Health Assessment - HESI Prep 2
Question and Correct Answers
The nurse is performing a vision examination. Which of these charts is most widely
used for vision examinations?
A) Snellen
B) Shetllen
A
C) Smoollen
D) Schwellon - ANS A) Snellen
VI
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?
TU
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.
IS
d) Consider this a normal finding for a child this age and proceed with the examination. -
ANS d) Consider this a normal finding for a child this age and proceed with the
examination.
OM
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?
NA
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.
JP
d) Inspect the thorax for any new masses and bleeding associated with respirations. -
ANS b) Percuss the thorax bilaterally, noting any differences in percussion tones.
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. - ANS
b) The stethoscope does not magnify sound but does block out extraneous room noise.
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.
A
c) The diaphragm should be held lightly against the person's skin to block out
low-pitched sounds.
VI
d) The diaphragm should be held lightly against the person's skin to listen for extra heart
sounds
and murmurs. - ANS a) The diaphragm is used to listen for high-pitched sounds.
TU
Before auscultating the abdomen for the presence of bowel sounds on a patient, the
nurse should:
IS
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
OM
d) Check the temperature of the room and offer blankets to the patient if he or she feels
cold - ANS d) Check the temperature of the room and offer blankets to the patient if
he or she feels cold
The nurse will use which technique of assessment to determine the presence of
NA
crepitus, swelling, and pulsations?
a) Palpation b) Inspection
c) Percussion d) Auscultation - ANS a) Palpation
JP
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. -
ANS d) The otoscope directs light into the ear canal and onto the tympanic membrane.
, 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 - ANS d) Rotating the
lens selector dial to bring the object into focus
A
The nurse is unable to palpate the right radial pulse on a patient. The best action would
VI
be to:
a) Auscultate over the area with a fetoscope
TU
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 - ANS c) Use a Doppler
device to check for pulsations over the area
IS
The nurse is preparing to perform a physical assessment. The correct action by the
nurse is reflected by which statement?
OM
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 patient's age or
condition.
NA
d) The nurse organizes the assessment so that the patient does not change positions
too often. - ANS d) The nurse organizes the assessment so that the patient does not
change positions too often.
A man is at the clinic for a physical examination. He states that he is "very anxious"
JP
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. - ANS a) Appear unhurried and confident when examining him.
Question and Correct Answers
The nurse is performing a vision examination. Which of these charts is most widely
used for vision examinations?
A) Snellen
B) Shetllen
A
C) Smoollen
D) Schwellon - ANS A) Snellen
VI
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?
TU
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.
IS
d) Consider this a normal finding for a child this age and proceed with the examination. -
ANS d) Consider this a normal finding for a child this age and proceed with the
examination.
OM
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?
NA
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.
JP
d) Inspect the thorax for any new masses and bleeding associated with respirations. -
ANS b) Percuss the thorax bilaterally, noting any differences in percussion tones.
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. - ANS
b) The stethoscope does not magnify sound but does block out extraneous room noise.
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.
A
c) The diaphragm should be held lightly against the person's skin to block out
low-pitched sounds.
VI
d) The diaphragm should be held lightly against the person's skin to listen for extra heart
sounds
and murmurs. - ANS a) The diaphragm is used to listen for high-pitched sounds.
TU
Before auscultating the abdomen for the presence of bowel sounds on a patient, the
nurse should:
IS
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
OM
d) Check the temperature of the room and offer blankets to the patient if he or she feels
cold - ANS d) Check the temperature of the room and offer blankets to the patient if
he or she feels cold
The nurse will use which technique of assessment to determine the presence of
NA
crepitus, swelling, and pulsations?
a) Palpation b) Inspection
c) Percussion d) Auscultation - ANS a) Palpation
JP
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. -
ANS d) The otoscope directs light into the ear canal and onto the tympanic membrane.
, 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 - ANS d) Rotating the
lens selector dial to bring the object into focus
A
The nurse is unable to palpate the right radial pulse on a patient. The best action would
VI
be to:
a) Auscultate over the area with a fetoscope
TU
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 - ANS c) Use a Doppler
device to check for pulsations over the area
IS
The nurse is preparing to perform a physical assessment. The correct action by the
nurse is reflected by which statement?
OM
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 patient's age or
condition.
NA
d) The nurse organizes the assessment so that the patient does not change positions
too often. - ANS d) The nurse organizes the assessment so that the patient does not
change positions too often.
A man is at the clinic for a physical examination. He states that he is "very anxious"
JP
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. - ANS a) Appear unhurried and confident when examining him.
