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HESI PHYSICAL ASSESSMENT PRACTICE SETS QUESTIONS WITH CORRECT ANSWERS
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HESI PHYSICAL ASSESSMENT PRACTICE SETS QUESTIONS WITH CORRECT ANSWERS
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HESI PHYSICAL ASSESSMENTPRACTICE SETS QUESTIONS WITH
CORRECT ANSWERS
•1. ffThe ffnurse ffplans ffto ffauscultate ffthe ffcarotid ffarteries fffor ffbruits. ffWhich ffof ffthe
fffollowing ffis ffthe ffcorrect fftechnique?
•A. ffPlaces fftwo fffingers ffon ffthe ffleft ffcarotid ffpulse, ffbase ffof ffthe ffneck
•B. ffPlaces ffthe ffdiaphragm ffof ffthe ffstethoscope ffon ffthe fflocation, ffmid-cervical ffarea
•C. ffPlaces ffthe ffbell ffof ffthe ffstethoscope ffslightly ffbelow ffthe ffangle ffof ffthe ffjaw
•D. ffPlaces fftwo fffinger ffon ffthe ffright ffcarotid ffarea, ffmid-scapular ffarea ff- ffAnswer ffC.
ffPlaces ffthe ffbell ffof ffthe ffstethoscope ffslightly ffbelow ffthe ffangle ffof ffthe ffjaw
•2. ffThe ffnurse ffexpects ffto ffauscultate fffor ffmurmurs ffand ffbruits. ffThe ffnurse ffuses:
•A. ffThe ffbell ffof ffthe ffstethoscope ffbecause ffthe ffsounds ffare ffloud ffand ffgrating
•B. ffThe ffbell ffof ffthe ffstethoscope ffbecause ffthe ffsounds ffare fflower ffpitch ffand ffsofter
•C. ffThe ffdiaphragm ffof ffthe ffstethoscope ffbecause ffthe ffsounds ffare ffhigh-pitched
•D. ffThe ffdiaphragm ffof ffthe ffstethoscope ffbecause ffthe ffsounds ffare fflow ffpitched ffand
ffwhistling ff- ffAnswer ffB. ffThe ffbell ffof ffthe ffstethoscope ffbecause ffthe ffsounds ffare
fflower ffpitch ffand ffsofter
•3. ffA ffclient ffis ffhaving ffa ffhealth ffhistory fftaken ffby ffa ffclinic ffnurse. ffThe ffclient ffbegins
ffto ffcry ffduring ffthe ffinterview. ffWhat ffapproach ffshould ffthe ffnurse fftake ffnext?
•A. ffOffer fftissues ffto ffthe ffclient ffand ffcontinue ffthe ffinterview
•B. ffTell ffthe ffclient ffnot ffto ffcry ffbecause ffthe ffinterview ffwill ffnot fftake fflong
•C. ffOffer fftissues fffor ffthe ffclient ffand ffwait fffor ffhim ffto ffcompose ffhimself
•D. ffTell ffthe ffclient ffthat ffeveryone ffcries ffwhen ffsensitive ffquestions ffare ffasked ff-
ffAnswer ffC. ffOffer fftissues fffor ffthe ffclient ffand ffwait fffor ffhim ffto ffcompose ffhimself
•4. ffThe ffnurse ffis ffcalculating ffthe ffheight, ffweight, ffand ffbody ffmass ffindex ff(BMI) ffof ffa
ffclinic ffpatient. ffWhich ffone ffof ffthe fffollowing ffpatients ffwould ffbe ffmost ffat ffrisk fffor
ffinjury?
•A. ff53-year-old ffwith ffa ffBMI ffof ff34.2
•B. ff16-year-old ffwith ffa ffBMI ffof ff27.8
•C. ff71-year-old ffwith ffa ffBMI ffof ff23.7
•D. ff83-year-old ffwith ffa ffBMI ffof ff17.6 ff- ffAnswer ffD. ff83-year-old ffwith ffa ffBMI ffof ff17.6
•5. ffA ff56-year-old ffwoman ffadmitted ffto ffthe ffhospital ffafter ffa ffmotor ffvehicle ffaccident
ffis ffadmitted ffto ffthe ffstep-down ffunit. ffOn ffthe ffday fffollowing ffher ffadmission, ffthe
ffnurse ffassesses ffher fforientation. ffThe ffpatient ffknows ffher ffname ffand ffknows ffthe
,ffmonth. ffShe ffis ffoff ffby ffthe ffdate ffby ff1 ffday. ffShe ffdoes ffnot ffknow ffwhere ffshe ffis ffor
ffanything ffabout ffthe ffevent ffleading ffto ffher ffhospitalization. ffThe ffnurse ffwill ffdocument
ffher fforientation ffas:
•A. ffAlert ffand fforiented ffx ff1
•B. ffAlert ffand fforiented ffx ff2
•C. ffAlert ffand fforiented ffx ff3
•D. ffAlert ffand fforiented ffx ff4 ff- ffAnswer ffB. ffAlert ffand fforiented ffx ff2
•6. ffThe ffnurse ffpractitioner ff(NP) ffis ffassessing ffa ffpatient ffafter ffa ffsevere ffblow ffto ffthe
ffhead. ffThe ffNP ffasks ffthe ffpatient ffto ffinterpret ffthis ffexpression: ff"People ffin ffglass
ffhouses ffshould ffnot ffthrow ffstones." ffWhat ffcomponent ffof ffthe ffmental ffstatus ffexam
ffis ffthe ffnurse ffassessing?
•A. ffEmotion
•B. ffJudgment
•C. ffMood
•D. ffBehavior ff- ffAnswer ffB. ffJudgment
•7. ffA ffpatient ffwho ffspeaks ffonly ffMandarin ffChinese ffis ffadmitted ffto ffthe ffhospital.
ffThe ffnurse ffarranges fftranslation ffservices fffor ffthe ffpatient. ffWhich ffof ffthe fffollowing ffis
ffthe ffbest ffchoice fffor ffthis ffpatient?
•A. ffThe ffpatient's fffamily
•B. ffPrinted ffphrases ffin ffMandarin ffwith ffthe ffEnglish ffequivalent
•C. ffA fftranslator fffrom ffthe ffhospital ffstaff ffwho ffis ffspeaks fffluent ffMandarin ffand ffgood
ffEnglish
•D. ffA ffnurse ffwho ffstudied ffMandarin fffor ff3 ffyears ffin ffcollege ff- ffAnswer ffC. ffA
fftranslator fffrom ffthe ffhospital ffstaff ffwho ffis ffspeaks fffluent ffMandarin ffand ffgood
ffEnglish
•8. ffThe ffnurse ffis ffreviewing fflaboratory fffindings fffor ffa ffpatient ffat ffrisk fffor
ffmalnourishment. ffWhich ffof ffthe fffollowing ffare ffpertinent fffindings? ffSATA
•A. ffAlbumin
•B. ffIron
•C. ffVitamin ffC fflevels
•D. ffWhite ffblood ffcell ffcount
•E. ffUrinalysis ff- ffAnswer ffA. ffAlbumin
B. ffIron
•9. ffThe ffnurse ffis ffreviewing ffthe ffphysician's ffdocumentation ffof ffa ffpatient ffwho ffhas
ffdeveloped ffhirsutism. ffThe ffnurse ffknows ffthat ffhirsutism: ffSelect ffall ffthat ffapply.
•A. ffIs ffa ffrisk fffactor ffor ffmalnutrition
•B. ffMay ffdevelop ffas ffa ffresult ffof fftaking ffmedications
•C. ffIs ffseen ffas ffincreased fffacial ffhair ffand ffhair ffon ffthe ffchest ffin ffa fffemale ffpatient
•D. ffMay ffbe ffcaused ffby ffan ffendocrine ffproblem
•E. ffIs ffoften ffseen ffin ffheart fffailure ff- ffAnswer ffB. ffMay ffdevelop ffas ffa ffresult ffof fftaking
ffmedications
C. ffIs ffseen ffas ffincreased fffacial ffhair ffand ffhair ffon ffthe ffchest ffin ffa fffemale ffpatient
, D. ffMay ffbe ffcaused ffby ffan ffendocrine ffproblem
•10. ffThe ffclinic ffnurse ffis ffscreening ffan ffolder, ffretired ffman ffwho ffis ffbeing ffevaluated
ffdue ffto ffconcerns ffabout ffhis ffhealth. ffThe ffnurse ffasks ffthe ffpatient ffabout ffhis
ffretirement ffplans ffand ffwhat ffhe fflikes ffto ffdo. ffThe ffpatient ffresponds ffthat ffhe ffdrives
ffto ffhis ffformer ffcompany ffto ffwork ffas ffusual. ffWhat ffaspect ffof ffthe ffmental ffstatus
ffexam ffis ffthe ffnurse ffassessing?
•A. ffBehavior
•B. ffAppearance
•C. ffLife ffgoals
•D. ffJudgment ff- ffAnswer ffD. ffJudgment
•11. ffThe ffnurse ffis ffadmitting ffa ffpatient ffwith ffseveral ffbluish-purplish ffpatches ffon ffthe
ffforearms, ffabdomen, ffand ffthighs. ffThe fflesions ffare ff4-6 ffmm ffin ffdiameter, ffdiscrete,
ffand ffvary ffbetween ffoval, ffround, ffand ffslightly ffirregular ffshapes. ffThe ffnurse
ffdescribes ffthese fflesions ffas:
•A. ffPetechiae
•B. ffPurpura
•C. ffNon-blanchable fferythema
•D. ffEcchymoses ff- ffAnswer ffB. ffPurpura
•12. ffThe ffpatient ffcomes ffto ffthe ffclinic ffcomplaining ffthat ffhe ffbelieves ffan ffinsect ffbit
ffhim ffon ffthe fflower ffleft ffleg. ffWhat fffactors ffdoes ffthe ffnurse ffinclude ffin ffthe
ffassessment? ffSelect ffall ffthat ffapply
•A. ffSize ffin ffmm ffor ffcm
•B. ffDistribution ffon ffthe ffbody
•C. ffElevation
•D. ffShape ffor ffconfiguration
•E. ffNail ffbeds ffof ffthe fffingers ff- ffAnswer ffA. ffSize ffin ffmm ffor ffcm
C. ffElevation
D. ffShape ffor ffconfiguration
•13. ffThe ffnurse ffis ffassessing ffthe ffnails ffof ffa ffpatient ffwith ffchronic ffobstructive
ffpulmonary ffdisease ff(COPD). ffWhich ffof ffthe fffollowing ffare ffclinical ffmanifestations ffof
ffclubbing ffin ffthis ffpatient? ffSATA
•A. ffPitting ffand ffcrumbling ffof ffthe ffnails
•B. ffShiny ffpink ffcolor ffunder ffthe ffnail ffbed
•C. ffSpongy ffnail ffbase
•D. ff160 ffdegree ffangle ffof ffthe ffnail ffbase
•E. ff180 ffdegree ffangle ffof ffthe ffnail ffbase ff- ffAnswer ffB. ffShiny ffpink ffcolor ffunder ffthe
ffnail ffbed
C. ffSpongy ffnail ffbase
E. ff180 ffdegree ffangle ffof ffthe ffnail ffbase
•4. ffA ffteenager ffis ffreluctantly ffbrought ffto ffthe ffclinic ffby ffher ffmother. ffThe ff13-year-old
fffemale ffhas fferythematous, ffenlarged fftonsils ff(2+), ffa fftemperature ffof ff101+ ffF fffor
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