BSN 246 HESI Health Assessment Exam V1 (Latest
2024/ 2025 Update) Questions and Verified Answers |
100% Correct| Grade A- Nightingale
"My life is really out of balance." - ANSWER A client is reporting chest pain. What
statement made by the client, helps the nurse to understand this client has a
naturalistic belief in the cause of illness?
Be open to people who are different
Have a curiosity about people.
Become culturally competent. - ANSWER 2. A nurse is working in a healthcare
facility that serves a diverse population. What action(s) by the nurse will allow the
nurse to empathize with and understand this population? (Select all that apply.)
It must be enlarged at least three times normal size for it to be palpable. - ANSWER
Which statement is accurate about assessing the spleen?
Posterior chest below the 3rd intercostalspace. - ANSWER What is the best place
for the nurse to hear lower lobe lung sounds with a stethoscope?
Place the bell on the 5th intercostal space, left midclavicular line. - ANSWER The
nurse is assessing a client who has a history of mitral stenosis. How should the
nurse assess this client with a stethoscope to listen for this condition?
2nd intercostal space along the right sternal border. - ANSWER The nurse is
assessing a client who has a history of aortic regurgitation. Where should the nurse
place the stethoscope diaphragm to listen for this condition?
The client works in a daycare setting that has had a scabies outbreak. - ANSWER
The client is experiencing severe pruritus and small papules and burrows on areas
over one hand and the inner thighs. Which assessment data best explains the
condition the client is experiencing?
Level of consciousness. - ANSWER A client comes to the clinic with a report of
fever and a recent exposure to someone who was diagnosed with meningitis. Which
nursing assessment should be completed during the initial examination of this client?
Use of vitamin and iron supplements. - ANSWER A client reports feeling
increasingly fatigued for several months, and the nurse observes that the client's lips
are pale. Which additional data should the nurse collect based on this presentation?
There is no sign of associated infection. - ANSWER The nurse is assessing a client
who has experienced a sudden onset of hearing loss in the right ear. Which finding
should alert the nurse to a potentially serious medical condition that requires further
evaluation?
, Swelling anterior to the ear lobe on one side of the face. - ANSWER The client
reports to the nurse a recent exposure to the mumps. Which assessment finding
suggests the client has contracted the mumps?
Swelling of the left arm and non-pitting edema. - ANSWER A client states that she
had a mastectomy of her left breast last year and now experiences lymphedema.
What should the nurse expect to find when examining the client?
Ask the client specifically about any leakage of urine. - ANSWER What is the best
nursing response to an older client who has not mentioned incontinence during a
genitourinary assessment?
Have you experienced sudden weight loss? - ANSWER A client is in the clinic for a
routine health examination. The nurse notices the client appears underweight. Which
question is most important for the nurse to ask when completing the health history of
this client?
Family history of colon cancer on mother's side. Correct - ANSWER A client is in
the clinic and is reporting lower abdominal pain and constipation. Which information
is of greatest concern to the nurse when obtaining the health history from this client?
Health history. - ANSWER Which information should the nurse obtain to identify the
client's self-perception of health status?
Cataracts - ANSWER During the initial assessment, the nurse notes that a client
has blurred vision with cloudy lenses. Which condition should the nurse document?
Fibroadenoma. - ANSWER While palpating a client's breasts, the nurse detects a
nontender, solitary, round lobular mass that is solid and firm and slides easily
through the breast tissue . The findings of this breast exam are consistent with which
condition?
Ankles. - ANSWER Which part of the body should the nurse examine when
assessing for peripheral edema in a client with heart failure?
Fungal infection - ANSWER Which condition is indicated by a fluorescent, yellow-
green color when the nurse uses a Wood's lamp toexamine a client's skin lesions?
Have you ever felt guilty about your drinking? - ANSWER The nurse is performing a
routine physical examination on an adult client. When gathering a health history,
which question is included in the CAGE questionnaire?
Lying - ANSWER A client has just returned from the recovery room and asks to get
out of bed to go to the bathroom. The nurse decides to obtain orthostatic vital signs
first. How will the nurse position the client to begin this procedure?
The left leg remains on the table. - ANSWER The nurse is assessing a client for a
hip flexion contracture. Which finding indicates a negative Thomas test when the
client's right knee is brought toward the chest?
2024/ 2025 Update) Questions and Verified Answers |
100% Correct| Grade A- Nightingale
"My life is really out of balance." - ANSWER A client is reporting chest pain. What
statement made by the client, helps the nurse to understand this client has a
naturalistic belief in the cause of illness?
Be open to people who are different
Have a curiosity about people.
Become culturally competent. - ANSWER 2. A nurse is working in a healthcare
facility that serves a diverse population. What action(s) by the nurse will allow the
nurse to empathize with and understand this population? (Select all that apply.)
It must be enlarged at least three times normal size for it to be palpable. - ANSWER
Which statement is accurate about assessing the spleen?
Posterior chest below the 3rd intercostalspace. - ANSWER What is the best place
for the nurse to hear lower lobe lung sounds with a stethoscope?
Place the bell on the 5th intercostal space, left midclavicular line. - ANSWER The
nurse is assessing a client who has a history of mitral stenosis. How should the
nurse assess this client with a stethoscope to listen for this condition?
2nd intercostal space along the right sternal border. - ANSWER The nurse is
assessing a client who has a history of aortic regurgitation. Where should the nurse
place the stethoscope diaphragm to listen for this condition?
The client works in a daycare setting that has had a scabies outbreak. - ANSWER
The client is experiencing severe pruritus and small papules and burrows on areas
over one hand and the inner thighs. Which assessment data best explains the
condition the client is experiencing?
Level of consciousness. - ANSWER A client comes to the clinic with a report of
fever and a recent exposure to someone who was diagnosed with meningitis. Which
nursing assessment should be completed during the initial examination of this client?
Use of vitamin and iron supplements. - ANSWER A client reports feeling
increasingly fatigued for several months, and the nurse observes that the client's lips
are pale. Which additional data should the nurse collect based on this presentation?
There is no sign of associated infection. - ANSWER The nurse is assessing a client
who has experienced a sudden onset of hearing loss in the right ear. Which finding
should alert the nurse to a potentially serious medical condition that requires further
evaluation?
, Swelling anterior to the ear lobe on one side of the face. - ANSWER The client
reports to the nurse a recent exposure to the mumps. Which assessment finding
suggests the client has contracted the mumps?
Swelling of the left arm and non-pitting edema. - ANSWER A client states that she
had a mastectomy of her left breast last year and now experiences lymphedema.
What should the nurse expect to find when examining the client?
Ask the client specifically about any leakage of urine. - ANSWER What is the best
nursing response to an older client who has not mentioned incontinence during a
genitourinary assessment?
Have you experienced sudden weight loss? - ANSWER A client is in the clinic for a
routine health examination. The nurse notices the client appears underweight. Which
question is most important for the nurse to ask when completing the health history of
this client?
Family history of colon cancer on mother's side. Correct - ANSWER A client is in
the clinic and is reporting lower abdominal pain and constipation. Which information
is of greatest concern to the nurse when obtaining the health history from this client?
Health history. - ANSWER Which information should the nurse obtain to identify the
client's self-perception of health status?
Cataracts - ANSWER During the initial assessment, the nurse notes that a client
has blurred vision with cloudy lenses. Which condition should the nurse document?
Fibroadenoma. - ANSWER While palpating a client's breasts, the nurse detects a
nontender, solitary, round lobular mass that is solid and firm and slides easily
through the breast tissue . The findings of this breast exam are consistent with which
condition?
Ankles. - ANSWER Which part of the body should the nurse examine when
assessing for peripheral edema in a client with heart failure?
Fungal infection - ANSWER Which condition is indicated by a fluorescent, yellow-
green color when the nurse uses a Wood's lamp toexamine a client's skin lesions?
Have you ever felt guilty about your drinking? - ANSWER The nurse is performing a
routine physical examination on an adult client. When gathering a health history,
which question is included in the CAGE questionnaire?
Lying - ANSWER A client has just returned from the recovery room and asks to get
out of bed to go to the bathroom. The nurse decides to obtain orthostatic vital signs
first. How will the nurse position the client to begin this procedure?
The left leg remains on the table. - ANSWER The nurse is assessing a client for a
hip flexion contracture. Which finding indicates a negative Thomas test when the
client's right knee is brought toward the chest?
