Bsn 246 hesi health assessment v1 2025
[Author name]
[COMPANY NAME] [Company address]
, 1. 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?: Barrel chest
2. 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?: Note the character and frequency of bowel sounds
3. 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?: Document an
intact gag reflex.
4. 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?: Upper outer quadrant.
5. 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?: A waist circumference is
greater than 35 inches in women puts you at higher risk for type 2 diabetes and
heart disease."
6. The nurse performs a physical assessment on an older female client. Which
change from the prior exam may be an indication of osteoporosis?: Height
reduction of 1.5 inches.
7. 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?: Sit quietly to allow the client to
respond comfortably.
8. 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?: Ask
the client to urinate before beginning the examination.
9. Which respiratory condition should the nurse document after measuring a
respiratory rate of 8 breaths/minute?: Bradypnea.
10. Which procedure should the nurse use to assessfor a pulse deficit?: Mea-
sure 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.
11. 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?: Dull, thud-like.
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[Author name]
[COMPANY NAME] [Company address]
, 1. 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?: Barrel chest
2. 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?: Note the character and frequency of bowel sounds
3. 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?: Document an
intact gag reflex.
4. 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?: Upper outer quadrant.
5. 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?: A waist circumference is
greater than 35 inches in women puts you at higher risk for type 2 diabetes and
heart disease."
6. The nurse performs a physical assessment on an older female client. Which
change from the prior exam may be an indication of osteoporosis?: Height
reduction of 1.5 inches.
7. 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?: Sit quietly to allow the client to
respond comfortably.
8. 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?: Ask
the client to urinate before beginning the examination.
9. Which respiratory condition should the nurse document after measuring a
respiratory rate of 8 breaths/minute?: Bradypnea.
10. Which procedure should the nurse use to assessfor a pulse deficit?: Mea-
sure 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.
11. 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?: Dull, thud-like.
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