BSN 246 HESI Health Assessment V1 2026 ||Verified
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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.
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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 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.
The nurse is testing the client's shoulders for range of
motion. What should the nurse document to record normal
internal rotation? - Answer-Range of 90 degrees when the
hands are placed at the small of the back.