HESI 1 - V1 and V2 REVIEW - Health Assessment 1 Exam
Questions & Answers
2024/2025
Verified Answers
A+ Guaranteed!!
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.
Questions & Answers
2024/2025
Verified Answers
A+ Guaranteed!!
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.
