NIGHTINGALE COLLEGE
BSN 246 HESI Health Assessment Exam V1
(Latest 2026/2027 Update) Questions and
Verified Answers |100% Correct| Grade A-
Nightingale 2026/2027
HEALTH ASSESSMENT · Official Exam 2026/2027
100 85% CERTIFIED
QUESTIONS PASSING SCORE RECERTIFICATION
TABLE OF CONTENTS
Section 1 Health History & Interview Techniques Q1-Q20
Section 2 Physical Examination Techniques & Vital Signs Q21-Q40
Section 3 Head, Eyes, Ears, Nose & Throat Assessment Q41-Q60
Section 4 Cardiovascular, Respiratory & Abdominal Assessment Q61-Q80
Section 5 Musculoskeletal, Neurological & Integumentary Assessment Q81-Q100
Instructions: Select the single best answer for each question. This exam is designed for BSN 246 HESI Health
Assessment Exam V1 preparation. Passing score: 85% (85 questions correct).
N 246 HESI Health Assessment Exam V1 (Latest 2026/2027 Update) Questions and Verified Answers |100% Correct| Grade A- Nightingale 2026/2027 -- 2026/2027 | Passing Score: 85% | Page 1
, SECTION 1 | Health History & Interview Techniques | Q1-Q20 | BSN 246 HESI Health Assessment Exam V1 (Latest 2026/2027
Update) Questions and Verified Answers |100% Correct| Grade A- Nightingale 2026/2027 2026/2027
Q1 Question 1 of 100
Q1. A 45-year-old male presents to the clinic for a routine health assessment. The nurse
begins the interview by asking open-ended questions about the patient's reason for the visit.
The primary advantage of using open-ended questions during the health history interview is
that they:
A. Allow the patient to express their concerns in their own words and reveal unexpected
information
B. Are quicker to administer than closed-ended questions
C. Prevent the patient from providing irrelevant details
D. Ensure the nurse maintains complete control of the interview direction
Correct Answer: C
Rationale:
Open-ended questions encourage patients to describe their concerns in their own words, often revealing
information the nurse might not have anticipated. They are not quicker than closed-ended questions, they
may generate irrelevant details, and they share control with the patient rather than keeping it solely with
the nurse.
Q2 Question 2 of 100
Q2. A 67-year-old female patient is admitted to the medical-surgical unit. The nurse is
conducting a comprehensive health history and asks the patient about her current
medications, including over-the-counter drugs and supplements. The most important reason
for including over-the-counter medications in the medication history is that:
A. Over-the-counter medications are always less expensive than prescription drugs
B. Over-the-counter medications can interact with prescribed medications and affect treatment
outcomes
C. Patients rarely remember to mention their over-the-counter medications
D. Over-the-counter medications have no side effects and are therefore safe to ignore
Correct Answer: C
Rationale:
Over-the-counter medications, supplements, and herbal remedies can interact with prescribed
medications, altering their effectiveness or causing adverse effects. They are not always less expensive,
patients often do forget them which makes asking important, and they absolutely can have side effects.
N 246 HESI Health Assessment Exam V1 (Latest 2026/2027 Update) Questions and Verified Answers |100% Correct| Grade A- Nightingale 2026/2027 -- 2026/2027 | Passing Score: 85% | Page 2
, Q3 Question 3 of 100
Q3. A 32-year-old patient is interviewed by the nurse for a preoperative health assessment.
When asked about alcohol consumption, the patient appears uncomfortable and provides
vague answers. The nurse's best approach is to:
A. Document that the patient refuses to answer and move on
B. Use a nonjudgmental tone and explain why the information is important for safe anesthesia
C. Skip the alcohol questions since the patient clearly does not want to discuss it
D. Tell the patient that withholding information could result in surgery cancellation
Correct Answer: A
Rationale:
Using a nonjudgmental tone and explaining the clinical relevance encourages honest disclosure while
respecting the patient's comfort. Documenting refusal without attempting to build rapport misses important
data, skipping questions compromises the assessment, and threatening surgery cancellation is coercive.
Q4 Question 4 of 100
Q4. A nurse is conducting a health history interview with a 58-year-old patient who speaks
limited English. The patient's adult daughter offers to interpret for the visit. The nurse
should:
A. Accept the daughter's offer since she knows the patient best
B. Politely decline and arrange for a trained medical interpreter to ensure accurate
communication
C. Allow the daughter to interpret but verify key information with gestures
D. Use the daughter for basic conversation but switch to a phone interpreter for medical terms
only
Correct Answer: B
Rationale:
A trained medical interpreter ensures accurate, complete, and unbiased communication, which is essential
for patient safety. Family members may omit, modify, or misinterpret information due to emotional
involvement or lack of medical vocabulary. Using gestures or partial interpretation risks miscommunication.
N 246 HESI Health Assessment Exam V1 (Latest 2026/2027 Update) Questions and Verified Answers |100% Correct| Grade A- Nightingale 2026/2027 -- 2026/2027 | Passing Score: 85% | Page 3
, Q5 Question 5 of 100
Q5. A 73-year-old widowed patient is being assessed in the geriatric clinic. The nurse
notices the patient provides minimal responses and avoids eye contact during the interview.
The nurse should consider that this behavior may indicate:
A. The patient is fully satisfied with their care and has no concerns
B. Cultural norms regarding communication or possible depression requiring further
assessment
C. The patient understands everything and does not need additional explanation
D. The patient is being deliberately uncooperative and noncompliant
Correct Answer: B
Rationale:
Minimal responses and avoiding eye contact may reflect cultural communication norms or suggest
depression in an elderly widowed patient, both of which warrant further exploration. Assuming satisfaction,
understanding, or noncompliance without investigation risks missing important clinical findings.
Q6 Question 6 of 100
Q6. A nurse is taking the health history of a 29-year-old female who reports chronic fatigue,
unintentional weight loss, and night sweats over the past two months. These findings are
classified as:
A. Symptoms because they are subjective experiences reported by the patient
B. Signs because they can be objectively measured by the nurse
C. Diagnoses because they indicate a specific disease process
D. Normal findings because they are common in young adults
Correct Answer: B
Rationale:
Chronic fatigue, unintentional weight loss, and night sweats are symptoms because they are subjective
experiences reported by the patient that cannot be directly observed or measured by the examiner. Signs
are objective and observable, these are not yet diagnoses, and they are not normal findings.
N 246 HESI Health Assessment Exam V1 (Latest 2026/2027 Update) Questions and Verified Answers |100% Correct| Grade A- Nightingale 2026/2027 -- 2026/2027 | Passing Score: 85% | Page 4