BSN 246 HESI Health
Assessment V1&v2
fully solved 2025
The jnurse jis jperforming ja jthoracic jassessment jon ja jclient jwith jchronic jasthma jand
hyperinflation jof jthe jlungs. jWhich jfinding jshould jbe jexpected jfor jthis jclient? j- j(CORRECT
j
ANSWER)-Barrel jchest
j
The jnurse jis jassessing jbowel jsounds jfor ja jhospitalized jclient. jThe jnurse jhas jheard jbowel
sounds jin jthe jright jupper jquadrant. jWhat jaction jshould jthe jnurse jtake jnext? j- j(CORRECT
j
ANSWER)-Note jthe jcharacter jand jfrequency jof jbowel jsounds
j
During jinspection jof ja jclient's jmouth jand jpharynx, jthe jnurse jplaces ja jtongue jblade jon jthe
back jof jthe jtongue jwhich jcauses jthe jclient jto jgag. jAfter jremoving jthe jtongue jblade, jwhat
j
action jshould jthe jnurse jtake? j- j(CORRECT jANSWER)-Document jan jintact jgag jreflex.
j
When jteaching ja jclient jhow jto jperform ja jmonthly jbreast jself-assessment, jthe jnurse jshould
tell jthe jclient jthat jit jis jmost jimportant jto jassess jwhich jpart jof jthe jbreast jmore jclosely jfor
j
changes? j- j(CORRECT jANSWER)-Upper jouter jquadrant.
j
https://www.stuvia.com/user/Wisdoms
, The jnurse jis jassessing ja jpostmenopausal jclient jwho jhas ja jBMI jof j32. jThe jclient jhas ja jchest
measurement jof j42 jinches, jwaist jmeasurement jof j45 jinches, jand jhip jmeasurement jof j50
j
inches. jWhat jimportant jmessage jshould jthe jnurse jexplain jto jthe jclient jto jpromote jhealth
j
promotion? j- j(CORRECT jANSWER)-A jwaist jcircumference jis jgreater jthan j35 jinches jin
j
women jputs jyou jat jhigher jrisk jfor jtype j2 jdiabetes jand jheart jdisease."
j
The jnurse jperforms ja jphysical jassessment jon jan jolder jfemale jclient. jWhich jchange jfrom jthe
prior jexam jmay jbe jan jindication jof josteoporosis? j- j(CORRECT jANSWER)-Height jreduction
j
of j1.5 jinches.
j
While jconducting jan jinterview jto jobtain ja jhealth jhistory, jthe jnurse jnotices jthat jthe jclient
pauses jfrequently jand jlooks jat jthe jnurse jexpectantly. jWhich jresponse jis jbest jfor jthe jnurse
j
to jprovide? j- j(CORRECT jANSWER)-Sit jquietly jto jallow jthe jclient jto jrespond jcomfortably.
j
A jclient jis jin jthe jclinical jfor ja jyearly jphysical jexamination. jWhich jaction jshould jthe jnurse
take jwhen jpreparing jto jexamine jthe jclient's jabdomen? j- j(CORRECT jANSWER)-Ask jthe
j
client jto jurinate jbefore jbeginning jthe jexamination.
j
Which jrespiratory jcondition jshould jthe jnurse jdocument jafter jmeasuring ja jrespiratory jrate
of j8 jbreaths/minute? j- j(CORRECT jANSWER)-Bradypnea.
j
Which jprocedure jshould jthe jnurse juse jto jassessfor ja jpulse jdeficit? j- j(CORRECT jANSWER)-
Measure jthe japical jpulse jand jcompare jit jto jthe jperipheral jpulse.
*A jpulse jdeficit jis ja jpalpable jdifference jbetween jthe japical jpulse jat jthe jpoint jof jmaximal
impulse jand jthe jradial jpulse jpalpated jat jthe jwrist.
j
A jclient jhas jbeen jdiagnosed jwith jbilateral jlower jlobe jatelectasis. jWhat jpercussion jsound
should jthe jnurse jexpect jto jhear jwhen jpercussing jover jthe jclient's jlower jlobes? j- j(CORRECT
j
ANSWER)-Dull, jthud-like.
j
https://www.stuvia.com/user/Wisdoms
Assessment V1&v2
fully solved 2025
The jnurse jis jperforming ja jthoracic jassessment jon ja jclient jwith jchronic jasthma jand
hyperinflation jof jthe jlungs. jWhich jfinding jshould jbe jexpected jfor jthis jclient? j- j(CORRECT
j
ANSWER)-Barrel jchest
j
The jnurse jis jassessing jbowel jsounds jfor ja jhospitalized jclient. jThe jnurse jhas jheard jbowel
sounds jin jthe jright jupper jquadrant. jWhat jaction jshould jthe jnurse jtake jnext? j- j(CORRECT
j
ANSWER)-Note jthe jcharacter jand jfrequency jof jbowel jsounds
j
During jinspection jof ja jclient's jmouth jand jpharynx, jthe jnurse jplaces ja jtongue jblade jon jthe
back jof jthe jtongue jwhich jcauses jthe jclient jto jgag. jAfter jremoving jthe jtongue jblade, jwhat
j
action jshould jthe jnurse jtake? j- j(CORRECT jANSWER)-Document jan jintact jgag jreflex.
j
When jteaching ja jclient jhow jto jperform ja jmonthly jbreast jself-assessment, jthe jnurse jshould
tell jthe jclient jthat jit jis jmost jimportant jto jassess jwhich jpart jof jthe jbreast jmore jclosely jfor
j
changes? j- j(CORRECT jANSWER)-Upper jouter jquadrant.
j
https://www.stuvia.com/user/Wisdoms
, The jnurse jis jassessing ja jpostmenopausal jclient jwho jhas ja jBMI jof j32. jThe jclient jhas ja jchest
measurement jof j42 jinches, jwaist jmeasurement jof j45 jinches, jand jhip jmeasurement jof j50
j
inches. jWhat jimportant jmessage jshould jthe jnurse jexplain jto jthe jclient jto jpromote jhealth
j
promotion? j- j(CORRECT jANSWER)-A jwaist jcircumference jis jgreater jthan j35 jinches jin
j
women jputs jyou jat jhigher jrisk jfor jtype j2 jdiabetes jand jheart jdisease."
j
The jnurse jperforms ja jphysical jassessment jon jan jolder jfemale jclient. jWhich jchange jfrom jthe
prior jexam jmay jbe jan jindication jof josteoporosis? j- j(CORRECT jANSWER)-Height jreduction
j
of j1.5 jinches.
j
While jconducting jan jinterview jto jobtain ja jhealth jhistory, jthe jnurse jnotices jthat jthe jclient
pauses jfrequently jand jlooks jat jthe jnurse jexpectantly. jWhich jresponse jis jbest jfor jthe jnurse
j
to jprovide? j- j(CORRECT jANSWER)-Sit jquietly jto jallow jthe jclient jto jrespond jcomfortably.
j
A jclient jis jin jthe jclinical jfor ja jyearly jphysical jexamination. jWhich jaction jshould jthe jnurse
take jwhen jpreparing jto jexamine jthe jclient's jabdomen? j- j(CORRECT jANSWER)-Ask jthe
j
client jto jurinate jbefore jbeginning jthe jexamination.
j
Which jrespiratory jcondition jshould jthe jnurse jdocument jafter jmeasuring ja jrespiratory jrate
of j8 jbreaths/minute? j- j(CORRECT jANSWER)-Bradypnea.
j
Which jprocedure jshould jthe jnurse juse jto jassessfor ja jpulse jdeficit? j- j(CORRECT jANSWER)-
Measure jthe japical jpulse jand jcompare jit jto jthe jperipheral jpulse.
*A jpulse jdeficit jis ja jpalpable jdifference jbetween jthe japical jpulse jat jthe jpoint jof jmaximal
impulse jand jthe jradial jpulse jpalpated jat jthe jwrist.
j
A jclient jhas jbeen jdiagnosed jwith jbilateral jlower jlobe jatelectasis. jWhat jpercussion jsound
should jthe jnurse jexpect jto jhear jwhen jpercussing jover jthe jclient's jlower jlobes? j- j(CORRECT
j
ANSWER)-Dull, jthud-like.
j
https://www.stuvia.com/user/Wisdoms
