HESI PREP HEALTH ASSESSMENT STUDY EXAM QUESTIONS WITH
ANSWERS 2025/2026 GRADED A+
Bells palsy is a dysfunction of which cranial nerve? - Cranial nerve 7- facial
This type of nervous sensation often comes with a sensation of "pins and needles" and
occurs in stocking-glove pattern from the feet upward - Paresthesia
The romberg test, as well as heel-to-shin and finger-to-nose tests all test the function of
which part of the brain? - Cerebellum
Very brisk and hyperactive DTRs would receive a rating of what? - 4+
Overstimulation of this nerve is the most common cause of fainting - CN X- vagus nerve
Describe the pathway of blood of the heart - IVC/SVC- right atrium- triscupid valve- right
ventricle- pulmonary artery- lungs- pulmonary vein- left atrium- mitral valve- left
ventricle- aorta- body
Where can the tricuspid valve be located for auscultation? - Left sternal border
4th ICS
What does S1 represent? - Closure of the AV valves, beginning of systole.
What does S2 represent? - Closure of the pulmonic/aortic valves, end of systole
Heart rate stays the same during inspiration and expiration? - False- is higher during
inspiration because of increase intrathoracic pressure
What can you ask your patient to do in order to better heart heart sounds? - Take a
deep breath, exhale, inhale and hold it.
Which lymphatic duct drain the majority of the body's lymph vessels? - Thoracic duct
How is the modified allen test performed and what does it assess for? - Arterial
occlusion, depress radial and ulnar arteries
Differences between arterial and venous insufficiencies? - Arterial- pallor, hair loss,
intermittent claudication, punched out appearance.
Venous: Brown coloration, irregular edges.
Which part of the heart is heard when auscultating the PMI? - Mitral valve/ left ventricle
What is the best way to palpate the precordium for pulsations? - palmar surface of the
fingers
When inspecting for JVD, at which angle should the head be turned? - 45 degress
, The right middle lung can be auscultated at the 5th ICS midclavicular line? True or
false? - False
What is another name for central cyanosis? - Circumoral
Approximately how much air do we breath with each breath? - 500ml or 6-8L/min
Under which conditions would we expect to hear dull percussion sounds over lung
fields? - obesity, athletes (increased muscle), pleural effusion, atelectasis.
Normal AP ratio - 1:2
The head of the pancreas and duodenum are located in this quadrant? - RUQ
The splenic flexure of the colon is found in this quadrant? - LUQ
Your patient has steatorrhea. A dysfunction of which organ causes this? - Pancreas
List some assessments for ascites? - -fluid wave test
-shifting dullness
- ultrasound
What is the normal count for bowel sounds? - 5-30/min
When is it considered acceptable for bowl sounds to be hypoactive? - Following
abdominal surgery or peritoneal inflammation
Describe the normal pattern of bowel sounds in early and late obstruction - hyperactive-
->hypoactive
Describe the ileopsoas test - Supine, lift leg straight up, flexing hip; push down on right
thick as they try to hold leg up
What does the ileopsoas test test for? - Non-specific for appendicitis
Describe Murphy's sign, what is this testing for? - -Palpate liver border, person take a
deep breath--> will have pain on inspiration.
- Assesses for cholecystitis
What is another name for the murphy test? - Inspiratory Arrest
How enlarged does the spleen need to be in order for it to be palpable? - 3x
Marked separation in the rectus abdominis muscle is called - Diastasis recti
ANSWERS 2025/2026 GRADED A+
Bells palsy is a dysfunction of which cranial nerve? - Cranial nerve 7- facial
This type of nervous sensation often comes with a sensation of "pins and needles" and
occurs in stocking-glove pattern from the feet upward - Paresthesia
The romberg test, as well as heel-to-shin and finger-to-nose tests all test the function of
which part of the brain? - Cerebellum
Very brisk and hyperactive DTRs would receive a rating of what? - 4+
Overstimulation of this nerve is the most common cause of fainting - CN X- vagus nerve
Describe the pathway of blood of the heart - IVC/SVC- right atrium- triscupid valve- right
ventricle- pulmonary artery- lungs- pulmonary vein- left atrium- mitral valve- left
ventricle- aorta- body
Where can the tricuspid valve be located for auscultation? - Left sternal border
4th ICS
What does S1 represent? - Closure of the AV valves, beginning of systole.
What does S2 represent? - Closure of the pulmonic/aortic valves, end of systole
Heart rate stays the same during inspiration and expiration? - False- is higher during
inspiration because of increase intrathoracic pressure
What can you ask your patient to do in order to better heart heart sounds? - Take a
deep breath, exhale, inhale and hold it.
Which lymphatic duct drain the majority of the body's lymph vessels? - Thoracic duct
How is the modified allen test performed and what does it assess for? - Arterial
occlusion, depress radial and ulnar arteries
Differences between arterial and venous insufficiencies? - Arterial- pallor, hair loss,
intermittent claudication, punched out appearance.
Venous: Brown coloration, irregular edges.
Which part of the heart is heard when auscultating the PMI? - Mitral valve/ left ventricle
What is the best way to palpate the precordium for pulsations? - palmar surface of the
fingers
When inspecting for JVD, at which angle should the head be turned? - 45 degress
, The right middle lung can be auscultated at the 5th ICS midclavicular line? True or
false? - False
What is another name for central cyanosis? - Circumoral
Approximately how much air do we breath with each breath? - 500ml or 6-8L/min
Under which conditions would we expect to hear dull percussion sounds over lung
fields? - obesity, athletes (increased muscle), pleural effusion, atelectasis.
Normal AP ratio - 1:2
The head of the pancreas and duodenum are located in this quadrant? - RUQ
The splenic flexure of the colon is found in this quadrant? - LUQ
Your patient has steatorrhea. A dysfunction of which organ causes this? - Pancreas
List some assessments for ascites? - -fluid wave test
-shifting dullness
- ultrasound
What is the normal count for bowel sounds? - 5-30/min
When is it considered acceptable for bowl sounds to be hypoactive? - Following
abdominal surgery or peritoneal inflammation
Describe the normal pattern of bowel sounds in early and late obstruction - hyperactive-
->hypoactive
Describe the ileopsoas test - Supine, lift leg straight up, flexing hip; push down on right
thick as they try to hold leg up
What does the ileopsoas test test for? - Non-specific for appendicitis
Describe Murphy's sign, what is this testing for? - -Palpate liver border, person take a
deep breath--> will have pain on inspiration.
- Assesses for cholecystitis
What is another name for the murphy test? - Inspiratory Arrest
How enlarged does the spleen need to be in order for it to be palpable? - 3x
Marked separation in the rectus abdominis muscle is called - Diastasis recti
