HESI Health Assessment Exam
"My life is really out of balance."
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.
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.
Which statement is accurate about assessing the spleen?
Posterior chest below the 3rd intercostalspace.
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.
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.
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.
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.
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.
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.
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.
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.
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.
, 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?
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
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.
Which information should the nurse obtain to identify the client's self-perception of
health status?
Cataracts
During the initial assessment, the nurse notes that a client has blurred vision with cloudy
lenses. Which condition should the nurse document?
Fibroadenoma.
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.
Which part of the body should the nurse examine when assessing for peripheral edema
in a client with heart failure?
Fungal infection
Which condition is indicated by a fluorescent, yellow-green color when the nurse uses a
Wood's lamp toexamine a client's skin lesions?
Have you ever felt guilty about your drinking?
The nurse is performing a routine physical examination on an adult client. When
gathering a health history, which question is included in the CAGE questionnaire?
Lying
A client has just returned from the recovery room and asks to get out of bed to go to the
bathroom. The nurse decides to obtain orthostatic vital signs first. How will the nurse
position the client to begin this procedure?
The left leg remains on the table.
The nurse is assessing a client for a hip flexion contracture. Which finding indicates a
negative Thomas test when the client's right knee is brought toward the chest?
The skin immediately returns to normal position.
An adult client is in the clinic for a regular physical examination. The nurse is assessing
the client's hydration status by pinching then releasing the client's skin. Which finding is
indicative of good hydration status?
barrel chest
The nurse is performing a thoracic assessment on a client with chronic asthma and
hyperinflation of the lungs. Which finding should be expected for this client?
Occlude one nostril and have the client identify various odors.
The nurse performs a series of cranial nerve tests on a client with a head injury. Which
test should the nurse use to assess damage to the first cranial nerve?
"My life is really out of balance."
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.
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.
Which statement is accurate about assessing the spleen?
Posterior chest below the 3rd intercostalspace.
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.
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.
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.
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.
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.
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.
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.
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.
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.
, 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?
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
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.
Which information should the nurse obtain to identify the client's self-perception of
health status?
Cataracts
During the initial assessment, the nurse notes that a client has blurred vision with cloudy
lenses. Which condition should the nurse document?
Fibroadenoma.
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.
Which part of the body should the nurse examine when assessing for peripheral edema
in a client with heart failure?
Fungal infection
Which condition is indicated by a fluorescent, yellow-green color when the nurse uses a
Wood's lamp toexamine a client's skin lesions?
Have you ever felt guilty about your drinking?
The nurse is performing a routine physical examination on an adult client. When
gathering a health history, which question is included in the CAGE questionnaire?
Lying
A client has just returned from the recovery room and asks to get out of bed to go to the
bathroom. The nurse decides to obtain orthostatic vital signs first. How will the nurse
position the client to begin this procedure?
The left leg remains on the table.
The nurse is assessing a client for a hip flexion contracture. Which finding indicates a
negative Thomas test when the client's right knee is brought toward the chest?
The skin immediately returns to normal position.
An adult client is in the clinic for a regular physical examination. The nurse is assessing
the client's hydration status by pinching then releasing the client's skin. Which finding is
indicative of good hydration status?
barrel chest
The nurse is performing a thoracic assessment on a client with chronic asthma and
hyperinflation of the lungs. Which finding should be expected for this client?
Occlude one nostril and have the client identify various odors.
The nurse performs a series of cranial nerve tests on a client with a head injury. Which
test should the nurse use to assess damage to the first cranial nerve?
