Page 1 of 84
HESI EXAM REVIEW- HA EXAM QUESTIONS NEWEST 2026
EXAM LATEST VERSION SOLVED QUESTIONS &
ANSWERS VERIFIED 100 %
The nurse is documenting the findings of a physical examination in a client's
record. Which findings should the nurse determine to be objective data?
The client experiences migraine headaches.
The client has a rash on the chest and arms.
The client reports having difficulty urinating.
The client reports taking atenolol for blood pressure.
The client has a rash on the chest and arms.
The nurse is performing a neurological assessment on a client and elicits a
positive Romberg's sign. The nurse makes this determination based on which
observation?
An involuntary rhythmic, rapid, twitching of the eyeballs
A dorsiflexion of the ankle and great toe with fanning of the other toes
A significant sway when the client stands erect with feet together, arms at the
side, and the eyes closed
A lack of normal sense of position when the client is unable to return extended
fingers to a point of reference
A significant sway when the client stands erect with feet together, arms at the side,
and the eyes closed
The nurse has obtained a personal and family history from a client with a
neurological disorder. Which factors in the client's history are associated with
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added risk for neurological problems? Select all that apply.
Allergy to pollen
History of headaches
Previous back injury
History of hypertension
History of diabetes mellitus
History of headaches
Previous back injury
History of hypertension
History of diabetes mellitus
The nurse is providing care to a client admitted for coronary artery disease
(CAD) and a history of tobacco use. What is the most important element of the
nurse's focused assessment of the client's smoking history?
Number of pack-years
Desire to quit smoking
Brand of cigarettes used
Number of past attempts to quit smoking
Number of pack-years
The nurse is performing a physical assessment of a client's musculoskeletal
system and notes that the client is right-handed. The nurse would document
which assessment findings as normal? Select all that apply.
Presence of fasciculations
Muscle strength graded 5/5
Symmetrical movements bilaterally
Increased muscle size on the dominant arm
A 1-cm hypertrophy of the right upper arm
Muscle strength graded 5/5
Symmetrical movements bilaterally
Increased muscle size on the dominant arm
A 1-cm hypertrophy of the right upper arm
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The nurse is performing an abdominal assessment on a client. The nurse
determines that which finding should be reported to the health care provider
(HCP)?
Absence of a bruit
Concave, midline umbilicus
Pulsation between the umbilicus and the pubis
Bowel sound frequency of 15 sounds per minute
Pulsation between the umbilicus and the pubis
Rationale:
The presence of pulsation between the umbilicus and the pubis could indicate an
abdominal aortic aneurysm and should be reported to the HCP. Bruits normally are
not present. The umbilicus should be in the midline with a concave appearance.
Bowel sounds vary according to the timing of the last meal and usually range in
frequency from 5 to 35 per minute.
The nurse is testing the coordinated functioning of cranial nerves III, IV, and
VI. To do this correctly, what should the nurse test?
The corneal reflex
The 6 cardinal fields of gaze
The pupillary response to light
Pupillary response to light and accommodation
he 6 cardinal fields of gaze
Rationale:
Cranial nerves III (oculomotor), IV (trochlear), and VI (abducens) have only motor
components and control, in a coordinated manner, the 6 cardinal fields of gaze. This
is tested by moving an object in 6 directions (involving horizontally and diagonally).
Corneal reflex is the function of the trigeminal nerve (cranial nerve V). Pupillary
response to light and accommodation is the function of cranial nerve III (oculomotor)
alone.
The nurse is testing a client for graphesthesia and asks the client to close his
eyes. The nurse should next ask the client to take which action?
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Identify 3 objects placed in the hand, one at a time.
Identify 3 numbers or letters traced in the client's palm.
Identify the smallest distance between 2 skin pricks after pricking the skin with
2 pins at varying distances.
State whether 1 or 2 skin pricks are felt, after applying sharp stimuli bilaterally
to symmetrical areas of the client's skin.
Identify 3 numbers or letters traced in the client's palm.
The nurse is instructing a client in breast self-examination (BSE). The nurse
tells the client to lie down and examine the left breast. The nurse should
instruct the client that while examining the left breast she should place a
pillow under which area?
Left shoulder
Right scapula
Right shoulder
Small of the back
Left shoulder
The nurse is assessing a client with a history of cardiac problems. Where
should the nurse place the stethoscope to hear the first heart sound (S1) the
loudest?
Over the second intercostal space at the left sternal border
Over the fourth intercostal space at the right sternal border
Over the second intercostal space at the right sternal border
Over the fifth intercostal space in the left midclavicular line
Over the fifth intercostal space in the left midclavicular line
Rationale:
The first heart sound (S1) is heard loudest at the lower left sternal border or the apex
of the heart. The apex is located at the fifth intercostal space in the left midclavicular
line. Therefore, the locations in the remaining options are incorrect.
The nurse assesses a client for the presence of Homans' sign. Which could be
an indication that this sign is positive?
HESI EXAM REVIEW- HA EXAM QUESTIONS NEWEST 2026
EXAM LATEST VERSION SOLVED QUESTIONS &
ANSWERS VERIFIED 100 %
The nurse is documenting the findings of a physical examination in a client's
record. Which findings should the nurse determine to be objective data?
The client experiences migraine headaches.
The client has a rash on the chest and arms.
The client reports having difficulty urinating.
The client reports taking atenolol for blood pressure.
The client has a rash on the chest and arms.
The nurse is performing a neurological assessment on a client and elicits a
positive Romberg's sign. The nurse makes this determination based on which
observation?
An involuntary rhythmic, rapid, twitching of the eyeballs
A dorsiflexion of the ankle and great toe with fanning of the other toes
A significant sway when the client stands erect with feet together, arms at the
side, and the eyes closed
A lack of normal sense of position when the client is unable to return extended
fingers to a point of reference
A significant sway when the client stands erect with feet together, arms at the side,
and the eyes closed
The nurse has obtained a personal and family history from a client with a
neurological disorder. Which factors in the client's history are associated with
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added risk for neurological problems? Select all that apply.
Allergy to pollen
History of headaches
Previous back injury
History of hypertension
History of diabetes mellitus
History of headaches
Previous back injury
History of hypertension
History of diabetes mellitus
The nurse is providing care to a client admitted for coronary artery disease
(CAD) and a history of tobacco use. What is the most important element of the
nurse's focused assessment of the client's smoking history?
Number of pack-years
Desire to quit smoking
Brand of cigarettes used
Number of past attempts to quit smoking
Number of pack-years
The nurse is performing a physical assessment of a client's musculoskeletal
system and notes that the client is right-handed. The nurse would document
which assessment findings as normal? Select all that apply.
Presence of fasciculations
Muscle strength graded 5/5
Symmetrical movements bilaterally
Increased muscle size on the dominant arm
A 1-cm hypertrophy of the right upper arm
Muscle strength graded 5/5
Symmetrical movements bilaterally
Increased muscle size on the dominant arm
A 1-cm hypertrophy of the right upper arm
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The nurse is performing an abdominal assessment on a client. The nurse
determines that which finding should be reported to the health care provider
(HCP)?
Absence of a bruit
Concave, midline umbilicus
Pulsation between the umbilicus and the pubis
Bowel sound frequency of 15 sounds per minute
Pulsation between the umbilicus and the pubis
Rationale:
The presence of pulsation between the umbilicus and the pubis could indicate an
abdominal aortic aneurysm and should be reported to the HCP. Bruits normally are
not present. The umbilicus should be in the midline with a concave appearance.
Bowel sounds vary according to the timing of the last meal and usually range in
frequency from 5 to 35 per minute.
The nurse is testing the coordinated functioning of cranial nerves III, IV, and
VI. To do this correctly, what should the nurse test?
The corneal reflex
The 6 cardinal fields of gaze
The pupillary response to light
Pupillary response to light and accommodation
he 6 cardinal fields of gaze
Rationale:
Cranial nerves III (oculomotor), IV (trochlear), and VI (abducens) have only motor
components and control, in a coordinated manner, the 6 cardinal fields of gaze. This
is tested by moving an object in 6 directions (involving horizontally and diagonally).
Corneal reflex is the function of the trigeminal nerve (cranial nerve V). Pupillary
response to light and accommodation is the function of cranial nerve III (oculomotor)
alone.
The nurse is testing a client for graphesthesia and asks the client to close his
eyes. The nurse should next ask the client to take which action?
, Page 4 of 84
Identify 3 objects placed in the hand, one at a time.
Identify 3 numbers or letters traced in the client's palm.
Identify the smallest distance between 2 skin pricks after pricking the skin with
2 pins at varying distances.
State whether 1 or 2 skin pricks are felt, after applying sharp stimuli bilaterally
to symmetrical areas of the client's skin.
Identify 3 numbers or letters traced in the client's palm.
The nurse is instructing a client in breast self-examination (BSE). The nurse
tells the client to lie down and examine the left breast. The nurse should
instruct the client that while examining the left breast she should place a
pillow under which area?
Left shoulder
Right scapula
Right shoulder
Small of the back
Left shoulder
The nurse is assessing a client with a history of cardiac problems. Where
should the nurse place the stethoscope to hear the first heart sound (S1) the
loudest?
Over the second intercostal space at the left sternal border
Over the fourth intercostal space at the right sternal border
Over the second intercostal space at the right sternal border
Over the fifth intercostal space in the left midclavicular line
Over the fifth intercostal space in the left midclavicular line
Rationale:
The first heart sound (S1) is heard loudest at the lower left sternal border or the apex
of the heart. The apex is located at the fifth intercostal space in the left midclavicular
line. Therefore, the locations in the remaining options are incorrect.
The nurse assesses a client for the presence of Homans' sign. Which could be
an indication that this sign is positive?
