HEALTH ASSESSMENT HESI EXAM LATEST RETAKE
2023/CORRECT DETAILED ANSWERS GRADED A+
(PASS GUARANTEE)
1) 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.
2) 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
assessment.
d) Inspect the thorax for any new masses and bleeding associated with
respirations.
3) 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.
4) The nurse is preparing to use a stethoscope for auscultation.
Which statement 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 soundsand murmurs.
5) 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"
position
d) Check the temperature of the room and offer blankets to the patient if he or
she feels cold
6) The nurse will use which technique of assessment to determine
the presence of crepitus, swelling, and pulsations?
a) Palpation
b) Inspection
c) Percussion
d) Auscultation
7) 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
membrane
8) 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
dilated
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
9) 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
11) 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.
12) 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.
13) The nurse is examining a patient's lower leg and notices a
draining ulceration. Which of these actions is most appropriate in
this situation?
a) Wash hands and contact the physician.
b) Continue to examine the ulceration and then wash hands.
c) Wash hands, put on gloves, and continue with the examination of the
ulceration.
d) Wash hands, proceed with rest of the physical examination, and then
continue with the
examination of the leg ulceration.
14) During the examination, it is often appropriate to offer some
brief teaching about the patient's body or the examiner's findings.
Which of these statements by the nurse is most appropriate?
a) "Your atrial dysrhythmias are under control."
b) "You have pitting edema and mild varicosities."
c) "Your pulse is 80 beats per minute. This is within the normal range."
d) "I'm using my stethoscope to listen for any crackles, wheezes, or rubs."
2023/CORRECT DETAILED ANSWERS GRADED A+
(PASS GUARANTEE)
1) 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.
2) 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
assessment.
d) Inspect the thorax for any new masses and bleeding associated with
respirations.
3) 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.
4) The nurse is preparing to use a stethoscope for auscultation.
Which statement 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 soundsand murmurs.
5) 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"
position
d) Check the temperature of the room and offer blankets to the patient if he or
she feels cold
6) The nurse will use which technique of assessment to determine
the presence of crepitus, swelling, and pulsations?
a) Palpation
b) Inspection
c) Percussion
d) Auscultation
7) 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
membrane
8) 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
dilated
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
9) 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
11) 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.
12) 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.
13) The nurse is examining a patient's lower leg and notices a
draining ulceration. Which of these actions is most appropriate in
this situation?
a) Wash hands and contact the physician.
b) Continue to examine the ulceration and then wash hands.
c) Wash hands, put on gloves, and continue with the examination of the
ulceration.
d) Wash hands, proceed with rest of the physical examination, and then
continue with the
examination of the leg ulceration.
14) During the examination, it is often appropriate to offer some
brief teaching about the patient's body or the examiner's findings.
Which of these statements by the nurse is most appropriate?
a) "Your atrial dysrhythmias are under control."
b) "You have pitting edema and mild varicosities."
c) "Your pulse is 80 beats per minute. This is within the normal range."
d) "I'm using my stethoscope to listen for any crackles, wheezes, or rubs."
