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, BSN 246 x
HESI HEALTH ASSESSMENT EXAM V1|Nightingale
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College – Complete 100 Question & Answer Bank
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|Answers &Expert Rationales Included (2026)
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THIS EXAM INCLUDES:
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• Hesi Health Assessment Exam V1
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• Nightingale College x
• Complete 100 Question x x
• Answers & Expert Rationales
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• New 2026 x
, lOMoARcPSD|65951791
BSN 246 HESI HEALTH ASSESSMENT EXAM V1 Nightingale College – Complete 100
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Question & Answer Bank Answers & Expert Rationales Included
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Question 1: The nurse is performing a thoracic assessment on a client with chronic
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asthma and hyperinflation of the lungs. Which finding should be expected?
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• A) Clubbed fingers
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• B) Barrel chest
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• C) Pectus excavatum
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• D) Unequal chest expansion
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Correct Answer: B) Barrel chest
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Expert Rationale: Chronic asthma with hyperinflation leads to increased residual
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lung volume, causing the rib cage to remain partially expanded. This results in a
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barrel chest configuration (increased anteroposterior diameter).
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Question 2: A client has been diagnosed with bilateral lower lobe atelectasis. What
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percussion sound should the nurse expect to hear when percussing over the client's
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lower lobes?
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• A) Hyperresonance
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• B) Tympany x
• C) Dull, thud-like
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• D) Flatness x
Correct Answer: C) Dull, thud-like
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Expert Rationale: Atelectasis involves collapsed, airless lung tissue, which
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becomes dense. Percussion over dense tissue produces a dull sound.
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, Question 3: What is the best place for the nurse to hear lower lobe lung sounds
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with a stethoscope?
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• A) Anterior chest at the 2nd intercostal space
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• B) Lateral chest at the 4th intercostal space
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• C) Posterior chest below the 3rd intercostal space
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• D) Apical areas bilaterally
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Correct Answer: C) Posterior chest below the 3rd intercostal space
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Expert Rationale: Lower lobes occupy the posterior and base regions of the lungs.
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Auscultation on the posterior chest below the 3rd intercostal space allows for
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optimal assessment.
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Question 4: The nurse is assessing bowel sounds for a hospitalized client. The
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nurse has heard bowel sounds in the right upper quadrant. What action should the
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nurse take next?
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• A) Move to the next quadrant immediately
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• B) Note the character and frequency of bowel sounds
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• C) Document as hypoactive and continue
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• D) Auscultate for a full 5 minutes before documenting
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Correct Answer: B) Note the character and frequency of bowel sounds
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Expert Rationale: Upon hearing bowel sounds, the nurse should note their
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character (high-pitched, gurgling) and frequency (every 5-15 seconds) before
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moving to the next quadrant.
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Question 5: A client is in the clinic for a yearly physical examination. Which action
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