BSN 246 HESI Health Assessment V1 | | QUESTIONS AND
ANSWERS | 2025/2026| LATEST UPDATE
The nurse is performing a Barrel chest
thoracic assessment on a
client with chronic asthma and
hyperinflation of the lungs.
Which finding should be
expected for this client?
The nurse is assessing bowel Note the character and frequency of bowel sounds
sounds for a hospitalized
client. The nurse has heard
bowel sounds in the right upper
quadrant. What action should
the nurse take next?
During inspection of a Document an intact gag reflex.
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?
When teaching a client how Upper outer quadrant.
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?
The nurse is assessing a A waist circumference is greater than 35 inches in women
postmenopausal client who puts you at higher risk for type 2 diabetes and heart
has a BMI of 32. The client has disease."
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?
, The nurse performs a physical Height reduction of 1.5 inches.
assessment on an older
female client. Which change
from the prior exam may be an
indication of osteoporosis?
While conducting an interview Sit quietly to allow the client to respond comfortably.
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?
A client is in the clinical for a Ask the client to urinate before beginning the examination.
yearly physical examination.
Which action should the nurse
take when preparing to
examine the client's
abdomen?
Which respiratory condition Bradypnea.
should the nurse document
after measuring a respiratory
rate of 8 breaths/minute?
Measure the apical pulse and compare it to the peripheral pulse.
Which procedure should the
nurse use to assessfor a *A pulse deficit is a palpable difference between the apical
pulse deficit? pulse at the point of maximal impulse and the radial pulse
palpated at the wrist.
A client has been diagnosed Dull, thud-like.
with bilateral lower lobe
atelectasis. What
percussion sound should
the nurse expect to hear
when percussing over the
client's lower lobes?
A client is being assessed Inspect the hair and skin.
upon admission to the
medical-surgical unit. The
nurse is preparing to
complete a head-to-toe
assessment and will begin at
the head of the client. Which
technique should the nurse
ANSWERS | 2025/2026| LATEST UPDATE
The nurse is performing a Barrel chest
thoracic assessment on a
client with chronic asthma and
hyperinflation of the lungs.
Which finding should be
expected for this client?
The nurse is assessing bowel Note the character and frequency of bowel sounds
sounds for a hospitalized
client. The nurse has heard
bowel sounds in the right upper
quadrant. What action should
the nurse take next?
During inspection of a Document an intact gag reflex.
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?
When teaching a client how Upper outer quadrant.
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?
The nurse is assessing a A waist circumference is greater than 35 inches in women
postmenopausal client who puts you at higher risk for type 2 diabetes and heart
has a BMI of 32. The client has disease."
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?
, The nurse performs a physical Height reduction of 1.5 inches.
assessment on an older
female client. Which change
from the prior exam may be an
indication of osteoporosis?
While conducting an interview Sit quietly to allow the client to respond comfortably.
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?
A client is in the clinical for a Ask the client to urinate before beginning the examination.
yearly physical examination.
Which action should the nurse
take when preparing to
examine the client's
abdomen?
Which respiratory condition Bradypnea.
should the nurse document
after measuring a respiratory
rate of 8 breaths/minute?
Measure the apical pulse and compare it to the peripheral pulse.
Which procedure should the
nurse use to assessfor a *A pulse deficit is a palpable difference between the apical
pulse deficit? pulse at the point of maximal impulse and the radial pulse
palpated at the wrist.
A client has been diagnosed Dull, thud-like.
with bilateral lower lobe
atelectasis. What
percussion sound should
the nurse expect to hear
when percussing over the
client's lower lobes?
A client is being assessed Inspect the hair and skin.
upon admission to the
medical-surgical unit. The
nurse is preparing to
complete a head-to-toe
assessment and will begin at
the head of the client. Which
technique should the nurse
