BSN 246 HESI Health Assessment
Questions and Verified Answers |100%
Quiz_________________?
A client comes to the clinic with a report of fever and a recent exposure to someone who
was diagnosed with meningitis. Which nursing assessment should be completed during the
initial examination of this client? -
Answer✅
Level of consciousness.
Quiz_________________?
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.
Quiz_________________?
A client has come to the clinic for a routine health assessment. What is the best assessment
question for the nurse to ask a client after observing tophi on the client's ear cartilage? -
Answer✅
Have you had sudden and severe pain in the toes or feet?
Quiz_________________?
1
, A client has just returned from the recovery room and asks to get out of bed to go to the
bathroom. The nurse decides to obtain orthostatic vital signs first. How will the nurse
position the client to begin this procedure? -
Answer✅
Lying.
Quiz_________________?
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.
Quiz_________________?
A client is in the clinic and is reporting lower abdominal pain and constipation. Which
information is of greatest concern to the nurse when obtaining the health history from this
client? -
Answer✅
Family history of colon cancer on mother's side.
Quiz_________________?
A client is in the clinic for a routine health examination. The nurse notices the client appears
underweight. Which question is most important for the nurse to ask when completing the
health history of this client? -
Answer✅
Have you experienced sudden weight loss?
Quiz_________________?
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✅
2
, Ask the client to urinate before beginning the examination.
Quiz_________________?
A client is reporting chest pain. What statement made by the client, helps the nurse to
understand this client has a naturalistic belief in the cause of illness? -
Answer✅
"My life is really out of balance."
Quiz_________________?
A client presents with a rash along the occipital area of the hairline and reports intense
itching. How should the nurse begin the objective part of the examination? -
Answer✅
Inspect the scalp looking for nits.
Quiz_________________?
A client reports feeling increasingly fatigued for several months, and the nurse observes that
the client's lips are pale. Which additional data should the nurse collect based on this
presentation? -
Answer✅
Use of vitamin and iron supplements.
Quiz_________________?
A client reports lower abdominal pain and a feeling of pressure in the bladder. Which
assessment finding indicates acute urinary retention? -
Answer✅
Dull sound percussed over bladder.
*Clients with acute urinary retention may present with lower abdominal pain and bladder
distension. Percussion (tapping on the body wall) is performed to detect differences in pitch.
A dull sound produced when percussing a distended urinary bladder is an indication of
urinary retention.
3
Questions and Verified Answers |100%
Quiz_________________?
A client comes to the clinic with a report of fever and a recent exposure to someone who
was diagnosed with meningitis. Which nursing assessment should be completed during the
initial examination of this client? -
Answer✅
Level of consciousness.
Quiz_________________?
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.
Quiz_________________?
A client has come to the clinic for a routine health assessment. What is the best assessment
question for the nurse to ask a client after observing tophi on the client's ear cartilage? -
Answer✅
Have you had sudden and severe pain in the toes or feet?
Quiz_________________?
1
, A client has just returned from the recovery room and asks to get out of bed to go to the
bathroom. The nurse decides to obtain orthostatic vital signs first. How will the nurse
position the client to begin this procedure? -
Answer✅
Lying.
Quiz_________________?
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.
Quiz_________________?
A client is in the clinic and is reporting lower abdominal pain and constipation. Which
information is of greatest concern to the nurse when obtaining the health history from this
client? -
Answer✅
Family history of colon cancer on mother's side.
Quiz_________________?
A client is in the clinic for a routine health examination. The nurse notices the client appears
underweight. Which question is most important for the nurse to ask when completing the
health history of this client? -
Answer✅
Have you experienced sudden weight loss?
Quiz_________________?
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✅
2
, Ask the client to urinate before beginning the examination.
Quiz_________________?
A client is reporting chest pain. What statement made by the client, helps the nurse to
understand this client has a naturalistic belief in the cause of illness? -
Answer✅
"My life is really out of balance."
Quiz_________________?
A client presents with a rash along the occipital area of the hairline and reports intense
itching. How should the nurse begin the objective part of the examination? -
Answer✅
Inspect the scalp looking for nits.
Quiz_________________?
A client reports feeling increasingly fatigued for several months, and the nurse observes that
the client's lips are pale. Which additional data should the nurse collect based on this
presentation? -
Answer✅
Use of vitamin and iron supplements.
Quiz_________________?
A client reports lower abdominal pain and a feeling of pressure in the bladder. Which
assessment finding indicates acute urinary retention? -
Answer✅
Dull sound percussed over bladder.
*Clients with acute urinary retention may present with lower abdominal pain and bladder
distension. Percussion (tapping on the body wall) is performed to detect differences in pitch.
A dull sound produced when percussing a distended urinary bladder is an indication of
urinary retention.
3
