HESI 1 - V1 and V2 REVIEW - Health Assessment
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Terms in this set (88)
The nurse is performing a thoracic Barrel chest
assessment on a client with chronic
asthma and hyperinflation of the
lungs. Which finding should be
expected for this client?
The nurse is assessing bowel Note the character and frequency of bowel
sounds for a hospitalized client. The sounds
nurse has heard bowel sounds in
the right upper quadrant. What
action should the nurse take next?
During inspection of a client's Document an intact gag reflex.
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?
,When teaching a client how to Upper outer quadrant.
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?
The nurse is assessing a A waist circumference is greater than 35 inches in
postmenopausal client who has a women puts you at higher risk for type 2 diabetes
BMI of 32. The client has a chest and heart disease."
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?
The nurse performs a physical Height reduction of 1.5 inches.
assessment on an older female
client. Which change from the prior
exam may be an indication of
osteoporosis?
While conducting an interview to Sit quietly to allow the client to respond
obtain a health history, the nurse comfortably.
notices that the client pauses
frequently and looks at the nurse
expectantly. Which response is best
for the nurse to provide?
A client is in the clinical for a yearly Ask the client to urinate before beginning the
physical examination. Which action examination.
should the nurse take when
preparing to examine the client's
abdomen?
, Which respiratory condition should Bradypnea.
the nurse document after
measuring a respiratory rate of 8
breaths/minute?
Which procedure should the nurse Measure the apical pulse and compare it to the
use to assessfor a pulse deficit? 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 Dull, thud-like.
bilateral lower lobe atelectasis.
What percussion sound should the
nurse expect to hear when
percussing over the client's lower
lobes?
A client is being assessed upon Inspect the hair and skin.
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?
The nurse is assessing a healthy Deep palpation above and to the left of the
young adult during an annual umbilicus.
physical examination. Which
assessment technique should the
nurse implement when palpating
the abdominal aorta?
1 2026 UPDATE Verified Questions And Answers
| Guaranteed Success!!
Save
Terms in this set (88)
The nurse is performing a thoracic Barrel chest
assessment on a client with chronic
asthma and hyperinflation of the
lungs. Which finding should be
expected for this client?
The nurse is assessing bowel Note the character and frequency of bowel
sounds for a hospitalized client. The sounds
nurse has heard bowel sounds in
the right upper quadrant. What
action should the nurse take next?
During inspection of a client's Document an intact gag reflex.
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?
,When teaching a client how to Upper outer quadrant.
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?
The nurse is assessing a A waist circumference is greater than 35 inches in
postmenopausal client who has a women puts you at higher risk for type 2 diabetes
BMI of 32. The client has a chest and heart disease."
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?
The nurse performs a physical Height reduction of 1.5 inches.
assessment on an older female
client. Which change from the prior
exam may be an indication of
osteoporosis?
While conducting an interview to Sit quietly to allow the client to respond
obtain a health history, the nurse comfortably.
notices that the client pauses
frequently and looks at the nurse
expectantly. Which response is best
for the nurse to provide?
A client is in the clinical for a yearly Ask the client to urinate before beginning the
physical examination. Which action examination.
should the nurse take when
preparing to examine the client's
abdomen?
, Which respiratory condition should Bradypnea.
the nurse document after
measuring a respiratory rate of 8
breaths/minute?
Which procedure should the nurse Measure the apical pulse and compare it to the
use to assessfor a pulse deficit? 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 Dull, thud-like.
bilateral lower lobe atelectasis.
What percussion sound should the
nurse expect to hear when
percussing over the client's lower
lobes?
A client is being assessed upon Inspect the hair and skin.
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?
The nurse is assessing a healthy Deep palpation above and to the left of the
young adult during an annual umbilicus.
physical examination. Which
assessment technique should the
nurse implement when palpating
the abdominal aorta?
