Page 1 of 75
BSN 246 HESI RN SPECIALTY HEALTH ASSESSMENT
EXAMS (LATEST 2025 UPDATES STUDY BUNDLE
PACKAGE) QUESTIONS AND VERIFIED ANSWERS |
100% CORRECT | GRADE A - NIGHTINGALE
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? .....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? .....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
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should the nurse take? .....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?
.....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? .....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? .....ANSWER.....Height reduction of 1.5 inches.
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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? .....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? .....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?
.....ANSWER.....Bradypnea.
Which procedure should the nurse use to assessfor a pulse
deficit? .....ANSWER.....Measure the apical pulse and compare it
to the peripheral pulse.
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*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? .....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? .....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?
BSN 246 HESI RN SPECIALTY HEALTH ASSESSMENT
EXAMS (LATEST 2025 UPDATES STUDY BUNDLE
PACKAGE) QUESTIONS AND VERIFIED ANSWERS |
100% CORRECT | GRADE A - NIGHTINGALE
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? .....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? .....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
,Page 2 of 75
should the nurse take? .....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?
.....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? .....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? .....ANSWER.....Height reduction of 1.5 inches.
,Page 3 of 75
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? .....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? .....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?
.....ANSWER.....Bradypnea.
Which procedure should the nurse use to assessfor a pulse
deficit? .....ANSWER.....Measure the apical pulse and compare it
to the peripheral pulse.
, Page 4 of 75
*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? .....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? .....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?
