BSN 246 HESI Health Assessment V1 | Actual
Questions and Answers Latest Updated
2025/2026 (Graded A+)
The..nurse..is..performing..a..thoracic..assessment..on..a..client..with..chronic..asthm
a..and..hyperinflation..of..the..lungs...Which..finding..should..be..expected..for..this..c
lient?..-..
Correct 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..nurs
e..take..next?..-..
Correct 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..removin
g..the..tongue..blade,..what..action..should..the..nurse..take?..-..
Correct 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?..-..
Correct Answer: Upper..outer..quadrant.
The..nurse..is..assessing..a..postmenopausal..client..who..has..a..BMI..of..32...The..cli
ent..has..a..chest..measurement..of..42..inches,..waist..measurement..of..45..inches,..a
nd..hip..measurement..of..50..inches...What..important..message..should..the..nurse..
,explain..to..the..client..to..promote..health..promotion?..-..
Correct 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..c
hange..from..the..prior..exam..may..be..an..indication..of..osteoporosis?..-..
Correct Answer: Height..reduction..of..1.5..inches.
While..conducting..an..interview..to..obtain..a..health..history,..the..nurse..notices..th
at..the..client..pauses..frequently..and..looks..at..the..nurse..expectantly...Which..resp
onse..is..best..for..the..nurse..to..provide?..-..
Correct Answer: Sit..quietly..to..allow..the..client..to..respond..comfortably.
A..client..is..in..the..clinical..for..a..yearly..physical..examination...Which..action..shou
ld..the..nurse..take..when..preparing..to..examine..the..client's..abdomen?..-..
Correct Answer: Ask..the..client..to..urinate..before..beginning..the..examination.
Which..respiratory..condition..should..the..nurse..document..after..measuring..a..res
piratory..rate..of..8..breaths/minute?..-..
Correct Answer: Bradypnea.
Which..procedure..should..the..nurse..use..to..assessfor..a..pulse..deficit?..-..
Correct 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..percus
sion..sound..should..the..nurse..expect..to..hear..when..percussing..over..the..client's..
lower..lobes?..-..
Correct 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..shou
ld..the..nurse..use..to..begin..the..assessment?..-..
Correct Answer: Inspect..the..hair..and..skin.
The..nurse..is..assessing..a..healthy..young..adult..during..an..annual..physical..exam
ination...Which..assessment..technique..should..the..nurse..implement..when..palpa
ting..the..abdominal..aorta?..-..
Correct 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..abou
t..the..client's..blood..relatives..is..obtained?..-..
Correct 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..t
he..nurse..document..to..record..normal..internal..rotation?..-..
Correct Answer:
Range..of..90..degrees..when..the..hands..are..placed..at..the..small..of..the..back.
A..client..presents..with..a..rash..along..the..occipital..area..of..the..hairline..and..report
s..intense..itching...How..should..the..nurse..begin..the..objective..part..of..the..exami
nation?..-..
Correct Answer: Inspect..the..scalp..looking..for..nits.
Questions and Answers Latest Updated
2025/2026 (Graded A+)
The..nurse..is..performing..a..thoracic..assessment..on..a..client..with..chronic..asthm
a..and..hyperinflation..of..the..lungs...Which..finding..should..be..expected..for..this..c
lient?..-..
Correct 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..nurs
e..take..next?..-..
Correct 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..removin
g..the..tongue..blade,..what..action..should..the..nurse..take?..-..
Correct 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?..-..
Correct Answer: Upper..outer..quadrant.
The..nurse..is..assessing..a..postmenopausal..client..who..has..a..BMI..of..32...The..cli
ent..has..a..chest..measurement..of..42..inches,..waist..measurement..of..45..inches,..a
nd..hip..measurement..of..50..inches...What..important..message..should..the..nurse..
,explain..to..the..client..to..promote..health..promotion?..-..
Correct 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..c
hange..from..the..prior..exam..may..be..an..indication..of..osteoporosis?..-..
Correct Answer: Height..reduction..of..1.5..inches.
While..conducting..an..interview..to..obtain..a..health..history,..the..nurse..notices..th
at..the..client..pauses..frequently..and..looks..at..the..nurse..expectantly...Which..resp
onse..is..best..for..the..nurse..to..provide?..-..
Correct Answer: Sit..quietly..to..allow..the..client..to..respond..comfortably.
A..client..is..in..the..clinical..for..a..yearly..physical..examination...Which..action..shou
ld..the..nurse..take..when..preparing..to..examine..the..client's..abdomen?..-..
Correct Answer: Ask..the..client..to..urinate..before..beginning..the..examination.
Which..respiratory..condition..should..the..nurse..document..after..measuring..a..res
piratory..rate..of..8..breaths/minute?..-..
Correct Answer: Bradypnea.
Which..procedure..should..the..nurse..use..to..assessfor..a..pulse..deficit?..-..
Correct 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..percus
sion..sound..should..the..nurse..expect..to..hear..when..percussing..over..the..client's..
lower..lobes?..-..
Correct 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..shou
ld..the..nurse..use..to..begin..the..assessment?..-..
Correct Answer: Inspect..the..hair..and..skin.
The..nurse..is..assessing..a..healthy..young..adult..during..an..annual..physical..exam
ination...Which..assessment..technique..should..the..nurse..implement..when..palpa
ting..the..abdominal..aorta?..-..
Correct 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..abou
t..the..client's..blood..relatives..is..obtained?..-..
Correct 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..t
he..nurse..document..to..record..normal..internal..rotation?..-..
Correct Answer:
Range..of..90..degrees..when..the..hands..are..placed..at..the..small..of..the..back.
A..client..presents..with..a..rash..along..the..occipital..area..of..the..hairline..and..report
s..intense..itching...How..should..the..nurse..begin..the..objective..part..of..the..exami
nation?..-..
Correct Answer: Inspect..the..scalp..looking..for..nits.
