BSN 246 HESI HEALTH ASSESSMENT
FINAL EXAM STUDY GUIDE V1
1. When assessing the abdomen, which sequence of physical examination techniques should
the nurse follow?
A. Inspection, Palpation, Percussion, Auscultation
B. Percussion, Auscultation, Palpation, Inspection
C. Auscultation, Inspection, Palpation, Percussion
D. Inspection, Auscultation, Percussion, Palpation
Answer: D
Conceptual Explanation: In abdominal assessment, auscultation follows inspection to
prevent bowel sounds from being altered by palpation and percussion.
2. The nurse is performing a Weber test. What is the expected normal finding?
A. Sound is heard equally in both ears
B. Sound is heard longer through air than bone
C. Sound lateralizes to the ear with better hearing
,D. Sound is heard longer through bone than air
Answer: A
Conceptual Explanation: The Weber test checks for lateralization; in a normal finding, the
sound should be heard equally in both ears.
3. Which heart sound is produced by the closure of the atrioventricular (AV) valves?
A. S1
B. S4
C. S2
D. S3
Answer: A
Conceptual Explanation: S1, the ‘lub’ sound, is caused by the closure of the mitral and
tricuspid (AV) valves at the start of systole.
4. A nurse observes a patient’s breathing and notes a rate of 28 breaths per minute with
increased depth. How should the nurse document this?
A. Bradypnea
B. Eupnea
C. Hyperventilation
D. Tachypnea
, Answer: C
Conceptual Explanation: Hyperventilation involves an increase in both rate and depth of
respirations, whereas tachypnea is only an increase in rate.
5. During a musculoskeletal exam, the nurse asks the patient to move their arm away from
the midline. What is this movement called?
A. Abduction
B. Adduction
C. Flexion
D. Extension
Answer: A
Conceptual Explanation: Abduction is the movement of a limb away from the midline of
the body.
6. The nurse notes a ‘thrill’ while palpating the carotid artery. What does this finding
indicate?
A. Normal arterial flow
B. Obstruction of the venous system
C. Weak cardiac output
D. A palpable vibration signifying turbulent blood flow
Answer: D
FINAL EXAM STUDY GUIDE V1
1. When assessing the abdomen, which sequence of physical examination techniques should
the nurse follow?
A. Inspection, Palpation, Percussion, Auscultation
B. Percussion, Auscultation, Palpation, Inspection
C. Auscultation, Inspection, Palpation, Percussion
D. Inspection, Auscultation, Percussion, Palpation
Answer: D
Conceptual Explanation: In abdominal assessment, auscultation follows inspection to
prevent bowel sounds from being altered by palpation and percussion.
2. The nurse is performing a Weber test. What is the expected normal finding?
A. Sound is heard equally in both ears
B. Sound is heard longer through air than bone
C. Sound lateralizes to the ear with better hearing
,D. Sound is heard longer through bone than air
Answer: A
Conceptual Explanation: The Weber test checks for lateralization; in a normal finding, the
sound should be heard equally in both ears.
3. Which heart sound is produced by the closure of the atrioventricular (AV) valves?
A. S1
B. S4
C. S2
D. S3
Answer: A
Conceptual Explanation: S1, the ‘lub’ sound, is caused by the closure of the mitral and
tricuspid (AV) valves at the start of systole.
4. A nurse observes a patient’s breathing and notes a rate of 28 breaths per minute with
increased depth. How should the nurse document this?
A. Bradypnea
B. Eupnea
C. Hyperventilation
D. Tachypnea
, Answer: C
Conceptual Explanation: Hyperventilation involves an increase in both rate and depth of
respirations, whereas tachypnea is only an increase in rate.
5. During a musculoskeletal exam, the nurse asks the patient to move their arm away from
the midline. What is this movement called?
A. Abduction
B. Adduction
C. Flexion
D. Extension
Answer: A
Conceptual Explanation: Abduction is the movement of a limb away from the midline of
the body.
6. The nurse notes a ‘thrill’ while palpating the carotid artery. What does this finding
indicate?
A. Normal arterial flow
B. Obstruction of the venous system
C. Weak cardiac output
D. A palpable vibration signifying turbulent blood flow
Answer: D
