Health Assessment Hesi Practice Questions And Correct Detailed Answers (Verified Answers) Already Graded A+

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Health Assessment Hesi Practice Questions And Correct Detailed Answers (Verified Answers) Already Graded A+

• Discontinuous high-pitched crackling sounds heard during inspiration that do not

clear with coughing

Correct Answer: Fine Crackles

• Moderately pitched; heard over the major bronchi

Correct Answer: Bronchovesicular sounds

• 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?

• Frown
• Show the teeth
• Stick out the tongue
• Say "ah" as the tongue is depressed with a tongue blade

Correct Answer: 3. Stick out the tongue

• A nurse conducting a physical assessment is observing the client's balance and

performing tests to determine the client's sense of equilibrium. Which cranial nerve is the nurse assessing?

• Cranial nerve II
• Cranial nerve IX
• Cranial nerve VII
• Cranial nerve VIII

Correct Answer: 4. Cranial nerve VIII

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• Loud, low-pitched, coarse rumbling sounds heard during inspiration or expiration;

may be cleared by coughing

Correct Answer: Rhonchi

• 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?

• Placing an object in the client's hand and asking the client to identify it
• Tracing a number on the client's hand and asking the client to identify it
• Moving the client's finger up and down and asking the client which way it is being

moved

• Making two simultaneous pinpricks on the skin and asking the client to distinguish

them Correct Answer: 1. Placing an object in the client's hand and asking the client to identify it

• High-pitched, continuous musical sounds heard during inspiration or expiration

Correct Answer: Wheezing

• 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?

• Left upper quadrant
• Left lower quadrant
• Right upper quadrant
• Right lower quadrant

Correct Answer: 4. Right lower quadrant

• Dry, grating quality sounds heard best during inspiration; does not clear with

coughing

Correct Answer: Pleural Friction Rub

• Loud, low-pitched bubbling and gurgling sounds heard on inspiration (may be

present on expiration); may decrease with coughing or suctioning but reappear

Correct Answer: Coarse Crackles

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• Low-pitched rustling; heard over the peripheral lung fields

Correct Answer: Vesicular sounds

• High-pitched, with a harsh, hollow, tubular quality heard over the trachea and

larynx

Correct 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?

• The client has normal, healthy lungs.
• The client may have a pneumothorax.
• The client most likely has a lung tumor.
• An excessive amount of air is present in the lungs.

Correct Answer: 1. The client has normal, healthy lungs.

• When too much air is present such as in the case of emphysema where it is

trapped in the alveoli and pneumothorax where it is trapped in the pleural space leading to lung collapse.

Correct Answer: Hyperresonance

• Indicates an abnormal density in the lungs, such as that noted in pneumonia,

pleural effusion, or atelectasis or in the presence of a tumor.

Correct Answer: Dull note on percussion of the lungs

• A nurse performing a breast examination is preparing to palpate the client's

breasts. Into which position should the nurse assist the client to perform palpation?

• A standing position, with the client holding both arms above her head
• A standing position, with the client holding her hands firmly on her hips
• A supine position, with the arm on the side being examined positioned across the

chest

• A supine position, with the arm on the side being examined positioned behind the

head and a small pillow placed under the shoulder on the same side

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Correct Answer: 4. A supine position, with the arm on the side being examined positioned behind the head and a small pillow placed under the shoulder on the same side

• A nurse performing a neck assessment of a client is testing the status of cranial

nerve XI. What does the nurse ask the client to do to enable assessment of this nerve?

• Smile
• Lift the eyebrows
• Stick out the tongue
• Shrug the shoulders against resistance

Correct Answer: 4. Shrug the shoulders against resistance

• Increased lumbar curvature

Correct Answer: Lordosis (Swayback)

• Exaggeration of the posterior curvature of the thoracic spine

Correct Answer: Kyphosis (hunchback)

• Lateral spinal curvature

Correct Answer: Scoliosis

• A nurse performing a musculoskeletal assessment is inspecting the posterior

aspect of the client's posture as the client stands. After noting an exaggeration of the posterior curvature of the client's thoracic spine, how does the nurse interpret this finding?

• Lordosis
• Scoliosis
• Kyphosis
• Osteoporosis

Correct Answer: 3. Kyphosis

• A nurse performing a skin assessment of a client with heart failure notes that the

client's ankles are swollen. To assess the severity of the edema, the nurse presses the skin at the ankle. Moderate pitting is present, but the indentation subsides rapidly.How should the nurse document this finding?