HESI HEALTH ASSESSMENT PACKAGE DEAL 11 LATEST
VERSIONS 2023 T REAL EXAMS QUESTIONS AND CORRECT
DETAILED ANSWERS
Open Ended Question - ANSWER: When obtaining a nursing history, use the open-
ended question technique to allow the patient a wide range of possible responses.
Open Ended Question - ANSWER: When obtaining a nursing history, use the open-
ended question technique to allow the patient a wide range of possible responses.
Interpreter - ANSWER: Person who can translate between languages.
For patients who do not speak English, use an interpreter whenever possible
Interpreter - ANSWER: Person who can translate between languages.
For patients who do not speak English, use an interpreter whenever possible
Interrupting Client - ANSWER: Do not interrupt clients, in health care settings, it is
better to listen than to talk and to ask good questions rather than have all of the
right answers.
Interrupting Client - ANSWER: Do not interrupt clients, in health care settings, it is
better to listen than to talk and to ask good questions rather than have all of the
right answers.
BMI Risk Assessment - ANSWER: An assessment of risk factors includes questions
about past medical and surgical histories, medication and supplement use, family
history, food and fluid intake patterns, and the patient's psychosocial profile
BMI Risk Assessment - ANSWER: An assessment of risk factors includes questions
about past medical and surgical histories, medication and supplement use, family
history, food and fluid intake patterns, and the patient's psychosocial profile
Low BMI - ANSWER: Below 18.5
Low BMI - ANSWER: Below 18.5
Normal BMI - ANSWER: 18.5-24.9
Normal BMI - ANSWER: 18.5-24.9
Nutritional Assessment - ANSWER: Risk factors to review in a nutritional
assessment include medical history, abnormal weight history, appetite or taste
changes, gastrointestinal symptoms, food allergies or intolerances, changes in
eating or fluid patterns, poor food habits, inability to cook, social isolation, multiple
,medications, inappropriate supplements or lack of supplements, and alcohol or
drug use.
Consider a board range of influences on patient's food choices
Nutritional Assessment - ANSWER: Risk factors to review in a nutritional
assessment include medical history, abnormal weight history, appetite or taste
changes, gastrointestinal symptoms, food allergies or intolerances, changes in
eating or fluid patterns, poor food habits, inability to cook, social isolation,
multiple medications, inappropriate supplements or lack of supplements, and
alcohol or drug use.
Consider a board range of influences on patient's food choices
Mental Orientation - ANSWER: Person, Place, Time, Situation
Mental Orientation - ANSWER: Person, Place, Time, Situation
CAGE - ANSWER: CAGE is a self report questionnaire used as an assessment tool for
drugs and alcohol. Yes to two or more of the questions indicate a potential
problem
Cutdown,Annoyed,Guilty,Eye Opener
CAGE - ANSWER: CAGE is a self report questionnaire used as an assessment tool for
drugs and alcohol. Yes to two or more of the questions indicate a potential
problem
Cutdown,Annoyed,Guilty,Eye Opener
Abstract Thinking - ANSWER: Assessment of thought processes:
Patient's thoughts are easy to follow, logical, coherent, relevant, goal directed,
consistent, and abstract
Abstract Thinking: Ability to understand concepts that are real
Abstract Thinking - ANSWER: Assessment of thought processes:
Patient's thoughts are easy to follow, logical, coherent, relevant, goal directed,
consistent, and abstract
Abstract Thinking: Ability to understand concepts that are real
Referred Pain Appendicitis - ANSWER: Referred pain originates from a specific site,
but the person experiencing it feels the pain at another site along the innervating
spinal nerve
It will "refer" pain often to the mid upper abdomen, the epigastrum. Because the
appendix is a piece of intestine, it follows a similar referral pattern.
Referred Pain Appendicitis - ANSWER: Referred pain originates from a specific site,
but the person experiencing it feels the pain at another site along the innervating
spinal nerve
It will "refer" pain often to the mid upper abdomen, the epigastrum. Because the
appendix is a piece of intestine, it follows a similar referral pattern.
,Nail Ridges in Geriatric Patients - ANSWER: Longitudinal ridging is common in aging
patients
Nail Ridges in Geriatric Patients - ANSWER: Longitudinal ridging is common in aging
patients
Skin Turger Assessment - ANSWER: Assess skin turgor. Gently grasp a fold of the
patient's skin between your fingers and pull up, then release. Below clavicle
Tenting indicates dehydration, poor skin turgor is also associated with aging
Skin Turger Assessment - ANSWER: Assess skin turgor. Gently grasp a fold of the
patient's skin between your fingers and pull up, then release. Below clavicle
Tenting indicates dehydration, poor skin turgor is also associated with aging
Clubbing Oxygen Saturation - ANSWER: Clubbing of the nails indicates chronic
hypoxia. Clubbing is identified when the angle of the nail to the finger is more than
160º
Emphysema or congestive heart failure
Clubbing Oxygen Saturation - ANSWER: Clubbing of the nails indicates chronic
hypoxia. Clubbing is identified when the angle of the nail to the finger is more than
160º
Emphysema or congestive heart failure
Pallor Dark Skin - ANSWER: Normal skin color is pink, noting the usual undertones
present with even dark skin. The tongue, lips, nail beds, and buccal mucosa are less
pigmented areas and may be the best indicators of pallor or cyanosis. Patients with
darker skin may normally have hypopigmented skin on the palms and soles
Pallor Dark Skin - ANSWER: Normal skin color is pink, noting the usual undertones
present with even dark skin. The tongue, lips, nail beds, and buccal mucosa are less
pigmented areas and may be the best indicators of pallor or cyanosis. Patients with
darker skin may normally have hypopigmented skin on the palms and soles
Lesion Assessment & Primary vs. Secondary Lesion - ANSWER: Primary Lesion: arise
from previously normal skin
Secondary Lesion: follow primary lesions (scare tissue)
If observed, note the shape and measure the length, width, and depth with a ruler.
If a wound is deep or tunneled, insert a cotton applicator to measure depth.
Lesion Assessment & Primary vs. Secondary Lesion - ANSWER: Primary Lesion: arise
from previously normal skin
Secondary Lesion: follow primary lesions (scare tissue)
If observed, note the shape and measure the length, width, and depth with a ruler.
If a wound is deep or tunneled, insert a cotton applicator to measure depth.
, Goiter Assessment - ANSWER: Palpation of Thyroid, Unilateral Bulging
Goiter Assessment - ANSWER: Palpation of Thyroid, Unilateral Bulging
Fall Assessment After a Fall - ANSWER: Falls or sudden jerking of the head and neck
(whiplash) are particularly likely to result in dislocation of the cervical vertebrae.
Fractures may also occur with headfirst falls. Any history of falls or sudden jerks of
the neck requires careful investigation.
Fall Assessment After a Fall - ANSWER: Falls or sudden jerking of the head and neck
(whiplash) are particularly likely to result in dislocation of the cervical vertebrae.
Fractures may also occur with headfirst falls. Any history of falls or sudden jerks of
the neck requires careful investigation.
Snellen Test - ANSWER: Tests for far vision & visual acuity.
Snellen test, measure and place a mark or piece of masking tape on the floor 6 m
(about 20 ft) from the chart
Snellen Test - ANSWER: Tests for far vision & visual acuity.
Snellen test, measure and place a mark or piece of masking tape on the floor 6 m
(about 20 ft) from the chart
Tinnitus - ANSWER: Tinnitus: buzzing or ringing in one or both ears that does not
correspond with external sound
Tinnitus - ANSWER: Tinnitus: buzzing or ringing in one or both ears that does not
correspond with external sound
Conductive Hearing Loss - ANSWER: BC that is longer than or the same as AC is
evidence of conductive hearing loss. Conductive hearing loss on one side may
indicate external or middle ear disease. Patients with conductive hearing loss should
have an assessment of the auricle and external auditory canal to look for blockage
Conductive Hearing Loss - ANSWER: BC that is longer than or the same as AC is
evidence of conductive hearing loss. Conductive hearing loss on one side may
indicate external or middle ear disease. Patients with conductive hearing loss should
have an assessment of the auricle and external auditory canal to look for blockage
Assessment of Mouth/Tongue - ANSWER: Holding a light in the nondominant hand
and a tongue blade in the dominant one, gently separate areas to fully inspect the
buccal mucosa, noting color and pigmentation
Small, isolated, white or yellow papules (Fordyce granules) may be noted on the
cheeks, tongue, and lips. These sebaceous cysts or salivary tissues are insignificant
Assessment of Mouth/Tongue - ANSWER: Holding a light in the nondominant hand
and a tongue blade in the dominant one, gently separate areas to fully inspect the
buccal mucosa, noting color and pigmentation
VERSIONS 2023 T REAL EXAMS QUESTIONS AND CORRECT
DETAILED ANSWERS
Open Ended Question - ANSWER: When obtaining a nursing history, use the open-
ended question technique to allow the patient a wide range of possible responses.
Open Ended Question - ANSWER: When obtaining a nursing history, use the open-
ended question technique to allow the patient a wide range of possible responses.
Interpreter - ANSWER: Person who can translate between languages.
For patients who do not speak English, use an interpreter whenever possible
Interpreter - ANSWER: Person who can translate between languages.
For patients who do not speak English, use an interpreter whenever possible
Interrupting Client - ANSWER: Do not interrupt clients, in health care settings, it is
better to listen than to talk and to ask good questions rather than have all of the
right answers.
Interrupting Client - ANSWER: Do not interrupt clients, in health care settings, it is
better to listen than to talk and to ask good questions rather than have all of the
right answers.
BMI Risk Assessment - ANSWER: An assessment of risk factors includes questions
about past medical and surgical histories, medication and supplement use, family
history, food and fluid intake patterns, and the patient's psychosocial profile
BMI Risk Assessment - ANSWER: An assessment of risk factors includes questions
about past medical and surgical histories, medication and supplement use, family
history, food and fluid intake patterns, and the patient's psychosocial profile
Low BMI - ANSWER: Below 18.5
Low BMI - ANSWER: Below 18.5
Normal BMI - ANSWER: 18.5-24.9
Normal BMI - ANSWER: 18.5-24.9
Nutritional Assessment - ANSWER: Risk factors to review in a nutritional
assessment include medical history, abnormal weight history, appetite or taste
changes, gastrointestinal symptoms, food allergies or intolerances, changes in
eating or fluid patterns, poor food habits, inability to cook, social isolation, multiple
,medications, inappropriate supplements or lack of supplements, and alcohol or
drug use.
Consider a board range of influences on patient's food choices
Nutritional Assessment - ANSWER: Risk factors to review in a nutritional
assessment include medical history, abnormal weight history, appetite or taste
changes, gastrointestinal symptoms, food allergies or intolerances, changes in
eating or fluid patterns, poor food habits, inability to cook, social isolation,
multiple medications, inappropriate supplements or lack of supplements, and
alcohol or drug use.
Consider a board range of influences on patient's food choices
Mental Orientation - ANSWER: Person, Place, Time, Situation
Mental Orientation - ANSWER: Person, Place, Time, Situation
CAGE - ANSWER: CAGE is a self report questionnaire used as an assessment tool for
drugs and alcohol. Yes to two or more of the questions indicate a potential
problem
Cutdown,Annoyed,Guilty,Eye Opener
CAGE - ANSWER: CAGE is a self report questionnaire used as an assessment tool for
drugs and alcohol. Yes to two or more of the questions indicate a potential
problem
Cutdown,Annoyed,Guilty,Eye Opener
Abstract Thinking - ANSWER: Assessment of thought processes:
Patient's thoughts are easy to follow, logical, coherent, relevant, goal directed,
consistent, and abstract
Abstract Thinking: Ability to understand concepts that are real
Abstract Thinking - ANSWER: Assessment of thought processes:
Patient's thoughts are easy to follow, logical, coherent, relevant, goal directed,
consistent, and abstract
Abstract Thinking: Ability to understand concepts that are real
Referred Pain Appendicitis - ANSWER: Referred pain originates from a specific site,
but the person experiencing it feels the pain at another site along the innervating
spinal nerve
It will "refer" pain often to the mid upper abdomen, the epigastrum. Because the
appendix is a piece of intestine, it follows a similar referral pattern.
Referred Pain Appendicitis - ANSWER: Referred pain originates from a specific site,
but the person experiencing it feels the pain at another site along the innervating
spinal nerve
It will "refer" pain often to the mid upper abdomen, the epigastrum. Because the
appendix is a piece of intestine, it follows a similar referral pattern.
,Nail Ridges in Geriatric Patients - ANSWER: Longitudinal ridging is common in aging
patients
Nail Ridges in Geriatric Patients - ANSWER: Longitudinal ridging is common in aging
patients
Skin Turger Assessment - ANSWER: Assess skin turgor. Gently grasp a fold of the
patient's skin between your fingers and pull up, then release. Below clavicle
Tenting indicates dehydration, poor skin turgor is also associated with aging
Skin Turger Assessment - ANSWER: Assess skin turgor. Gently grasp a fold of the
patient's skin between your fingers and pull up, then release. Below clavicle
Tenting indicates dehydration, poor skin turgor is also associated with aging
Clubbing Oxygen Saturation - ANSWER: Clubbing of the nails indicates chronic
hypoxia. Clubbing is identified when the angle of the nail to the finger is more than
160º
Emphysema or congestive heart failure
Clubbing Oxygen Saturation - ANSWER: Clubbing of the nails indicates chronic
hypoxia. Clubbing is identified when the angle of the nail to the finger is more than
160º
Emphysema or congestive heart failure
Pallor Dark Skin - ANSWER: Normal skin color is pink, noting the usual undertones
present with even dark skin. The tongue, lips, nail beds, and buccal mucosa are less
pigmented areas and may be the best indicators of pallor or cyanosis. Patients with
darker skin may normally have hypopigmented skin on the palms and soles
Pallor Dark Skin - ANSWER: Normal skin color is pink, noting the usual undertones
present with even dark skin. The tongue, lips, nail beds, and buccal mucosa are less
pigmented areas and may be the best indicators of pallor or cyanosis. Patients with
darker skin may normally have hypopigmented skin on the palms and soles
Lesion Assessment & Primary vs. Secondary Lesion - ANSWER: Primary Lesion: arise
from previously normal skin
Secondary Lesion: follow primary lesions (scare tissue)
If observed, note the shape and measure the length, width, and depth with a ruler.
If a wound is deep or tunneled, insert a cotton applicator to measure depth.
Lesion Assessment & Primary vs. Secondary Lesion - ANSWER: Primary Lesion: arise
from previously normal skin
Secondary Lesion: follow primary lesions (scare tissue)
If observed, note the shape and measure the length, width, and depth with a ruler.
If a wound is deep or tunneled, insert a cotton applicator to measure depth.
, Goiter Assessment - ANSWER: Palpation of Thyroid, Unilateral Bulging
Goiter Assessment - ANSWER: Palpation of Thyroid, Unilateral Bulging
Fall Assessment After a Fall - ANSWER: Falls or sudden jerking of the head and neck
(whiplash) are particularly likely to result in dislocation of the cervical vertebrae.
Fractures may also occur with headfirst falls. Any history of falls or sudden jerks of
the neck requires careful investigation.
Fall Assessment After a Fall - ANSWER: Falls or sudden jerking of the head and neck
(whiplash) are particularly likely to result in dislocation of the cervical vertebrae.
Fractures may also occur with headfirst falls. Any history of falls or sudden jerks of
the neck requires careful investigation.
Snellen Test - ANSWER: Tests for far vision & visual acuity.
Snellen test, measure and place a mark or piece of masking tape on the floor 6 m
(about 20 ft) from the chart
Snellen Test - ANSWER: Tests for far vision & visual acuity.
Snellen test, measure and place a mark or piece of masking tape on the floor 6 m
(about 20 ft) from the chart
Tinnitus - ANSWER: Tinnitus: buzzing or ringing in one or both ears that does not
correspond with external sound
Tinnitus - ANSWER: Tinnitus: buzzing or ringing in one or both ears that does not
correspond with external sound
Conductive Hearing Loss - ANSWER: BC that is longer than or the same as AC is
evidence of conductive hearing loss. Conductive hearing loss on one side may
indicate external or middle ear disease. Patients with conductive hearing loss should
have an assessment of the auricle and external auditory canal to look for blockage
Conductive Hearing Loss - ANSWER: BC that is longer than or the same as AC is
evidence of conductive hearing loss. Conductive hearing loss on one side may
indicate external or middle ear disease. Patients with conductive hearing loss should
have an assessment of the auricle and external auditory canal to look for blockage
Assessment of Mouth/Tongue - ANSWER: Holding a light in the nondominant hand
and a tongue blade in the dominant one, gently separate areas to fully inspect the
buccal mucosa, noting color and pigmentation
Small, isolated, white or yellow papules (Fordyce granules) may be noted on the
cheeks, tongue, and lips. These sebaceous cysts or salivary tissues are insignificant
Assessment of Mouth/Tongue - ANSWER: Holding a light in the nondominant hand
and a tongue blade in the dominant one, gently separate areas to fully inspect the
buccal mucosa, noting color and pigmentation
