the nurse is performing a thoracic assessment on a
the nurse is assessing bowel sounds for a hospital
during inspection of a clients mouth and pharyn
Written for
HESI 1 - V1 and V2 - Health Assessment 1 Ex
HESI 1 - V1 and V2 - Health Assessment 1 Ex
1
review
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HESI
1
-
V1
and
V2
REVIEW
-
Health
Assessment
1
Exam
Questions
&
Answers
2024/2025
Verified
Answers
A+
Guaranteed!!
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."
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.
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?
-
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?
-
ANSWER
Document
at
least
3
generations
of
the
client's
family
medical
history.
The
nurse
is
testing
the
client's
shoulders
for
range
of
motion.
What
should
the
nurse
document
to
record
normal
internal
rotation?
-
ANSWER
Range
of
90
degrees
when
the
hands
are
placed
at
the
small
of
the
back.
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