BSN 246 HESI Health Assessment V1 EXAMS WITH ACTUAL QUESTION AND CORRECT
ANSWERS NEWEST 2025
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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.
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.
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 assessment and will begin at the head of the client. Which technique should
the nurse use to begin the assessment? - CORRECT ANSWER-Inspect the hair and skin.
The nurse is assessing a healthy young adult during an annual physical examination. Which
assessment technique should the nurse implement when palpating the abdominal aorta? - CORRECT
ANSWER-Deep palpation above and to the left of the umbilicus.
The nurse is conducting a family history as part of the assessment interview. Which action should the
nurse take to ensure that sufficient information about the client's blood relatives is obtained? -
CORRECT ANSWER-Document at least 3 generations of the client's family medical history.
ANSWERS NEWEST 2025
Save
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.
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.
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 assessment and will begin at the head of the client. Which technique should
the nurse use to begin the assessment? - CORRECT ANSWER-Inspect the hair and skin.
The nurse is assessing a healthy young adult during an annual physical examination. Which
assessment technique should the nurse implement when palpating the abdominal aorta? - CORRECT
ANSWER-Deep palpation above and to the left of the umbilicus.
The nurse is conducting a family history as part of the assessment interview. Which action should the
nurse take to ensure that sufficient information about the client's blood relatives is obtained? -
CORRECT ANSWER-Document at least 3 generations of the client's family medical history.
