1|Pag e
BSN 246 HESI HEALTH ASSESSMENT V1 EXAM||
ALL QUESTIONS AND CORRECT NASWERS
GRADED A+|| LATEST AND COMPLETE VERSION
WITH 100% VERIFIED SOLUTIONS|| ASSURED
PASS!!!
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? -
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?
- 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? - 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? - 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? - ANSWER: A waist circumference is greater
than 35 inches in women puts you at higher risk for type 2 diabetes and heart
disease."
, 2|Pag e
The nurse performs a physical assessment on an older female client. Which change
from the prior exam may be an indication of osteoporosis? - 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? - ANSWER: Sit quietly to allow the 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? - ANSWER: Ask
the client to urinate before beginning the examination.
Which respiratory condition should the nurse document after measuring a
respiratory rate of 8 breaths/minute? - ANSWER: Bradypnea.
Which procedure should the nurse use to assessfor a pulse deficit? - ANSWER:
Measure the apical pulse and compare it to the peripheral pulse.
*A pulse deficit is a palpable difference between the apical pulse at the point of
maximal impulse and the radial pulse palpated at the wrist.
A client has been diagnosed with bilateral lower lobe atelectasis. What percussion
sound should the nurse expect to hear when percussing over the client's lower
lobes? - ANSWER: Dull, thud-like.
A client is being assessed 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 use to begin the assessment? -
ANSWER: Inspect the hair and skin.
BSN 246 HESI HEALTH ASSESSMENT V1 EXAM||
ALL QUESTIONS AND CORRECT NASWERS
GRADED A+|| LATEST AND COMPLETE VERSION
WITH 100% VERIFIED SOLUTIONS|| ASSURED
PASS!!!
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? -
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?
- 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? - 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? - 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? - ANSWER: A waist circumference is greater
than 35 inches in women puts you at higher risk for type 2 diabetes and heart
disease."
, 2|Pag e
The nurse performs a physical assessment on an older female client. Which change
from the prior exam may be an indication of osteoporosis? - 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? - ANSWER: Sit quietly to allow the 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? - ANSWER: Ask
the client to urinate before beginning the examination.
Which respiratory condition should the nurse document after measuring a
respiratory rate of 8 breaths/minute? - ANSWER: Bradypnea.
Which procedure should the nurse use to assessfor a pulse deficit? - ANSWER:
Measure the apical pulse and compare it to the peripheral pulse.
*A pulse deficit is a palpable difference between the apical pulse at the point of
maximal impulse and the radial pulse palpated at the wrist.
A client has been diagnosed with bilateral lower lobe atelectasis. What percussion
sound should the nurse expect to hear when percussing over the client's lower
lobes? - ANSWER: Dull, thud-like.
A client is being assessed 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 use to begin the assessment? -
ANSWER: Inspect the hair and skin.
