2026 BSN 246 HESI HEALTH
ASSESSMENT V1 100%
CORRECT ANSWERS
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.
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.
ASSESSMENT V1 100%
CORRECT ANSWERS
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.
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.
