BSN 246 HESI Health Assessment V1 Questions
and Answers | 2025 New Update | 100% Correct -
Galen College of Nursing
Terms in this set (197) QUESTIONS Verified Answers
1. The nurse is performing a thoracic Barrel chest
assessment on a client with chronic asthma
and hyperinflation of the lungs. Which
finding should be expected for this client?
2. The nurse is assessing bowel sounds for a Note the character and frequency
hospitalized client. The nurse has heard of bowel sounds
bowel sounds in the right upper quadrant.
What action should the nurse take next?
3. During inspection of a client's mouth and Document an intact gag reflex.
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?
4. When teaching a client how to perform a Upper outer quadrant.
, 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?
5. The nurse is assessing a postmenopausal A waist circumference is greater
client who has a BMI of 32. The client has a than 35 inches in women puts you
chest measurement of 42 inches, waist at higher risk for type 2 diabetes
measurement of 45 inches, and hip and heart disease."
measurement of 50 inches. What important
message should the nurse explain to the client
to promote health promotion?
6. The nurse performs a physical assessment on Height reduction of 1.5 inches.
an older female client. Which change from
the prior exam may be an indication of
osteoporosis?
7. While conducting an interview to obtain a Sit quietly to allow the client to
health history, the nurse notices that the client respond comfortably.
pauses frequently and looks at the nurse
expectantly. Which response is best for the
nurse to provide?
8. A client is in the clinical for a yearly physical Ask the client to urinate before
examination. Which action should the nurse beginning the examination.
take when preparing to examine the client's
, abdomen?
9. Which respiratory condition should the nurse Bradypnea.
document after measuring a respiratory rate
of 8 breaths/minute?
10. Which procedure should the nurse use to Measure the apical pulse and
assessfor a pulse deficit? 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.
11. A client has been diagnosed with bilateral Dull, thud-like.
lower lobe atelectasis. What percussion
sound should the nurse expect to hear when
percussing over the client's lower lobes?
12. A client is being assessed upon admission to Inspect the hair and skin.
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?
13. The nurse is assessing a healthy young adult Deep palpation above and to the
, during an annual physical examination. left of the umbilicus.
Which assessment technique should the nurse
implement when palpating the abdominal
aorta?
14. The nurse is conducting a family history as Document at least 3 generations
part of the assessment interview. Which of the client's family medical
action should the nurse take to ensure that history.
sufficient information about the client's blood
relatives is obtained?
15. The nurse is testing the client's shoulders for Range of 90 degrees when the
range of motion. What should the nurse hands are placed at the small of
document to record normal internal rotation? the back.
16. A client presents with a rash along the Inspect the scalp looking for nits.
occipital area of the hairline and reports
intense itching. How should the nurse begin
the objective part of the examination?
17. The nurse is assessing a client's range of A flexion deformity referred to as
motion as the client bends the right knee up a positive Thomas test.
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
and Answers | 2025 New Update | 100% Correct -
Galen College of Nursing
Terms in this set (197) QUESTIONS Verified Answers
1. The nurse is performing a thoracic Barrel chest
assessment on a client with chronic asthma
and hyperinflation of the lungs. Which
finding should be expected for this client?
2. The nurse is assessing bowel sounds for a Note the character and frequency
hospitalized client. The nurse has heard of bowel sounds
bowel sounds in the right upper quadrant.
What action should the nurse take next?
3. During inspection of a client's mouth and Document an intact gag reflex.
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?
4. When teaching a client how to perform a Upper outer quadrant.
, 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?
5. The nurse is assessing a postmenopausal A waist circumference is greater
client who has a BMI of 32. The client has a than 35 inches in women puts you
chest measurement of 42 inches, waist at higher risk for type 2 diabetes
measurement of 45 inches, and hip and heart disease."
measurement of 50 inches. What important
message should the nurse explain to the client
to promote health promotion?
6. The nurse performs a physical assessment on Height reduction of 1.5 inches.
an older female client. Which change from
the prior exam may be an indication of
osteoporosis?
7. While conducting an interview to obtain a Sit quietly to allow the client to
health history, the nurse notices that the client respond comfortably.
pauses frequently and looks at the nurse
expectantly. Which response is best for the
nurse to provide?
8. A client is in the clinical for a yearly physical Ask the client to urinate before
examination. Which action should the nurse beginning the examination.
take when preparing to examine the client's
, abdomen?
9. Which respiratory condition should the nurse Bradypnea.
document after measuring a respiratory rate
of 8 breaths/minute?
10. Which procedure should the nurse use to Measure the apical pulse and
assessfor a pulse deficit? 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.
11. A client has been diagnosed with bilateral Dull, thud-like.
lower lobe atelectasis. What percussion
sound should the nurse expect to hear when
percussing over the client's lower lobes?
12. A client is being assessed upon admission to Inspect the hair and skin.
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?
13. The nurse is assessing a healthy young adult Deep palpation above and to the
, during an annual physical examination. left of the umbilicus.
Which assessment technique should the nurse
implement when palpating the abdominal
aorta?
14. The nurse is conducting a family history as Document at least 3 generations
part of the assessment interview. Which of the client's family medical
action should the nurse take to ensure that history.
sufficient information about the client's blood
relatives is obtained?
15. The nurse is testing the client's shoulders for Range of 90 degrees when the
range of motion. What should the nurse hands are placed at the small of
document to record normal internal rotation? the back.
16. A client presents with a rash along the Inspect the scalp looking for nits.
occipital area of the hairline and reports
intense itching. How should the nurse begin
the objective part of the examination?
17. The nurse is assessing a client's range of A flexion deformity referred to as
motion as the client bends the right knee up a positive Thomas test.
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
