BSN 246 HESI HEALTH ASSESSMENT
EXAM V2 STUDY GUIDE QUESTIONS
AND ANSWERS
1. When assessing a patient’s abdomen, in which sequence should the physical examination
techniques be performed?
A. Inspection, Palpation, Percussion, Auscultation
B. Inspection, Auscultation, Percussion, Palpation
C. Auscultation, Inspection, Palpation, Percussion
D. Percussion, Palpation, Auscultation, Inspection
Answer: B
Conceptual Explanation: In abdominal assessment, auscultation follows inspection to
avoid altering bowel sounds through percussion or palpation.
2. Which cranial nerve is responsible for the movement of the tongue during speech and
swallowing?
A. CN XII (Hypoglossal)
B. CN X (Vagus)
,C. CN IX (Glossopharyngeal)
D. CN VII (Facial)
Answer: A
Conceptual Explanation: Cranial Nerve XII, the Hypoglossal nerve, is purely motor and
controls the muscles of the tongue.
3. A nurse identifies a ‘swishing’ sound while auscultating the carotid artery of an elderly
patient. This finding is documented as:
A. Murmur
B. Thrill
C. Bruit
D. Crepitus
Answer: C
Conceptual Explanation: A bruit is a blowing, swishing sound indicating blood flow
turbulence, often due to narrowing of the vessel.
4. During a skin assessment, the nurse notes a lesion that is flat, non-palpable, and less than 1
cm in diameter. What is the correct term for this?
A. Papule
B. Plague
C. Macule
, D. Vesicle
Answer: C
Conceptual Explanation: A macule is a flat, circumscribed area that is a change in the
color of the skin, less than 1 cm in diameter.
5. A patient presents with ‘pitting edema’ that leaves an indentation of 4mm and takes about
15 seconds to return to normal. How is this graded?
A. 1+
B. 4+
C. 3+
D. 2+
Answer: D
Conceptual Explanation: 2+ edema is characterized by a moderate pitting (4mm) that
subsides relatively rapidly (10-15 seconds).
6. Which of the following assessments best evaluates the function of the Cerebellum?
A. Checking pupillary light reflex
B. Performing the Romberg test
C. Testing deep tendon reflexes
D. Assessing Glascow Coma Scale
EXAM V2 STUDY GUIDE QUESTIONS
AND ANSWERS
1. When assessing a patient’s abdomen, in which sequence should the physical examination
techniques be performed?
A. Inspection, Palpation, Percussion, Auscultation
B. Inspection, Auscultation, Percussion, Palpation
C. Auscultation, Inspection, Palpation, Percussion
D. Percussion, Palpation, Auscultation, Inspection
Answer: B
Conceptual Explanation: In abdominal assessment, auscultation follows inspection to
avoid altering bowel sounds through percussion or palpation.
2. Which cranial nerve is responsible for the movement of the tongue during speech and
swallowing?
A. CN XII (Hypoglossal)
B. CN X (Vagus)
,C. CN IX (Glossopharyngeal)
D. CN VII (Facial)
Answer: A
Conceptual Explanation: Cranial Nerve XII, the Hypoglossal nerve, is purely motor and
controls the muscles of the tongue.
3. A nurse identifies a ‘swishing’ sound while auscultating the carotid artery of an elderly
patient. This finding is documented as:
A. Murmur
B. Thrill
C. Bruit
D. Crepitus
Answer: C
Conceptual Explanation: A bruit is a blowing, swishing sound indicating blood flow
turbulence, often due to narrowing of the vessel.
4. During a skin assessment, the nurse notes a lesion that is flat, non-palpable, and less than 1
cm in diameter. What is the correct term for this?
A. Papule
B. Plague
C. Macule
, D. Vesicle
Answer: C
Conceptual Explanation: A macule is a flat, circumscribed area that is a change in the
color of the skin, less than 1 cm in diameter.
5. A patient presents with ‘pitting edema’ that leaves an indentation of 4mm and takes about
15 seconds to return to normal. How is this graded?
A. 1+
B. 4+
C. 3+
D. 2+
Answer: D
Conceptual Explanation: 2+ edema is characterized by a moderate pitting (4mm) that
subsides relatively rapidly (10-15 seconds).
6. Which of the following assessments best evaluates the function of the Cerebellum?
A. Checking pupillary light reflex
B. Performing the Romberg test
C. Testing deep tendon reflexes
D. Assessing Glascow Coma Scale
