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Health Assessment- 246 HESI Prep exam Questions
with 100% Original Verified Solutions, A+ Grade,
Latest update | Download. 2025/2026.
A 29 year old male client informs the nurse that he came to the clinic to
see if, "Maybe I have lung cancer or something," and wants to get
checked out since, "I can't seem to get rid of this body-wracking dry
cough that has been hanging around for the last six weeks." Which
computer documentation of this client's concerns should the nurse enter?
A. Presents with a hacking non-productive cough of 6 weeks duration.
B. Describe having a "body-wracking dry cough" of 6 weeks duration.
C. Expresses concern of "lung cancer" symptoms for the last 6 weeks.
D. Young adult male presents with fears that he has "lung cancer" -
ANSWER--ANSWER- Correct answer is B, an assessment process
includes chief complaint which is how the patient describe why he is
here in the hospital or clinic and can't include diagnosis.
A 75-year-old client with a recent history of a cerebrovascular accident
(CVA) presents with right hemiparesis. The nurse tests the deep tendon
reflexes on the right side and elicits a brisk 4+ response. Which
interpretation of this finding is accurate?
A. A normal reflex response.
B. Absent or sluggish response consistent with a lower motor neuron
lesion.
C. Flaccid paralysis.
D. Hyperactive response consistent with an upper motor neuron
disorder. - ANSWER-- ANSWER- Correct answer is D, brisk 4+
response is correlated with hyperactive response
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The nurse examines a client's abdomen. Which finding indicates an
abnormal response when palpating the spleen?
A. Pain notes when palpating McBurney's point.
B. Tip of spleen palpable when client is asked to forcefully exhale.
C. Rebound tenderness with compression over right upper quadrant.
D. Firm mass palpated at bottom of left rib cage. - ANSWER--
ANSWER- Correct answer is D. McBurney's point is related to
appendicitis and not spleen
A male client arrives at the clinic for follow-up health assessment after
recent antibiotic treatment for pneumonia without hospitalization. Which
technique should the nurse implement to assess for adventitious lung
sounds?
A. Use the bell of the stethoscope to listen to the lung fields over lower
lobes.
B. Have the client lay flat while listening to the anterior surface of the
chest.
C. Press the stethoscope's diaphragm firmly on the skin over each lung
field.
D. Shave all chest hair that may distort sounds heard through the
diaphragm. - ANSWER-- ANSWER- Correct answer is C. The nurse
should listen to all lungs fields during assessment and move from side to
side during auscultation
A client with streptococcus pharyngitis reports high fever, difficulty
swallowing and a muffled voice. Which complication should the nurse
suspect?
A. Foreign body obstruction.
B. Laryngeal polyps.
C. Peritonsillar abscess.
D. Nasal polyps. - ANSWER-. - ANSWER- Correct answer is C. Since
infections are associated with abscesses and pus
The nurse is obtaining a health history for a client prior to a scheduled
cholecystectomy. While interviewing the client, which assessment
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technique should the nurse use when asking about the client's use of
illegal drugs and alcohol?
A. Obtain a drug using screen to verify legitimacy of client's stated
history.
B. Allow the client to decline answering social questions.
C. Ask specifically about alcohol, marijuana, cocaine, heroin, and
amounts.
D. Use the term illegal or illicit to describe street drugs - ANSWER--
ANSWER- Correct answer is C. When interviewing the patient,
questions should be clear and specific
The nurse applies pressure over an area of the lower abdomen where the
client reports pain. The client denies pain upon palpation, but reports
pain when the pressure is released. What action should the nurse
implement?
A. Offer to administer a laxative prescribed for PRN use.
B. Obtain a prescription to catheterize the client's bladder.
C. Instruct the client in distraction and relation techniques.
D. Notify the healthcare provider of the rebound tenderness - ANSWER-
- ANSWER- Correct answer is D. As this could be a sign of appendicitis
The nurse is assessing an ulcer on a client's lower extremity, which is
likely the result of either venous or arterial insufficiency. Which
assessment technique should the nurse use to differentiate the
pathophysiology causing the ulcer?
A. Measure the degree of join range of motion in the extremity.
B. Compare the skin turgor of the client's upper and lower leg.
C. Observe the specific location and appearance of the ulceration.
D. Note any change in the color of the ulcer when the leg is moved -
ANSWER-- ANSWER-Correct answer is C. Location and appearance of
the ulcer would give us the type (venous vs arterial) Venous: develop on
the inner lower leg, shallow wounds that are large and irregular edges
that slope, red with granular tissue, discoloration with yellow slough
present, shiny skin warm or scaly Arterial: occur most often on the foot,
on the heels and around lateral malleolus, round shaped, well-defined
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edges, yellow, brown or black in color, skin pale and non granulating,
deep but may also appear shallow in early stages, skin is thin, smooth,
taut, and dry. Loss of hair on the leg is also common
The nurse is conducting a physical assessment of a young adult. Which
information provides the best indication of the individual's nutritional
status?
A. Status of current appetite.
B. A 24-hour diet history.
C. History of a recent weight loss.
D. Condition of hair, nails, and skin - ANSWER-- ANSWER- Correct
answer is D. Hair, nail, and skin are the most important reflection of
nutritional status
The nurse is assessing a healthy adult male during an annual physical
examination. The nurse auscultates the client's abdomen and hears
gurgling sound every ten seconds. What action should the nurse take in
response to this finding?
A. Document this normal bowel sound activity in the record.
B. Encourage increased consumption of fiber in the diet.
C. Observe the next bowel movement for signs of bleeding.
D. Report the hyperactivity to the healthcare provider. - ANSWER--
ANSWER- Correct answer is A. Normal Bowel sound consist of clicks
and gurgles and 5-30 per minute. An occasional borborygmus (loud
prolonged gurgle) may be heard
In observing a client's face, which assessment finding requires the most
immediate intervention by the nurse?
A. Eyelids are matted and crusted.
B. Cornea are jaundiced.
C. Oral mucosa is cyanotic.
D. Face is flushed and diaphoretic. - ANSWER-- ANSWER- Answer is
C. Blue lips occur when the skin on the lips takes on a bluish tint or
color. This generally is due to either a lack of oxygen in the blood or to
extremely cold temperatures.
Health Assessment- 246 HESI Prep exam Questions
with 100% Original Verified Solutions, A+ Grade,
Latest update | Download. 2025/2026.
A 29 year old male client informs the nurse that he came to the clinic to
see if, "Maybe I have lung cancer or something," and wants to get
checked out since, "I can't seem to get rid of this body-wracking dry
cough that has been hanging around for the last six weeks." Which
computer documentation of this client's concerns should the nurse enter?
A. Presents with a hacking non-productive cough of 6 weeks duration.
B. Describe having a "body-wracking dry cough" of 6 weeks duration.
C. Expresses concern of "lung cancer" symptoms for the last 6 weeks.
D. Young adult male presents with fears that he has "lung cancer" -
ANSWER--ANSWER- Correct answer is B, an assessment process
includes chief complaint which is how the patient describe why he is
here in the hospital or clinic and can't include diagnosis.
A 75-year-old client with a recent history of a cerebrovascular accident
(CVA) presents with right hemiparesis. The nurse tests the deep tendon
reflexes on the right side and elicits a brisk 4+ response. Which
interpretation of this finding is accurate?
A. A normal reflex response.
B. Absent or sluggish response consistent with a lower motor neuron
lesion.
C. Flaccid paralysis.
D. Hyperactive response consistent with an upper motor neuron
disorder. - ANSWER-- ANSWER- Correct answer is D, brisk 4+
response is correlated with hyperactive response
,2|Page
The nurse examines a client's abdomen. Which finding indicates an
abnormal response when palpating the spleen?
A. Pain notes when palpating McBurney's point.
B. Tip of spleen palpable when client is asked to forcefully exhale.
C. Rebound tenderness with compression over right upper quadrant.
D. Firm mass palpated at bottom of left rib cage. - ANSWER--
ANSWER- Correct answer is D. McBurney's point is related to
appendicitis and not spleen
A male client arrives at the clinic for follow-up health assessment after
recent antibiotic treatment for pneumonia without hospitalization. Which
technique should the nurse implement to assess for adventitious lung
sounds?
A. Use the bell of the stethoscope to listen to the lung fields over lower
lobes.
B. Have the client lay flat while listening to the anterior surface of the
chest.
C. Press the stethoscope's diaphragm firmly on the skin over each lung
field.
D. Shave all chest hair that may distort sounds heard through the
diaphragm. - ANSWER-- ANSWER- Correct answer is C. The nurse
should listen to all lungs fields during assessment and move from side to
side during auscultation
A client with streptococcus pharyngitis reports high fever, difficulty
swallowing and a muffled voice. Which complication should the nurse
suspect?
A. Foreign body obstruction.
B. Laryngeal polyps.
C. Peritonsillar abscess.
D. Nasal polyps. - ANSWER-. - ANSWER- Correct answer is C. Since
infections are associated with abscesses and pus
The nurse is obtaining a health history for a client prior to a scheduled
cholecystectomy. While interviewing the client, which assessment
,3|Page
technique should the nurse use when asking about the client's use of
illegal drugs and alcohol?
A. Obtain a drug using screen to verify legitimacy of client's stated
history.
B. Allow the client to decline answering social questions.
C. Ask specifically about alcohol, marijuana, cocaine, heroin, and
amounts.
D. Use the term illegal or illicit to describe street drugs - ANSWER--
ANSWER- Correct answer is C. When interviewing the patient,
questions should be clear and specific
The nurse applies pressure over an area of the lower abdomen where the
client reports pain. The client denies pain upon palpation, but reports
pain when the pressure is released. What action should the nurse
implement?
A. Offer to administer a laxative prescribed for PRN use.
B. Obtain a prescription to catheterize the client's bladder.
C. Instruct the client in distraction and relation techniques.
D. Notify the healthcare provider of the rebound tenderness - ANSWER-
- ANSWER- Correct answer is D. As this could be a sign of appendicitis
The nurse is assessing an ulcer on a client's lower extremity, which is
likely the result of either venous or arterial insufficiency. Which
assessment technique should the nurse use to differentiate the
pathophysiology causing the ulcer?
A. Measure the degree of join range of motion in the extremity.
B. Compare the skin turgor of the client's upper and lower leg.
C. Observe the specific location and appearance of the ulceration.
D. Note any change in the color of the ulcer when the leg is moved -
ANSWER-- ANSWER-Correct answer is C. Location and appearance of
the ulcer would give us the type (venous vs arterial) Venous: develop on
the inner lower leg, shallow wounds that are large and irregular edges
that slope, red with granular tissue, discoloration with yellow slough
present, shiny skin warm or scaly Arterial: occur most often on the foot,
on the heels and around lateral malleolus, round shaped, well-defined
, 4|Page
edges, yellow, brown or black in color, skin pale and non granulating,
deep but may also appear shallow in early stages, skin is thin, smooth,
taut, and dry. Loss of hair on the leg is also common
The nurse is conducting a physical assessment of a young adult. Which
information provides the best indication of the individual's nutritional
status?
A. Status of current appetite.
B. A 24-hour diet history.
C. History of a recent weight loss.
D. Condition of hair, nails, and skin - ANSWER-- ANSWER- Correct
answer is D. Hair, nail, and skin are the most important reflection of
nutritional status
The nurse is assessing a healthy adult male during an annual physical
examination. The nurse auscultates the client's abdomen and hears
gurgling sound every ten seconds. What action should the nurse take in
response to this finding?
A. Document this normal bowel sound activity in the record.
B. Encourage increased consumption of fiber in the diet.
C. Observe the next bowel movement for signs of bleeding.
D. Report the hyperactivity to the healthcare provider. - ANSWER--
ANSWER- Correct answer is A. Normal Bowel sound consist of clicks
and gurgles and 5-30 per minute. An occasional borborygmus (loud
prolonged gurgle) may be heard
In observing a client's face, which assessment finding requires the most
immediate intervention by the nurse?
A. Eyelids are matted and crusted.
B. Cornea are jaundiced.
C. Oral mucosa is cyanotic.
D. Face is flushed and diaphoretic. - ANSWER-- ANSWER- Answer is
C. Blue lips occur when the skin on the lips takes on a bluish tint or
color. This generally is due to either a lack of oxygen in the blood or to
extremely cold temperatures.
