1|Page
BSN 246 HESI Health Assessment Exam – Nightingale College – 2025/2026 –
Questions And Answers, 100% Guaranteed Pass ||Complete A+ Guide New update
tested questions and answers
1.
While assessing a client’s lungs, the nurse hears high-pitched, musical sounds
primarily during expiration. What is the most likely finding?
A. Rhonchi
B. Wheezes
C. Crackles
D. Pleural rub
Answer: B
2.
The nurse is palpating the dorsalis pedis pulses bilaterally but cannot detect
them. What should be the next nursing action?
A. Document pulses as absent
B. Use Doppler ultrasound to assess pulses
C. Notify the provider immediately
D. Assess carotid pulses instead
Answer: B
3.
During abdominal assessment, which technique should the nurse perform first?
A. Percussion
B. Palpation
C. Inspection
D. Auscultation
Answer: C
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4.
The nurse documents a client’s pupils as PERRLA. What does this mean?
A. Pupils Equal, Round, React to Light and Accommodation
B. Pupils Equal, Reactive to Light Always
C. Pupils Equal, Responsive, Reactive Light Assessment
D. Pupils Equal, Reactive to Light and Adaptation
Answer: A
5.
Which technique is most accurate for assessing jugular venous distention (JVD)?
A. Position client supine at 90° angle
B. Inspect neck veins with client sitting upright
C. Observe client at 30–45° angle
D. Palpate jugular vein for pulsation
Answer: C
6.
A nurse auscultates a client’s heart and hears a murmur best at the 5th intercostal
space, left midclavicular line. This area corresponds to the:
A. Aortic valve
B. Mitral valve
C. Pulmonic valve
D. Tricuspid valve
Answer: B
7.
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During a neurological exam, the client cannot maintain balance with eyes closed
while standing. Which test is this?
A. Romberg test
B. Babinski test
C. Brudzinski test
D. Weber test
Answer: A
8.
Which finding is expected when percussing over a normal lung field?
A. Hyperresonance
B. Resonance
C. Dullness
D. Flatness
Answer: B
9.
A client has pale, spoon-shaped nails. This condition most likely indicates:
A. Iron-deficiency anemia
B. Hyperthyroidism
C. Chronic liver disease
D. Dehydration
Answer: A
10.
Which cranial nerve is assessed when the nurse asks the client to shrug
shoulders against resistance?
A. CN V (Trigeminal)
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B. CN VII (Facial)
C. CN XI (Spinal Accessory)
D. CN XII (Hypoglossal)
Answer: C
11.
When performing an otoscopic exam on an adult, the nurse should:
A. Pull the pinna up and back
B. Pull the pinna down and back
C. Insert the speculum straight in without movement
D. Have the client lie supine
Answer: A
12.
A nurse hears a bruit over the carotid artery. This indicates:
A. Normal blood flow
B. Decreased cardiac output
C. Turbulent blood flow due to narrowing
D. Jugular venous pressure
Answer: C
13.
Which technique is most appropriate for palpating lymph nodes?
A. Deep firm pressure
B. Quick tapping motion
C. Gentle circular motion with fingertips
D. Using the palm of the hand
Answer: C
BSN 246 HESI Health Assessment Exam – Nightingale College – 2025/2026 –
Questions And Answers, 100% Guaranteed Pass ||Complete A+ Guide New update
tested questions and answers
1.
While assessing a client’s lungs, the nurse hears high-pitched, musical sounds
primarily during expiration. What is the most likely finding?
A. Rhonchi
B. Wheezes
C. Crackles
D. Pleural rub
Answer: B
2.
The nurse is palpating the dorsalis pedis pulses bilaterally but cannot detect
them. What should be the next nursing action?
A. Document pulses as absent
B. Use Doppler ultrasound to assess pulses
C. Notify the provider immediately
D. Assess carotid pulses instead
Answer: B
3.
During abdominal assessment, which technique should the nurse perform first?
A. Percussion
B. Palpation
C. Inspection
D. Auscultation
Answer: C
,2|Page
4.
The nurse documents a client’s pupils as PERRLA. What does this mean?
A. Pupils Equal, Round, React to Light and Accommodation
B. Pupils Equal, Reactive to Light Always
C. Pupils Equal, Responsive, Reactive Light Assessment
D. Pupils Equal, Reactive to Light and Adaptation
Answer: A
5.
Which technique is most accurate for assessing jugular venous distention (JVD)?
A. Position client supine at 90° angle
B. Inspect neck veins with client sitting upright
C. Observe client at 30–45° angle
D. Palpate jugular vein for pulsation
Answer: C
6.
A nurse auscultates a client’s heart and hears a murmur best at the 5th intercostal
space, left midclavicular line. This area corresponds to the:
A. Aortic valve
B. Mitral valve
C. Pulmonic valve
D. Tricuspid valve
Answer: B
7.
,3|Page
During a neurological exam, the client cannot maintain balance with eyes closed
while standing. Which test is this?
A. Romberg test
B. Babinski test
C. Brudzinski test
D. Weber test
Answer: A
8.
Which finding is expected when percussing over a normal lung field?
A. Hyperresonance
B. Resonance
C. Dullness
D. Flatness
Answer: B
9.
A client has pale, spoon-shaped nails. This condition most likely indicates:
A. Iron-deficiency anemia
B. Hyperthyroidism
C. Chronic liver disease
D. Dehydration
Answer: A
10.
Which cranial nerve is assessed when the nurse asks the client to shrug
shoulders against resistance?
A. CN V (Trigeminal)
, 4|Page
B. CN VII (Facial)
C. CN XI (Spinal Accessory)
D. CN XII (Hypoglossal)
Answer: C
11.
When performing an otoscopic exam on an adult, the nurse should:
A. Pull the pinna up and back
B. Pull the pinna down and back
C. Insert the speculum straight in without movement
D. Have the client lie supine
Answer: A
12.
A nurse hears a bruit over the carotid artery. This indicates:
A. Normal blood flow
B. Decreased cardiac output
C. Turbulent blood flow due to narrowing
D. Jugular venous pressure
Answer: C
13.
Which technique is most appropriate for palpating lymph nodes?
A. Deep firm pressure
B. Quick tapping motion
C. Gentle circular motion with fingertips
D. Using the palm of the hand
Answer: C
