HESI 1 - V1 and V2 REVIEW - Health Assessment 1 Newest
Update Real Exam |Questions With Correct Answers|
Complete A+ Guide
1. The nurse is performing a thoracic assessment on a client with
m m m m m m m m m m
chronic asthma and hyperinflation of the lungs. Which finding
m m m m m m m m m
should be expected forthis client?
m m m m m m
…Ans>> Barrel chest
m m
2. The nurse is assessing bowel sounds for a hospitalized client.
m m m m m m m m m
The nurse has heard bowel sounds in the right upper quadrant.
m m m m m m m m m m m
What action should thenurse take next?
m m m m m m m
…Ans>> Note the character and frequency of bowel sounds
m m m m m m m m
1/9
,3. During inspection of a client's mouth and pharynx, the nurse
m m m m m m m m m
m places a tongue blade on the back of the tongue which causes the
m m m m m m m m m m m m
m client to gag. Afterremoving the tongue blade, what action should
m m m m m m m m m m
m the nurse take?
m m
…Ans>> Document anintact gag reflex.
m m m m m
4. When teaching a client how to perform a monthly breast self-
m m m m m m m m m m
assessment, the nurse should tell the client that it is most
m m m m m m m m m m
m important to assess which part of the breast more closely for
m m m m m m m m m m
m changes?
…Ans>> Upper outer quadrant.
m m m
5. The nurse is assessing a postmenopausal client who has a BMI
m m m m m m m m m m
m of 32. The client has a chest measurement of 42 inches, waist
m m m m m m m m m m m
measurement of 45 inches,and hip measurement of 50 inches. What
m m m m m m m m m m m
important message should the nurseexplain to the client to
m m m m m m m m m m
m promote health promotion? m m
…Ans>> A waist circumference is greater than 35 inches in women puts
m m m m m m m m m m m
m you at higher risk for type 2 diabetes and heart disease."
m m m m m m m m m m
6. The nurse performs a physical assessment on an older female
m m m m m m m m m
client. Whichchange from the prior exam may be an indication of
m m m m m m m m m m m m
2/9
, m osteoporosis?
…Ans>> Height reduction of 1.5 inches.
m m m m m
7. While conducting an interview to obtain a health history, the
m m m m m m m m m
m nurse noticesthat the client pauses frequently and looks at the
m m m m m m m m m m
m nurse expectantly. Which response is best for the nurse to
m m m m m m m m m
m provide?
…Ans>> Sit quietly to allow the client to respond comfortably.
m m m m m m m m m
8. A client is in the clinical for a yearly physical examination. Which
m m m m m m m m m m m
m action should the nurse take when preparing to examine the
m m m m m m m m m
m client's abdomen? m
…Ans>> Askthe client to urinate before beginning the examination.
m m m m m m m m m
9. Which respiratory condition should the nurse document after
m m m m m m m
m measuring arespiratory rate of 8 breaths/minute?
m m m m m m
…Ans>> Bradypnea. m
10. Which procedure should the nurse use to assessfor a pulse
m m m m m m m m m
m deficit?
…Ans>> Measure the apical pulse and compare it to the peripheral pulse.
m m m m m m m m m m m
*A pulse deficit is a palpable difference between the apical pulse at the
m m m m m m m m m m m m
m point ofmaximal impulse and the radial pulse palpated at the wrist.
m m m m m m m m m m m
3/9
Update Real Exam |Questions With Correct Answers|
Complete A+ Guide
1. The nurse is performing a thoracic assessment on a client with
m m m m m m m m m m
chronic asthma and hyperinflation of the lungs. Which finding
m m m m m m m m m
should be expected forthis client?
m m m m m m
…Ans>> Barrel chest
m m
2. The nurse is assessing bowel sounds for a hospitalized client.
m m m m m m m m m
The nurse has heard bowel sounds in the right upper quadrant.
m m m m m m m m m m m
What action should thenurse take next?
m m m m m m m
…Ans>> Note the character and frequency of bowel sounds
m m m m m m m m
1/9
,3. During inspection of a client's mouth and pharynx, the nurse
m m m m m m m m m
m places a tongue blade on the back of the tongue which causes the
m m m m m m m m m m m m
m client to gag. Afterremoving the tongue blade, what action should
m m m m m m m m m m
m the nurse take?
m m
…Ans>> Document anintact gag reflex.
m m m m m
4. When teaching a client how to perform a monthly breast self-
m m m m m m m m m m
assessment, the nurse should tell the client that it is most
m m m m m m m m m m
m important to assess which part of the breast more closely for
m m m m m m m m m m
m changes?
…Ans>> Upper outer quadrant.
m m m
5. The nurse is assessing a postmenopausal client who has a BMI
m m m m m m m m m m
m of 32. The client has a chest measurement of 42 inches, waist
m m m m m m m m m m m
measurement of 45 inches,and hip measurement of 50 inches. What
m m m m m m m m m m m
important message should the nurseexplain to the client to
m m m m m m m m m m
m promote health promotion? m m
…Ans>> A waist circumference is greater than 35 inches in women puts
m m m m m m m m m m m
m you at higher risk for type 2 diabetes and heart disease."
m m m m m m m m m m
6. The nurse performs a physical assessment on an older female
m m m m m m m m m
client. Whichchange from the prior exam may be an indication of
m m m m m m m m m m m m
2/9
, m osteoporosis?
…Ans>> Height reduction of 1.5 inches.
m m m m m
7. While conducting an interview to obtain a health history, the
m m m m m m m m m
m nurse noticesthat the client pauses frequently and looks at the
m m m m m m m m m m
m nurse expectantly. Which response is best for the nurse to
m m m m m m m m m
m provide?
…Ans>> Sit quietly to allow the client to respond comfortably.
m m m m m m m m m
8. A client is in the clinical for a yearly physical examination. Which
m m m m m m m m m m m
m action should the nurse take when preparing to examine the
m m m m m m m m m
m client's abdomen? m
…Ans>> Askthe client to urinate before beginning the examination.
m m m m m m m m m
9. Which respiratory condition should the nurse document after
m m m m m m m
m measuring arespiratory rate of 8 breaths/minute?
m m m m m m
…Ans>> Bradypnea. m
10. Which procedure should the nurse use to assessfor a pulse
m m m m m m m m m
m deficit?
…Ans>> Measure the apical pulse and compare it to the peripheral pulse.
m m m m m m m m m m m
*A pulse deficit is a palpable difference between the apical pulse at the
m m m m m m m m m m m m
m point ofmaximal impulse and the radial pulse palpated at the wrist.
m m m m m m m m m m m
3/9