HESI Physical Assessment Practice Sets Correct Answers

•1. The nurse plans to auscultate the carotid arteries for bruits. Which of the following is the correct technique? •A. Places two fingers on the left carotid pulse, base of the neck •B. Places the diaphragm of the stethoscope on the location, mid-cervical area •C. Places the bell of the stethoscope slightly below the angle of the jaw •D. Places two finger on the right carotid area, mid-scapular area C. Places the bell of the stethoscope slightly below the angle of the jaw •2. The nurse expects to auscultate for murmurs and bruits. The nurse uses: •A. The bell of the stethoscope because the sounds are loud and grating •B. The bell of the stethoscope because the sounds are lower pitch and softer •C. The diaphragm of the stethoscope because the sounds are high-pitched •D. The diaphragm of the stethoscope because the sounds are low pitched and whistling B. The bell of the stethoscope because the sounds are lower pitch and softer •3. A client is having a health history taken by a clinic nurse. The client begins to cry during the interview. What approach should the nurse take next? •A. Offer tissues to the client and continue the interview •B. Tell the client not to cry because the interview will not take long •C. Offer tissues for the client and wait for him to compose himself •D. Tell the client that everyone cries when sensitive questions are asked C. Offer tissues for the client and wait for him to compose himself •4. The nurse is calculating the height, weight, and body mass index (BMI) of a clinic patient. Which one of the following patients would be most at risk for injury? •A. 53-year-old with a BMI of 34.2 •B. 16-year-old with a BMI of 27.8 •C. 71-year-old with a BMI of 23.7 •D. 83-year-old with a BMI of 17.6 D. 83-year-old with a BMI of 17.6 •5. A 56-year-old woman admitted to the hospital after a motor vehicle accident is admitted to the step-down unit. On the day following her admission, the nurse assesses her orientation. The patient knows her name and knows the month. She is off by the date by 1 day. She does not know where she is or anything about the event leading to her hospitalization. The nurse will document her orientation as: •A. Alert and oriented x 1 •B. Alert and oriented x 2 •C. Alert and oriented x 3 •D. Alert and oriented x 4 B. Alert and oriented x 2 •6. The nurse practitioner (NP) is assessing a patient after a severe blow to the head. The NP asks the patient to interpret this expression: "People in glass houses should not throw stones." What component of the mental status exam is the nurse assessing? •A. Emotion •B. Judgment •C. Mood •D. Behavior B. Judgment •7. A patient who speaks only Mandarin Chinese is admitted to the hospital. The nurse arranges translation services for the patient. Which of the following is the best choice for this patient? •A. The patient's family •B. Printed phrases in Mandarin with the English equivalent •C. A translator from the hospital staff who is speaks fluent Mandarin and good English •D. A nurse who studied Mandarin for 3 years in college C. A translator from the hospital staff who is speaks fluent Mandarin and good English