BSN 246 HESI HEALTH ASSESSMENT
EXAM V1 COMPREHENSIVE REVIEW
QUESTIONS AND VERIFIED ANSWERS
|100% CORRECT| GRADE A+
NIGHTINGALE
1. During a physical examination, the nurse notes that a patient has a ‘swishing’ sound heard
over the carotid artery. This finding is best described as a:
A. Thrill
B. Bruit
C. Murmur
D. Gallop
Answer: B
Conceptual Explanation: A bruit is a blowing, swishing sound indicating blood flow
turbulence, typically heard over arteries. A thrill is a palpable vibration, a murmur is heard
over the heart, and a gallop refers to extra heart sounds (S3 or S4).
2. When assessing a patient’s abdomen, in which order should the nurse perform the physical
assessment techniques?
A. Inspection, Auscultation, Percussion, Palpation
,B. Inspection, Palpation, Percussion, Auscultation
C. Auscultation, Inspection, Palpation, Percussion
D. Percussion, Inspection, Auscultation, Palpation
Answer: A
Conceptual Explanation: In abdominal assessment, auscultation is performed after
inspection and before percussion or palpation to avoid stimulating bowel sounds that were
not originally present.
3. A nurse is assessing a patient’s cranial nerves. Which action should the nurse ask the
patient to perform to test Cranial Nerve VII (Facial Nerve)?
A. Smile, frown, and puff out the cheeks
B. Shrug the shoulders against resistance
C. Stick out the tongue and move it side to side
D. Follow a moving finger with the eyes
Answer: A
Conceptual Explanation: Cranial Nerve VII is responsible for facial expressions. Testing
involves motor functions like smiling and frowning. Tongue movement is CN XII, shoulder
shrugging is CN XI, and eye movement involves CN III, IV, and VI.
, 4. A patient presents with a deep, regular breathing pattern followed by periods of apnea.
This respiratory pattern is documented as:
A. Kussmaul’s respirations
B. Biot’s respirations
C. Cheyne-Stokes respirations
D. Bradypnea
Answer: C
Conceptual Explanation: Cheyne-Stokes respirations are characterized by a gradual
increase and then decrease in depth of breathing followed by a period of apnea. Kussmaul’s
is deep/labored usually associated with DKA; Biot’s is irregular.
5. While assessing the skin of an older adult, the nurse notes small, flat, brown macules on
the back of the hands. These are likely:
A. Senile lentigines
B. Actinic keratosis
C. Seborrheic keratosis
D. Melanoma
Answer: A
EXAM V1 COMPREHENSIVE REVIEW
QUESTIONS AND VERIFIED ANSWERS
|100% CORRECT| GRADE A+
NIGHTINGALE
1. During a physical examination, the nurse notes that a patient has a ‘swishing’ sound heard
over the carotid artery. This finding is best described as a:
A. Thrill
B. Bruit
C. Murmur
D. Gallop
Answer: B
Conceptual Explanation: A bruit is a blowing, swishing sound indicating blood flow
turbulence, typically heard over arteries. A thrill is a palpable vibration, a murmur is heard
over the heart, and a gallop refers to extra heart sounds (S3 or S4).
2. When assessing a patient’s abdomen, in which order should the nurse perform the physical
assessment techniques?
A. Inspection, Auscultation, Percussion, Palpation
,B. Inspection, Palpation, Percussion, Auscultation
C. Auscultation, Inspection, Palpation, Percussion
D. Percussion, Inspection, Auscultation, Palpation
Answer: A
Conceptual Explanation: In abdominal assessment, auscultation is performed after
inspection and before percussion or palpation to avoid stimulating bowel sounds that were
not originally present.
3. A nurse is assessing a patient’s cranial nerves. Which action should the nurse ask the
patient to perform to test Cranial Nerve VII (Facial Nerve)?
A. Smile, frown, and puff out the cheeks
B. Shrug the shoulders against resistance
C. Stick out the tongue and move it side to side
D. Follow a moving finger with the eyes
Answer: A
Conceptual Explanation: Cranial Nerve VII is responsible for facial expressions. Testing
involves motor functions like smiling and frowning. Tongue movement is CN XII, shoulder
shrugging is CN XI, and eye movement involves CN III, IV, and VI.
, 4. A patient presents with a deep, regular breathing pattern followed by periods of apnea.
This respiratory pattern is documented as:
A. Kussmaul’s respirations
B. Biot’s respirations
C. Cheyne-Stokes respirations
D. Bradypnea
Answer: C
Conceptual Explanation: Cheyne-Stokes respirations are characterized by a gradual
increase and then decrease in depth of breathing followed by a period of apnea. Kussmaul’s
is deep/labored usually associated with DKA; Biot’s is irregular.
5. While assessing the skin of an older adult, the nurse notes small, flat, brown macules on
the back of the hands. These are likely:
A. Senile lentigines
B. Actinic keratosis
C. Seborrheic keratosis
D. Melanoma
Answer: A
