BSN 246 HESI Health Assessment V1 EXAM NEWEST ACTUAL EXAM
BSN 246 HESI HEALTH ASSESSMENT V1 EXAM NEWEST ACTUAL
EXAM COMPLETE 150 QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+||BRAND
NEW VERSION!!
The nurse is assessing a client's range of motion as the client bends the right knee
up to the chest while keeping the left leg straight, but is unable to keep the left
thigh on the table. The assessment is repeated for the left knee, and the client is
unable to keep the right thigh on the table. How should the nurse document this
finding? - Correct Answer-A flexion deformity referred to as a positive Thomas
test.
During a skin asssessment, 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 notice any irregular bleeding
A client with progressive hearing loss appears distressed when the registered
nurse (RN) asks open-ended questions about the client's health history. Which
forms of communication should the RN use? - Correct Answer-Face the client so
the client can see the RN's mouth.
Check if the client's hearing aides are working properly.
Reduce environmental noise surrounding the client.
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? - Correct Answer-Swelling of the left arm and non-pitting edema.
1|Page
, BSN 246 HESI Health Assessment V1 EXAM NEWEST ACTUAL EXAM
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? - Correct Answer-Lying.
A postmenopausal female client is undergoing a routine physical examination. She
has reported nothing out of the ordinary. When performing the examination of
the genitourinary system, the nurse finds an irregularly enlarged uterus with firm,
mobile, painless nodules in the uterine wall. How should the nurse explain this
finding to the client? - Correct Answer-You have benign fibroid tumors, a common
occurrence in women your age.
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? -
Correct Answer-"My life is really out of balance."
The nurse is preparing to assess the hearing of a client with a history of prolonged
exposure to occupational noise. Which hearing test provides the most reliable
assessment of hearing status? - Correct Answer-Audiometry.
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? -
Correct Answer-Have you ever felt guilty about your drinking?
*CAGE is the acronym for Cut down, Annoyed, Guilty, and Eye-opener. Nurse can
use it to assess for possible alcohol abuse.
2|Page
, BSN 246 HESI Health Assessment V1 EXAM NEWEST ACTUAL EXAM
The nurse is examining the hip joint of a client who reports hip pain. Which other
assessment is most helpful in determining the cause of the client's pain? - Correct
Answer-Knee joint evaluation.
The nurse performs a series of cranial nerve tests on a client with a head injury.
Which test should the nurse use to assess damage to the first cranial nerve? -
Correct Answer-Occlude one nostril and have the client identify various odors.
The client reports to the nurse a recent exposure to the mumps. Which
assessment finding suggests the client has contracted the mumps? - Correct
Answer-Swelling anterior to the ear lobe on one side of the face
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.) - Correct Answer-Be open to people who are
different.
Have a curiosity about people.
Become culturally competent.
Which findings can the nurse determine by palpating a client's skin? (Select all
that apply.) - Correct Answer-Diaphoresis.
Scaling.
Which question should the nurse ask in order to test a client's remote memory? -
Correct Answer-What is your date of birth?
3|Page
, BSN 246 HESI Health Assessment V1 EXAM NEWEST ACTUAL EXAM
While assessing level of consciousness, the nurse finds that a client localizes to
pain, is confused during conversation, and opens the eyes to sound. How should
the nurse document the Glasgow score of this client? - Correct Answer-12.
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."
4|Page
BSN 246 HESI HEALTH ASSESSMENT V1 EXAM NEWEST ACTUAL
EXAM COMPLETE 150 QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+||BRAND
NEW VERSION!!
The nurse is assessing a client's range of motion as the client bends the right knee
up to the chest while keeping the left leg straight, but is unable to keep the left
thigh on the table. The assessment is repeated for the left knee, and the client is
unable to keep the right thigh on the table. How should the nurse document this
finding? - Correct Answer-A flexion deformity referred to as a positive Thomas
test.
During a skin asssessment, 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 notice any irregular bleeding
A client with progressive hearing loss appears distressed when the registered
nurse (RN) asks open-ended questions about the client's health history. Which
forms of communication should the RN use? - Correct Answer-Face the client so
the client can see the RN's mouth.
Check if the client's hearing aides are working properly.
Reduce environmental noise surrounding the client.
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? - Correct Answer-Swelling of the left arm and non-pitting edema.
1|Page
, BSN 246 HESI Health Assessment V1 EXAM NEWEST ACTUAL EXAM
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? - Correct Answer-Lying.
A postmenopausal female client is undergoing a routine physical examination. She
has reported nothing out of the ordinary. When performing the examination of
the genitourinary system, the nurse finds an irregularly enlarged uterus with firm,
mobile, painless nodules in the uterine wall. How should the nurse explain this
finding to the client? - Correct Answer-You have benign fibroid tumors, a common
occurrence in women your age.
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? -
Correct Answer-"My life is really out of balance."
The nurse is preparing to assess the hearing of a client with a history of prolonged
exposure to occupational noise. Which hearing test provides the most reliable
assessment of hearing status? - Correct Answer-Audiometry.
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? -
Correct Answer-Have you ever felt guilty about your drinking?
*CAGE is the acronym for Cut down, Annoyed, Guilty, and Eye-opener. Nurse can
use it to assess for possible alcohol abuse.
2|Page
, BSN 246 HESI Health Assessment V1 EXAM NEWEST ACTUAL EXAM
The nurse is examining the hip joint of a client who reports hip pain. Which other
assessment is most helpful in determining the cause of the client's pain? - Correct
Answer-Knee joint evaluation.
The nurse performs a series of cranial nerve tests on a client with a head injury.
Which test should the nurse use to assess damage to the first cranial nerve? -
Correct Answer-Occlude one nostril and have the client identify various odors.
The client reports to the nurse a recent exposure to the mumps. Which
assessment finding suggests the client has contracted the mumps? - Correct
Answer-Swelling anterior to the ear lobe on one side of the face
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.) - Correct Answer-Be open to people who are
different.
Have a curiosity about people.
Become culturally competent.
Which findings can the nurse determine by palpating a client's skin? (Select all
that apply.) - Correct Answer-Diaphoresis.
Scaling.
Which question should the nurse ask in order to test a client's remote memory? -
Correct Answer-What is your date of birth?
3|Page
, BSN 246 HESI Health Assessment V1 EXAM NEWEST ACTUAL EXAM
While assessing level of consciousness, the nurse finds that a client localizes to
pain, is confused during conversation, and opens the eyes to sound. How should
the nurse document the Glasgow score of this client? - Correct Answer-12.
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."
4|Page
