BSN 246 HESI Health Assessment V1 Questions And Correct Detailed Answers (Verified Answers) Already Graded A+

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BSN 246 HESI Health Assessment V1 Questions And Correct Detailed Answers (Verified Answers) Already Graded A+

• Which procedure should the nurse use to assess for a pulse deficit?
• Measure the apical pulse and compare it to the peripheral pulse.
• Count the radial pulse for 30 seconds and multiply by 2.
• Assess the carotid pulse and compare it to the radial pulse.
• Measure the blood pressure in both arms.

Correct Answer: Measure the apical pulse and compare it to the peripheral pulse.

• 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?

• Barrel chest
• Funnel chest
• Pigeon chest
• Kyphosis

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?

• Note the character and frequency of bowel sounds
• Document the bowel sounds as absent
• Move to the left lower quadrant
• Palpate the abdomen for tenderness

Correct Answer: Note the character and frequency of bowel sounds

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• 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?

• Document an intact gag reflex.
• Recommend a speech therapy consult.
• Notify the healthcare provider immediately.
• Reassess the gag reflex in 15 minutes.

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?

• Upper outer quadrant.
• Lower inner quadrant.
• Nipple and areola.
• Upper inner quadrant.

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?

• "A waist circumference is greater than 35 inches in women puts you at higher risk for

type 2 diabetes and heart disease."

• "Your BMI indicates you are underweight and need to increase your caloric intake."
• "Your hip measurement is within the normal range for your age."
• "You should focus on chest exercises to reduce your chest measurement."

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?

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• Height reduction of 1.5 inches.
• Weight gain of 5 pounds.
• Increased muscle mass in the legs.
• Improved flexibility in the spine.

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?

• Sit quietly to allow the client to respond comfortably.
• Rush the client to finish the interview quickly.
• Ask the client if they are feeling anxious.
• Provide the answers for the client.

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?

• Ask the client to urinate before beginning the examination.
• Have the client drink a large glass of water.
• Place the client in a prone position.
• Administer a pain medication before the exam.

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?

• Bradypnea.
• Tachypnea.
• Apnea.
• Eupnea.

Correct Answer: Bradypnea.

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• 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?

• Dull, thud-like.
• Hyperresonant.
• Tympanic.
• Resonant.

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?

• Inspect the hair and skin.
• Palpate the lymph nodes.
• Auscultate the carotid arteries.
• Assess the cranial nerves.

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?

• Deep palpation above and to the left of the umbilicus.
• Light palpation in the right lower quadrant.
• Deep palpation below the umbilicus.
• Auscultation only; do not palpate.

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?

• Document at least 3 generations of the client's family medical history.
• Ask only about the client's parents.