BSN 246 HESI HEALTH ASSESSMENT
EXAM V2 (LATEST 2027) QUESTIONS
AND ANSWERS
1. When performing a physical assessment, in what order should the nurse conduct the
assessment of the abdomen?
A. Inspection, Palpation, Percussion, Auscultation
B. Inspection, Auscultation, Percussion, Palpation
C. Auscultation, Inspection, Palpation, Percussion
D. Percussion, Auscultation, Inspection, Palpation
Answer: B
Conceptual Explanation: For the abdomen, auscultation is performed before percussion
and palpation to avoid stimulating bowel sounds, which could result in a false assessment.
2. Which heart sound is considered an early sign of heart failure and is often referred to as a
ventricular gallop?
A. S3
B. S2
,C. S1
D. S4
Answer: A
Conceptual Explanation: S3 is a ventricular gallop that occurs early in diastole during the
rapid ventricular filling phase; it is often a sign of fluid overload or heart failure in adults.
3. While assessing a patient’s lungs, the nurse notes increased tactile fremitus over the right
lower lobe. What does this finding suggest?
A. Pneumothorax
B. Emphysema
C. Pneumonia
D. Asthma
Answer: C
Conceptual Explanation: Increased tactile fremitus occurs with consolidation of lung
tissue, such as in pneumonia, because sound travels better through solid or fluid-filled
medium than air.
4. A patient is unable to differentiate between sharp and dull touch on the cheek. Which
cranial nerve should the nurse further evaluate?
A. Cranial Nerve III (Oculomotor)
B. Cranial Nerve V (Trigeminal)
, C. Cranial Nerve VII (Facial)
D. Cranial Nerve IX (Glossopharyngeal)
Answer: B
Conceptual Explanation: Cranial Nerve V (Trigeminal) is responsible for facial sensation
and the muscles of mastication.
5. What is the primary purpose of the Romberg test during a neurological assessment?
A. To assess visual acuity
B. To measure deep tendon reflexes
C. To check for cerebellar dysfunction or balance
D. To evaluate fine motor skills
Answer: C
Conceptual Explanation: The Romberg test assesses the patient’s ability to maintain
balance with eyes closed, identifying issues with proprioception or cerebellar function.
6. During a musculoskeletal assessment, the nurse asks the patient to move their arm away
from the midline. This movement is called:
A. Abduction
B. Adduction
C. Flexion
EXAM V2 (LATEST 2027) QUESTIONS
AND ANSWERS
1. When performing a physical assessment, in what order should the nurse conduct the
assessment of the abdomen?
A. Inspection, Palpation, Percussion, Auscultation
B. Inspection, Auscultation, Percussion, Palpation
C. Auscultation, Inspection, Palpation, Percussion
D. Percussion, Auscultation, Inspection, Palpation
Answer: B
Conceptual Explanation: For the abdomen, auscultation is performed before percussion
and palpation to avoid stimulating bowel sounds, which could result in a false assessment.
2. Which heart sound is considered an early sign of heart failure and is often referred to as a
ventricular gallop?
A. S3
B. S2
,C. S1
D. S4
Answer: A
Conceptual Explanation: S3 is a ventricular gallop that occurs early in diastole during the
rapid ventricular filling phase; it is often a sign of fluid overload or heart failure in adults.
3. While assessing a patient’s lungs, the nurse notes increased tactile fremitus over the right
lower lobe. What does this finding suggest?
A. Pneumothorax
B. Emphysema
C. Pneumonia
D. Asthma
Answer: C
Conceptual Explanation: Increased tactile fremitus occurs with consolidation of lung
tissue, such as in pneumonia, because sound travels better through solid or fluid-filled
medium than air.
4. A patient is unable to differentiate between sharp and dull touch on the cheek. Which
cranial nerve should the nurse further evaluate?
A. Cranial Nerve III (Oculomotor)
B. Cranial Nerve V (Trigeminal)
, C. Cranial Nerve VII (Facial)
D. Cranial Nerve IX (Glossopharyngeal)
Answer: B
Conceptual Explanation: Cranial Nerve V (Trigeminal) is responsible for facial sensation
and the muscles of mastication.
5. What is the primary purpose of the Romberg test during a neurological assessment?
A. To assess visual acuity
B. To measure deep tendon reflexes
C. To check for cerebellar dysfunction or balance
D. To evaluate fine motor skills
Answer: C
Conceptual Explanation: The Romberg test assesses the patient’s ability to maintain
balance with eyes closed, identifying issues with proprioception or cerebellar function.
6. During a musculoskeletal assessment, the nurse asks the patient to move their arm away
from the midline. This movement is called:
A. Abduction
B. Adduction
C. Flexion
