BSN 246 HESI Health Assessment Exam V1 (Latest 2026/ 2027 Update) Questions and Verified Answers |100% Correct| Grade A- Nightingale

BSN 246 HESI Health Assessment Exam V1 (Latest 2026/ 2027
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cc Update) Questions and Verified Answers |100% Correct| Grade
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cc A- Nightingale cc




1. A nurse is assessing a client with chronic asthma and lung
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hyperinflation. Which chest shape should the nurse expect?
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A) Pectus excavatum cc




B) Flail chest cc




C) Barrel chest cc




D) Pigeon chest cc




Correct Answer: C) Barrel chest
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Explanation: Chronic asthma with hyperinflation leads to increased anteroposterior
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cc chest diameter, resulting in a barrel chest.
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2. After hearing bowel sounds in the right upper quadrant, what
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should the nurse do next?
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A) Move to the next quadrant cc cc cc cc




B) Note the character and frequency of bowel sounds
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C) Auscultate for bruits cc cc




D) Palpate the area cc cc




Correct Answer: B) Note the character and frequency of bowel sounds Explanation:
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Once bowel sounds are heard, the nurse should document their characteristics (e.g.,
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cc frequency, pitch) before moving on. cc cc cc cc

,3. A client gags when a tongue blade is placed on the back of the
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tongue. What action should the nurse take?
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A) Document an intact gag reflex cc cc cc cc




B) Repeat the test cc cc




C) Refer to a specialist cc cc cc




D) Assess cranial nerve I cc cc cc




Correct Answer: A) Document an intact gag reflex
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Explanation: Gagging indicates an intact glossopharyngeal and vagus nerve response
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cc (CN IX and X).
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4. During breast self-examination, which area should be assessed
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cc most closely for changes?
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A) Upper outer quadrant cc cc




B) Lower inner quadrant cc cc




C) Nipple area cc




D) Axillary tail cc




Correct Answer: A) Upper outer quadrant
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Explanation: Most breast tumors occur in the upper outer quadrant, including the
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cc axillary tail (tail of Spence).
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,5. A postmenopausal woman has a waist circumference of 45
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inches. What health risk should the nurse explain?
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A) Increased risk of osteoporosis cc cc cc




B) Higher risk for type 2 diabetes and heart disease
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C) Lower risk of breast cancercc cc cc cc




D) Normal finding for her age cc cc cc cc




Correct Answer: B) Higher risk for type 2 diabetes and heart disease
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Explanation: Waist circumference >35 inches in women increases risk for metabolic syndrome,
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cc diabetes, and cardiovascular disease.
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6. Which change from a prior exam may indicate osteoporosis in an
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cc older female? cc




A) Weight gain cc




B) Height reduction of 1.5 inches cc cc cc cc




C) Increased kyphosis cc




D) Brittle nails cc




Correct Answer: B) Height reduction of 1.5 inches
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Explanation: Significant height loss suggests vertebral compression fractures from
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cc osteoporosis.




7. A client pauses frequently and looks at the nurse expectantly.
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How should the nurse respond?
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, A) Ask the next question quickly
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B) Sit quietly to allow the client to respond
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C) Repeat the last question cc cc cc




D) Summarize what was said cc cc cc




Correct Answer: B) Sit quietly to allow the client to respond
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Explanation: Silent pauses allow the client time to gather thoughts and continue
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cc without pressure. cc




8. Before examining a client’s abdomen, what should the nurse
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cc ask the client to do?
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A) Take a deep breath cc cc cc




B) Empty the bladder cc cc




C) Lie supine with knees bent
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D) Drink water cc




Correct Answer: B) Empty the bladder
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Explanation: Emptying the bladder increases comfort and prevents misinterpretation of
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cc suprapubic fullness. cc




9. A client has a respiratory rate of 8 breaths/minute. How should
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the nurse document this?
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A) Tachypnea
B) Bradypnea