Questions & Answers (Grade A+)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?
B. Describe having a "body-wracking dry cough" of 6 weeks
duration. -
correct answer is B, as 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?
D. Hyperactive response consistent with an upper motor neuron
disorder. -
correct answer is D, brisk 4+ response is correlated with hyperactive
response.
,HESI V2 Health Assessment Exam
Questions & Answers (Grade A+)2026
The nurse examines a client's abdomen. Which finding indicates an
abnormal response when palpating the spleen?
D. Firm mass palpated at bottom of left rib cage. -
correct answer is D. McBurney's point is related to appendicitis and
not spleen.
In auscultating for the presence of a carotid artery bruit, the nurse
places the bell of the stethoscope at which location? - *under
mandible towards lymph nodes. transverse to trachea
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?
C. Press the stethoscope's diaphragm firmly on the skin over each
lung field. -
correct answer is C. The nurse should listen to all lungs fields during
assessment and move from side to side during auscultation.
, HESI V2 Health Assessment Exam
Questions & Answers (Grade A+)2026
A client with streptococcus pharyngitis reports high fever, difficulty
swallowing and a muffled voice. Which complication should the
nurse suspect?
.
C. Peritonsillar abscess. -
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 technique should the nurse use when asking about the
client's use of illegal drugs and alcohol?
C. Ask specifically about alcohol, marijuana, cocaine, her -
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?