Health Assessment - HESI Prep 2 Questions with Answers
Perfectly Graded A+
1.The nurse is performing a vision examination. Which of these charts is
most widely used for vision examinations?
A) Snellen
B) Shetllen
C) Smoollen
D) Schwellon: A) Snellen
2.The nurse hears bilateral louder, longer, and lower tones when
percussing over the lungs of a 4-year old child. What should the nurse do
next?
a) Palpate over the area for increased pain and tenderness.
b) Ask the child to take shallow breaths and percuss over the area again.
c) Refer the child immediately because of an increased amount of air in
the lungs.
d) Consider this a normal finding for a child this age and proceed with the
examination.: d) Consider this a normal finding for a child this age and
proceed with the examination.
3.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?
a) Count the patient's respirations.
b) Percuss the thorax bilaterally, noting any differences in percussion tones.
c) Call for a chest x-ray and wait for the results before beginning an
assess- ment.
d) Inspect the thorax for any new masses and bleeding associated with
respirations.: b) Percuss the thorax bilaterally, noting any differences in
percussion tones.
4.The nurse is teaching a class on basic assessment skills. Which of
these statements is true regarding the stethoscope and its use?
a) The slope of the earpieces should point posteriorly (toward the occiput).
b) The stethoscope does not magnify sound but does block out
extraneous room noise.
c) The fit and quality of the stethoscope are not as important as its ability to
,magnify sound.
d) The ideal tubing length should be 22 inches to dampen distortion of sound.
: b) The stethoscope does not magnify sound but does block out
extraneous room noise.
5.The nurse is preparing to use a stethoscope for auscultation. Which
state- ment is true regarding the diaphragm of the stethoscope?
a) The diaphragm is used to listen for high-pitched sounds.
b) The diaphragm is used to listen for low-pitched sounds.
c) The diaphragm should be held lightly against the person's skin to block
out low-pitched sounds.
d) The diaphragm should be held lightly against the person's skin to listen
for extra heart sounds
and murmurs.: a) The diaphragm is used to listen for high-pitched sounds
6.Before auscultating the abdomen for the presence of bowel sounds on
a patient, the nurse should:
a) Warm the end piece of the stethoscope by placing it in warm water
b) Leave the gown on so that the patient does not get chilled during
the examination
c) Make sure that the bell side of the stethoscope is turned to the "on" positio
d) Check the temperature of the room and offer blankets to the patient if he
or she feels cold: d) Check the temperature of the room and offer
blankets to the patient if he or she feels cold
7.The nurse will use which technique of assessment to determine the
pres- ence of crepitus, swelling, and pulsations?
a) Palpation b) Inspection
c) Percussion d) Auscultation: a) Palpation
8.The nurse is preparing to use an otoscope for an examination.
Which statement is true regarding the otoscope?
a) The otoscope is often used to direct light onto the sinuses.
b) The otoscope uses a short, broad speculum to help visualize the ear.
c) The otoscope is used to examine the structures of the internal ear.
d) The otoscope directs light into the ear canal and onto the tympanic mem-
brane.: d) The otoscope directs light into the ear canal and onto the
tympanic membrane.
9.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 the examination is being performed correctly
, a) Using the large full circle of light when assessing pupils that are not dilate
b) Rotating the lens selector dial to the black numbers to compensate
for astigmatism
c) Using the grid on the lens aperture dial to visualize the external
structures of the eye
d) Rotating the lens selector dial to bring the object into focus: d) Rotating
the lens selector dial to bring the object into focus
10.The nurse is unable to palpate the right radial pulse on a patient. The
best action would be to:
a) Auscultate over the area with a fetoscope
b) Use a goniometer to measure the pulsations
c) Use a Doppler device to check for pulsations over the area
d) Check for the presence of pulsations with a stethoscope: c) Use a
Doppler device to check for pulsations over the area
11.The nurse is preparing to perform a physical assessment. The
correct action by the nurse is reflected by which statement?
a) The nurse performs the examination from the left side of the bed.
b) The nurse examines tender or painful areas first to help relieve the
patient's anxiety.
c) The nurse follows the same examination sequence regardless of the
pa- tient's age or condition.
d) The nurse organizes the assessment so that the patient does not
change positions too often.: d) The nurse organizes the assessment so
that the patient does not change positions too often.
12.A man is at the clinic for a physical examination. He states that he is
"very anxious" about the physical examination. What steps can the nurse
take to make him more comfortable?
a) Appear unhurried and confident when examining him.
b) Stay in the room when he undresses in case he needs assistance.
c) Ask him to change into an examining gown and take off his undergarments
d) Defer measuring vital signs until the end of the examination, which
allows him time to become comfortable.: a) Appear unhurried and
confident when ex- amining him.
13.When performing a physical examination, safety must be considered
to protect the examiner and the patient against the spread of infection.
Perfectly Graded A+
1.The nurse is performing a vision examination. Which of these charts is
most widely used for vision examinations?
A) Snellen
B) Shetllen
C) Smoollen
D) Schwellon: A) Snellen
2.The nurse hears bilateral louder, longer, and lower tones when
percussing over the lungs of a 4-year old child. What should the nurse do
next?
a) Palpate over the area for increased pain and tenderness.
b) Ask the child to take shallow breaths and percuss over the area again.
c) Refer the child immediately because of an increased amount of air in
the lungs.
d) Consider this a normal finding for a child this age and proceed with the
examination.: d) Consider this a normal finding for a child this age and
proceed with the examination.
3.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?
a) Count the patient's respirations.
b) Percuss the thorax bilaterally, noting any differences in percussion tones.
c) Call for a chest x-ray and wait for the results before beginning an
assess- ment.
d) Inspect the thorax for any new masses and bleeding associated with
respirations.: b) Percuss the thorax bilaterally, noting any differences in
percussion tones.
4.The nurse is teaching a class on basic assessment skills. Which of
these statements is true regarding the stethoscope and its use?
a) The slope of the earpieces should point posteriorly (toward the occiput).
b) The stethoscope does not magnify sound but does block out
extraneous room noise.
c) The fit and quality of the stethoscope are not as important as its ability to
,magnify sound.
d) The ideal tubing length should be 22 inches to dampen distortion of sound.
: b) The stethoscope does not magnify sound but does block out
extraneous room noise.
5.The nurse is preparing to use a stethoscope for auscultation. Which
state- ment is true regarding the diaphragm of the stethoscope?
a) The diaphragm is used to listen for high-pitched sounds.
b) The diaphragm is used to listen for low-pitched sounds.
c) The diaphragm should be held lightly against the person's skin to block
out low-pitched sounds.
d) The diaphragm should be held lightly against the person's skin to listen
for extra heart sounds
and murmurs.: a) The diaphragm is used to listen for high-pitched sounds
6.Before auscultating the abdomen for the presence of bowel sounds on
a patient, the nurse should:
a) Warm the end piece of the stethoscope by placing it in warm water
b) Leave the gown on so that the patient does not get chilled during
the examination
c) Make sure that the bell side of the stethoscope is turned to the "on" positio
d) Check the temperature of the room and offer blankets to the patient if he
or she feels cold: d) Check the temperature of the room and offer
blankets to the patient if he or she feels cold
7.The nurse will use which technique of assessment to determine the
pres- ence of crepitus, swelling, and pulsations?
a) Palpation b) Inspection
c) Percussion d) Auscultation: a) Palpation
8.The nurse is preparing to use an otoscope for an examination.
Which statement is true regarding the otoscope?
a) The otoscope is often used to direct light onto the sinuses.
b) The otoscope uses a short, broad speculum to help visualize the ear.
c) The otoscope is used to examine the structures of the internal ear.
d) The otoscope directs light into the ear canal and onto the tympanic mem-
brane.: d) The otoscope directs light into the ear canal and onto the
tympanic membrane.
9.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 the examination is being performed correctly
, a) Using the large full circle of light when assessing pupils that are not dilate
b) Rotating the lens selector dial to the black numbers to compensate
for astigmatism
c) Using the grid on the lens aperture dial to visualize the external
structures of the eye
d) Rotating the lens selector dial to bring the object into focus: d) Rotating
the lens selector dial to bring the object into focus
10.The nurse is unable to palpate the right radial pulse on a patient. The
best action would be to:
a) Auscultate over the area with a fetoscope
b) Use a goniometer to measure the pulsations
c) Use a Doppler device to check for pulsations over the area
d) Check for the presence of pulsations with a stethoscope: c) Use a
Doppler device to check for pulsations over the area
11.The nurse is preparing to perform a physical assessment. The
correct action by the nurse is reflected by which statement?
a) The nurse performs the examination from the left side of the bed.
b) The nurse examines tender or painful areas first to help relieve the
patient's anxiety.
c) The nurse follows the same examination sequence regardless of the
pa- tient's age or condition.
d) The nurse organizes the assessment so that the patient does not
change positions too often.: d) The nurse organizes the assessment so
that the patient does not change positions too often.
12.A man is at the clinic for a physical examination. He states that he is
"very anxious" about the physical examination. What steps can the nurse
take to make him more comfortable?
a) Appear unhurried and confident when examining him.
b) Stay in the room when he undresses in case he needs assistance.
c) Ask him to change into an examining gown and take off his undergarments
d) Defer measuring vital signs until the end of the examination, which
allows him time to become comfortable.: a) Appear unhurried and
confident when ex- amining him.
13.When performing a physical examination, safety must be considered
to protect the examiner and the patient against the spread of infection.
