BSN 246 HESI HEALTH ASSESSMENT
EXAM V3 QUESTIONS AND VERIFIED
ANSWERS |100% CORRECT| GRADE A+
NIGHTINGALE
1. When performing an abdominal assessment, which sequence of techniques should the
nurse follow to ensure accurate findings?
A. Inspection, Palpation, Percussion, Auscultation
B. Palpation, Percussion, Inspection, Auscultation
C. Inspection, Auscultation, Percussion, Palpation
D. Auscultation, Inspection, Palpation, Percussion
Answer: C
Conceptual Explanation: In abdominal assessment, auscultation is performed before
percussion and palpation because manual manipulation of the abdomen can alter bowel
sounds and lead to false results.
2. During a physical examination, the nurse notes a ‘thrill’ while palpating the carotid artery.
What does this finding indicate?
A. Normal blood flow within the artery
B. A blockage in the lymphatic system
,C. Turbulent blood flow or a murmur
D. Increased intracranial pressure
Answer: C
Conceptual Explanation: A thrill is a palpable vibration that typically signifies turbulent
blood flow, often associated with a heart murmur or vascular narrowing.
3. Which cranial nerve is being tested when the nurse asks the patient to stick out their
tongue and move it from side to side?
A. Cranial Nerve X (Vagus)
B. Cranial Nerve IX (Glossopharyngeal)
C. Cranial Nerve VII (Facial)
D. Cranial Nerve XII (Hypoglossal)
Answer: D
Conceptual Explanation: Cranial Nerve XII, the Hypoglossal nerve, is responsible for the
motor function of the tongue. Symmetry and strength are assessed by movement.
4. A patient presents with a ‘barrel chest’ during a respiratory assessment. The nurse
understands this is a common finding in which condition?
A. Acute Pneumonia
B. Congestive Heart Failure
C. Chronic Obstructive Pulmonary Disease (COPD)
, D. Pneumothorax
Answer: C
Conceptual Explanation: A barrel chest (increased anteroposterior-to-transverse
diameter) is caused by air trapping and hyperinflation of the lungs, typically seen in
chronic conditions like COPD/emphysema.
5. When assessing for pitting edema, the nurse notes a deep indentation (6mm) that remains
for a short time after pressing. How should this be documented?
A. 3+ Edema
B. 2+ Edema
C. 1+ Edema
D. 4+ Edema
Answer: A
Conceptual Explanation: 3+ edema is characterized by a deep pit (6mm) that remains for
a short period. 4+ is 8mm and very deep.
6. The nurse is testing a patient’s visual acuity using a Snellen chart. The patient is able to
read the 20/40 line. What does this result mean?
A. The patient can see at 40 feet what a normal eye sees at 20 feet
B. The patient can see at 20 feet what a normal eye sees at 40 feet
C. The patient has twice the normal vision of a healthy adult
EXAM V3 QUESTIONS AND VERIFIED
ANSWERS |100% CORRECT| GRADE A+
NIGHTINGALE
1. When performing an abdominal assessment, which sequence of techniques should the
nurse follow to ensure accurate findings?
A. Inspection, Palpation, Percussion, Auscultation
B. Palpation, Percussion, Inspection, Auscultation
C. Inspection, Auscultation, Percussion, Palpation
D. Auscultation, Inspection, Palpation, Percussion
Answer: C
Conceptual Explanation: In abdominal assessment, auscultation is performed before
percussion and palpation because manual manipulation of the abdomen can alter bowel
sounds and lead to false results.
2. During a physical examination, the nurse notes a ‘thrill’ while palpating the carotid artery.
What does this finding indicate?
A. Normal blood flow within the artery
B. A blockage in the lymphatic system
,C. Turbulent blood flow or a murmur
D. Increased intracranial pressure
Answer: C
Conceptual Explanation: A thrill is a palpable vibration that typically signifies turbulent
blood flow, often associated with a heart murmur or vascular narrowing.
3. Which cranial nerve is being tested when the nurse asks the patient to stick out their
tongue and move it from side to side?
A. Cranial Nerve X (Vagus)
B. Cranial Nerve IX (Glossopharyngeal)
C. Cranial Nerve VII (Facial)
D. Cranial Nerve XII (Hypoglossal)
Answer: D
Conceptual Explanation: Cranial Nerve XII, the Hypoglossal nerve, is responsible for the
motor function of the tongue. Symmetry and strength are assessed by movement.
4. A patient presents with a ‘barrel chest’ during a respiratory assessment. The nurse
understands this is a common finding in which condition?
A. Acute Pneumonia
B. Congestive Heart Failure
C. Chronic Obstructive Pulmonary Disease (COPD)
, D. Pneumothorax
Answer: C
Conceptual Explanation: A barrel chest (increased anteroposterior-to-transverse
diameter) is caused by air trapping and hyperinflation of the lungs, typically seen in
chronic conditions like COPD/emphysema.
5. When assessing for pitting edema, the nurse notes a deep indentation (6mm) that remains
for a short time after pressing. How should this be documented?
A. 3+ Edema
B. 2+ Edema
C. 1+ Edema
D. 4+ Edema
Answer: A
Conceptual Explanation: 3+ edema is characterized by a deep pit (6mm) that remains for
a short period. 4+ is 8mm and very deep.
6. The nurse is testing a patient’s visual acuity using a Snellen chart. The patient is able to
read the 20/40 line. What does this result mean?
A. The patient can see at 40 feet what a normal eye sees at 20 feet
B. The patient can see at 20 feet what a normal eye sees at 40 feet
C. The patient has twice the normal vision of a healthy adult
