ACTUAL EXAM QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) {80 Q & A} ALL
ANSWERED / BSN 246 HESI Health Assessment V1 2025
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The nurse has just completed palpitation maneuvers for lymph nodes
on a 75-year-old female client. Which findings are considered normal
for this elderly client?
A. Nodes are non-palpable.
B. Nodes are firm, tender, and enlarged.
C. Nodes are irregularly shaped and immobile.
D. Nodes are rubbery and fixed.
A. Nodes are non-palpable.
A women comes to the clinic for her first prenatal visit. The nurse is
conducting a health history and the women begins to cry when asked
about previous pregnancies. Which response is best for the nurse to
provide?
A. Offer the client tissues and allow her to express her feelings.
,B. Continue the assessment and avoid discussing emotional topics.
C. Ask the client direct questions about why she is upset.
D. Allow the client to compose herself then change the subject.
D. Allow the client to compose herself then change the subject.
While performing a physical assessment, the nurse is unable to palpate
the client's pedal pulses. Which action should the nurse take?
A. Use a doppler ultrasonic stethoscope.
B. Apply firm pressure and palpate again.
C. Place the client in a Trendelenburg position.
D. Warm the extremity and reattempt palpation.
A. Use a doppler ultrasonic stethoscope.
A homeless male client with a history of alcohol abuse had a
cerebrovascular accident (CVA) 10 years ago that resulted in left
hemiparesis. Today he is complaining of pain in his left leg, is afebrile,
has 4+ pitting edema in the lower left leg, and minimal swelling of the
right leg. Which action should the nurse implement first?
A. Inspect legs for infection or trauma.
B. Measure capillary refill time.
,C. Palpate for bilateral femoral pulses.
D. Assess for signs of muscle atrophy.
A. Inspect legs for infection of trauma.
The nurse is assessing a client for goiter and is unable to observe the
thyroid gland. Which action should the nurse take?
A. Ask the client to swallow while palpating along the sides of the
trachea.
B. Measure the client's neck circumference.
C. Auscultate for bruits using the bell of the stethoscope.
D. Inspect the neck for any visible masses or asymmetry.
A. Ask the client to swallow while palpating along the sides of the
trachea
While completing an admission assessment for a client with
gastrointestinal bleeding, the nurse inspects the perineal area and anus.
Which findings indicates a normal appearance of the anus?
A. Smooth, even skin tone and texture.
B. Pale skin with cool temperature.
C. Flushed skin and moist texture.
, D. Increased pigmentation and coarse skin.
D. Increased pigmentation and coarse skin.
Which focused assessment technique should the nurse use for a client
admitted with possible dehydration?
A. Grasp skin fold of the posterior forearm.
B. Measure the circumference of the upper arm.
C. Assess skin turgor on the neck.
D. Palpate for edema on the forearm.
A. Grasp skin fold of the posterior forearm.
The nurse begins a client's musculoskeletal assessment. While using the
technique of inspection, the nurse assesses for which possible findings?
(Select all that apply)
A. Kyphosis.
B. Scoliosis.
C. Atrophy.
D. Contracture.
E. Lordosis.
A. Kyphosis.