HESI PREP HEALTH ASSESSMENT EXAM
WITH QUESTIONS AND WELL VERFIED
ANSWERS|| GUARANTEED PASS|| ALREADY
GRADED A+|| LATEST UPDATE 2026
When performing a physical examination, safety must be considered to protect
the examiner and the patient against the spread of infection. Which of these
statements describes the most appropriate action the nurse should take when
performing a physical examination?
A) There is no need to wash one's hands after removing gloves, as long as the
gloves are still intact.
B) Wash hands before and after every physical patient encounter.
C) Wash hands between the examination of each body system to prevent the
spread of bacteria from one part of the body to another.
D) Wear gloves throughout the entire examination to demonstrate to the patient
concern regarding the spread of infectious diseases. - ANSWER-B) Wash hands
before and after every physical patient encounter.
The nurse should wash his or her hands before and after every physical patient
encounter; after contact with blood, body fluids, secretions, and excretions; after
contact with any equipment contaminated with body fluids; and after removing
gloves. Hands should be washed after gloves have been removed, even if the
gloves appear to be intact. Gloves should be worn when there is potential
contact with any body fluids.
,The nurse is auscultating the lungs of a patient who had been sleeping and
notices short, popping, crackling sounds that stop after a few breaths. The nurse
recognizes that these breath sounds are:
A) atelectatic crackles, and that they are not pathologic.
B) fine crackles, and that they may be a sign of pneumonia.
C) vesicular breath sounds.
D) fine wheezes. - ANSWER-A) atelectatic crackles, and that they are not
pathologic.
One type of adventitious sound, atelectatic crackles, is not pathologic. They are
short, popping, crackling sounds that sound like fine crackles but do not last
beyond a few breaths. When sections of alveoli are not fully aerated (as in
people who are asleep or in the elderly), they deflate slightly and accumulate
secretions. Crackles are heard when these sections are expanded by a few deep
breaths. Atelectatic crackles are heard only in the periphery, usually in
dependent portions of the lungs, and disappear after the first few breaths or after
a cough.
The nurse is assessing voice sounds during a respiratory assessment. Which of
these findings indicates a normal assessment? Select all that apply.
A) Voice sounds are faint, muffled, and almost inaudible when the patient
whispers "one, two, three" in a very soft voice.
B) As the patient says "ninety-nine" repeatedly, the examiner hears the words
"ninety-nine" clearly.
C) When the patient speaks in a normal voice, the examiner can hear a sound
but cannot distinguish exactly what is being said.
D) As the patient says a long "ee-ee-ee" sound, the examiner also hears a long
"ee-ee-ee" sound.
E) As the patient says a long "ee-ee-ee" sound, the examiner hears a long
"aaaaaa" sound. - ANSWER-A) Voice sounds are faint, muffled, and almost
inaudible when the patient whispers "one, two, three" in a very soft voice.
,C) When the patient speaks in a normal voice, the examiner can hear a sound
but cannot distinguish exactly what is being said.
D) As the patient says a long "ee-ee-ee" sound, the examiner also hears a long
"ee-ee-ee" sound.
As a patient says "ninety-nine" repeatedly, normally, the examiner hears sound
but cannot distinguish what is being said. If a clear "ninety-nine" is auscultated,
then it could indicate increased lung density, which enhances transmission of
voice sounds. This is a measure of bronchophony. When a patient says a long
"ee-ee-ee" sound, normally the examiner also hears a long "ee-ee-ee" sound
through auscultation. This is a measure of egophony. If the examiner hears a
long "aaaaaa" sound instead, this could indicate areas of consolidation or
compression. With whispered pectoriloquy, as when a patient whispers a phrase
such as "one-two-three," the normal response when auscultating voice sounds is
to hear sounds that are faint, muffled, and almost inaudible. If the examiners
hears the whispered voice clearly, as if the patient is speaking through the
stethoscope, then consolidation of the lung fields may exist.
The nurse is examining an infant and prepares to elicit the Moro reflex at which
time during the examination?
A) When the infant is sleeping
B) At the end of the examination
C) Before auscultation of the thorax
D) Halfway through the examination - ANSWER-B) At the end of the
examination
Elicit the Moro or "startle" reflex at the end of the examination because it may
cause the infant to cry.
A 6-month-old infant has been brought to the well-child clinic for a check-up.
She is currently sleeping. What should the nurse do first when beginning the
examination?
, A) Auscultate the lungs and heart while the infant is still sleeping.
B) Examine the infant's hips because this procedure is uncomfortable.
C) Begin with the assessment of the eye and continue with the remainder of the
examination in a head-to-toe approach.
D) Wake the infant before beginning any portion of the examination to obtain
the most accurate assessment of body systems. - ANSWER-A) Auscultate the
lungs and heart while the infant is still sleeping.
When the infant is quiet or sleeping is an ideal time to assess the cardiac,
respiratory, and abdominal systems. Assessment of the eye, ear, nose, and throat
are invasive procedures and should be performed at the end of the examination.
During an assessment, the nurse knows that expected assessment findings in the
normal adult lung include the presence of:
A) adventitious sounds and limited chest expansion.
B) increased tactile fremitus and dull percussion tones.
C) muffled voice sounds and symmetrical tactile fremitus.
D) absent voice sounds and hyperresonant percussion tones. - ANSWER-C)
muffled voice sounds and symmetrical tactile fremitus.
Normal lung findings include symmetric chest expansion, resonant percussion
tones, vesicular breath sounds over the peripheral lung fields, muffled voice
sounds, and no adventitious sounds.
A 65-year-old patient with a history of heart failure comes to the clinic with
complaints of "being awakened from sleep with shortness of breath." Which
action by the nurse is most appropriate?
A) Obtain a detailed history of the patient's allergies and history of asthma.
WITH QUESTIONS AND WELL VERFIED
ANSWERS|| GUARANTEED PASS|| ALREADY
GRADED A+|| LATEST UPDATE 2026
When performing a physical examination, safety must be considered to protect
the examiner and the patient against the spread of infection. Which of these
statements describes the most appropriate action the nurse should take when
performing a physical examination?
A) There is no need to wash one's hands after removing gloves, as long as the
gloves are still intact.
B) Wash hands before and after every physical patient encounter.
C) Wash hands between the examination of each body system to prevent the
spread of bacteria from one part of the body to another.
D) Wear gloves throughout the entire examination to demonstrate to the patient
concern regarding the spread of infectious diseases. - ANSWER-B) Wash hands
before and after every physical patient encounter.
The nurse should wash his or her hands before and after every physical patient
encounter; after contact with blood, body fluids, secretions, and excretions; after
contact with any equipment contaminated with body fluids; and after removing
gloves. Hands should be washed after gloves have been removed, even if the
gloves appear to be intact. Gloves should be worn when there is potential
contact with any body fluids.
,The nurse is auscultating the lungs of a patient who had been sleeping and
notices short, popping, crackling sounds that stop after a few breaths. The nurse
recognizes that these breath sounds are:
A) atelectatic crackles, and that they are not pathologic.
B) fine crackles, and that they may be a sign of pneumonia.
C) vesicular breath sounds.
D) fine wheezes. - ANSWER-A) atelectatic crackles, and that they are not
pathologic.
One type of adventitious sound, atelectatic crackles, is not pathologic. They are
short, popping, crackling sounds that sound like fine crackles but do not last
beyond a few breaths. When sections of alveoli are not fully aerated (as in
people who are asleep or in the elderly), they deflate slightly and accumulate
secretions. Crackles are heard when these sections are expanded by a few deep
breaths. Atelectatic crackles are heard only in the periphery, usually in
dependent portions of the lungs, and disappear after the first few breaths or after
a cough.
The nurse is assessing voice sounds during a respiratory assessment. Which of
these findings indicates a normal assessment? Select all that apply.
A) Voice sounds are faint, muffled, and almost inaudible when the patient
whispers "one, two, three" in a very soft voice.
B) As the patient says "ninety-nine" repeatedly, the examiner hears the words
"ninety-nine" clearly.
C) When the patient speaks in a normal voice, the examiner can hear a sound
but cannot distinguish exactly what is being said.
D) As the patient says a long "ee-ee-ee" sound, the examiner also hears a long
"ee-ee-ee" sound.
E) As the patient says a long "ee-ee-ee" sound, the examiner hears a long
"aaaaaa" sound. - ANSWER-A) Voice sounds are faint, muffled, and almost
inaudible when the patient whispers "one, two, three" in a very soft voice.
,C) When the patient speaks in a normal voice, the examiner can hear a sound
but cannot distinguish exactly what is being said.
D) As the patient says a long "ee-ee-ee" sound, the examiner also hears a long
"ee-ee-ee" sound.
As a patient says "ninety-nine" repeatedly, normally, the examiner hears sound
but cannot distinguish what is being said. If a clear "ninety-nine" is auscultated,
then it could indicate increased lung density, which enhances transmission of
voice sounds. This is a measure of bronchophony. When a patient says a long
"ee-ee-ee" sound, normally the examiner also hears a long "ee-ee-ee" sound
through auscultation. This is a measure of egophony. If the examiner hears a
long "aaaaaa" sound instead, this could indicate areas of consolidation or
compression. With whispered pectoriloquy, as when a patient whispers a phrase
such as "one-two-three," the normal response when auscultating voice sounds is
to hear sounds that are faint, muffled, and almost inaudible. If the examiners
hears the whispered voice clearly, as if the patient is speaking through the
stethoscope, then consolidation of the lung fields may exist.
The nurse is examining an infant and prepares to elicit the Moro reflex at which
time during the examination?
A) When the infant is sleeping
B) At the end of the examination
C) Before auscultation of the thorax
D) Halfway through the examination - ANSWER-B) At the end of the
examination
Elicit the Moro or "startle" reflex at the end of the examination because it may
cause the infant to cry.
A 6-month-old infant has been brought to the well-child clinic for a check-up.
She is currently sleeping. What should the nurse do first when beginning the
examination?
, A) Auscultate the lungs and heart while the infant is still sleeping.
B) Examine the infant's hips because this procedure is uncomfortable.
C) Begin with the assessment of the eye and continue with the remainder of the
examination in a head-to-toe approach.
D) Wake the infant before beginning any portion of the examination to obtain
the most accurate assessment of body systems. - ANSWER-A) Auscultate the
lungs and heart while the infant is still sleeping.
When the infant is quiet or sleeping is an ideal time to assess the cardiac,
respiratory, and abdominal systems. Assessment of the eye, ear, nose, and throat
are invasive procedures and should be performed at the end of the examination.
During an assessment, the nurse knows that expected assessment findings in the
normal adult lung include the presence of:
A) adventitious sounds and limited chest expansion.
B) increased tactile fremitus and dull percussion tones.
C) muffled voice sounds and symmetrical tactile fremitus.
D) absent voice sounds and hyperresonant percussion tones. - ANSWER-C)
muffled voice sounds and symmetrical tactile fremitus.
Normal lung findings include symmetric chest expansion, resonant percussion
tones, vesicular breath sounds over the peripheral lung fields, muffled voice
sounds, and no adventitious sounds.
A 65-year-old patient with a history of heart failure comes to the clinic with
complaints of "being awakened from sleep with shortness of breath." Which
action by the nurse is most appropriate?
A) Obtain a detailed history of the patient's allergies and history of asthma.
