BSN 246 HESI Health Assessment V1
NEWEST COMPLETE VERSION
QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED
ANSWERS) | ALREADY GRADED A+.
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
ANSWERS 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
ANSWERS 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 ANSWERS 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 ANSWERS 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 ANSWERS 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 ANSWERS Bradypnea.
Which procedure should the nurse use to assessfor a pulse deficit? - CORRECT ANSWERS 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 ANSWERS 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 ANSWERS 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 ANSWERS 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
ANSWERS Document at least 3 generations of the client's family medical history.
The nurse is testing the client's shoulders for range of motion. What should the nurse document to
record normal internal rotation? - CORRECT ANSWERS Range of 90 degrees when the hands are placed
at the small of the back.
A client presents with a rash along the occipital area of the hairline and reports intense itching. How
should the nurse begin the objective part of the examination? - CORRECT ANSWERS Inspect the scalp
looking for nits.
The nurse is assessing a client's range of motion as the client bends the right knee up to the chest while
keeping the left leg straight, but is unable to keep the left thigh on the table. The assessment is repeated
for the left knee, and the client is unable to keep the right thigh on the table. How should the nurse
document this finding? - CORRECT ANSWERS A flexion deformity referred to as a positive Thomas test.
NEWEST COMPLETE VERSION
QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED
ANSWERS) | ALREADY GRADED A+.
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
ANSWERS 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
ANSWERS 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 ANSWERS 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 ANSWERS 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 ANSWERS 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 ANSWERS Bradypnea.
Which procedure should the nurse use to assessfor a pulse deficit? - CORRECT ANSWERS 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 ANSWERS 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 ANSWERS 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 ANSWERS 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
ANSWERS Document at least 3 generations of the client's family medical history.
The nurse is testing the client's shoulders for range of motion. What should the nurse document to
record normal internal rotation? - CORRECT ANSWERS Range of 90 degrees when the hands are placed
at the small of the back.
A client presents with a rash along the occipital area of the hairline and reports intense itching. How
should the nurse begin the objective part of the examination? - CORRECT ANSWERS Inspect the scalp
looking for nits.
The nurse is assessing a client's range of motion as the client bends the right knee up to the chest while
keeping the left leg straight, but is unable to keep the left thigh on the table. The assessment is repeated
for the left knee, and the client is unable to keep the right thigh on the table. How should the nurse
document this finding? - CORRECT ANSWERS A flexion deformity referred to as a positive Thomas test.
