BSN 246 HESI HEALTH ASSESSMENT V1 / NEWEST
COMPREHENSIVE STUDY GUIDE – EXPERT STRATEGIES,
REVIEW OF KEY QUIZZES, AND PRACTICE QUESTIONS
FOR GUARANTEED SUCCESS
TERMS IN THIS SET (88)
The nurse is performing a Barrel chest
thoracic assessment on a
client with chronic asthma
and hyperinflation of the
lungs. Which finding should
be expected for this client?
The nurse is assessing Note the character and frequency of bowel sounds
bowel sounds for a
hospitalized client. The
nurse has heard bowel
sounds in the right upper
quadrant. What action
should the nurse take next?
Document an intact gag reflex.
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?
,When teaching a client how Upper outer quadrant.
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?
The nurse is assessing a A waist circumference is greater than 35 inches in women
postmenopausal client who puts you at higher risk for type 2 diabetes and heart
has a BMI of 32. The client disease."
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?
The nurse performs a Height reduction of 1.5 inches.
physical assessment on an
older female client. Which
change from the prior exam
may be an indication of
osteoporosis?
Sit quietly to allow the client to respond comfortably.
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?
, A client is in the clinical for a Ask the client to urinate before beginning the examination.
yearly physical examination.
Which action should the
nurse take when preparing to
examine the client's
abdomen?
Which respiratory condition Bradypnea.
should the nurse document
after measuring a respiratory
rate of 8 breaths/minute?
Which procedure should the Measure the apical pulse and compare it to the peripheral
nurse use to assessfor a 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.
Dull, thud-like.
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?
COMPREHENSIVE STUDY GUIDE – EXPERT STRATEGIES,
REVIEW OF KEY QUIZZES, AND PRACTICE QUESTIONS
FOR GUARANTEED SUCCESS
TERMS IN THIS SET (88)
The nurse is performing a Barrel chest
thoracic assessment on a
client with chronic asthma
and hyperinflation of the
lungs. Which finding should
be expected for this client?
The nurse is assessing Note the character and frequency of bowel sounds
bowel sounds for a
hospitalized client. The
nurse has heard bowel
sounds in the right upper
quadrant. What action
should the nurse take next?
Document an intact gag reflex.
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?
,When teaching a client how Upper outer quadrant.
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?
The nurse is assessing a A waist circumference is greater than 35 inches in women
postmenopausal client who puts you at higher risk for type 2 diabetes and heart
has a BMI of 32. The client disease."
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?
The nurse performs a Height reduction of 1.5 inches.
physical assessment on an
older female client. Which
change from the prior exam
may be an indication of
osteoporosis?
Sit quietly to allow the client to respond comfortably.
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?
, A client is in the clinical for a Ask the client to urinate before beginning the examination.
yearly physical examination.
Which action should the
nurse take when preparing to
examine the client's
abdomen?
Which respiratory condition Bradypnea.
should the nurse document
after measuring a respiratory
rate of 8 breaths/minute?
Which procedure should the Measure the apical pulse and compare it to the peripheral
nurse use to assessfor a 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.
Dull, thud-like.
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?
