HESI Health Assessment Exam
Questions With Complete Solutions
/. A client is reporting chest pain. What statement made by the client, helps the nurse to
understand this client has a naturalistic belief in the cause of illness? - Answer-"My life
is really out of balance."
/.2. A nurse is working in a healthcare facility that serves a diverse population. What
action(s) by the nurse will allow the nurse to empathize with and understand this
population? (Select all that apply.) - Answer-Be open to people who are different
Have a curiosity about people.
Become culturally competent.
/.Which statement is accurate about assessing the spleen? - Answer-It must be
enlarged at least three times normal size for it to be palpable.
/.What is the best place for the nurse to hear lower lobe lung sounds with a
stethoscope? - Answer-Posterior chest below the 3rd intercostalspace.
/.The nurse is assessing a client who has a history of mitral stenosis. How should the
nurse assess this client with a stethoscope to listen for this condition? - Answer-Place
the bell on the 5th intercostal space, left midclavicular line.
/.The nurse is assessing a client who has a history of aortic regurgitation. Where should
the nurse place the stethoscope diaphragm to listen for this condition? - Answer-2nd
intercostal space along the right sternal border.
/.The client is experiencing severe pruritus and small papules and burrows on areas
over one hand and the inner thighs. Which assessment data best explains the condition
the client is experiencing? - Answer-The client works in a daycare setting that has had a
scabies outbreak.
/.A client comes to the clinic with a report of fever and a recent exposure to someone
who was diagnosed with meningitis. Which nursing assessment should be completed
during the initial examination of this client? - Answer-Level of consciousness.
/.A client reports feeling increasingly fatigued for several months, and the nurse
observes that the client's lips are pale. Which additional data should the nurse collect
based on this presentation? - Answer-Use of vitamin and iron supplements.
/.The nurse is assessing a client who has experienced a sudden onset of hearing loss in
the right ear. Which finding should alert the nurse to a potentially serious medical
, condition that requires further evaluation? - Answer-There is no sign of associated
infection.
/.The client reports to the nurse a recent exposure to the mumps. Which assessment
finding suggests the client has contracted the mumps? - Answer-Swelling anterior to the
ear lobe on one side of the face.
/.A client states that she had a mastectomy of her left breast last year and now
experiences lymphedema. What should the nurse expect to find when examining the
client? - Answer-Swelling of the left arm and non-pitting edema.
/.What is the best nursing response to an older client who has not mentioned
incontinence during a genitourinary assessment? - Answer-Ask the client specifically
about any leakage of urine.
/.A client is in the clinic for a routine health examination. The nurse notices the client
appears underweight. Which question is most important for the nurse to ask when
completing the health history of this client? - Answer-Have you experienced sudden
weight loss?
/.A client is in the clinic and is reporting lower abdominal pain and constipation. Which
information is of greatest concern to the nurse when obtaining the health history from
this client? - Answer-Family history of colon cancer on mother's side. Correct
/.Which information should the nurse obtain to identify the client's self-perception of
health status? - Answer-Health history.
/.During the initial assessment, the nurse notes that a client has blurred vision with
cloudy lenses. Which condition should the nurse document? - Answer-Cataracts
/.While palpating a client's breasts, the nurse detects a nontender, solitary, round
lobular mass that is solid and firm and slides easily through the breast tissue . The
findings of this breast exam are consistent with which condition? - Answer-
Fibroadenoma.
/.Which part of the body should the nurse examine when assessing for peripheral
edema in a client with heart failure? - Answer-Ankles.
/.Which condition is indicated by a fluorescent, yellow-green color when the nurse uses
a Wood's lamp toexamine a client's skin lesions? - Answer-Fungal infection
/.The nurse is performing a routine physical examination on an adult client. When
gathering a health history, which question is included in the CAGE questionnaire? -
Answer-Have you ever felt guilty about your drinking?
Questions With Complete Solutions
/. A client is reporting chest pain. What statement made by the client, helps the nurse to
understand this client has a naturalistic belief in the cause of illness? - Answer-"My life
is really out of balance."
/.2. A nurse is working in a healthcare facility that serves a diverse population. What
action(s) by the nurse will allow the nurse to empathize with and understand this
population? (Select all that apply.) - Answer-Be open to people who are different
Have a curiosity about people.
Become culturally competent.
/.Which statement is accurate about assessing the spleen? - Answer-It must be
enlarged at least three times normal size for it to be palpable.
/.What is the best place for the nurse to hear lower lobe lung sounds with a
stethoscope? - Answer-Posterior chest below the 3rd intercostalspace.
/.The nurse is assessing a client who has a history of mitral stenosis. How should the
nurse assess this client with a stethoscope to listen for this condition? - Answer-Place
the bell on the 5th intercostal space, left midclavicular line.
/.The nurse is assessing a client who has a history of aortic regurgitation. Where should
the nurse place the stethoscope diaphragm to listen for this condition? - Answer-2nd
intercostal space along the right sternal border.
/.The client is experiencing severe pruritus and small papules and burrows on areas
over one hand and the inner thighs. Which assessment data best explains the condition
the client is experiencing? - Answer-The client works in a daycare setting that has had a
scabies outbreak.
/.A client comes to the clinic with a report of fever and a recent exposure to someone
who was diagnosed with meningitis. Which nursing assessment should be completed
during the initial examination of this client? - Answer-Level of consciousness.
/.A client reports feeling increasingly fatigued for several months, and the nurse
observes that the client's lips are pale. Which additional data should the nurse collect
based on this presentation? - Answer-Use of vitamin and iron supplements.
/.The nurse is assessing a client who has experienced a sudden onset of hearing loss in
the right ear. Which finding should alert the nurse to a potentially serious medical
, condition that requires further evaluation? - Answer-There is no sign of associated
infection.
/.The client reports to the nurse a recent exposure to the mumps. Which assessment
finding suggests the client has contracted the mumps? - Answer-Swelling anterior to the
ear lobe on one side of the face.
/.A client states that she had a mastectomy of her left breast last year and now
experiences lymphedema. What should the nurse expect to find when examining the
client? - Answer-Swelling of the left arm and non-pitting edema.
/.What is the best nursing response to an older client who has not mentioned
incontinence during a genitourinary assessment? - Answer-Ask the client specifically
about any leakage of urine.
/.A client is in the clinic for a routine health examination. The nurse notices the client
appears underweight. Which question is most important for the nurse to ask when
completing the health history of this client? - Answer-Have you experienced sudden
weight loss?
/.A client is in the clinic and is reporting lower abdominal pain and constipation. Which
information is of greatest concern to the nurse when obtaining the health history from
this client? - Answer-Family history of colon cancer on mother's side. Correct
/.Which information should the nurse obtain to identify the client's self-perception of
health status? - Answer-Health history.
/.During the initial assessment, the nurse notes that a client has blurred vision with
cloudy lenses. Which condition should the nurse document? - Answer-Cataracts
/.While palpating a client's breasts, the nurse detects a nontender, solitary, round
lobular mass that is solid and firm and slides easily through the breast tissue . The
findings of this breast exam are consistent with which condition? - Answer-
Fibroadenoma.
/.Which part of the body should the nurse examine when assessing for peripheral
edema in a client with heart failure? - Answer-Ankles.
/.Which condition is indicated by a fluorescent, yellow-green color when the nurse uses
a Wood's lamp toexamine a client's skin lesions? - Answer-Fungal infection
/.The nurse is performing a routine physical examination on an adult client. When
gathering a health history, which question is included in the CAGE questionnaire? -
Answer-Have you ever felt guilty about your drinking?
