BSN 246 HESI HEALTH ASSESSMENT EXAM V1
(LATEST 2026/ 2027 UPDATE) QUESTIONS AND
VERIFIED ANSWERS |100% CORRECT| GRADE A-
NIGHTINGALE
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? - CORRECT ANSWER -Barrel chest
The nurse is assessing bowel sounds for a hospitalized client. The nurse has heard bowel sounds in the r
ight upper quadrant. What action should the nurse take next? - CORRECT 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 t
ongue which causes the client to gag. After removing the tongue blade, what action should the nurse ta
ke? - CORRECT 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? - CORRECT ANSWER -Upper outer quadrant.
The nurse is assessing a postmenopausal client who has a BMI of 32. The client has a chest measureme
nt of 42 inches, waist measurement of 45 inches, and hip measurement of 50 inches. What important m
essage should the nurse explain to the client to promote health promotion? - CORRECT ANSWER -
A waist circumference is greater than 35 inches in women puts you at higher risk for type 2 diabetes an
d 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? - CORRECT ANSWER -Height reduction of 1.5 inches.
While conducting an interview to obtain a health history, the nurse notices that the client pauses freque
ntly and looks at the nurse expectantly. Which response is best for the nurse to provide? -
CORRECT ANSWER -Sit quietly to allow the client to respond comfortably.
, ABclient is in the clinical for a yearly physical examination. Which action should the nurse take when pre
paring to examine the client's abdomen? - CORRECT 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? - CORRECT ANSWER -Bradypnea.
Which procedure should the nurse use to assessfor a pulse deficit? - CORRECT 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 th
e radial pulse palpated at the wrist.
A client has been diagnosed with bilateral lower lobe atelectasis. What percussion sound should the nur
se expect to hear when percussing over the client's lower lobes? - CORRECT ANSWER -Dull, thud-like.
ABclient 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? - CORRECT ANSWER -Inspect the hair and skin.
The nurse is assessing a healthy young adult during an annual physical examination. Which assessment t
echnique should the nurse implement when palpating the abdominal aorta? - CORRECT 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 nu
rse take to ensure that sufficient information about the client's blood relatives is obtained? -
CORRECT 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 reco
rd normal internal rotation? - CORRECT ANSWER -
Range of 90 degrees when the hands are placed at the small of the back.
(LATEST 2026/ 2027 UPDATE) QUESTIONS AND
VERIFIED ANSWERS |100% CORRECT| GRADE A-
NIGHTINGALE
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? - CORRECT ANSWER -Barrel chest
The nurse is assessing bowel sounds for a hospitalized client. The nurse has heard bowel sounds in the r
ight upper quadrant. What action should the nurse take next? - CORRECT 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 t
ongue which causes the client to gag. After removing the tongue blade, what action should the nurse ta
ke? - CORRECT 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? - CORRECT ANSWER -Upper outer quadrant.
The nurse is assessing a postmenopausal client who has a BMI of 32. The client has a chest measureme
nt of 42 inches, waist measurement of 45 inches, and hip measurement of 50 inches. What important m
essage should the nurse explain to the client to promote health promotion? - CORRECT ANSWER -
A waist circumference is greater than 35 inches in women puts you at higher risk for type 2 diabetes an
d 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? - CORRECT ANSWER -Height reduction of 1.5 inches.
While conducting an interview to obtain a health history, the nurse notices that the client pauses freque
ntly and looks at the nurse expectantly. Which response is best for the nurse to provide? -
CORRECT ANSWER -Sit quietly to allow the client to respond comfortably.
, ABclient is in the clinical for a yearly physical examination. Which action should the nurse take when pre
paring to examine the client's abdomen? - CORRECT 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? - CORRECT ANSWER -Bradypnea.
Which procedure should the nurse use to assessfor a pulse deficit? - CORRECT 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 th
e radial pulse palpated at the wrist.
A client has been diagnosed with bilateral lower lobe atelectasis. What percussion sound should the nur
se expect to hear when percussing over the client's lower lobes? - CORRECT ANSWER -Dull, thud-like.
ABclient 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? - CORRECT ANSWER -Inspect the hair and skin.
The nurse is assessing a healthy young adult during an annual physical examination. Which assessment t
echnique should the nurse implement when palpating the abdominal aorta? - CORRECT 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 nu
rse take to ensure that sufficient information about the client's blood relatives is obtained? -
CORRECT 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 reco
rd normal internal rotation? - CORRECT ANSWER -
Range of 90 degrees when the hands are placed at the small of the back.
