BSN 246 HESI
Health Assessment V1 EXAM
Nightingale College
Actual Qs & Verified Ans to Pass the Exam
This Hesi test contains:
passing score Guarantee
Format Set of Multiple-choice
questions with incorporating Next
Generation NCLEX (NGN) and Case scenarios
questions
Expert-Verified Explanations & Solutions
,Question 1: 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 Choices:
A) Inner quadrant
B) Lower inner quadrant
C) Upper outer quadrant (Correct)
D) Nipple area
- Expert Rationale: The upper outer quadrant of the breast is where most
breast tumors are found, making it crucial for self-assessment.
---
Question 2: 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 Choices:
A) A waist circumference greater than 35 inches in women puts you at
higher risk for type 2 diabetes and heart disease. (Correct)
B) It is important to lose weight to achieve a BMI of 25.
C) Focus on increasing physical activity levels.
D) Regular health screenings are essential but waist circumference is not a
concern.
,- Expert Rationale: A waist circumference greater than 35 inches is
associated with an increased risk of health issues such as type 2 diabetes
and cardiovascular diseases, especially in postmenopausal women.
---
Question 3: The nurse performs a physical assessment on an older
female client. Which change from the prior exam may be an indication
of osteoporosis?
- Answer Choices:
A) Weight gain
B) Height reduction of 1.5 inches. (Correct)
C) Increased muscle mass
D) Change in skin elasticity
- Expert Rationale: A height reduction of 1.5 inches could indicate vertebral
compression fractures associated with osteoporosis, a common condition in
older adults.
Question 4: The nurse is performing a thoracic assessment on a client
with chronic asthma and hyperin.lation of the lungs. Which .inding
should be expected for this client?
- Answer Choices:
A) Funnel chest
B) Pectus excavatum
C) Barrel chest (Correct)
, D) Kyphosis
- Expert Rationale: A barrel chest is commonly observed in clients with
chronic lung conditions, such as asthma, due to hyperin1lation of the lungs
that increases the anteroposterior diameter of the chest.
---
Question 5: 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 Choices:
A) Document the absent bowel sounds
B) Report to the physician
C) Note the character and frequency of bowel sounds (Correct)
D) Assess for abdominal tenderness
- Expert Rationale: Noting the character and frequency of bowel sounds is
essential to evaluate bowel function more thoroughly. Assessing the entire
abdomen and not just one quadrant provides a complete picture.
---
Question 6: 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?
Health Assessment V1 EXAM
Nightingale College
Actual Qs & Verified Ans to Pass the Exam
This Hesi test contains:
passing score Guarantee
Format Set of Multiple-choice
questions with incorporating Next
Generation NCLEX (NGN) and Case scenarios
questions
Expert-Verified Explanations & Solutions
,Question 1: 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 Choices:
A) Inner quadrant
B) Lower inner quadrant
C) Upper outer quadrant (Correct)
D) Nipple area
- Expert Rationale: The upper outer quadrant of the breast is where most
breast tumors are found, making it crucial for self-assessment.
---
Question 2: 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 Choices:
A) A waist circumference greater than 35 inches in women puts you at
higher risk for type 2 diabetes and heart disease. (Correct)
B) It is important to lose weight to achieve a BMI of 25.
C) Focus on increasing physical activity levels.
D) Regular health screenings are essential but waist circumference is not a
concern.
,- Expert Rationale: A waist circumference greater than 35 inches is
associated with an increased risk of health issues such as type 2 diabetes
and cardiovascular diseases, especially in postmenopausal women.
---
Question 3: The nurse performs a physical assessment on an older
female client. Which change from the prior exam may be an indication
of osteoporosis?
- Answer Choices:
A) Weight gain
B) Height reduction of 1.5 inches. (Correct)
C) Increased muscle mass
D) Change in skin elasticity
- Expert Rationale: A height reduction of 1.5 inches could indicate vertebral
compression fractures associated with osteoporosis, a common condition in
older adults.
Question 4: The nurse is performing a thoracic assessment on a client
with chronic asthma and hyperin.lation of the lungs. Which .inding
should be expected for this client?
- Answer Choices:
A) Funnel chest
B) Pectus excavatum
C) Barrel chest (Correct)
, D) Kyphosis
- Expert Rationale: A barrel chest is commonly observed in clients with
chronic lung conditions, such as asthma, due to hyperin1lation of the lungs
that increases the anteroposterior diameter of the chest.
---
Question 5: 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 Choices:
A) Document the absent bowel sounds
B) Report to the physician
C) Note the character and frequency of bowel sounds (Correct)
D) Assess for abdominal tenderness
- Expert Rationale: Noting the character and frequency of bowel sounds is
essential to evaluate bowel function more thoroughly. Assessing the entire
abdomen and not just one quadrant provides a complete picture.
---
Question 6: 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?
