HESI Health Assessment V1 &
V2 Exam Review | Verified
2026 Questions, Answers &
Study Guide Latest Update
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 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.
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.
, *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? - ANSWER-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? - ANSWER-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? - ANSWER-Range of 90
degrees when the hands are placed at the small of the back.
V2 Exam Review | Verified
2026 Questions, Answers &
Study Guide Latest Update
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 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.
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.
, *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? - ANSWER-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? - ANSWER-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? - ANSWER-Range of 90
degrees when the hands are placed at the small of the back.
