BSN 246 HESI HEALTH ASSESSMENT EXAM V1
(LATEST 2025/ 2026 UPDATE) QUESTIONS AND
VERIFIED ANSWERS |100% CORRECT| GRADE
A- NIGHTINGALE
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 r
ight 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 t
ongue which causes the client to gag. After removing the tongue blade, what action should the nurse ta
ke? 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 measureme
nt of 42 inches, waist measurement of 45 inches, and hip measurement of 50 inches. What important m
essage 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 an
d 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 freque
ntly 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.
, ABclient is in the clinical for a yearly physical examination. Which action should the nurse take when pre
paring 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 th
e radial pulse palpated at the wrist.
A client has been diagnosed with bilateral lower lobe atelectasis. What percussion sound should the nur
se expect to hear when percussing over the client's lower lobes? CORRECT ANSWER Dull, thud-
like.
ABclient 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 t
echnique should the nurse implement when palpating the abdominal aorta? CORRECT ANSWER
Deep palpation above and to the left of the umbilicus.
The nurse is conducting a family history as part of the assessment interview. Which action should the nu
rse take to ensure that sufficient information about the client's blood relatives is obtained? -
CORRECT ANSWER -Document at least 3 generations of the client's family medical history.
The nurse is testing the client's shoulders for range of motion. What should the nurse document to reco
rd normal internal rotation? CORRECT ANSWER
Range of 90 degrees when the hands are placed at the small of the back.
(LATEST 2025/ 2026 UPDATE) QUESTIONS AND
VERIFIED ANSWERS |100% CORRECT| GRADE
A- NIGHTINGALE
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 r
ight 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 t
ongue which causes the client to gag. After removing the tongue blade, what action should the nurse ta
ke? 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 measureme
nt of 42 inches, waist measurement of 45 inches, and hip measurement of 50 inches. What important m
essage 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 an
d 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 freque
ntly 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.
, ABclient is in the clinical for a yearly physical examination. Which action should the nurse take when pre
paring 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 th
e radial pulse palpated at the wrist.
A client has been diagnosed with bilateral lower lobe atelectasis. What percussion sound should the nur
se expect to hear when percussing over the client's lower lobes? CORRECT ANSWER Dull, thud-
like.
ABclient 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 t
echnique should the nurse implement when palpating the abdominal aorta? CORRECT ANSWER
Deep palpation above and to the left of the umbilicus.
The nurse is conducting a family history as part of the assessment interview. Which action should the nu
rse take to ensure that sufficient information about the client's blood relatives is obtained? -
CORRECT ANSWER -Document at least 3 generations of the client's family medical history.
The nurse is testing the client's shoulders for range of motion. What should the nurse document to reco
rd normal internal rotation? CORRECT ANSWER
Range of 90 degrees when the hands are placed at the small of the back.
