Health Assessment Hesi Exam Preparation
Test Bank Latest with a Review of 120
Questions and Correct Answers with
Rationales / Hesi Health Assessment Exam
Prep Test Bank 2 (New!
The pulses on tops of the feet are the dorsalis pedis pulses. The popliteal pulse is
located behind the knee. The posterior tibial pulse is found posterior to the
medial malleolus. The anterior tibial pulse is located anterior to the ankle. -
Correct Answer :A 63-year-old client is hospitalized in the coronary care unit
after experiencing an anterior myocardial infarction (MI). As the nurse performs
the initial assessment, she palpates the pulses on the top of the client's feet.
What are these pulses?
A. Popliteal pulses
A+ TEST BANK 1
, RN Hesi Health Assessment Exam
B. Dorsalis pedis pulses
C. Posterior tibial pulses
D. Anterior tibial pulses
D
The pain typically associated with an MI is characterized by tightness and
pressure. The other types of pain described could be associated with an MI but
are less common. - Correct Answer :A 57-year-old, obese client comes to the
emergency department complaining of chest pain that developed while he was
climbing the stairs. The nurse asks the client to describe his chest pain. Which
type of chest pain is most commonly associated with MI?
A. Sore and aching
B. Dull and stabbing
C. Sharp and burning
D. Tightness and pressure
D
The first heart sound, S1, which produces the "lub" sound, is associated with
closure of the mitral and tricuspid valves. The second heart sound, S2, or the
"dub" sound, is a result of closure of the aortic and pulmonic valves. - Correct
Answer :A 19-year-old client is admitted to the coronary care unit after
experiencing a syncopal episode while playing basketball. When auscultating his
heart sounds, the nurse hears a "lub-dub" sound. What mechanical event in the
heart is associated with the "lub" sound?
A. Closure of the mitral and aortic valves
B. Closure of the tricuspid and aortic valves
C. Closure of the aortic and pulmonic valves
A+ TEST BANK 2
, RN Hesi Health Assessment Exam
D. Closure of the mitral and tricuspid valves
A
The apical impulse, also usually the point of maximum impulse, can be found at
the fifth intercostal space medial to the left midclavicular line. The other areas
are incorrect. - Correct Answer :A nurse is inspecting a 58-year-old client's chest
wall to locate the apical pulse. Where should the nurse look?
A. At the fifth intercostal space medial to the left midclavicular line.
B. Over the base of the heart
C. Over the aortic area
D. At the third intercostal space to the left of the sternum
B
After menopause, glandular tissues atrophy and are replaced with fatty
deposits. The breasts become flabbier and smaller, and the nipples flatten and
become less erectile. Breast enlargement is most common during puberty and
pregnancy. Asymmetrical areolae and inverted nipples may indicate a more
serious breast condition. - Correct Answer :A nurse is assessing a 53-year-old
client who's beginning to undergo menopause. Which finding is a normal change
associated with menopause?
A. Breast enlargement
B. Flattened nipples
C. Asymmetrical areolae
D. Inverted nipples
C
A+ TEST BANK 3
, RN Hesi Health Assessment Exam
An irregularly shaped lump in the breast suggests malignancy. A malignant mass
bay also be firm, tender, and not easily mobile. - Correct Answer :During the
examination of a 36-year-old client's right breast, the nurse palpates a lump.
Which characteristic most suggests that the lump may be malignant?
A. Softness
B. Mobility
C. Irregular shape
D. Nontender
D
Because certain changes take place in the breasts during the menstrual cycle,
menstruating women should perform a BSE 7 to 10 days after the beginning of
her cycle. The other choices aren't optimal times. - Correct Answer :A 28-year-old
client asks, "When should I perform breast self examination (BSE)?" The best
response from the nurse would be:
A. "On the first day of your menstrual cycle each month."
B. "On the last day of your menstrual cycle each month."
C. "On the first day of every month."
D. "7 to 10 days after your menstrual cycle begins each month."
C
The preferred method for palpating a client's breast is to use three middle finger
pads and to gently rotate them around the breast, moving in concentric circles.
Using the whole palm, one index finger, or the pad of the thumb doesn't allow
the client to adequately feel the breast tissue and identify abnormalities. -
Correct Answer :When palpating a client's breast, the nurse should use:
A. The whole palm of the palpating hand
A+ TEST BANK 4