HESI HEALTH ASSESSMENT LATEST 2023 TEST
BANK REAL EXAM 100 QUESTIONS AND
DETAILED ANSWERS |AGRADE
A 29 year old male client informs the nurse that he came to the
clinic to see if, "Maybe I have lung cancer or something," and
wants to get checked out since, "I can't seem to get rid of this
body-wracking dry cough that has been hanging around for the
last six weeks." Which computer documentation of this client's
concerns should the nurse enter? - ANSWER--Describe having
a "body-wracking dry cough" of 6 weeks duration.
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? -
ANSWER--Hyperactive response consistent with an upper
motor neuron disorder.
The nurse examines a client's abdomen. Which finding indicates
an abnormal response when palpating the spleen? - ANSWER--
Firm mass palpated at bottom of the left rib cage
In auscultating for the presence of a carotid artery bruit, the
nurse places the bell of the stethoscope at which location? -
ANSWER--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
,HESI HEALTH ASSESSMENT LATEST 2023 TEST
BANK REAL EXAM 100 QUESTIONS AND
DETAILED ANSWERS |AGRADE
without hospitalization. Which technique should the nurse
implement to assess for adventitious lung sounds? - ANSWER--
Press the stethoscope's diaphragm firmly on the skin over
each lung field.
A client with streptococcus pharyngitis reports high fever,
difficulty swallowing and a muffled voice. Which complication
should the nurse suspect? - ANSWER--Peritonsillar abscess.
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? - ANSWER--
Ask specifically about alcohol, marijuana, cocaine, heroin,
and amounts
The nurse applies pressure over an area of the lower abdomen
where the client reports pain. The client denies pain upon
palpation, but reports pain when the pressure is released. What
action should the nurse implement? - ANSWER--Notify the
healthcare provider of the rebound tenderness.
The nurse is assessing an ulcer on a client's lower extremity,
which is likely the result of either venous or arterial
insufficiency. Which assessment technique should the nurse use
to differentiate the pathophysiology causing the ulcer? -
ANSWER--Observe the specific location and appearance of
the ulceration.
, HESI HEALTH ASSESSMENT LATEST 2023 TEST
BANK REAL EXAM 100 QUESTIONS AND
DETAILED ANSWERS |AGRADE
The nurse is conducting a physical assessment of a young adult.
Which information provides the best indication of the
individual's nutritional status? - ANSWER--Condition of hair,
nails, and skin
In observing a clients face, which assessment finding requires
the most immediate intervention by the nurse? - ANSWER--
Oral mucosa is cyanotic Blue lips
While obtaining a health history, a male client tells the nurse
that he sometimes experiences shortness of breath. The nurse
determines that the client's respirators are regular and deep, and
his respiratory rate is 14 breaths/minutes. What is the best
nursing action? - ANSWER--Ask the client to describe the
episodes of dyspnea in more detail.
When assessing a male client's respiratory status, which
technique should the nurse use to assess his anterior- posterior
(AP) chest diameter? - ANSWER--Observation
The nurse is performing a cranial nerve exam on an 87-year-old
client. The nurse notes that the client has a reduced upward
gaze, a decreased corneal reflex, a high frequency hearing loss,
and a reduced gag reflex. What action should the nurse take
next? - ANSWER--Continue the assessment to the next pairs
of cranial nerves.
The nurse is assessing a female client who states that her
hemorrhoids are inflamed and hurt constantly. Which
BANK REAL EXAM 100 QUESTIONS AND
DETAILED ANSWERS |AGRADE
A 29 year old male client informs the nurse that he came to the
clinic to see if, "Maybe I have lung cancer or something," and
wants to get checked out since, "I can't seem to get rid of this
body-wracking dry cough that has been hanging around for the
last six weeks." Which computer documentation of this client's
concerns should the nurse enter? - ANSWER--Describe having
a "body-wracking dry cough" of 6 weeks duration.
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? -
ANSWER--Hyperactive response consistent with an upper
motor neuron disorder.
The nurse examines a client's abdomen. Which finding indicates
an abnormal response when palpating the spleen? - ANSWER--
Firm mass palpated at bottom of the left rib cage
In auscultating for the presence of a carotid artery bruit, the
nurse places the bell of the stethoscope at which location? -
ANSWER--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
,HESI HEALTH ASSESSMENT LATEST 2023 TEST
BANK REAL EXAM 100 QUESTIONS AND
DETAILED ANSWERS |AGRADE
without hospitalization. Which technique should the nurse
implement to assess for adventitious lung sounds? - ANSWER--
Press the stethoscope's diaphragm firmly on the skin over
each lung field.
A client with streptococcus pharyngitis reports high fever,
difficulty swallowing and a muffled voice. Which complication
should the nurse suspect? - ANSWER--Peritonsillar abscess.
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? - ANSWER--
Ask specifically about alcohol, marijuana, cocaine, heroin,
and amounts
The nurse applies pressure over an area of the lower abdomen
where the client reports pain. The client denies pain upon
palpation, but reports pain when the pressure is released. What
action should the nurse implement? - ANSWER--Notify the
healthcare provider of the rebound tenderness.
The nurse is assessing an ulcer on a client's lower extremity,
which is likely the result of either venous or arterial
insufficiency. Which assessment technique should the nurse use
to differentiate the pathophysiology causing the ulcer? -
ANSWER--Observe the specific location and appearance of
the ulceration.
, HESI HEALTH ASSESSMENT LATEST 2023 TEST
BANK REAL EXAM 100 QUESTIONS AND
DETAILED ANSWERS |AGRADE
The nurse is conducting a physical assessment of a young adult.
Which information provides the best indication of the
individual's nutritional status? - ANSWER--Condition of hair,
nails, and skin
In observing a clients face, which assessment finding requires
the most immediate intervention by the nurse? - ANSWER--
Oral mucosa is cyanotic Blue lips
While obtaining a health history, a male client tells the nurse
that he sometimes experiences shortness of breath. The nurse
determines that the client's respirators are regular and deep, and
his respiratory rate is 14 breaths/minutes. What is the best
nursing action? - ANSWER--Ask the client to describe the
episodes of dyspnea in more detail.
When assessing a male client's respiratory status, which
technique should the nurse use to assess his anterior- posterior
(AP) chest diameter? - ANSWER--Observation
The nurse is performing a cranial nerve exam on an 87-year-old
client. The nurse notes that the client has a reduced upward
gaze, a decreased corneal reflex, a high frequency hearing loss,
and a reduced gag reflex. What action should the nurse take
next? - ANSWER--Continue the assessment to the next pairs
of cranial nerves.
The nurse is assessing a female client who states that her
hemorrhoids are inflamed and hurt constantly. Which
