BSN 246 HESI Health Assessment Exam V1 (Latest 2026/ 2027
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x1 Update) Questions and Verified Answers |100% Correct| Grade
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x1 A- Nightingale x1
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 x1
B) Flail chest x1
C) Barrel chest x1
D) Pigeon chest x1
Correct Answer: C) Barrel chest
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Explanation: Chronic asthma with hyperinflation leads to increased anteroposterior
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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 x1 x1 x1 x1
B) Note the character and frequency of bowel sounds
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C) Auscultate for bruits x1 x1
D) Palpate the area x1 x1
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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frequency, pitch) before moving on.
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,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 x1 x1 x1 x1
B) Repeat the test x1 x1
C) Refer to a specialist x1 x1 x1
D) Assess cranial nerve I x1 x1 x1
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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(CN IX and X).
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4. During breast self-examination, which area should be assessed
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x1 most closely for changes?
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A) Upper outer quadrant x1 x1
B) Lower inner quadrant x1 x1
C) Nipple area x1
D) Axillary tail x1
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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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 x1 x1 x1
B) Higher risk for type 2 diabetes and heart disease
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C) Lower risk of breast cancer
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D) Normal finding for her age x1 x1 x1 x1
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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diabetes, and cardiovascular disease.
x1 x1 x1 x1
6. Which change from a prior exam may indicate osteoporosis in
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x1 an older female?
x1 x1
A) Weight gain x1
B) Height reduction of 1.5 inches
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C) Increased kyphosis x1
D) Brittle nails x1
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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osteoporosis.
x1
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 x1 x1 x1
D) Summarize what was said x1 x1 x1
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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without pressure.
x1 x1
8. Before examining a client’s abdomen, what should the nurse
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x1 ask the client to do?
x1 x1 x1 x1
A) Take a deep breath x1 x1 x1
B) Empty the bladder x1 x1
C) Lie supine with knees bent
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D) Drink water x1
Correct Answer: B) Empty the bladder
x1 x1 x1 x1 x1
Explanation: Emptying the bladder increases comfort and prevents misinterpretation of
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suprapubic fullness.
x1 x1
9. A client has a respiratory rate of 8 breaths/minute. How should
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the nurse document this?
x1 x1 x1 x1
A) Tachypnea
B) Bradypnea
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x1 Update) Questions and Verified Answers |100% Correct| Grade
x1 x1 x1 x1 x1 x1 x1
x1 A- Nightingale x1
1. A nurse is assessing a client with chronic asthma and lung
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
hyperinflation. Which chest shape should the nurse expect?
x1 x1 x1 x1 x1 x1 x1 x1
A) Pectus excavatum x1
B) Flail chest x1
C) Barrel chest x1
D) Pigeon chest x1
Correct Answer: C) Barrel chest
x1 x1 x1 x1
Explanation: Chronic asthma with hyperinflation leads to increased anteroposterior
x1 x1 x1 x1 x1 x1 x1 x1
chest diameter, resulting in a barrel chest.
x1 x1 x1 x1 x1 x1 x1
2. After hearing bowel sounds in the right upper quadrant, what
x1 x1 x1 x1 x1 x1 x1 x1 x1
should the nurse do next?
x1 x1 x1 x1 x1
A) Move to the next quadrant x1 x1 x1 x1
B) Note the character and frequency of bowel sounds
x1 x1 x1 x1 x1 x1 x1
C) Auscultate for bruits x1 x1
D) Palpate the area x1 x1
Correct Answer: B) Note the character and frequency of bowel sounds Explanation:
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
Once bowel sounds are heard, the nurse should document their characteristics (e.g.,
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
frequency, pitch) before moving on.
x1 x1 x1 x1 x1
,3. A client gags when a tongue blade is placed on the back of the
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
tongue. What action should the nurse take?
x1 x1 x1 x1 x1 x1 x1
A) Document an intact gag reflex x1 x1 x1 x1
B) Repeat the test x1 x1
C) Refer to a specialist x1 x1 x1
D) Assess cranial nerve I x1 x1 x1
Correct Answer: A) Document an intact gag reflex
x1 x1 x1 x1 x1 x1 x1
Explanation: Gagging indicates an intact glossopharyngeal and vagus nerve response
x1 x1 x1 x1 x1 x1 x1 x1 x1
(CN IX and X).
x1 x1 x1 x1
4. During breast self-examination, which area should be assessed
x1 x1 x1 x1 x1 x1 x1
x1 most closely for changes?
x1 x1 x1
A) Upper outer quadrant x1 x1
B) Lower inner quadrant x1 x1
C) Nipple area x1
D) Axillary tail x1
Correct Answer: A) Upper outer quadrant
x1 x1 x1 x1 x1
Explanation: Most breast tumors occur in the upper outer quadrant, including the
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
axillary tail (tail of Spence).
x1 x1 x1 x1 x1
,5. A postmenopausal woman has a waist circumference of 45
x1 x1 x1 x1 x1 x1 x1 x1
inches. What health risk should the nurse explain?
x1 x1 x1 x1 x1 x1 x1 x1
A) Increased risk of osteoporosis x1 x1 x1
B) Higher risk for type 2 diabetes and heart disease
x1 x1 x1 x1 x1 x1 x1 x1
C) Lower risk of breast cancer
x1 x1 x1 x1
D) Normal finding for her age x1 x1 x1 x1
Correct Answer: B) Higher risk for type 2 diabetes and heart disease
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
Explanation: Waist circumference >35 inches in women increases risk for metabolic syndrome,
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
diabetes, and cardiovascular disease.
x1 x1 x1 x1
6. Which change from a prior exam may indicate osteoporosis in
x1 x1 x1 x1 x1 x1 x1 x1 x1
x1 an older female?
x1 x1
A) Weight gain x1
B) Height reduction of 1.5 inches
x1 x1 x1 x1
C) Increased kyphosis x1
D) Brittle nails x1
Correct Answer: B) Height reduction of 1.5 inches
x1 x1 x1 x1 x1 x1 x1
Explanation: Significant height loss suggests vertebral compression fractures from
x1 x1 x1 x1 x1 x1 x1 x1
osteoporosis.
x1
7. A client pauses frequently and looks at the nurse expectantly.
x1 x1 x1 x1 x1 x1 x1 x1 x1
How should the nurse respond?
x1 x1 x1 x1 x1
, A) Ask the next question quickly
x1 x1 x1 x1
B) Sit quietly to allow the client to respond
x1 x1 x1 x1 x1 x1 x1
C) Repeat the last question x1 x1 x1
D) Summarize what was said x1 x1 x1
Correct Answer: B) Sit quietly to allow the client to respond
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
Explanation: Silent pauses allow the client time to gather thoughts and continue
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
without pressure.
x1 x1
8. Before examining a client’s abdomen, what should the nurse
x1 x1 x1 x1 x1 x1 x1 x1
x1 ask the client to do?
x1 x1 x1 x1
A) Take a deep breath x1 x1 x1
B) Empty the bladder x1 x1
C) Lie supine with knees bent
x1 x1 x1 x1
D) Drink water x1
Correct Answer: B) Empty the bladder
x1 x1 x1 x1 x1
Explanation: Emptying the bladder increases comfort and prevents misinterpretation of
x1 x1 x1 x1 x1 x1 x1 x1 x1
suprapubic fullness.
x1 x1
9. A client has a respiratory rate of 8 breaths/minute. How should
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
the nurse document this?
x1 x1 x1 x1
A) Tachypnea
B) Bradypnea
