HESI 1 - V1 and V2 REVIEW - HEALTH ASSESSMENT 1
QUESTIONS AND ANSWERS LATEST UPDATE 2024
RATED A+
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 right 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 tongue which causes the client to gag. After
removing the tongue blade, what action should the nurse take? - 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 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? - correct
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? - correct
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? - correct 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? -
, 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 assess for 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 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? - correct 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
QUESTIONS AND ANSWERS LATEST UPDATE 2024
RATED A+
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 right 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 tongue which causes the client to gag. After
removing the tongue blade, what action should the nurse take? - 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 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? - correct
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? - correct
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? - correct 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? -
, 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 assess for 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 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? - correct 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
