HESI 1 - V1 and V2 REVIEW - Health
Assessment 1 Questions and Answers
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?
Answer Barrel chest
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?
Answer Note the character and frequency of bowel sounds
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?
Answer Document an intact gag reflex.
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?
Answer Upper outer quadrant.
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,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?
Answer A waist circumference is greater than 35 inches in women puts
you at higher risk for type 2 diabetes and heart disease."
6.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.
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?
Answer Sit quietly to allow the client to respond comfortably.
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?
Answer Ask the client to urinate before beginning the examination.
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, 9.Which respiratory condition should the nurse document after
measuring a respiratory rate of 8 breaths/minute?
Answer Bradypnea.
10.Which procedure should the nurse use to assessfor a pulse
deficit?
Answer Mea- sure 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.
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?
Answer Dull, thud-like.
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?
Answer Inspect the hair and skin.
13.The nurse is assessing a healthy young adult during an
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Assessment 1 Questions and Answers
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?
Answer Barrel chest
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?
Answer Note the character and frequency of bowel sounds
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?
Answer Document an intact gag reflex.
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?
Answer Upper outer quadrant.
1/
23
,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?
Answer A waist circumference is greater than 35 inches in women puts
you at higher risk for type 2 diabetes and heart disease."
6.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.
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?
Answer Sit quietly to allow the client to respond comfortably.
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?
Answer Ask the client to urinate before beginning the examination.
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23
, 9.Which respiratory condition should the nurse document after
measuring a respiratory rate of 8 breaths/minute?
Answer Bradypnea.
10.Which procedure should the nurse use to assessfor a pulse
deficit?
Answer Mea- sure 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.
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?
Answer Dull, thud-like.
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?
Answer Inspect the hair and skin.
13.The nurse is assessing a healthy young adult during an
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