BSN 246 HESI Health Assessment Exam V1
AND V2 (Latest 2025/ 2026 Update)
Questions and Verified Answers |100%
Correct| Grade A- Nightingale
The nurse observes peristaltic movement in the left lower quadrant of a client's
abdomen. Which further assessment of the area should the nurse perform? -
ANSWER Observe the direction of movement.
The nurse is assessing a client's middle lung lobe. What is the best location for the
nurse to place a stethoscope diaphragm to hear normal lung sounds in this lobe? -
ANSWER 4th intercostal space, right midclavicular line.
A Muslim male client refuses to let the female registered nurse (RN) listen to his
breath sounds during the examination. How should the RN respond? -
ANSWER Request a male nurse or healthcare provider to perform the
exam.
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.
AND V2 (Latest 2025/ 2026 Update)
Questions and Verified Answers |100%
Correct| Grade A- Nightingale
The nurse observes peristaltic movement in the left lower quadrant of a client's
abdomen. Which further assessment of the area should the nurse perform? -
ANSWER Observe the direction of movement.
The nurse is assessing a client's middle lung lobe. What is the best location for the
nurse to place a stethoscope diaphragm to hear normal lung sounds in this lobe? -
ANSWER 4th intercostal space, right midclavicular line.
A Muslim male client refuses to let the female registered nurse (RN) listen to his
breath sounds during the examination. How should the RN respond? -
ANSWER Request a male nurse or healthcare provider to perform the
exam.
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.
