Final Exam For;
BSN 246
HESI Health Assessment V1
NIGHTINGALE COLLEGE
** Expert-Verified Explanation
** Questions with Verified Answer
** New Edition |Updated
** Guaranteed Pass
** 100% Correct Answers | Graded A+
, The nurse is performing a thoracic assessment on a Barrel chest
client with chronic asthma and hyperinflation of the
lungs. Which finding should be expected for this client?
The nurse is assessing bowel sounds for a hospitalized Note the character and frequency of bowel sounds
client. The nurse has heard bowel sounds in the right
upper quadrant. What action should the nurse take next?
During inspection of a client's mouth and pharynx, the Document an intact gag reflex.
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?
When teaching a client how to perform a monthly breast Upper outer quadrant.
self-assessment, the nurse should tell the client that it is
most important to assess which part of the breast more
closely for changes?
The nurse is assessing a postmenopausal client who has A waist circumference is greater than 35 inches in women puts you at higher risk
a BMI of 32. The client has a chest measurement of 42 for type 2 diabetes and heart disease."
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?
The nurse performs a physical assessment on an older Height reduction of 1.5 inches.
female client. Which change from the prior exam may be
an indication of osteoporosis?
While conducting an interview to obtain a health history, Sit quietly to allow the client to respond comfortably.
the nurse notices that the client pauses frequently and
looks at the nurse expectantly. Which response is best
for the nurse to provide?
A client is in the clinical for a yearly physical examination. Ask the client to urinate before beginning the examination.
Which action should the nurse take when preparing to
examine the client's abdomen?
Which respiratory condition should the nurse document Bradypnea.
after measuring a respiratory rate of 8 breaths/minute?
Which procedure should the nurse use to assessfor a Measure the apical pulse and compare it to the peripheral pulse.
pulse deficit?
*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 Dull, thud-like.
atelectasis. What percussion sound should the nurse
expect to hear when percussing over the client's lower
lobes?
A client is being assessed upon admission to the Inspect the hair and skin.
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?
The nurse is assessing a healthy young adult during an Deep palpation above and to the left of the umbilicus.
annual physical examination. Which assessment
technique should the nurse implement when palpating
the abdominal aorta?
The nurse is conducting a family history as part of the Document at least 3 generations of the client's family medical history.
assessment interview. Which action should the nurse
take to ensure that sufficient information about the
client's blood relatives is obtained?
BSN 246
HESI Health Assessment V1
NIGHTINGALE COLLEGE
** Expert-Verified Explanation
** Questions with Verified Answer
** New Edition |Updated
** Guaranteed Pass
** 100% Correct Answers | Graded A+
, The nurse is performing a thoracic assessment on a Barrel chest
client with chronic asthma and hyperinflation of the
lungs. Which finding should be expected for this client?
The nurse is assessing bowel sounds for a hospitalized Note the character and frequency of bowel sounds
client. The nurse has heard bowel sounds in the right
upper quadrant. What action should the nurse take next?
During inspection of a client's mouth and pharynx, the Document an intact gag reflex.
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?
When teaching a client how to perform a monthly breast Upper outer quadrant.
self-assessment, the nurse should tell the client that it is
most important to assess which part of the breast more
closely for changes?
The nurse is assessing a postmenopausal client who has A waist circumference is greater than 35 inches in women puts you at higher risk
a BMI of 32. The client has a chest measurement of 42 for type 2 diabetes and heart disease."
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?
The nurse performs a physical assessment on an older Height reduction of 1.5 inches.
female client. Which change from the prior exam may be
an indication of osteoporosis?
While conducting an interview to obtain a health history, Sit quietly to allow the client to respond comfortably.
the nurse notices that the client pauses frequently and
looks at the nurse expectantly. Which response is best
for the nurse to provide?
A client is in the clinical for a yearly physical examination. Ask the client to urinate before beginning the examination.
Which action should the nurse take when preparing to
examine the client's abdomen?
Which respiratory condition should the nurse document Bradypnea.
after measuring a respiratory rate of 8 breaths/minute?
Which procedure should the nurse use to assessfor a Measure the apical pulse and compare it to the peripheral pulse.
pulse deficit?
*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 Dull, thud-like.
atelectasis. What percussion sound should the nurse
expect to hear when percussing over the client's lower
lobes?
A client is being assessed upon admission to the Inspect the hair and skin.
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?
The nurse is assessing a healthy young adult during an Deep palpation above and to the left of the umbilicus.
annual physical examination. Which assessment
technique should the nurse implement when palpating
the abdominal aorta?
The nurse is conducting a family history as part of the Document at least 3 generations of the client's family medical history.
assessment interview. Which action should the nurse
take to ensure that sufficient information about the
client's blood relatives is obtained?
