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HESI HEALTH ASSESSMENT EXAM 2023 TEST BANK
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1) The nurse hears bilateral louder, longer, and lower tones when percussing over the lungs of a 4-year old child. What should the nurse do next? a) Palpate over the area for increased pain and tenderness. b) Ask the child to take shallow breaths and percuss over the area again. c) Refer the chi...

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  • June 28, 2023
  • 32
  • 2022/2023
  • Exam (elaborations)
  • Questions & answers

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  • longer
  • and l
  • hesi health assessment exam 2023 test bank
  • 1 the nurse hears bilateral louder

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lOMoAR cPSD| 21414768




HESI HEALTH ASSESSMENT EXAM 2023
TEST BANK
1) The nurse hears bilateral louder, longer, and lower tones when percussing over

the lungs of a 4-year old child. What should the nurse do next?

a) Palpate over the area for increased pain and tenderness.

b) Ask the child to take shallow breaths and percuss over the area again.

c) Refer the child immediately because of an increased amount of air in the lungs.

d) Consider this a normal finding for a child this age and proceed with the

examination.



2) A patient has suddenly developed shortness of breath and appears to be in

significant respiratory distress. After putting a call in to the physician and placing

the patient on oxygen, which of these is the best action for the nurse to take when

assessing the patient further?

a) Count the patient9s respirations.

b) Percuss the thorax bilaterally, noting any differences in percussion tones.

c) Call for a chest x-ray and wait for the results before beginning an assessment.

d) Inspect the thorax for any new masses and bleeding associated with respirations.



3) The nurse is teaching a class on basic assessment skills. Which of these

statements is true regarding the stethoscope and its use?

a) The slope of the earpieces should point posteriorly (toward the occiput).

, lOMoAR cPSD| 21414768




b) The stethoscope does not magnify sound but does block out extraneous room

noise.

c) The fit and quality of the stethoscope are not as important as its ability to magnify

sound.

d) The ideal tubing length should be 22 inches to dampen distortion of sound.



4) The nurse is preparing to use a stethoscope for auscultation. Which statement is

true regarding the diaphragm of the stethoscope?

a) The diaphragm is used to listen for high-pitched sounds.

b) The diaphragm is used to listen for low-pitched sounds.

c) The diaphragm should be held lightly against the person9s skin to block out

low-pitched sounds.

d) The diaphragm should be held lightly against the person9s skin to listen for extra

heart sounds and murmurs.



5) Before auscultating the abdomen for the presence of bowel sounds on a

patient, the nurse should:

a) Warm the end piece of the stethoscope by placing it in warm water

b) Leave the gown on so that the patient does not get chilled during the examination

c) Make sure that the bell side of the stethoscope is turned to the <on= position

d) Check the temperature of the room and offer blankets to the patient if he

or she feels cold

, lOMoAR cPSD| 21414768




6) The nurse will use which technique of assessment to determine the presence

of crepitus, swelling, and pulsations?

a) Palpation b) Inspection

c) Percussion d) Auscultation

, lOMoAR cPSD| 21414768




7) The nurse is preparing to use an otoscope for an examination. Which

statement is true regarding the otoscope?

a) The otoscope is often used to direct light onto the sinuses.

b) The otoscope uses a short, broad speculum to help visualize the ear.

c) The otoscope is used to examine the structures of the internal ear.

d) The otoscope directs light into the ear canal and onto the tympanic membrane.



8) An examiner is using an ophthalmoscope to examine a patient9s eyes. The

patient has astigmatism and is nearsighted. The use of which of these techniques

would indicate that the examination is being performed correctly?

a) Using the large full circle of light when assessing pupils that are not dilated

b) Rotating the lens selector dial to the black numbers to compensate for astigmatism

c) Using the grid on the lens aperture dial to visualize the external structures of the eye

d) Rotating the lens selector dial to bring the object into focus



9) The nurse is unable to palpate the right radial pulse on a patient. The best action

would be to:

a) Auscultate over the area with a fetoscope

b) Use a goniometer to measure the pulsations

c) Use a Doppler device to check for pulsations over the area

d) Check for the presence of pulsations with a stethoscope



10) The nurse is preparing to perform a physical assessment. The correct action by

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