BSN 246 HESI FINAL EXAM STUDY GUIDE
| QUESTIONS AND CORRECT ANSWERS |
GUARANTEED A+ | NIGHTINGALE |
2025/2026 GUIDE
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?
A) Upper inner quadrant
B) Lower inner quadrant
C) Upper outer quadrant
D) Lower outer quadrant - Correct Answer - c
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 and allow 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 client to urinate before 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 apical pulse and compare it to peripheral
pulse
During a skin assessment, the nurse notes, round and discrete lesions
that are dark red in color and will not blanch. The lesions range from 1 to
3 mm in size. What is the first question the nurse should ask the client?
- Correct Answer - Have you noticed any unusual bleeding?
The nurse is requesting the client to perform a Romberg Test to assess
neurological status. During the test, the nurse notes that the client sways
slightly. What is the nurses next action?
- Correct Answer - Document normal finding
,The nurse observes peristaltic movement in the left lower quadrant of a
client's abdomen. Which further assessment of the area should the
nurse perform? - Correct Answer - Observe the direction of the
movement
During a health history interview, a male client reports that he smokes
cigarettes and does not plan to quit. Which action is most important for
the nurse to take? - Correct Answer - Calculate the clients pack year
history
The nurse is testing the client's shoulders for range of motion. What
should the nurse document to record normal internal rotation?
Correct Answer - Range of 90 degrees when the hands are placed at
the small of the back.
An older client pushes the nurse's hand away when palpation is initiated
during physical assessment. Which additional objective sign aids the
nurse in assessing for abdominal tenderness?
- Correct Answer - Changes vocal pitch when abdomen is palpated.
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.
Following abdominal auscultation of a client who is admitted for signs of
splenomegaly, which additional assessment should the nurse use to
verify splenomegaly?
a. Rebound tenderness.
, b. Percussion.
c. Deep palpation.
d. Inspection. - Correct Answer - B
After completing the initial general assessment, the nurse is now
completing a focused abdominal assessment of a client who was
admitted for abdominal pain. Which assessment is most important for
the nurse to implement? - Correct Answer - Palpate the abdomen after
auscultating for bowel sounds
A nurse is providing discharge teaching to a client following a heart
transplant. Which of the following information should the nurse include in
the teaching? - Correct Answer - Shortness of breath might be an
indication of transplant rejection
A nurse is caring for a client who has syndrome of inappropriate
antidiuretic hormone (SIADH) and is receiving 3 % sodium chloride via
continuous IV. Which of the following laboratory finding should the nurse
identify as an indication that the SIADH is resolving? - Correct Answer -
Urine specific gravity 1.020
Picture of mannequin with white dry lips. What does this indicate -
Correct Answer - Dehydration
What is the first thing a nurse should do when assessing carotid artery? -
Correct Answer - Check for redness or swelling
How to ausculate the carotid artery? - Correct Answer - 1. angle of jaw
2. mid-cervical area
| QUESTIONS AND CORRECT ANSWERS |
GUARANTEED A+ | NIGHTINGALE |
2025/2026 GUIDE
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?
A) Upper inner quadrant
B) Lower inner quadrant
C) Upper outer quadrant
D) Lower outer quadrant - Correct Answer - c
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 and allow 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 client to urinate before 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 apical pulse and compare it to peripheral
pulse
During a skin assessment, the nurse notes, round and discrete lesions
that are dark red in color and will not blanch. The lesions range from 1 to
3 mm in size. What is the first question the nurse should ask the client?
- Correct Answer - Have you noticed any unusual bleeding?
The nurse is requesting the client to perform a Romberg Test to assess
neurological status. During the test, the nurse notes that the client sways
slightly. What is the nurses next action?
- Correct Answer - Document normal finding
,The nurse observes peristaltic movement in the left lower quadrant of a
client's abdomen. Which further assessment of the area should the
nurse perform? - Correct Answer - Observe the direction of the
movement
During a health history interview, a male client reports that he smokes
cigarettes and does not plan to quit. Which action is most important for
the nurse to take? - Correct Answer - Calculate the clients pack year
history
The nurse is testing the client's shoulders for range of motion. What
should the nurse document to record normal internal rotation?
Correct Answer - Range of 90 degrees when the hands are placed at
the small of the back.
An older client pushes the nurse's hand away when palpation is initiated
during physical assessment. Which additional objective sign aids the
nurse in assessing for abdominal tenderness?
- Correct Answer - Changes vocal pitch when abdomen is palpated.
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.
Following abdominal auscultation of a client who is admitted for signs of
splenomegaly, which additional assessment should the nurse use to
verify splenomegaly?
a. Rebound tenderness.
, b. Percussion.
c. Deep palpation.
d. Inspection. - Correct Answer - B
After completing the initial general assessment, the nurse is now
completing a focused abdominal assessment of a client who was
admitted for abdominal pain. Which assessment is most important for
the nurse to implement? - Correct Answer - Palpate the abdomen after
auscultating for bowel sounds
A nurse is providing discharge teaching to a client following a heart
transplant. Which of the following information should the nurse include in
the teaching? - Correct Answer - Shortness of breath might be an
indication of transplant rejection
A nurse is caring for a client who has syndrome of inappropriate
antidiuretic hormone (SIADH) and is receiving 3 % sodium chloride via
continuous IV. Which of the following laboratory finding should the nurse
identify as an indication that the SIADH is resolving? - Correct Answer -
Urine specific gravity 1.020
Picture of mannequin with white dry lips. What does this indicate -
Correct Answer - Dehydration
What is the first thing a nurse should do when assessing carotid artery? -
Correct Answer - Check for redness or swelling
How to ausculate the carotid artery? - Correct Answer - 1. angle of jaw
2. mid-cervical area
