1
HEALTHSTREAM Jane Assessment Test | High-
Yield Practice with Expert Rationales \100% Pass
Guaranteed | Graded A+
Question 1
A patient says, "I don't understand what the doctor said." What is the best response by the
nurse?
A. Tell the patient not to worry about it and that the doctor will explain later
B. Ask the patient what specifically is confusing and clarify using simple, plain language
C. Tell the patient to search for the information online
D. Continue charting and ignore the patient's concern
☑ Correct Answer: B
☑ Explanation: The nurse should use therapeutic communication to clarify the patient's
understanding. Asking what specifically is confusing and providing simple explanations supports
patient understanding and shared decision-making. Ignoring the patient (D) or dismissing
concerns (A, C) are non-therapeutic and compromise patient-centered care.
,2
Question 2
What is the normal adult respiratory rate?
A. 5-10 breaths per minute
B. 12-20 breaths per minute
C. 30-40 breaths per minute
D. 40-60 breaths per minute
☑ Correct Answer: B
☑ Explanation: The normal resting respiratory rate for a healthy adult is 12-20 breaths per
minute. Rates below 12 (bradypnea) or above 20 (tachypnea) may indicate underlying
respiratory or metabolic conditions. Rates of 30-60 are abnormal and suggest respiratory
distress or other acute conditions.
Question 3
When assessing for jugular vein distention (JVD), the patient should be positioned in which of
the following positions?
A. Flat supine
B. Prone
,3
C. 45-degree semi-Fowler's position
D. Standing
☑ Correct Answer: C
☑ Explanation: JVD is best assessed with the patient in a 45-degree semi-Fowler's position.
This allows visualization of the jugular veins and accurate assessment of venous pressure. Flat
supine may obscure JVD assessment, and prone or standing positions are not appropriate for
this assessment.
Question 4
A normal finding when assessing a patient's pupils is:
A. Unequal size
B. Non-reactive to light
C. PERRLA: pupils equal, round, reactive to light and accommodation
D. Pinpoint and fixed
☑ Correct Answer: C
☑ Explanation: PERRLA (pupils equal, round, reactive to light and accommodation) is the
, 4
normal finding. Unequal pupils (anisocoria) may indicate neurological injury. Non-reactive pupils
suggest brainstem dysfunction. Pinpoint fixed pupils are associated with opioid overdose or
pontine hemorrhage.
Question 5
Where is the best place to palpate the apical pulse?
A. 2nd intercostal space at the right sternal border
B. 5th intercostal space at the midclavicular line
C. 2nd intercostal space at the left sternal border
D. 4th intercostal space at the midaxillary line
☑ Correct Answer: B
☑ Explanation: The apical pulse (point of maximal impulse, PMI) is best palpated at the
5th intercostal space at the midclavicular line. This location corresponds to the apex of the
heart. The 2nd intercostal space at the right sternal border is the aortic area for auscultation.
HEALTHSTREAM Jane Assessment Test | High-
Yield Practice with Expert Rationales \100% Pass
Guaranteed | Graded A+
Question 1
A patient says, "I don't understand what the doctor said." What is the best response by the
nurse?
A. Tell the patient not to worry about it and that the doctor will explain later
B. Ask the patient what specifically is confusing and clarify using simple, plain language
C. Tell the patient to search for the information online
D. Continue charting and ignore the patient's concern
☑ Correct Answer: B
☑ Explanation: The nurse should use therapeutic communication to clarify the patient's
understanding. Asking what specifically is confusing and providing simple explanations supports
patient understanding and shared decision-making. Ignoring the patient (D) or dismissing
concerns (A, C) are non-therapeutic and compromise patient-centered care.
,2
Question 2
What is the normal adult respiratory rate?
A. 5-10 breaths per minute
B. 12-20 breaths per minute
C. 30-40 breaths per minute
D. 40-60 breaths per minute
☑ Correct Answer: B
☑ Explanation: The normal resting respiratory rate for a healthy adult is 12-20 breaths per
minute. Rates below 12 (bradypnea) or above 20 (tachypnea) may indicate underlying
respiratory or metabolic conditions. Rates of 30-60 are abnormal and suggest respiratory
distress or other acute conditions.
Question 3
When assessing for jugular vein distention (JVD), the patient should be positioned in which of
the following positions?
A. Flat supine
B. Prone
,3
C. 45-degree semi-Fowler's position
D. Standing
☑ Correct Answer: C
☑ Explanation: JVD is best assessed with the patient in a 45-degree semi-Fowler's position.
This allows visualization of the jugular veins and accurate assessment of venous pressure. Flat
supine may obscure JVD assessment, and prone or standing positions are not appropriate for
this assessment.
Question 4
A normal finding when assessing a patient's pupils is:
A. Unequal size
B. Non-reactive to light
C. PERRLA: pupils equal, round, reactive to light and accommodation
D. Pinpoint and fixed
☑ Correct Answer: C
☑ Explanation: PERRLA (pupils equal, round, reactive to light and accommodation) is the
, 4
normal finding. Unequal pupils (anisocoria) may indicate neurological injury. Non-reactive pupils
suggest brainstem dysfunction. Pinpoint fixed pupils are associated with opioid overdose or
pontine hemorrhage.
Question 5
Where is the best place to palpate the apical pulse?
A. 2nd intercostal space at the right sternal border
B. 5th intercostal space at the midclavicular line
C. 2nd intercostal space at the left sternal border
D. 4th intercostal space at the midaxillary line
☑ Correct Answer: B
☑ Explanation: The apical pulse (point of maximal impulse, PMI) is best palpated at the
5th intercostal space at the midclavicular line. This location corresponds to the apex of the
heart. The 2nd intercostal space at the right sternal border is the aortic area for auscultation.
