HESI Health Assessment Review
• Nurse teaches a client about breast self-examination what should she include in her
instructions?
o Inspection is part of the procedure
o Preform BSE the same way each time
o Best to perform BSE 5 to 7 days following menstrual cycle
• Checking status of ulnar nerve. Which technique should the nurse use to assess the status
of the nerve?
o Have the client spread all of the fingers wide and resist pressure
• Client diagnosed with hypothyroidism 3 months ago is at the clinic for a checkup.
o Follow-up database
▪ Follow-up database is performed to evaluate the status of an identified
problem.
• Initial home visit to a client who was recently discharged from hospital.
o Comprehensive health database
▪ This includes a complete health history and a full physical exam
• Client reports taking a natural supplement, called valerian. Which condition is this used to
treat?
o Valerian is used to treat anxiety, restlessness, and insomnia. (nervous disorders)
• Client diagnosed with organic erectile dysfunction. What are the causes of this disorder?
o Hypertension
o Vascular disease
o Alcohol consumption
• Client reports taking a natural supplement, called butcher’s broom. Which condition is this
used to treat?
o Arthritis
• Which area should the nurse palpate to assess for the presence of the posterior tibial pulse?
o In the groove behind the medial malleolus and the Achilles tendon
• Intraocular pressure of 20 mm hg. How should the nurse interpret these findings?
, o Intraocular pressure between 12 to 22 is a normal finding.
• Nurse is auscultating a client’s breath sound and hears a creaking, grating sound. How
should the nurse document this?
o Pleural friction rub; characterized by creaking, groaning, or grating sound
• Where would the student nurse not look for signs of cyanosis?
o Sclera of the eye (would look in the conjunctivae)
• Upon inspection of the GI system what are normal and expected assessment findings?
o Moist and pink lips
o Protrusion of tongue in midline
o Stool soft and brown and hematest negative
• Percussion is a physical assessment that is used to identify which finding?
o Fluid in body cavity
o Border of body organs
o Consistency of body organs
o Location, size, and density
• After suctioning the tracheostomy of a client how should the nurse determine the
effectiveness of the procedure?
• Nurse teaches a client about breast self-examination what should she include in her
instructions?
o Inspection is part of the procedure
o Preform BSE the same way each time
o Best to perform BSE 5 to 7 days following menstrual cycle
• Checking status of ulnar nerve. Which technique should the nurse use to assess the status
of the nerve?
o Have the client spread all of the fingers wide and resist pressure
• Client diagnosed with hypothyroidism 3 months ago is at the clinic for a checkup.
o Follow-up database
▪ Follow-up database is performed to evaluate the status of an identified
problem.
• Initial home visit to a client who was recently discharged from hospital.
o Comprehensive health database
▪ This includes a complete health history and a full physical exam
• Client reports taking a natural supplement, called valerian. Which condition is this used to
treat?
o Valerian is used to treat anxiety, restlessness, and insomnia. (nervous disorders)
• Client diagnosed with organic erectile dysfunction. What are the causes of this disorder?
o Hypertension
o Vascular disease
o Alcohol consumption
• Client reports taking a natural supplement, called butcher’s broom. Which condition is this
used to treat?
o Arthritis
• Which area should the nurse palpate to assess for the presence of the posterior tibial pulse?
o In the groove behind the medial malleolus and the Achilles tendon
• Intraocular pressure of 20 mm hg. How should the nurse interpret these findings?
, o Intraocular pressure between 12 to 22 is a normal finding.
• Nurse is auscultating a client’s breath sound and hears a creaking, grating sound. How
should the nurse document this?
o Pleural friction rub; characterized by creaking, groaning, or grating sound
• Where would the student nurse not look for signs of cyanosis?
o Sclera of the eye (would look in the conjunctivae)
• Upon inspection of the GI system what are normal and expected assessment findings?
o Moist and pink lips
o Protrusion of tongue in midline
o Stool soft and brown and hematest negative
• Percussion is a physical assessment that is used to identify which finding?
o Fluid in body cavity
o Border of body organs
o Consistency of body organs
o Location, size, and density
• After suctioning the tracheostomy of a client how should the nurse determine the
effectiveness of the procedure?
