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Exam (elaborations)

HESI 1 - V1 AND V2 REVIEW - HEALTH ASSESSMENT 1 EXAM 2025 QUESTIONS AND ANSWERS

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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? - ANS 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? - ANS 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? - ANS 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? - ANS 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? - ANS A waist circumference is greater than 35 inches in women puts you at higher risk for type 2 diabetes and heart disease." HESI 1 - V1 AND V2 REVIEW - HEALTH ASSESSMENT 1 EXAM 2025 QUESTIONS AND ANSWERS 2 Copyright ©2025 BRAINBARTER ALL RIGHTS RESERVED The nurse performs a physical assessment on an older female client. Which change from the prior exam may be an indication of osteoporosis? - ANS 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? - ANS 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? - ANS 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? - ANS Bradypnea. Which procedure should the nurse use to assessfor a pulse deficit? - ANS 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? - ANS 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? - ANS 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? - ANS Deep pa

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Uploaded on
July 30, 2025
Number of pages
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Written in
2024/2025
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HESI 1 - V1 AND V2 REVIEW - HEALTH
ASSESSMENT 1 EXAM 2025 QUESTIONS
AND ANSWERS


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? - ANS 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? - ANS 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? - ANS 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?
- ANS 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? - ANS A waist circumference is greater than 35 inches in women puts you at
higher risk for type 2 diabetes and heart disease."




1 Copyright ©2025 BRAINBARTER ALL RIGHTS RESERVED

, The nurse performs a physical assessment on an older female client. Which change from the
prior exam may be an indication of osteoporosis? - ANS 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? - ANS 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? - ANS 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? - ANS Bradypnea.



Which procedure should the nurse use to assessfor a pulse deficit? - ANS 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? - ANS 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? - ANS 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? -
ANS Deep palpation above and to the left of the umbilicus.



2 Copyright ©2025 BRAINBARTER ALL RIGHTS RESERVED

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