HEALTH
ASSESSMENT HESI
EXAM
• The nurse hears bilateral louder, longer, and lower tones when percussing over the lungs
of a4-year old child. What should the nurse do next?
• Palpate over the area for increased pain and tenderness.
• Ask the child to take shallow breaths and percuss over the area again.
• Refer the child immediately because of an increased amount of air in the lungs.
• Consider this a normal finding for a child this age and proceed with the examination.
• A patient has suddenly developed shortness of breath and appears to be in significant
respiratory distress. After putting a call in to the physician and placing the patient on
oxygen, which of these is the best action for the nurse to take when assessing the patient
further?
• Count the patient’s respirations.
• Percuss the thorax bilaterally, noting any differences in percussion tones.
• Call for a chest x-ray and wait for the results before beginning an assessment.
• Inspect the thorax for any new masses and bleeding associated with respirations.
• The nurse is teaching a class on basic assessment skills. Which of these statements is
trueregarding the stethoscope and its use?
• The slope of the earpieces should point posteriorly (toward the occiput).
• The stethoscope does not magnify sound but does block out extraneous room noise.
• The fit and quality of the stethoscope are not as important as its ability to magnify sound.
• The ideal tubing length should be 22 inches to dampen distortion of sound.
• The nurse is preparing to use a stethoscope for auscultation. Which statement is true
regardingthe diaphragm of the stethoscope?
• The diaphragm is used to listen for high-pitched sounds.
• The diaphragm is used to listen for low-pitched sounds.
• The diaphragm should be held lightly against the person’s skin to block out low-
pitchedsounds.
• The diaphragm should be held lightly against the person’s skin to listen for extra heart
soundsand murmurs.
• Before auscultating the abdomen for the presence of bowel sounds on a patient, the
nurseshould:
• Warm the end piece of the stethoscope by placing it in warm water
• Leave the gown on so that the patient does not get chilled during the examination
• Make sure that the bell side of the stethoscope is turned to the “on” position
• Check the temperature of the room and offer blankets to the patient if he or she feels
cold
, HEALTH ASSESSMENT HESI EXAM
• The nurse will use which technique of assessment to determine the presence of
crepitus, swelling, and pulsations?
• Palpation b) Inspection
c) Percussion d) Auscultation
• The nurse is preparing to use an otoscope for an examination. Which statement is
trueregarding the otoscope?
• The otoscope is often used to direct light onto the sinuses.
• The otoscope uses a short, broad speculum to help visualize the ear.
• The otoscope is used to examine the structures of the internal ear.
• The otoscope directs light into the ear canal and onto the tympanic membrane.
• An examiner is using an ophthalmoscope to examine a patient’s eyes. The patient has
astigmatism and is nearsighted. The use of which of these techniques would indicate that
theexamination is being performed correctly?
• Using the large full circle of light when assessing pupils that are not dilated
• Rotating the lens selector dial to the black numbers to compensate for astigmatism
• Using the grid on the lens aperture dial to visualize the external structures of the eye
• Rotating the lens selector dial to bring the object into focus
• The nurse is unable to palpate the right radial pulse on a patient. The best action would be to:
• Auscultate over the area with a fetoscope
• Use a goniometer to measure the pulsations
• Use a Doppler device to check for pulsations over the area
• Check for the presence of pulsations with a stethoscope
• The nurse is preparing to perform a physical assessment. The correct action by the nurse
isreflected by which statement?
• The nurse performs the examination from the left side of the bed.
• The nurse examines tender or painful areas first to help relieve the patient’s anxiety.
• The nurse follows the same examination sequence regardless of the patient’s age or condition.
• The nurse organizes the assessment so that the patient does not change positions too
often.
• A man is at the clinic for a physical examination. He states that he is “very anxious”
aboutthe physical examination. What steps can the nurse take to make him more
comfortable?
• Appear unhurried and confident when examining him.
• Stay in the room when he undresses in case he needs assistance.
• Ask him to change into an examining gown and take off his undergarments.
• Defer measuring vital signs until the end of the examination, which allows him time
to become comfortable.
ASSESSMENT HESI
EXAM
• The nurse hears bilateral louder, longer, and lower tones when percussing over the lungs
of a4-year old child. What should the nurse do next?
• Palpate over the area for increased pain and tenderness.
• Ask the child to take shallow breaths and percuss over the area again.
• Refer the child immediately because of an increased amount of air in the lungs.
• Consider this a normal finding for a child this age and proceed with the examination.
• A patient has suddenly developed shortness of breath and appears to be in significant
respiratory distress. After putting a call in to the physician and placing the patient on
oxygen, which of these is the best action for the nurse to take when assessing the patient
further?
• Count the patient’s respirations.
• Percuss the thorax bilaterally, noting any differences in percussion tones.
• Call for a chest x-ray and wait for the results before beginning an assessment.
• Inspect the thorax for any new masses and bleeding associated with respirations.
• The nurse is teaching a class on basic assessment skills. Which of these statements is
trueregarding the stethoscope and its use?
• The slope of the earpieces should point posteriorly (toward the occiput).
• The stethoscope does not magnify sound but does block out extraneous room noise.
• The fit and quality of the stethoscope are not as important as its ability to magnify sound.
• The ideal tubing length should be 22 inches to dampen distortion of sound.
• The nurse is preparing to use a stethoscope for auscultation. Which statement is true
regardingthe diaphragm of the stethoscope?
• The diaphragm is used to listen for high-pitched sounds.
• The diaphragm is used to listen for low-pitched sounds.
• The diaphragm should be held lightly against the person’s skin to block out low-
pitchedsounds.
• The diaphragm should be held lightly against the person’s skin to listen for extra heart
soundsand murmurs.
• Before auscultating the abdomen for the presence of bowel sounds on a patient, the
nurseshould:
• Warm the end piece of the stethoscope by placing it in warm water
• Leave the gown on so that the patient does not get chilled during the examination
• Make sure that the bell side of the stethoscope is turned to the “on” position
• Check the temperature of the room and offer blankets to the patient if he or she feels
cold
, HEALTH ASSESSMENT HESI EXAM
• The nurse will use which technique of assessment to determine the presence of
crepitus, swelling, and pulsations?
• Palpation b) Inspection
c) Percussion d) Auscultation
• The nurse is preparing to use an otoscope for an examination. Which statement is
trueregarding the otoscope?
• The otoscope is often used to direct light onto the sinuses.
• The otoscope uses a short, broad speculum to help visualize the ear.
• The otoscope is used to examine the structures of the internal ear.
• The otoscope directs light into the ear canal and onto the tympanic membrane.
• An examiner is using an ophthalmoscope to examine a patient’s eyes. The patient has
astigmatism and is nearsighted. The use of which of these techniques would indicate that
theexamination is being performed correctly?
• Using the large full circle of light when assessing pupils that are not dilated
• Rotating the lens selector dial to the black numbers to compensate for astigmatism
• Using the grid on the lens aperture dial to visualize the external structures of the eye
• Rotating the lens selector dial to bring the object into focus
• The nurse is unable to palpate the right radial pulse on a patient. The best action would be to:
• Auscultate over the area with a fetoscope
• Use a goniometer to measure the pulsations
• Use a Doppler device to check for pulsations over the area
• Check for the presence of pulsations with a stethoscope
• The nurse is preparing to perform a physical assessment. The correct action by the nurse
isreflected by which statement?
• The nurse performs the examination from the left side of the bed.
• The nurse examines tender or painful areas first to help relieve the patient’s anxiety.
• The nurse follows the same examination sequence regardless of the patient’s age or condition.
• The nurse organizes the assessment so that the patient does not change positions too
often.
• A man is at the clinic for a physical examination. He states that he is “very anxious”
aboutthe physical examination. What steps can the nurse take to make him more
comfortable?
• Appear unhurried and confident when examining him.
• Stay in the room when he undresses in case he needs assistance.
• Ask him to change into an examining gown and take off his undergarments.
• Defer measuring vital signs until the end of the examination, which allows him time
to become comfortable.
