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HESI ONE V1 AND V2 HEALTH ASSESSMENT PRACTICE SCRIPT 2026 TESTED SOLUTIONS GRADED A+

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HESI ONE V1 AND V2 HEALTH ASSESSMENT PRACTICE SCRIPT 2026 TESTED SOLUTIONS GRADED A+

Institution
HESI ONE V1 AND V2
Course
HESI ONE V1 AND V2

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HESI ONE V1 AND V2 HEALTH ASSESSMENT
PRACTICE SCRIPT 2026 TESTED SOLUTIONS
GRADED A+

⩥ A nurse performing a neurological assessment of a client who has
sustained a stroke (brain attack) is preparing to check for stereognosis.
Which action should the nurse take to perform this assessment?


1. Placing an object in the client's hand and asking the client to identify
it
2. Tracing a number on the client's hand and asking the client to identify
it
3. Moving the client's finger up and down and asking the client which
way it is being moved
4. Making two simultaneous pinpricks on the skin and asking the client
to distinguish them.
Answer: 1. Placing an object in the client's hand and asking the client to
identify it


Stereognosis is the client's ability to recognize objects placed in his or
her hand.

,⩥ A nurse performing an abdominal assessment of a client is preparing
to auscultate for bowel sounds. In which part of the abdomen should the
nurse place the stethoscope first?


1. Left upper quadrant
2. Left lower quadrant
3. Right upper quadrant
4. Right lower quadrant.
Answer: 4. Right lower quadrant


To auscultate for bowel sounds, the nurse places the diaphragm endpiece
of the stethoscope lightly against the skin, then begins to auscultate in
the right lower abdominal quadrant, in the area of the ileocecal valve,
because bowel sounds are always present there normally.


⩥ A nurse performing a physical assessment of a client is checking the
client's mouth and throat. As part of the assessment, the nurse plans to
assess the function of cranial nerve XII. What should the nurse ask the
client to do as a means of assessing this nerve?


1. Frown
2. Show the teeth
3. Stick out the tongue
4. Say "ah" as the tongue is depressed with a tongue blade.

,Answer: 3. Stick out the tongue


To assess the function of cranial nerve XII (the hypoglossal nerve), the
nurse asks the client to stick out the tongue. The nurse then notes the
forward thrust in the midline as the client protrudes the tongue. The
nurse also asks the client to verbalize certain words and then listen for
clear, distinct speech.


⩥ Discontinuous high-pitched crackling sounds heard during inspiration
that do not clear with coughing.
Answer: Fine Crackles


⩥ Loud, low-pitched bubbling and gurgling sounds heard on inspiration
(may be present on expiration); may decrease with coughing or
suctioning but reappear.
Answer: Coarse Crackles


⩥ High-pitched, continuous musical sounds heard during inspiration or
expiration.
Answer: Wheezing


⩥ Loud, low-pitched, coarse rumbling sounds heard during inspiration
or expiration; may be cleared by coughing.
Answer: Rhonchi

, ⩥ Dry, grating quality sounds heard best during inspiration; does not
clear with coughing.
Answer: Pleural Friction Rub


⩥ Moderately pitched; heard over the major bronchi.
Answer: Bronchovesicular sounds


⩥ Low-pitched rustling; heard over the peripheral lung fields.
Answer: Vesicular sounds


⩥ High-pitched, with a harsh, hollow, tubular quality heard over the
trachea and larynx.
Answer: Bronchial sounds


⩥ A nurse preparing to perform a respiratory assessment of an adult
client is reading the client's medical record. The nurse sees that the
health care provider noted resonance on percussion of the client's
posterior chest. What interpretation does the nurse make of this finding?


1. The client has normal, healthy lungs.
2. The client may have a pneumothorax.
3. The client most likely has a lung tumor.

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Institution
HESI ONE V1 AND V2
Course
HESI ONE V1 AND V2

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Uploaded on
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Number of pages
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Written in
2025/2026
Type
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