BSN 246 HESI HEALTH ASSESSMENT V

BSN 246 HESI HEALTH ASSESSMENT V1
2025 - 2026




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, BSN 246 HESI Health Assessment V1
Question 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?
Correct Answer
Barrel chest


Question 2
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


Question 3
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.


Question 4
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.


Question 5
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."


Question 6
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.


Question 7

, 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.


Question 8
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.


Question 9
Which respiratory condition should the nurse document after measuring a respiratory rate of
8 breaths/minute?
Correct Answer
Bradypnea.


Question 10
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.


Question 11
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.


Question 12
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.


Question 13
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.