SN 246 HESI Health Assessment V1 Questions and Correct Answers the Latest Update
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Course
BSN
Institution
BSN
haracter 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?
Document an intact gag reflex.
When teachin...
BSN 246 HESI Health Assessment
V1 Questions and Correct Answers
the Latest Update
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
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
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.
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
✓ 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?
✓ 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.
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.
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.
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