HESI Health Assessment Exam/51 Questions And
Answers
"My life is really out of balance." - Correct Answer -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?
Be open to people who are different
Have a curiosity about people.
Become culturally competent. - Correct Answer -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.)
It must be enlarged at least three times normal size for it to be palpable. -
Correct Answer -Which statement is accurate about assessing the spleen?
Posterior chest below the 3rd intercostalspace. - Correct Answer -What is the
best place for the nurse to hear lower lobe lung sounds with a stethoscope?
Place the bell on the 5th intercostal space, left midclavicular line. - Correct
Answer -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?
2nd intercostal space along the right sternal border. - Correct Answer -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?
The client works in a daycare setting that has had a scabies outbreak. -
Correct Answer -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?
Level of consciousness. - Correct Answer -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?
Use of vitamin and iron supplements. - Correct Answer -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?
, There is no sign of associated infection. - Correct Answer -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?
Swelling anterior to the ear lobe on one side of the face. - Correct Answer
-The client reports to the nurse a recent exposure to the mumps. Which
assessment finding suggests the client has contracted the mumps?
Swelling of the left arm and non-pitting edema. - Correct Answer -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?
Ask the client specifically about any leakage of urine. - Correct Answer -What
is the best nursing response to an older client who has not mentioned
incontinence during a genitourinary assessment?
Have you experienced sudden weight loss? - Correct Answer -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?
Family history of colon cancer on mother's side. Correct - Correct Answer -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?
Health history. - Correct Answer -Which information should the nurse obtain
to identify the client's self-perception of health status?
Cataracts - Correct Answer -During the initial assessment, the nurse notes
that a client has blurred vision with cloudy lenses. Which condition should
the nurse document?
Fibroadenoma. - Correct Answer -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?
Ankles. - Correct Answer -Which part of the body should the nurse examine
when assessing for peripheral edema in a client with heart failure?
Fungal infection - Correct Answer -Which condition is indicated by a
fluorescent, yellow-green color when the nurse uses a Wood's lamp
toexamine a client's skin lesions?
Answers
"My life is really out of balance." - Correct Answer -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?
Be open to people who are different
Have a curiosity about people.
Become culturally competent. - Correct Answer -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.)
It must be enlarged at least three times normal size for it to be palpable. -
Correct Answer -Which statement is accurate about assessing the spleen?
Posterior chest below the 3rd intercostalspace. - Correct Answer -What is the
best place for the nurse to hear lower lobe lung sounds with a stethoscope?
Place the bell on the 5th intercostal space, left midclavicular line. - Correct
Answer -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?
2nd intercostal space along the right sternal border. - Correct Answer -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?
The client works in a daycare setting that has had a scabies outbreak. -
Correct Answer -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?
Level of consciousness. - Correct Answer -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?
Use of vitamin and iron supplements. - Correct Answer -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?
, There is no sign of associated infection. - Correct Answer -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?
Swelling anterior to the ear lobe on one side of the face. - Correct Answer
-The client reports to the nurse a recent exposure to the mumps. Which
assessment finding suggests the client has contracted the mumps?
Swelling of the left arm and non-pitting edema. - Correct Answer -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?
Ask the client specifically about any leakage of urine. - Correct Answer -What
is the best nursing response to an older client who has not mentioned
incontinence during a genitourinary assessment?
Have you experienced sudden weight loss? - Correct Answer -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?
Family history of colon cancer on mother's side. Correct - Correct Answer -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?
Health history. - Correct Answer -Which information should the nurse obtain
to identify the client's self-perception of health status?
Cataracts - Correct Answer -During the initial assessment, the nurse notes
that a client has blurred vision with cloudy lenses. Which condition should
the nurse document?
Fibroadenoma. - Correct Answer -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?
Ankles. - Correct Answer -Which part of the body should the nurse examine
when assessing for peripheral edema in a client with heart failure?
Fungal infection - Correct Answer -Which condition is indicated by a
fluorescent, yellow-green color when the nurse uses a Wood's lamp
toexamine a client's skin lesions?
