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BSN 246 HESI Health Assessment Exam V1 (Latest 2026/ 2027
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21 Update) Questions and Verified Answers |100% Correct| Grade 21 21 21 21 21 21 21
21 A- Nightingale 21
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 21
B) Flail chest 21
C) Barrel chest 21
D) Pigeon chest 21
Correct Answer: C) Barrel chest 21 21 21 21
Explanation: Chronic asthma with hyperinflation leadsto increased anteroposterior 21 21 21 21 21 21 21 21
21 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 21 21 21 21
B) Note the character and frequency of bowel sounds
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C) Auscultate for bruits 21 21
D) Palpate the area 21 21
Correct Answer: B) Note the character and frequency of bowel sounds Explanation:
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Once bowel sounds are heard, the nurseshould document their characteristics (e.g.,
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21 frequency, pitch) before moving on. 21 21 21 21
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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 21 21 21 21
B) Repeat the test 21 21
C) Refer to a specialist 21 21 21
D) Assess cranial nerve I 21 21 21
Correct Answer: A) Document an intact gag reflex
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Explanation: Gagging indicates an intact glossopharyngeal and vagusnerve response (CN 21 21 21 21 21 21 21 21 21 21
21 IX and X).
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4. During breastself-examination, which area should be assessed 21 21 21 21 21 21 21
21 most closely for changes?
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A) Upper outer quadrant 21 21
B) Lower inner quadrant 21 21
C) Nipple area 21
D) Axillarytail 21
Correct Answer: A) Upper outer quadrant
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Explanation: Most breast tumors occur in the upper outer quadrant, including the 21 21 21 21 21 21 21 21 21 21 21
21 axillary tail (tail of Spence).
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5. A postmenopausal woman has awaist circumference of 45
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inches. What health risk should the nurse explain?
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A) Increased risk of osteoporosis 21 21 21
B) Higher risk for type 2 diabetes and heart disease
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C) Lower risk of breast cancer21 21 21 21
D) Normal finding for her age 21 21 21 21
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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21 diabetes, and cardiovascular disease.
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6. Which change from a prior exam mayindicate osteoporosis in an
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21 older female? 21
A) Weight gain 21
B) Height reduction of 1.5 inches 21 21 21 21
C) Increased kyphosis 21
D) Brittle nails 21
Correct Answer: B) Height reduction of 1.5 inches
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Explanation: Significant height losssuggests vertebral compression fractures from osteoporosis.
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7. A client pausesfrequently 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 21 21 21
D) Summarize what was said 21 21 21
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 without
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21 pressure.
8. Before examining a client’s abdomen, what should the nurse ask 21 21 21 21 21 21 21 21 21
21 the client to do?
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A) Take a deep breath 21 21 21
B) Empty the bladder 21 21
C) Lie supine with knees bent
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D) Drink water 21
Correct Answer: B) Empty the bladder 21 21 21 21 21
Explanation: Emptying the bladder increases comfort and prevents misinterpretation of
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21 suprapubic fullness. 21
9. A client has a respiratory rate of 8 breaths/minute. How should the
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nurse document this?
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A) Tachypnea
B) Bradypnea