BSN HESI 246 Health Assessment V2 EXAM QUESTIONS
AND CORRECT {VERIFIED} ANSWERS NEWEST
UPDATE|ALREADY GRADED A+.
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.
, 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.
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.
AND CORRECT {VERIFIED} ANSWERS NEWEST
UPDATE|ALREADY GRADED A+.
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.
, 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.
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.
