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HESI EXAM 1 V1&V2 HEALTH ASSESSMENT
WITH BEST SOLUTIONS 2025-2026
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.
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? - answer-Deep palpation above and to the left of the
umbilicus.
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? - 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? - 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,
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what action should the nurse take? - 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? - 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? - 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? - 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? - 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 when preparing to
examine the client's abdomen? - 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? - answer-
Bradypnea.
Which procedure should the nurse use to assessfor a pulse
deficit? - 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? -
answer-Dull, thud-like.
The nurse is conducting a family history as part of the
assessment interview. Which action should the nurse take to
ensure that sufficient information about the client's blood
relatives is obtained? - answer-Document at least 3
generations of the client's family medical history.
HESI EXAM 1 V1&V2 HEALTH ASSESSMENT
WITH BEST SOLUTIONS 2025-2026
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.
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? - answer-Deep palpation above and to the left of the
umbilicus.
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? - 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? - 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,
, Page 2 of 19
what action should the nurse take? - 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? - 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? - 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? - 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? - answer-Sit quietly to allow the client to respond
comfortably.
, Page 3 of 19
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-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? - answer-
Bradypnea.
Which procedure should the nurse use to assessfor a pulse
deficit? - 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? -
answer-Dull, thud-like.
The nurse is conducting a family history as part of the
assessment interview. Which action should the nurse take to
ensure that sufficient information about the client's blood
relatives is obtained? - answer-Document at least 3
generations of the client's family medical history.
