NSG 121 HESI Final Exam (Latest Update
) Health Assessment Questions
& Answers {Grade A} 100% Correct –
Herzing university
Allen Test - Correct answer When indicated, perform the Allen test to assess the
patency of the collateral circulation of the hands (Fig. 18.9). Ask the patient to make a
fist. Occlude the radial and ulnar arteries of the same hand. Have the patient open the
hand; release pressure on the ulnar artery. Do the same with the radial artery.
Palpation of Pulses & Scoring - Correct answer Palpate bilateral pulses at the same
time and compare
0: non palpable
1+: weak & thready
2+: normal & expected
3+: full & increased
4+: bounding
S1 & S2 Heart Sounds - Correct answer S2 louder at Aortic & Pulmonic
,S1 louder at Tricuspid & Mitral
S1=S2 Erb's
S1 Lub correlates with carotid pulse
S2 Dub correlates with beginning of diastole
JVD Assessment - Correct answer Jugular venous distention (JVD) is associated with
heart failure, tricuspid regurgitation, and fluid volume overload. The neck veins appear
full, and the level of pulsation may be have elevated JVP greater than 3 cm (about 1¼
in.) above the sternal angle
Lymphatics Assessment & Suggestions - Correct answer Edema in extremities is a
primary symptom of lymphedema
Suggest patient avoid sitting or standing for long periods of time and wear
compression socks to help decrease swelling
Assessment of PMI - Correct answer The point of maximal impulse (PMI) is a term
used to describe the area where the apical pulsation can be seen or palpated. In most
, adults, this impulse can commonly be found at the intersection of the 5th ICS mitral
area and the left MCL in the mitral area.
Auscultation Equipment - Correct answer Stethoscope on skin
Egophony Assessment - Correct answer To assess for egophony, ask the patient to
repeat "e e e" while you are auscultating the chest in the usual locations, comparing
sides.
In egophony, the "e e e" sounds like a loud "a a a." This finding is often documented as
"Egophony: e ã a changes" or positive egophony
Egophony is negative when the sound is muffled and difficult to hear.
Vesicular Lung Sounds - Correct answer Vesicular breath sounds are soft, low-
pitched, and found over fine airways near the site of air exchange (the lung periphery).
Inspiration greater than expiration, Over most of lung fields
Pneumonia Auscultation Findings - Correct answer Abnormal: The word "ninety-nine"
is clear and louder over denser areas. It sounds as if the patient is speaking directly
) Health Assessment Questions
& Answers {Grade A} 100% Correct –
Herzing university
Allen Test - Correct answer When indicated, perform the Allen test to assess the
patency of the collateral circulation of the hands (Fig. 18.9). Ask the patient to make a
fist. Occlude the radial and ulnar arteries of the same hand. Have the patient open the
hand; release pressure on the ulnar artery. Do the same with the radial artery.
Palpation of Pulses & Scoring - Correct answer Palpate bilateral pulses at the same
time and compare
0: non palpable
1+: weak & thready
2+: normal & expected
3+: full & increased
4+: bounding
S1 & S2 Heart Sounds - Correct answer S2 louder at Aortic & Pulmonic
,S1 louder at Tricuspid & Mitral
S1=S2 Erb's
S1 Lub correlates with carotid pulse
S2 Dub correlates with beginning of diastole
JVD Assessment - Correct answer Jugular venous distention (JVD) is associated with
heart failure, tricuspid regurgitation, and fluid volume overload. The neck veins appear
full, and the level of pulsation may be have elevated JVP greater than 3 cm (about 1¼
in.) above the sternal angle
Lymphatics Assessment & Suggestions - Correct answer Edema in extremities is a
primary symptom of lymphedema
Suggest patient avoid sitting or standing for long periods of time and wear
compression socks to help decrease swelling
Assessment of PMI - Correct answer The point of maximal impulse (PMI) is a term
used to describe the area where the apical pulsation can be seen or palpated. In most
, adults, this impulse can commonly be found at the intersection of the 5th ICS mitral
area and the left MCL in the mitral area.
Auscultation Equipment - Correct answer Stethoscope on skin
Egophony Assessment - Correct answer To assess for egophony, ask the patient to
repeat "e e e" while you are auscultating the chest in the usual locations, comparing
sides.
In egophony, the "e e e" sounds like a loud "a a a." This finding is often documented as
"Egophony: e ã a changes" or positive egophony
Egophony is negative when the sound is muffled and difficult to hear.
Vesicular Lung Sounds - Correct answer Vesicular breath sounds are soft, low-
pitched, and found over fine airways near the site of air exchange (the lung periphery).
Inspiration greater than expiration, Over most of lung fields
Pneumonia Auscultation Findings - Correct answer Abnormal: The word "ninety-nine"
is clear and louder over denser areas. It sounds as if the patient is speaking directly
