BSN 246 HESI 1 - V1 AND V2 REVIEW HEALTH
ASSESSMENT 1 2024 VERIFIED QUESTIONS AND
ANSWERS
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
,BSN 246 HESI 1 - V1 AND V2 REVIEW HEALTH
ASSESSMENT 1 2024 VERIFIED QUESTIONS AND
ANSWERS
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."
The nurse performs a physical assessment on an older female client. Which
change from the prior exam may be an indication of osteoporosis? -
CORRECT 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? - CORRECT 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? -
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.
, BSN 246 HESI 1 - V1 AND V2 REVIEW HEALTH
ASSESSMENT 1 2024 VERIFIED QUESTIONS AND
ANSWERS
Which procedure should the nurse use to assessfor a pulse deficit? -
CORRECT 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? - 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.
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