BSN 246
BSN 246 HESI HEALTH ASSESSMENT V1 EXAM QUESTIONS AND ANSWERS
The nurse is performing a thoracic assessment on a client with
chronic asthma and hyperinflation of the lungs. Which finding
should be expected for this client? - correct answer Barrel chest
The nurse is assessing bowel sounds for a hospitalized client.
The nurse has heard bowel sounds in the right upper quadrant.
What action should the nurse take next? - correct answer Note the
character and frequency of bowel sounds
During inspection of a client's mouth and pharynx, the nurse
places a tongue blade on the back of the tongue which causes
the client to gag. After removing the tongue blade, what action
should the nurse take? - correct answer Document an intact gag
reflex.
,BSN 246
When teaching a client how to perform a monthly breast self-
assessment, the nurse should tell the client that it is most
important to assess which part of the breast more closely for
changes? - correct answer Upper outer quadrant.
The nurse is assessing a postmenopausal client who has a BMI
of 32. The client has a chest measurement of 42 inches, waist
measurement of 45 inches, and hip measurement of 50 inches.
What important message should the nurse explain to the client
to promote health promotion? - correct answer A waist
circumference is greater than 35 inches in women puts you at
higher risk for type 2 diabetes and heart disease."
The nurse performs a physical assessment on an older female
client. Which change from the prior exam may be an indication
of osteoporosis? - correct answer Height reduction of 1.5 inches.
While conducting an interview to obtain a health history, the
nurse notices that the client pauses frequently and looks at the
nurse expectantly. Which response is best for the nurse to
provide? - correct answer Sit quietly to allow the client to respond
comfortably.
, BSN 246
A client is in the clinical for a yearly physical examination. Which
action should the nurse take when preparing to examine the
client's abdomen? - correct answer Ask the client to urinate before
beginning the examination.
Which respiratory condition should the nurse document after
measuring a respiratory rate of 8 breaths/minute? - correct answer
Bradypnea.
Which procedure should the nurse use to assessfor a pulse
deficit? - correct answer Measure the apical pulse and compare it to
the peripheral pulse.
*A pulse deficit is a palpable difference between the apical
pulse at the point of maximal impulse and the radial pulse
palpated at the wrist.
A client has been diagnosed with bilateral lower lobe
atelectasis. What percussion sound should the nurse expect to
hear when percussing over the client's lower lobes? - correct answer
Dull, thud-like.
A client is being assessed upon admission to the medical-
surgical unit. The nurse is preparing to complete a head-to-toe
BSN 246 HESI HEALTH ASSESSMENT V1 EXAM QUESTIONS AND ANSWERS
The nurse is performing a thoracic assessment on a client with
chronic asthma and hyperinflation of the lungs. Which finding
should be expected for this client? - correct answer Barrel chest
The nurse is assessing bowel sounds for a hospitalized client.
The nurse has heard bowel sounds in the right upper quadrant.
What action should the nurse take next? - correct answer Note the
character and frequency of bowel sounds
During inspection of a client's mouth and pharynx, the nurse
places a tongue blade on the back of the tongue which causes
the client to gag. After removing the tongue blade, what action
should the nurse take? - correct answer Document an intact gag
reflex.
,BSN 246
When teaching a client how to perform a monthly breast self-
assessment, the nurse should tell the client that it is most
important to assess which part of the breast more closely for
changes? - correct answer Upper outer quadrant.
The nurse is assessing a postmenopausal client who has a BMI
of 32. The client has a chest measurement of 42 inches, waist
measurement of 45 inches, and hip measurement of 50 inches.
What important message should the nurse explain to the client
to promote health promotion? - correct answer A waist
circumference is greater than 35 inches in women puts you at
higher risk for type 2 diabetes and heart disease."
The nurse performs a physical assessment on an older female
client. Which change from the prior exam may be an indication
of osteoporosis? - correct answer Height reduction of 1.5 inches.
While conducting an interview to obtain a health history, the
nurse notices that the client pauses frequently and looks at the
nurse expectantly. Which response is best for the nurse to
provide? - correct answer Sit quietly to allow the client to respond
comfortably.
, BSN 246
A client is in the clinical for a yearly physical examination. Which
action should the nurse take when preparing to examine the
client's abdomen? - correct answer Ask the client to urinate before
beginning the examination.
Which respiratory condition should the nurse document after
measuring a respiratory rate of 8 breaths/minute? - correct answer
Bradypnea.
Which procedure should the nurse use to assessfor a pulse
deficit? - correct answer Measure the apical pulse and compare it to
the peripheral pulse.
*A pulse deficit is a palpable difference between the apical
pulse at the point of maximal impulse and the radial pulse
palpated at the wrist.
A client has been diagnosed with bilateral lower lobe
atelectasis. What percussion sound should the nurse expect to
hear when percussing over the client's lower lobes? - correct answer
Dull, thud-like.
A client is being assessed upon admission to the medical-
surgical unit. The nurse is preparing to complete a head-to-toe
