BSN 246 HESI HEALTH ASSESSMENT V1 EXAM
2026/2027 – ELSEVIER EVOLVE HESI HEALTH
ASSESSMENT MODULE COMPLETE PRACTICE EXAM
QUESTIONS AND ANSWERS | VERIFIED SOLUTIONS |
COMPREHENSIVE CLINICAL REASONING & PHYSICAL
EXAMINATION COMPETENCY STUDY GUIDE
Examiner/Administrator: Elsevier Evolve HESI
━━━━━━━━━━━━━━━━━━━━━━━━━━━━
BSN 246 HESI HEALTH ASSESSMENT V1 EXAM
2026/2027 EDITION
━━━━━━━━━━━━━━━━━━━━━━━━━━━━
COMPLETE PRACTICE EXAM
120 MULTIPLE-CHOICE QUESTIONS
PASSING SCORE: 70%
TESTING TIME: 120 MINUTES
━━━━━━━━━━━━━━━━━━━━━━━━━━━━
TABLE OF CONTENTS
Health History & Interview Techniques
Communication & Therapeutic Assessment
General Survey & Vital Signs
Head, Face, Neck & Lymphatic Assessment
Eyes, Ears, Nose & Throat Assessment
Cardiovascular Assessment
Respiratory Assessment
Abdominal & Gastrointestinal Assessment
Neurological & Musculoskeletal Assessment
Clinical Reasoning, Documentation & Patient Education
,ELSEVIER EVOLVE HESI || ALIGNED WITH CURRENT HEALTH ASSESSMENT BLUEPRINTS ||
PROFESSIONAL NURSING STUDY GUIDE || VERIFIED PRACTICE QUESTIONS AND
ANSWERS || COMPREHENSIVE PHYSICAL EXAMINATION PREPARATION || CLINICAL
REASONING FOCUSED || PREPARED FOR BSN NURSING STUDENTS || PROFESSIONAL
EXAMINATION USE
━━━━━━━━━━━━━━━━━━━━━━━━━━━━
Health History & Interview Techniques (Questions 1–10)
Q1.
A nurse begins obtaining a health history from a newly admitted patient. Which
statement is most appropriate to facilitate an effective interview?
A. "I will ask questions rapidly so we can finish quickly."
B. "Tell me what brought you to the hospital today."
C. "Answer only yes or no unless I ask otherwise."
D. "I already reviewed your chart, so your answers are not necessary."
Correct Answer: 🔴 B. Tell me what brought you to the hospital today.
Explanation: 🔹 Open-ended questions encourage patients to share information in their
own words and provide comprehensive data. Option A discourages communication,
Option C limits assessment findings, and Option D diminishes patient participation and
may result in incomplete information.
Q2.
During a health interview, a patient states, "I am worried that my illness will keep me
from supporting my family." Which response by the nurse demonstrates therapeutic
communication?
A. "You should not worry about that."
B. "Everything will probably work out."
C. "Tell me more about those concerns."
D. "Many patients feel that way."
Correct Answer: 🔴 C. Tell me more about those concerns.
,Explanation: 🔹 Encouraging elaboration promotes exploration of feelings and concerns.
Options A and B offer false reassurance. Option D minimizes the patient's individual
experience rather than encouraging discussion.
Q3.
Which component of the health history provides information regarding hereditary
diseases?
A. Review of systems
B. Family history
C. Social history
D. Functional assessment
Correct Answer: 🔴 B. Family history
Explanation: 🔹 Family history identifies genetic predispositions and familial disease
patterns. The review of systems identifies current symptoms, social history focuses on
lifestyle factors, and functional assessment evaluates daily living capabilities.
Q4.
A patient reports chest discomfort. Which question best explores the symptom using
the PQRST framework?
A. "Do you have health insurance?"
B. "What medications do you take?"
C. "What makes the discomfort worse or better?"
D. "Have you ever had surgery?"
Correct Answer: 🔴 C. What makes the discomfort worse or better?
Explanation: 🔹 The PQRST assessment examines Provocation, Quality, Region, Severity,
and Timing. Asking what worsens or relieves symptoms assesses provocation and
contributes to diagnostic reasoning.
, Q5.
A nurse is collecting subjective data. Which information is considered subjective?
A. Blood pressure of 132/84 mm Hg
B. Temperature of 37.1°C
C. Patient reports fatigue for two weeks
D. Oxygen saturation of 98%
Correct Answer: 🔴 C. Patient reports fatigue for two weeks
Explanation: 🔹 Subjective data consist of symptoms and experiences reported by the
patient. Vital signs and measurable observations are objective findings.
Q6.
A nurse notices a patient repeatedly glancing toward the door during an interview.
Which action is most appropriate?
A. Ignore the behavior and continue questioning
B. Document anxiety without assessment
C. Explore the patient's apparent concern
D. End the interview immediately
Correct Answer: 🔴 C. Explore the patient's apparent concern
Explanation: 🔹 Nonverbal behaviors may reveal significant emotions. Exploring
observed cues helps clarify concerns and strengthens rapport. Assuming anxiety without
assessment can lead to inaccurate conclusions.
Q7.
Which factor most significantly affects the accuracy of a patient's health history?
A. Room color
B. Quality of communication between nurse and patient
C. Nurse's preferred documentation style
D. Hospital visitation policy
2026/2027 – ELSEVIER EVOLVE HESI HEALTH
ASSESSMENT MODULE COMPLETE PRACTICE EXAM
QUESTIONS AND ANSWERS | VERIFIED SOLUTIONS |
COMPREHENSIVE CLINICAL REASONING & PHYSICAL
EXAMINATION COMPETENCY STUDY GUIDE
Examiner/Administrator: Elsevier Evolve HESI
━━━━━━━━━━━━━━━━━━━━━━━━━━━━
BSN 246 HESI HEALTH ASSESSMENT V1 EXAM
2026/2027 EDITION
━━━━━━━━━━━━━━━━━━━━━━━━━━━━
COMPLETE PRACTICE EXAM
120 MULTIPLE-CHOICE QUESTIONS
PASSING SCORE: 70%
TESTING TIME: 120 MINUTES
━━━━━━━━━━━━━━━━━━━━━━━━━━━━
TABLE OF CONTENTS
Health History & Interview Techniques
Communication & Therapeutic Assessment
General Survey & Vital Signs
Head, Face, Neck & Lymphatic Assessment
Eyes, Ears, Nose & Throat Assessment
Cardiovascular Assessment
Respiratory Assessment
Abdominal & Gastrointestinal Assessment
Neurological & Musculoskeletal Assessment
Clinical Reasoning, Documentation & Patient Education
,ELSEVIER EVOLVE HESI || ALIGNED WITH CURRENT HEALTH ASSESSMENT BLUEPRINTS ||
PROFESSIONAL NURSING STUDY GUIDE || VERIFIED PRACTICE QUESTIONS AND
ANSWERS || COMPREHENSIVE PHYSICAL EXAMINATION PREPARATION || CLINICAL
REASONING FOCUSED || PREPARED FOR BSN NURSING STUDENTS || PROFESSIONAL
EXAMINATION USE
━━━━━━━━━━━━━━━━━━━━━━━━━━━━
Health History & Interview Techniques (Questions 1–10)
Q1.
A nurse begins obtaining a health history from a newly admitted patient. Which
statement is most appropriate to facilitate an effective interview?
A. "I will ask questions rapidly so we can finish quickly."
B. "Tell me what brought you to the hospital today."
C. "Answer only yes or no unless I ask otherwise."
D. "I already reviewed your chart, so your answers are not necessary."
Correct Answer: 🔴 B. Tell me what brought you to the hospital today.
Explanation: 🔹 Open-ended questions encourage patients to share information in their
own words and provide comprehensive data. Option A discourages communication,
Option C limits assessment findings, and Option D diminishes patient participation and
may result in incomplete information.
Q2.
During a health interview, a patient states, "I am worried that my illness will keep me
from supporting my family." Which response by the nurse demonstrates therapeutic
communication?
A. "You should not worry about that."
B. "Everything will probably work out."
C. "Tell me more about those concerns."
D. "Many patients feel that way."
Correct Answer: 🔴 C. Tell me more about those concerns.
,Explanation: 🔹 Encouraging elaboration promotes exploration of feelings and concerns.
Options A and B offer false reassurance. Option D minimizes the patient's individual
experience rather than encouraging discussion.
Q3.
Which component of the health history provides information regarding hereditary
diseases?
A. Review of systems
B. Family history
C. Social history
D. Functional assessment
Correct Answer: 🔴 B. Family history
Explanation: 🔹 Family history identifies genetic predispositions and familial disease
patterns. The review of systems identifies current symptoms, social history focuses on
lifestyle factors, and functional assessment evaluates daily living capabilities.
Q4.
A patient reports chest discomfort. Which question best explores the symptom using
the PQRST framework?
A. "Do you have health insurance?"
B. "What medications do you take?"
C. "What makes the discomfort worse or better?"
D. "Have you ever had surgery?"
Correct Answer: 🔴 C. What makes the discomfort worse or better?
Explanation: 🔹 The PQRST assessment examines Provocation, Quality, Region, Severity,
and Timing. Asking what worsens or relieves symptoms assesses provocation and
contributes to diagnostic reasoning.
, Q5.
A nurse is collecting subjective data. Which information is considered subjective?
A. Blood pressure of 132/84 mm Hg
B. Temperature of 37.1°C
C. Patient reports fatigue for two weeks
D. Oxygen saturation of 98%
Correct Answer: 🔴 C. Patient reports fatigue for two weeks
Explanation: 🔹 Subjective data consist of symptoms and experiences reported by the
patient. Vital signs and measurable observations are objective findings.
Q6.
A nurse notices a patient repeatedly glancing toward the door during an interview.
Which action is most appropriate?
A. Ignore the behavior and continue questioning
B. Document anxiety without assessment
C. Explore the patient's apparent concern
D. End the interview immediately
Correct Answer: 🔴 C. Explore the patient's apparent concern
Explanation: 🔹 Nonverbal behaviors may reveal significant emotions. Exploring
observed cues helps clarify concerns and strengthens rapport. Assuming anxiety without
assessment can lead to inaccurate conclusions.
Q7.
Which factor most significantly affects the accuracy of a patient's health history?
A. Room color
B. Quality of communication between nurse and patient
C. Nurse's preferred documentation style
D. Hospital visitation policy
