HESI:l NURl 101/l NUR101l (NEWl 2025/l
2026l Update)l Healthl Assessmentl Examl
Prep|l Questionsl &l Answers|l Gradel A|l
100%l Correctl (Verifiedl Solutions)-l Fortis
QUESTION
Whichl techniquel shouldl thel nursel usel tol assessl al clientl forl scoliosis?
Watchl gaitl whilel thel clientl ambulatesl downl thel hallway.
Observel spinel whilel thel clientl isl erectl andl bentl forward.
Palpatel neckl whilel thel clientl rotatesl headl froml sidel tol side.
Assessl forl presencel ofl painl whenl thel clientl twistsl thel torso.
Answer:l
Observel spinel whilel thel clientl isl erectl andl bentl forward.
Scoliosisl isl al laterall curvaturel ofl thel spinel seenl uponl inspectionl ofl thel spinel whilel thel
clientl standsl erectl andl thenl bendsl forward.
QUESTION
Whichl techniquel shouldl thel nursel implementl whenl performingl al Weberl test?
Tapl thel patellarl tendonl usingl al reflexl hammer.
Shinel thel lightl ofl anl ophthalmoscopel intol thel pupil.
Visualizel thel tympanicl membranel usingl anl otoscope.
Placel al vibratingl tuningl forkl midlinel onl topl ofl thel head.
Answer:l
Placel al vibratingl tuningl forkl midlinel onl topl ofl thel head.
Thel Weberl testl isl usedl tol evaluatel hearingl byl bonel conductionl throughl thel skull,l
whichl shouldl soundl equallyl loudl inl bothl ears.l Thel tuningl forkl shouldl bel struckl andl
thenl placedl onl thel midlinel ofl thel head.l Ifl thel clientl describesl hearingl thatl soundsl
louderl inl onel earl thanl thel other,l itl mayl indicatel unequall hearingl loss,l andl furtherl
assessmentl isl needed.
,QUESTION
Duringl anl inspectionl ofl al client'sl mouthl andl pharynx,l thel nursel placesl al tonguel bladel
onl thel backl ofl thel tonguel whichl causesl thel clientl tol gag.l Afterl removingl thel tonguel
blade,l whichl actionl shouldl thel nursel take?
Initiatel aspirationl precautions.
Notifyl thel healthcarel provider.
Documentl anl intactl gagl reflex.
Providel al warml saltl waterl gargle.
Answer:l
Documentl anl intactl gagl reflex.
Thel placementl ofl al tonguel bladel onl thel backl ofl thel tonguel shouldl stimulatel al normall
gagl reflex,l indicatingl thatl craniall nervesl IXl andl Xl arel intact.l Thel nursel shouldl
documentl thatl thel gagl reflexl isl intact.
QUESTION
Whichl terml shouldl thel nursel usel tol documentl inl thel client'sl medicall recordl forl al high-
pitchedl scratchyl soundl duringl auscultationl ofl thel heart?
Murmur.
Ejectionl click.
Frictionl rub.
Normall heartl sound.
Answer:l
Frictionl rub
Al high-pitched,l scratchy,l orl gratingl soundl heardl duringl auscultationl ofl thel heartl isl
calledl al pericardiall frictionl rub,l whichl isl associatedl withl inflammationl ofl thel
pericardium,l oftenl seenl duringl thel followingl weekl inl al clientl afterl al myocardiall
infarction.l Tol bestl hearl thel pericardiall frictionl rub,l thel nursel shouldl havel thel clientl
sittingl uprightl andl leaningl forwardl whilel thel clientl holdsl theirl breathl andl thel nursel
listensl withl thel diaphragml ofl thel stethoscopel atl thel apexl andl leftl lowerl sternall border.
QUESTION
Whichl respiratoryl conditionl shouldl thel nursel documentl afterl measuringl al respiratoryl
ratel ofl 8l breaths/minute?
,Tachypnea.
Bradypnea.
Hyperventilation.
Hypoventilation.
Answer:l
Bradypnea.
Bradypneal isl al regularl butl slowl ratel ofl breathingl indicatedl byl al respiratoryl ratel lessl
thanl 10l breaths/minute.l Al clientl withl al respiratoryl ratel ofl 8l breaths/minutel hasl
bradypnea.l Bradypneal meansl abnormallyl slowl respiration.l Hypopneal refersl tol
abnormallyl shallowl breathing,l withl orl withoutl al decreasel inl thel respiratoryl rate
QUESTION
Al Musliml malel clientl refusesl tol letl thel femalel nursel listenl tol hisl breathl soundsl duringl
thel examination.l Howl shouldl thel nursel respond?
Explainl howl thel nursingl skilll willl bel performedl beforel proceeding.
Examinel clientl withl anl additionall healthcarel providerl forl support.
Requestl al malel nursel orl healthcarel providerl tol performl thel exam.
Avoidl anyl skillsl thatl involvel touchingl thel clientl duringl thel exam.
Answer:l
Requestl al malel nursel orl healthcarel providerl tol performl thel exam.
Modestyl isl anl importantl valuel inl thel Musliml community,l andl Muslimsl arel reluctantl tol
exposel anyl partl ofl theirl bodyl tol healthcarel members.l Musliml clientsl arel accustomedl tol
examinationl byl "same-sex"l healthcarel providers.
QUESTION
Al clientl hasl beenl diagnosedl withl bilaterall lowerl lobel atelectasis.l Whichl percussionl
soundl shouldl thel nursel expectl tol hearl whenl percussingl overl thel client'sl lowerl lobes?
Dull,l thud-like.
Hyperresonant,l booming.
Tympanic,l druml like.
Flat,l extremelyl dull.
Answer:l
, Dull,l thud-like.
Anl atelectaticl orl consolidatedl lungl willl producel al dullnessl orl thud-likel soundl whenl
percussedl duringl anl assessment.l Flatnessl isl al soft,l shortl tonel heardl whenl percussingl
overl solidl tissuel likel musclel andl bone
QUESTION
Thel nursel isl assessingl al client'sl middlel lungl lobe.l Whichl isl thel bestl locationl forl thel
nursel tol placel al stethoscopel diaphragml tol hearl normall lungl soundsl inl thisl lobe?
4thl intercostall space,l rightl midclavicularl line.
5thl intercostall space,l leftl midclavicularl line.
Leftl mid-posteriorl lungl field.
Rightl mid-posteriorl lungl field.
Answer:l
4thl intercostall space,l rightl midclavicularl line.
Thel 4thl intercostall space,l thel rightl midclavicularl linel isl thel bestl locationl forl thel nursel
tol placel al stethoscopel diaphragml tol hearl lungl soundsl inl thel client'sl middlel lobe.l Thel
leftl sidel hasl onlyl twol lobesl (upperl andl lower)l andl middlel lobel soundsl cannotl normallyl
bel heardl inl thel posteriorl lungl fields.
QUESTION
Al clientl isl inl thel clinicall forl al yearlyl physicall examination.l Whichl actionl shouldl thel
nursel takel whenl preparingl tol examinel thel client'sl abdomen?
Keepl thel rooml cooll sol thel clientl isl notl perspiring.
Askl thel clientl tol urinatel beforel beginningl thel examination.
Examinel painfull orl tenderl areasl first.
Positionl thel clientl supinel withl armsl overl thel head.
Answer:l
Askl thel clientl tol urinatel beforel beginningl thel examination.
Anl emptyl bladderl aidsl inl abdominall walll relaxation.l Thel nursel shouldl askl thel clientl tol
emptyl thel bladderl beforel examiningl thel abdomen.
QUESTION
2026l Update)l Healthl Assessmentl Examl
Prep|l Questionsl &l Answers|l Gradel A|l
100%l Correctl (Verifiedl Solutions)-l Fortis
QUESTION
Whichl techniquel shouldl thel nursel usel tol assessl al clientl forl scoliosis?
Watchl gaitl whilel thel clientl ambulatesl downl thel hallway.
Observel spinel whilel thel clientl isl erectl andl bentl forward.
Palpatel neckl whilel thel clientl rotatesl headl froml sidel tol side.
Assessl forl presencel ofl painl whenl thel clientl twistsl thel torso.
Answer:l
Observel spinel whilel thel clientl isl erectl andl bentl forward.
Scoliosisl isl al laterall curvaturel ofl thel spinel seenl uponl inspectionl ofl thel spinel whilel thel
clientl standsl erectl andl thenl bendsl forward.
QUESTION
Whichl techniquel shouldl thel nursel implementl whenl performingl al Weberl test?
Tapl thel patellarl tendonl usingl al reflexl hammer.
Shinel thel lightl ofl anl ophthalmoscopel intol thel pupil.
Visualizel thel tympanicl membranel usingl anl otoscope.
Placel al vibratingl tuningl forkl midlinel onl topl ofl thel head.
Answer:l
Placel al vibratingl tuningl forkl midlinel onl topl ofl thel head.
Thel Weberl testl isl usedl tol evaluatel hearingl byl bonel conductionl throughl thel skull,l
whichl shouldl soundl equallyl loudl inl bothl ears.l Thel tuningl forkl shouldl bel struckl andl
thenl placedl onl thel midlinel ofl thel head.l Ifl thel clientl describesl hearingl thatl soundsl
louderl inl onel earl thanl thel other,l itl mayl indicatel unequall hearingl loss,l andl furtherl
assessmentl isl needed.
,QUESTION
Duringl anl inspectionl ofl al client'sl mouthl andl pharynx,l thel nursel placesl al tonguel bladel
onl thel backl ofl thel tonguel whichl causesl thel clientl tol gag.l Afterl removingl thel tonguel
blade,l whichl actionl shouldl thel nursel take?
Initiatel aspirationl precautions.
Notifyl thel healthcarel provider.
Documentl anl intactl gagl reflex.
Providel al warml saltl waterl gargle.
Answer:l
Documentl anl intactl gagl reflex.
Thel placementl ofl al tonguel bladel onl thel backl ofl thel tonguel shouldl stimulatel al normall
gagl reflex,l indicatingl thatl craniall nervesl IXl andl Xl arel intact.l Thel nursel shouldl
documentl thatl thel gagl reflexl isl intact.
QUESTION
Whichl terml shouldl thel nursel usel tol documentl inl thel client'sl medicall recordl forl al high-
pitchedl scratchyl soundl duringl auscultationl ofl thel heart?
Murmur.
Ejectionl click.
Frictionl rub.
Normall heartl sound.
Answer:l
Frictionl rub
Al high-pitched,l scratchy,l orl gratingl soundl heardl duringl auscultationl ofl thel heartl isl
calledl al pericardiall frictionl rub,l whichl isl associatedl withl inflammationl ofl thel
pericardium,l oftenl seenl duringl thel followingl weekl inl al clientl afterl al myocardiall
infarction.l Tol bestl hearl thel pericardiall frictionl rub,l thel nursel shouldl havel thel clientl
sittingl uprightl andl leaningl forwardl whilel thel clientl holdsl theirl breathl andl thel nursel
listensl withl thel diaphragml ofl thel stethoscopel atl thel apexl andl leftl lowerl sternall border.
QUESTION
Whichl respiratoryl conditionl shouldl thel nursel documentl afterl measuringl al respiratoryl
ratel ofl 8l breaths/minute?
,Tachypnea.
Bradypnea.
Hyperventilation.
Hypoventilation.
Answer:l
Bradypnea.
Bradypneal isl al regularl butl slowl ratel ofl breathingl indicatedl byl al respiratoryl ratel lessl
thanl 10l breaths/minute.l Al clientl withl al respiratoryl ratel ofl 8l breaths/minutel hasl
bradypnea.l Bradypneal meansl abnormallyl slowl respiration.l Hypopneal refersl tol
abnormallyl shallowl breathing,l withl orl withoutl al decreasel inl thel respiratoryl rate
QUESTION
Al Musliml malel clientl refusesl tol letl thel femalel nursel listenl tol hisl breathl soundsl duringl
thel examination.l Howl shouldl thel nursel respond?
Explainl howl thel nursingl skilll willl bel performedl beforel proceeding.
Examinel clientl withl anl additionall healthcarel providerl forl support.
Requestl al malel nursel orl healthcarel providerl tol performl thel exam.
Avoidl anyl skillsl thatl involvel touchingl thel clientl duringl thel exam.
Answer:l
Requestl al malel nursel orl healthcarel providerl tol performl thel exam.
Modestyl isl anl importantl valuel inl thel Musliml community,l andl Muslimsl arel reluctantl tol
exposel anyl partl ofl theirl bodyl tol healthcarel members.l Musliml clientsl arel accustomedl tol
examinationl byl "same-sex"l healthcarel providers.
QUESTION
Al clientl hasl beenl diagnosedl withl bilaterall lowerl lobel atelectasis.l Whichl percussionl
soundl shouldl thel nursel expectl tol hearl whenl percussingl overl thel client'sl lowerl lobes?
Dull,l thud-like.
Hyperresonant,l booming.
Tympanic,l druml like.
Flat,l extremelyl dull.
Answer:l
, Dull,l thud-like.
Anl atelectaticl orl consolidatedl lungl willl producel al dullnessl orl thud-likel soundl whenl
percussedl duringl anl assessment.l Flatnessl isl al soft,l shortl tonel heardl whenl percussingl
overl solidl tissuel likel musclel andl bone
QUESTION
Thel nursel isl assessingl al client'sl middlel lungl lobe.l Whichl isl thel bestl locationl forl thel
nursel tol placel al stethoscopel diaphragml tol hearl normall lungl soundsl inl thisl lobe?
4thl intercostall space,l rightl midclavicularl line.
5thl intercostall space,l leftl midclavicularl line.
Leftl mid-posteriorl lungl field.
Rightl mid-posteriorl lungl field.
Answer:l
4thl intercostall space,l rightl midclavicularl line.
Thel 4thl intercostall space,l thel rightl midclavicularl linel isl thel bestl locationl forl thel nursel
tol placel al stethoscopel diaphragml tol hearl lungl soundsl inl thel client'sl middlel lobe.l Thel
leftl sidel hasl onlyl twol lobesl (upperl andl lower)l andl middlel lobel soundsl cannotl normallyl
bel heardl inl thel posteriorl lungl fields.
QUESTION
Al clientl isl inl thel clinicall forl al yearlyl physicall examination.l Whichl actionl shouldl thel
nursel takel whenl preparingl tol examinel thel client'sl abdomen?
Keepl thel rooml cooll sol thel clientl isl notl perspiring.
Askl thel clientl tol urinatel beforel beginningl thel examination.
Examinel painfull orl tenderl areasl first.
Positionl thel clientl supinel withl armsl overl thel head.
Answer:l
Askl thel clientl tol urinatel beforel beginningl thel examination.
Anl emptyl bladderl aidsl inl abdominall walll relaxation.l Thel nursel shouldl askl thel clientl tol
emptyl thel bladderl beforel examiningl thel abdomen.
QUESTION
