9/1/25, 8:05
AM
BSN 246 HESI HEALTH ASSESSMENT V1/ACTUAL
EXAM – NIGHTINGALE COLLEGE EXAM QUESTIONS
AND ANSWERS WITH COMPLETE SOLUTION VERIFIED
2025/2026
Terms in this set (197)
The nurse is performing a Barrel chest
thoracic
assessment on a client
with chronic asthma and
hyperinflation of the
lungs. Which
finding should be
expected for this client?
The nurse is assessing Note the character and frequency of bowel sounds
bowel sounds for a
hospitalized client. The
nurse has heard bowel
sounds in the right upper
quadrant. What action
should the nurse take
next?
During inspection of a Document an intact gag reflex.
client's mouth and
pharynx, the nurse places
a tongue blade
on the back of the tongue
1/36
,9/1/25, 8:05
AM
which causes the client
to gag. After removing
the tongue
blade, what action should
the nurse take?
When teaching a client Upper outer quadrant.
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?
The nurse is assessing a A waist circumference is greater than 35 inches
postmenopausal client in women puts you at higher risk for type 2
who has a BMI of 32. The diabetes and heart disease."
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?
2/36
,9/1/25, 8:05
AM
The nurse performs a Height reduction of 1.5 inches.
physical assessment on
an older female
client. Which change
from the prior exam
may be an indication of
osteoporosis?
While conducting an Sit quietly to allow the client to respond comfortably.
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?
A client is in the clinical Ask the client to urinate before beginning the
for a yearly examination.
physical examination.
Which action should the
nurse take when
preparing to examine
the client's
abdomen?
Which respiratory Bradypnea.
condition should the
nurse document after
3/36
, 9/1/25, 8:05
AM
measuring a
respiratory rate of 8
breaths/minute?
Measure the apical pulse and compare it to the
Which procedure should peripheral pulse.
the nurse use to
assessfor a pulse *A pulse deficit is a palpable difference
deficit? between the apical pulse at the point of
maximal impulse and the radial pulse
palpated at the wrist.
A client has been Dull, thud-like.
diagnosed with bilateral
lower lobe
atelectasis. What
percussion
sound should the
nurse expect to hear
when percussing over
the client's lower
lobes?
A client is being Inspect the hair and skin.
assessed upon
admission to the
medical-surgical unit.
The nurse is preparing
to complete a head-
to-toe
assessment and will
begin at the head of
4/36
AM
BSN 246 HESI HEALTH ASSESSMENT V1/ACTUAL
EXAM – NIGHTINGALE COLLEGE EXAM QUESTIONS
AND ANSWERS WITH COMPLETE SOLUTION VERIFIED
2025/2026
Terms in this set (197)
The nurse is performing a Barrel chest
thoracic
assessment on a client
with chronic asthma and
hyperinflation of the
lungs. Which
finding should be
expected for this client?
The nurse is assessing Note the character and frequency of bowel sounds
bowel sounds for a
hospitalized client. The
nurse has heard bowel
sounds in the right upper
quadrant. What action
should the nurse take
next?
During inspection of a Document an intact gag reflex.
client's mouth and
pharynx, the nurse places
a tongue blade
on the back of the tongue
1/36
,9/1/25, 8:05
AM
which causes the client
to gag. After removing
the tongue
blade, what action should
the nurse take?
When teaching a client Upper outer quadrant.
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?
The nurse is assessing a A waist circumference is greater than 35 inches
postmenopausal client in women puts you at higher risk for type 2
who has a BMI of 32. The diabetes and heart disease."
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?
2/36
,9/1/25, 8:05
AM
The nurse performs a Height reduction of 1.5 inches.
physical assessment on
an older female
client. Which change
from the prior exam
may be an indication of
osteoporosis?
While conducting an Sit quietly to allow the client to respond comfortably.
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?
A client is in the clinical Ask the client to urinate before beginning the
for a yearly examination.
physical examination.
Which action should the
nurse take when
preparing to examine
the client's
abdomen?
Which respiratory Bradypnea.
condition should the
nurse document after
3/36
, 9/1/25, 8:05
AM
measuring a
respiratory rate of 8
breaths/minute?
Measure the apical pulse and compare it to the
Which procedure should peripheral pulse.
the nurse use to
assessfor a pulse *A pulse deficit is a palpable difference
deficit? between the apical pulse at the point of
maximal impulse and the radial pulse
palpated at the wrist.
A client has been Dull, thud-like.
diagnosed with bilateral
lower lobe
atelectasis. What
percussion
sound should the
nurse expect to hear
when percussing over
the client's lower
lobes?
A client is being Inspect the hair and skin.
assessed upon
admission to the
medical-surgical unit.
The nurse is preparing
to complete a head-
to-toe
assessment and will
begin at the head of
4/36
