BSN 246 HESI Health
Assessment V1/ACTUAL EXAM –
NIGHTINGALE COLLEGE 2026
EXPERT VERIFIED | ACE THE
TEST
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, 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.
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.
COPYRIGHT©NINJANERD 2025/2026. YEAR PUBLISHED 2026. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
STATEMENT. ALL RIGHTS RESERVED
3
, 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.
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
Assessment V1/ACTUAL EXAM –
NIGHTINGALE COLLEGE 2026
EXPERT VERIFIED | ACE THE
TEST
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, 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.
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.
COPYRIGHT©NINJANERD 2025/2026. YEAR PUBLISHED 2026. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
STATEMENT. ALL RIGHTS RESERVED
3
, 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.
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
