Health Assessment V1 EXAM

BSN 246 HESI

Health Assessment V1 EXAM Nightingale College Actual Qs & Verified Ans to Pass the Exam

This Hesi test contains:

 passing score Guarantee  Format Set of Multiple-choice  questions with incorporating Next Generation NCLEX (NGN) and Case scenarios questions  Expert-Verified Explanations & Solutions

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Question 1: 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 Choices:

• Inner quadrant
• Lower inner quadrant
• Upper outer quadrant (Correct)
• Nipple area

- Expert Rationale: The upper outer quadrant of the breast is where most

breast tumors are found, making it crucial for self-assessment.

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Question 2: 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 Choices:

• A waist circumference greater than 35 inches in women puts you at

higher risk for type 2 diabetes and heart disease. (Correct)

• It is important to lose weight to achieve a BMI of 25.
• Focus on increasing physical activity levels.
• Regular health screenings are essential but waist circumference is not a

concern. 2 / 4

- Expert Rationale: A waist circumference greater than 35 inches is

associated with an increased risk of health issues such as type 2 diabetes and cardiovascular diseases, especially in postmenopausal women.

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Question 3: The nurse performs a physical assessment on an older

female client. Which change from the prior exam may be an indication of osteoporosis?

- Answer Choices:

• Weight gain
• Height reduction of 1.5 inches. (Correct)
• Increased muscle mass
• Change in skin elasticity

- Expert Rationale: A height reduction of 1.5 inches could indicate vertebral

compression fractures associated with osteoporosis, a common condition in older adults.

Question 4: The nurse is performing a thoracic assessment on a client

with chronic asthma and hyperin.lation of the lungs. Which .inding should be expected for this client?

- Answer Choices:

• Funnel chest
• Pectus excavatum
• Barrel chest (Correct) 3 / 4

• Kyphosis

- Expert Rationale: A barrel chest is commonly observed in clients with

chronic lung conditions, such as asthma, due to hyperin1lation of the lungs that increases the anteroposterior diameter of the chest.

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Question 5: 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 Choices:

• Document the absent bowel sounds
• Report to the physician
• Note the character and frequency of bowel sounds (Correct)
• Assess for abdominal tenderness

- Expert Rationale: Noting the character and frequency of bowel sounds is

essential to evaluate bowel function more thoroughly. Assessing the entire abdomen and not just one quadrant provides a complete picture.

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Question 6: 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?

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