy of her left breast last year and
now experiences lymphedema. What should the nurse expect to find
when examining the client? - Answer-Swelling of the left arm and non-
pitting edema.
, A client has just returned from the recovery room and asks to get out of
bed to go to the bathroom. The nurse decides to obtain orthostatic vital
signs first. How will the nurse position the client to begin this
procedure? - Answer-Lying.
A postmenopausal female client is undergoing a routine physical
examination. She has reported nothing out of the ordinary. When
performing the examination of the genitourinary system, the nurse finds
an irregularly enlarged uterus with firm, mobile, painless nodules in the
uterine wall. How should the nurse explain this finding to the client? -
Answer-You have benign fibroid tumors, a common occurrence in
women your age.
A client is reporting chest pain. What statement made by the client,
helps the nurse to understand this client has a naturalistic belief in the
cause of illness? - Answer-"My life is really out of balance."
The nurse is preparing to assess the hearing of a client with a history of
prolonged exposure to occupational noise. Which hearing test provides
the most reliable assessment of hearing status? - Answer-Audiometry.
The nurse is performing a routine physical examination on an adult
client. When gathering a health history, which question is included in the
CAGE questionnaire? - Answer-Have you ever felt guilty about your
drinking?
, *CAGE is the acronym for Cut down, Annoyed, Guilty, and Eye-opener.
Nurse can use it to assess for possible alcohol abuse.
The nurse is examining the hip joint of a client who reports hip pain.
Which other assessment is most helpful in determining the cause of the
client's pain? - Answer-Knee joint evaluation.
The nurse performs a series of cranial nerve tests on a client with a head
injury. Which test should the nurse use to assess damage to the first
cranial nerve? - Answer-Occlude one nostril and have the client identify
various odors.
The client reports to the nurse a recent exposure to the mumps. Which
assessment finding suggests the client has contracted the mumps? -
Answer-Swelling anterior to the ear lobe on one side of the face
A nurse is working in a healthcare facility that serves a diverse
population. What action(s) by the nurse will allow the nurse to
empathize with and understand this population? (Select all that apply.) -
Answer-Be open to people who are different.
Have a curiosity about people.
Become culturally competent.
Which findings can the nurse determine by palpating a client's skin?
(Select all that apply.) - Answer-Diaphoresis.
Scaling.
EXAM QUESTIONS AND ANSWERS LATEST
2025-2026 UPDATE
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 of the client. Which technique should the nurse use to
begin the assessment? - Answer-Inspect the hair and skin.
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.
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.
The nurse is testing the client's shoulders for range of motion. What
should the nurse document to record normal internal rotation? - Answer-
Range of 90 degrees when the hands are placed at the small of the back.
, A client presents with a rash along the occipital area of the hairline and
reports intense itching. How should the nurse begin the objective part of
the examination? - Answer-Inspect the scalp looking for nits.
The nurse is assessing a client's range of motion as the client bends the
right knee up to the chest while keeping the left leg straight, but is
unable to keep the left thigh on the table. The assessment is repeated for
the left knee, and the client is unable to keep the right thigh on the table.
How should the nurse document this finding? - Answer-A flexion
deformity referred to as a positive Thomas test.
During a skin asssessment, the nurse notes, round and discrete lesions
that are dark red in color and will not blanch. The lesions range from 1
to 3 mm in size. What is the first question the nurse should ask the
client? - Answer-Have you notice any irregular bleeding
A client with progressive hearing loss appears distressed when the
registered nurse (RN) asks open-ended questions about the client's
health history. Which forms of communication should the RN use? -
Answer-Face the client so the client can see the RN's mouth.
Check if the client's hearing aides are working properly.
Reduce environmental noise surrounding the client.
A client states that she had a mastectomy of her left breast last year and
now experiences lymphedema. What should the nurse expect to find
when examining the client? - Answer-Swelling of the left arm and non-
pitting edema.
, A client has just returned from the recovery room and asks to get out of
bed to go to the bathroom. The nurse decides to obtain orthostatic vital
signs first. How will the nurse position the client to begin this
procedure? - Answer-Lying.
A postmenopausal female client is undergoing a routine physical
examination. She has reported nothing out of the ordinary. When
performing the examination of the genitourinary system, the nurse finds
an irregularly enlarged uterus with firm, mobile, painless nodules in the
uterine wall. How should the nurse explain this finding to the client? -
Answer-You have benign fibroid tumors, a common occurrence in
women your age.
A client is reporting chest pain. What statement made by the client,
helps the nurse to understand this client has a naturalistic belief in the
cause of illness? - Answer-"My life is really out of balance."
The nurse is preparing to assess the hearing of a client with a history of
prolonged exposure to occupational noise. Which hearing test provides
the most reliable assessment of hearing status? - Answer-Audiometry.
The nurse is performing a routine physical examination on an adult
client. When gathering a health history, which question is included in the
CAGE questionnaire? - Answer-Have you ever felt guilty about your
drinking?
, *CAGE is the acronym for Cut down, Annoyed, Guilty, and Eye-opener.
Nurse can use it to assess for possible alcohol abuse.
The nurse is examining the hip joint of a client who reports hip pain.
Which other assessment is most helpful in determining the cause of the
client's pain? - Answer-Knee joint evaluation.
The nurse performs a series of cranial nerve tests on a client with a head
injury. Which test should the nurse use to assess damage to the first
cranial nerve? - Answer-Occlude one nostril and have the client identify
various odors.
The client reports to the nurse a recent exposure to the mumps. Which
assessment finding suggests the client has contracted the mumps? -
Answer-Swelling anterior to the ear lobe on one side of the face
A nurse is working in a healthcare facility that serves a diverse
population. What action(s) by the nurse will allow the nurse to
empathize with and understand this population? (Select all that apply.) -
Answer-Be open to people who are different.
Have a curiosity about people.
Become culturally competent.
Which findings can the nurse determine by palpating a client's skin?
(Select all that apply.) - Answer-Diaphoresis.
Scaling.
