HESI V2 Health Assessment Exam
Questions & Answers (Grade A+)
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 last 6 weeks.
D. Young adult male presents with fears that he has "lung cancer" -
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?
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. -
correct answer is D, brisk 4+ response is correlated with hyperactive
response.
,HESI V2 Health Assessment Exam
Questions & Answers (Grade A+)
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. -
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?
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.
, HESI V2 Health Assessment Exam
Questions & Answers (Grade A+)
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. -
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 -
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?
Questions & Answers (Grade A+)
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 last 6 weeks.
D. Young adult male presents with fears that he has "lung cancer" -
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?
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. -
correct answer is D, brisk 4+ response is correlated with hyperactive
response.
,HESI V2 Health Assessment Exam
Questions & Answers (Grade A+)
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. -
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?
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.
, HESI V2 Health Assessment Exam
Questions & Answers (Grade A+)
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. -
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 -
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?
