BSN 246 HESI HEALTH ASSESSMENT FINAL EXAM AND PRACTICE EXAM
QUESTIONS 2025 CURRENTLY TESTING COMPLETE EXAM QUESTIONS WITH
DETAILED VERIFIED ANSWERS (100% CORRECT ANSWERS) /BRAND NEW!!
/ALREADY GRADED A+
aneurysm - ANSWERvisible, prominent pulsation or dialation
diastole - ANSWERventricular relaxation, ventricular filling from atria.
erythema - ANSWERredness of skin
murmur - ANSWERharsh, blowing sounds caused by disruption of blood flow
myocardial ischemia - ANSWERoxygen needs heightened so heart has to work
harder
systole - ANSWERventricular contraction, blood leaves the ventricles to go to the
lungs or body.
what is the pacemaker of the heart - ANSWERsinoatrial node (SA node)
how many times is the sinoatrial node set to discharge per minute - ANSWER60-
100
if the heart rate is initiated in the atrioventricular node, how fast would the heart
beat per minute - ANSWER60
if the heart rate is initiated in the bundle branches, how fast would the heart beat
per minute - ANSWER30
,what is the term used to describe a sudden droop in blood pressure that may
occur when an older client changes position from lying or sitting to standing -
ANSWERorthostatic hypotension
what two cultural groups are at the highest risk for hypertension - ANSWERafrican
americans, spanish (mexicans/cuban/filipino)
dullness when percussing over the heart is - ANSWERan abnormal finding that
could indicate an enlarged heart.
the third heart sound (S3) is heard - ANSWERimmediately after S2.
S3= kentucky
the fourth heart sound (S4) is heard - ANSWERimmediately before S1
S4= there are 4 e's in tenessee
what is happening when S1 is heard? - ANSWERtricuspid and mitral (AV) valves
are closing. begins systole
what is happening when S2 is heard? - ANSWERaortic and pulmonic (semilunar)
valves are closing. end of systole and beginning of diastole.
when would the nurse hear S3 - ANSWERwhen AV (tricuspid & mitral) valves
open, blood flow into ventricles may vibrate during mid-diastole, termed
ventricular gallop.
when would the nurse hear S4 - ANSWERbefore S1, termed atrial gallop.
what is the significance of S3 - ANSWERmay indicate heart failure or fluid
,overload.
what is the significance of S4 - ANSWERmay indicate hypertension or ventricular
hypertrophy
at erb's point you can hear - ANSWERS1 and S2 equally
at the aortic and pulmonic valves you can hear - ANSWERS2
at the mitral valve you can hear - ANSWERS1
(PMI)
aortic stenosis - ANSWERmurmur at aortic area. narrowing of the aortic valve.
may be congenital or caused by atherosclerosis
mitral stenosis - ANSWERmurmur heard at the apical area with the client in the
left lateral position. possible causes is rheumatic fever or cardiac infection.
ventricular hypertrophy - ANSWERoccurs due to pumping against high pressures
myocardial ishcemia - ANSWERoxygen needs of the myocardium are not met as
the heart works harder. may be caused by plaque or blood clot. need to assess
client for type of pain and associated factors including nausea, epigastric pain, jaw
or left shoulder pain.
pulmonary stenosis - ANSWERnarrowing of the opening between the pulmonary
artery and the right ventricle. may have murmur at pulmonic area and a thrill in
the left second and third intercostal space.
congestive heart failure - ANSWERcaused by hearts inability to pump effectively
, infective endocarditis - ANSWERmay see splinter hemorrhage of nail beds. caused
by a bacterial infection to the lining of the heart chanbers.
tricuspid stenosis - ANSWERnarrowing of the tricuspid valve. murmur over the
tricuspid area
aortic regurgitation - ANSWERback flow of blood from the aorta into the left
ventricle. murmur with the client leaning forward. may result in shortness of
breath and fatigue.
left sided heart failure - ANSWERresults in pulmonary congestion, shortness of
breath, and orthopnea. crackles may be heard on auscultation.
cor pulmonale - ANSWERcomplication of untreated heart failure. results in JVD,
peripheral edema, fluid retention and weight gain. may have clubbing.
mitral regurgitation - ANSWERback flow of blood from left ventricle into left
atrium. murmur at apex transmitted to left axillae.
pulmonary edema - ANSWERfluid accumulation can cause severe shortness of
breath, pink frothy sputum, coarse crackles that do not clear with cough, sense of
doom.
myocardia infarction - ANSWERcomplete disruption of blood flow and oxygen to
the myocardial tissue. may lead to death of cardiac tissue. symptoms include chest
pressure, tightness, squeezing and shortness of breath. may radiate or have
referred pain to the left neck, jaw or shoulder.
pericardial friction rub - ANSWERoccurs due to inflammation of pericardial sac.
ask client to hold breath to assess as compared to pleural issues.
blood flow pathway - ANSWERvena cava, right atrium, tricuspid valve, right
QUESTIONS 2025 CURRENTLY TESTING COMPLETE EXAM QUESTIONS WITH
DETAILED VERIFIED ANSWERS (100% CORRECT ANSWERS) /BRAND NEW!!
/ALREADY GRADED A+
aneurysm - ANSWERvisible, prominent pulsation or dialation
diastole - ANSWERventricular relaxation, ventricular filling from atria.
erythema - ANSWERredness of skin
murmur - ANSWERharsh, blowing sounds caused by disruption of blood flow
myocardial ischemia - ANSWERoxygen needs heightened so heart has to work
harder
systole - ANSWERventricular contraction, blood leaves the ventricles to go to the
lungs or body.
what is the pacemaker of the heart - ANSWERsinoatrial node (SA node)
how many times is the sinoatrial node set to discharge per minute - ANSWER60-
100
if the heart rate is initiated in the atrioventricular node, how fast would the heart
beat per minute - ANSWER60
if the heart rate is initiated in the bundle branches, how fast would the heart beat
per minute - ANSWER30
,what is the term used to describe a sudden droop in blood pressure that may
occur when an older client changes position from lying or sitting to standing -
ANSWERorthostatic hypotension
what two cultural groups are at the highest risk for hypertension - ANSWERafrican
americans, spanish (mexicans/cuban/filipino)
dullness when percussing over the heart is - ANSWERan abnormal finding that
could indicate an enlarged heart.
the third heart sound (S3) is heard - ANSWERimmediately after S2.
S3= kentucky
the fourth heart sound (S4) is heard - ANSWERimmediately before S1
S4= there are 4 e's in tenessee
what is happening when S1 is heard? - ANSWERtricuspid and mitral (AV) valves
are closing. begins systole
what is happening when S2 is heard? - ANSWERaortic and pulmonic (semilunar)
valves are closing. end of systole and beginning of diastole.
when would the nurse hear S3 - ANSWERwhen AV (tricuspid & mitral) valves
open, blood flow into ventricles may vibrate during mid-diastole, termed
ventricular gallop.
when would the nurse hear S4 - ANSWERbefore S1, termed atrial gallop.
what is the significance of S3 - ANSWERmay indicate heart failure or fluid
,overload.
what is the significance of S4 - ANSWERmay indicate hypertension or ventricular
hypertrophy
at erb's point you can hear - ANSWERS1 and S2 equally
at the aortic and pulmonic valves you can hear - ANSWERS2
at the mitral valve you can hear - ANSWERS1
(PMI)
aortic stenosis - ANSWERmurmur at aortic area. narrowing of the aortic valve.
may be congenital or caused by atherosclerosis
mitral stenosis - ANSWERmurmur heard at the apical area with the client in the
left lateral position. possible causes is rheumatic fever or cardiac infection.
ventricular hypertrophy - ANSWERoccurs due to pumping against high pressures
myocardial ishcemia - ANSWERoxygen needs of the myocardium are not met as
the heart works harder. may be caused by plaque or blood clot. need to assess
client for type of pain and associated factors including nausea, epigastric pain, jaw
or left shoulder pain.
pulmonary stenosis - ANSWERnarrowing of the opening between the pulmonary
artery and the right ventricle. may have murmur at pulmonic area and a thrill in
the left second and third intercostal space.
congestive heart failure - ANSWERcaused by hearts inability to pump effectively
, infective endocarditis - ANSWERmay see splinter hemorrhage of nail beds. caused
by a bacterial infection to the lining of the heart chanbers.
tricuspid stenosis - ANSWERnarrowing of the tricuspid valve. murmur over the
tricuspid area
aortic regurgitation - ANSWERback flow of blood from the aorta into the left
ventricle. murmur with the client leaning forward. may result in shortness of
breath and fatigue.
left sided heart failure - ANSWERresults in pulmonary congestion, shortness of
breath, and orthopnea. crackles may be heard on auscultation.
cor pulmonale - ANSWERcomplication of untreated heart failure. results in JVD,
peripheral edema, fluid retention and weight gain. may have clubbing.
mitral regurgitation - ANSWERback flow of blood from left ventricle into left
atrium. murmur at apex transmitted to left axillae.
pulmonary edema - ANSWERfluid accumulation can cause severe shortness of
breath, pink frothy sputum, coarse crackles that do not clear with cough, sense of
doom.
myocardia infarction - ANSWERcomplete disruption of blood flow and oxygen to
the myocardial tissue. may lead to death of cardiac tissue. symptoms include chest
pressure, tightness, squeezing and shortness of breath. may radiate or have
referred pain to the left neck, jaw or shoulder.
pericardial friction rub - ANSWERoccurs due to inflammation of pericardial sac.
ask client to hold breath to assess as compared to pleural issues.
blood flow pathway - ANSWERvena cava, right atrium, tricuspid valve, right
