BSN 246
HESI Health Assessment V1 Exam 2025/2026 |
Practice Questions & Answers with Rationales |
Nightingale College
RESOURCE FEATURES
• BSN 246 HESI Health Assessment V1 practice questions
• Answers for self-assessment
• Detailed clinical rationales
• Nursing assessment review
• Physical-examination techniques
• Clinical scenario practice
• Normal/abnormal finding identification
• 2025/2026-focused exam preparation
, BSN 246 HESI Health Assessment V1 Exam 2025/2026 |
Practice Questions & Answers with Rationales |
Nightingale College
1. 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?
• A) Pigeon chest
• B) Barrel chest
• C) Funnel chest
• D) Flail chest
Answer: B) Barrel chest
Rationale: Chronic asthma with hyperinflation leads to increased
anteroposterior diameter of the chest, resulting in a barrel chest
appearance.
2. Which respiratory condition should the nurse document after
measuring a respiratory rate of 8 breaths/minute?
• A) Tachypnea
• B) Bradypnea
• C) Apnea
• D) Hyperpnea
Answer: B) Bradypnea
,Rationale: Bradypnea is defined as a respiratory rate less than 12 breaths
per minute. A rate of 8 breaths/minute is abnormally slow.
3. 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?
• A) Hyperresonant
• B) Tympanic
• C) Dull, thud-like
• D) Resonant
Answer: C) Dull, thud-like
Rationale: Atelectasis involves collapsed lung tissue, which increases
density and produces a dull percussion sound.
4. A client reports pain when taking a deep breath. Which lung
auscultation sound should the nurse anticipate hearing?
• A) Wheezes
• B) Crackles
• C) Pleural friction rub
• D) Rhonchi
Answer: C) Pleural friction rub
Rationale: Pleural friction rub is a scratchy sound heard during inspiration
and expiration, often associated with pleuritic pain, which worsens with
deep breathing.
, 5. What is the best place for the nurse to hear lower lobe lung sounds
with a stethoscope?
• A) Anterior chest above the clavicles
• B) Posterior chest below the 3rd intercostal space
• C) Lateral chest at the axillae
• D) Anterior chest at the 2nd intercostal space
Answer: B) Posterior chest below the 3rd intercostal space
Rationale: Lower lobe lung sounds are best auscultated posteriorly below
the 3rd intercostal space where the lower lobes are most accessible.
6. The nurse is assessing a client's middle lung lobe. What is the best
location for the nurse to place a stethoscope diaphragm to hear
normal lung sounds in this lobe?
• A) 4th intercostal space, right midclavicular line
• B) 2nd intercostal space, left sternal border
• C) 6th intercostal space, left anterior axillary line
• D) 3rd intercostal space, right parasternal line
Answer: A) 4th intercostal space, right midclavicular line
Rationale: The right middle lobe is best auscultated at the 4th intercostal
space along the right midclavicular line.
7. During an acute COPD exacerbation, which assessment finding is
expected? (Select all that apply)
HESI Health Assessment V1 Exam 2025/2026 |
Practice Questions & Answers with Rationales |
Nightingale College
RESOURCE FEATURES
• BSN 246 HESI Health Assessment V1 practice questions
• Answers for self-assessment
• Detailed clinical rationales
• Nursing assessment review
• Physical-examination techniques
• Clinical scenario practice
• Normal/abnormal finding identification
• 2025/2026-focused exam preparation
, BSN 246 HESI Health Assessment V1 Exam 2025/2026 |
Practice Questions & Answers with Rationales |
Nightingale College
1. 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?
• A) Pigeon chest
• B) Barrel chest
• C) Funnel chest
• D) Flail chest
Answer: B) Barrel chest
Rationale: Chronic asthma with hyperinflation leads to increased
anteroposterior diameter of the chest, resulting in a barrel chest
appearance.
2. Which respiratory condition should the nurse document after
measuring a respiratory rate of 8 breaths/minute?
• A) Tachypnea
• B) Bradypnea
• C) Apnea
• D) Hyperpnea
Answer: B) Bradypnea
,Rationale: Bradypnea is defined as a respiratory rate less than 12 breaths
per minute. A rate of 8 breaths/minute is abnormally slow.
3. 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?
• A) Hyperresonant
• B) Tympanic
• C) Dull, thud-like
• D) Resonant
Answer: C) Dull, thud-like
Rationale: Atelectasis involves collapsed lung tissue, which increases
density and produces a dull percussion sound.
4. A client reports pain when taking a deep breath. Which lung
auscultation sound should the nurse anticipate hearing?
• A) Wheezes
• B) Crackles
• C) Pleural friction rub
• D) Rhonchi
Answer: C) Pleural friction rub
Rationale: Pleural friction rub is a scratchy sound heard during inspiration
and expiration, often associated with pleuritic pain, which worsens with
deep breathing.
, 5. What is the best place for the nurse to hear lower lobe lung sounds
with a stethoscope?
• A) Anterior chest above the clavicles
• B) Posterior chest below the 3rd intercostal space
• C) Lateral chest at the axillae
• D) Anterior chest at the 2nd intercostal space
Answer: B) Posterior chest below the 3rd intercostal space
Rationale: Lower lobe lung sounds are best auscultated posteriorly below
the 3rd intercostal space where the lower lobes are most accessible.
6. The nurse is assessing a client's middle lung lobe. What is the best
location for the nurse to place a stethoscope diaphragm to hear
normal lung sounds in this lobe?
• A) 4th intercostal space, right midclavicular line
• B) 2nd intercostal space, left sternal border
• C) 6th intercostal space, left anterior axillary line
• D) 3rd intercostal space, right parasternal line
Answer: A) 4th intercostal space, right midclavicular line
Rationale: The right middle lobe is best auscultated at the 4th intercostal
space along the right midclavicular line.
7. During an acute COPD exacerbation, which assessment finding is
expected? (Select all that apply)
