BSN 246 HESI Health Assessment |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
V1 exam with correct answers |||\\\ |||\\\ |||\\\ |||\\\
The nurse is performing a thoracic assessment on a client with chronic asthma and
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hyperinflation of the lungs. Which finding should be expected for this client? - correct |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
answer✔✔Barrel chest |||\\\
The nurse is assessing bowel sounds for a hospitalized client. The nurse has heard bowel
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sounds in the right upper quadrant. What action should the nurse take next? - correct
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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
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of the tongue which causes the client to gag. After removing the tongue blade, what action
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should the nurse take? - correct answer✔✔Document an intact gag reflex.
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When teaching a client how to perform a monthly breast self-assessment, the nurse should tell
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the client that it is most important to assess which part of the breast more closely for changes?
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- correct answer✔✔Upper outer quadrant.
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The nurse is assessing a postmenopausal client who has a BMI of 32. The client has a chest
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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
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promotion? - correct answer✔✔A waist circumference is greater than 35 inches in women |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
puts you at higher risk for type 2 diabetes and heart disease."
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The nurse performs a physical assessment on an older female client. Which change from the
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prior exam may be an indication of osteoporosis? - correct answer✔✔Height reduction of 1.5
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inches.
, While conducting an interview to obtain a health history, the nurse notices that the client
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pauses frequently and looks at the nurse expectantly. Which response is best for the nurse to
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
provide? - correct answer✔✔Sit quietly to allow the client to respond comfortably.
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A client is in the clinical for a yearly physical examination. Which action should the nurse take
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when preparing to examine the client's abdomen? - correct answer✔✔Ask the client to
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urinate before beginning the examination. |||\\\ |||\\\ |||\\\ |||\\\
Which respiratory condition should the nurse document after measuring a respiratory rate of 8
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
breaths/minute? - correct answer✔✔Bradypnea. |||\\\ |||\\\ |||\\\ |||\\\
Which procedure should the nurse use to assessfor a pulse deficit? - correct
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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
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impulse and the radial pulse palpated at the wrist. |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
A client has been diagnosed with bilateral lower lobe atelectasis. What percussion sound
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should the nurse expect to hear when percussing over the client's lower lobes? - correct
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answer✔✔Dull, thud-like. |||\\\
A client is being assessed upon admission to the medical-surgical unit. The nurse is preparing
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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? - correct answer✔✔Inspect the hair |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
and skin. |||\\\
The nurse is assessing a healthy young adult during an annual physical examination. Which
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assessment technique should the nurse implement when palpating the abdominal aorta? - |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
correct answer✔✔Deep palpation above and to the left of the umbilicus.
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V1 exam with correct 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? - correct |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
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? - correct
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
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? - correct 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?
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
- correct answer✔✔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? - correct 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? - correct 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? - correct 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? - correct 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? - correct answer✔✔Bradypnea. |||\\\ |||\\\ |||\\\ |||\\\
Which procedure should the nurse use to assessfor a pulse deficit? - correct
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
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? - correct
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
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? - correct answer✔✔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? - |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
correct answer✔✔Deep palpation above and to the left of the umbilicus.
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