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BSN 246 HESI HEALTH ASSESSMENT
V1 EXAM 2025|COMPLETE EXAM
QUESTIONS AND CORRECT
ANSWERS-NIGHTINGALE
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 the client to urinate before
beginning the 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 assessfor a pulse deficit? -
CORRECT-ANSWER-Measure the apical pulse and compare it to
the peripheral pulse.
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*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? - CORRECT-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? - CORRECT-ANSWER-Inspect the hair
and skin.
The nurse is assessing a healthy young adult during an annual physical
examination. Which assessment technique should the nurse implement
when palpating the abdominal aorta? - CORRECT-ANSWER-Deep
palpation above and to the left of the umbilicus.
The nurse is conducting a family history as part of the assessment
interview. Which action should the nurse take to ensure that sufficient
information about the client's blood relatives is obtained? -
CORRECT-ANSWER-Document at least 3 generations of the
client's family medical history.
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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.
A client presents with a rash along the occipital area of the hairline and
reports intense itching. How should the nurse begin the objective part
of the examination? - CORRECT-ANSWER-Inspect the scalp
looking for nits.
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
BSN 246 HESI HEALTH ASSESSMENT
V1 EXAM 2025|COMPLETE EXAM
QUESTIONS AND CORRECT
ANSWERS-NIGHTINGALE
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 the client to urinate before
beginning the 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 assessfor a pulse deficit? -
CORRECT-ANSWER-Measure the apical pulse and compare it to
the peripheral pulse.
, Page |2
*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? - CORRECT-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? - CORRECT-ANSWER-Inspect the hair
and skin.
The nurse is assessing a healthy young adult during an annual physical
examination. Which assessment technique should the nurse implement
when palpating the abdominal aorta? - CORRECT-ANSWER-Deep
palpation above and to the left of the umbilicus.
The nurse is conducting a family history as part of the assessment
interview. Which action should the nurse take to ensure that sufficient
information about the client's blood relatives is obtained? -
CORRECT-ANSWER-Document at least 3 generations of the
client's family medical history.
, Page |3
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.
A client presents with a rash along the occipital area of the hairline and
reports intense itching. How should the nurse begin the objective part
of the examination? - CORRECT-ANSWER-Inspect the scalp
looking for nits.
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
