HESI HEALTH ASSESSMENT NURSING RN E x a m ( L a t e s t 2 0 2 4 /
2025 Update) 100% Correct Questions and Verified
Answers| Grade A
1. During a mental status examination, the nurse wants to assess a client’s affect. The nurse should ask
the client which question?
“How do you feel today?”
2. The nurse is planning to assess new memory with a client. The best way for the nurse to do this
would be to:
Give him the Four Unrelated Words Test.
3. A 45-year-old woman is at the clinic for a mental status assessment. In giving her the Four Unrelated
Words Test, the nurse would be concerned if she could not four unrelated words .
Recall; after a 30-minute delay
4. During a mental status assessment, which question by the nurse would best assess a person’s
judgment?
“Tell me what you plan to do once you are discharged from the hospital.”
5. Which of these individuals would the nurse consider at highest risk for a suicide attempt?
Older adult man who tells the nurse that he is going to “join his wife in heaven” tomorrow and
plans to use a gun
6. When reviewing the use of alcohol by older adults, the nurse notes that older adults have several
characteristics that can increase the risk of alcohol use. Which would increase the bioavailability of
alcohol in the blood for longer periods in the older adult?
Decreased liver and kidney functioning
7. During an assessment, the nurse asks a female client, “How many alcoholic drinks do you have a
week?” Which answer by the client would indicate at-risk drinking?
“I have seven or eight drinks a week, but I never get drunk.”
8. The nurse is asking an adolescent about illicit substance abuse. The adolescent answers, “Yes, I’ve
used marijuana at parties with my friends.” What is the next question the nurse should ask?
“When was the last time you used marijuana?”
9. The nurse has completed an assessment on a client who came to the clinic for a leg injury. As a resultof
the assessment, the nurse has determined that the client has at-risk alcohol use. Which action by the
nurse is most appropriate at this time?
State, “You are drinking more than is medically safe. I strongly recommend that you quit
drinking, and I’m willing to help you.”
, 10. A client is brought to the emergency department. He is restless, has dilated pupils, is sweating, has a
runny nose and tearing eyes, and complains of muscle and joint pains. His girlfriend thinks he has
influenza, but she became concerned when his temperature went up to 39.4° C. She admits that he has
been a heavy drug user, but he has been trying to stop on his own. The nurse suspects that the client is
experiencing withdrawal symptoms from which substance?
Heroin
11. Client taking ipratropium reports nausea, blurred vision, has, insomnia after using the inhaler. RN
action to implement
- withhold med and report symptoms
12. A client has suddenly developed shortness of breath and appears to be in significant respiratory
distress. After calling the physician and placing the client on oxygen, which of these actions is the best
for the nurse to take when further assessing the client?
Bilaterally percuss the thorax, noting any differences in percussion tones.
13. The nurse is teaching a class on basic assessment skills. Which of these statements is true regarding
the stethoscope and its use?
Although the stethoscope does not magnify sound, it does block out extraneous room noise.
14. The nurse is preparing to use a stethoscope for auscultation. Which statement is true regarding the
diaphragm of the stethoscope? The diaphragm:
Is used to listen for high-pitched sounds.
15. Before auscultating the abdomen for the presence of bowel sounds on a client, the nurse should:
Check the temperature of the room, and offer blankets to the client if he or she feels cold.
16. While measuring a client’s blood pressure, the nurse recalls that certain factors, such as
, help determine blood pressure.
Peripheral vascular resistance
17. A nurse is helping at a health fair at a local mall. When taking blood pressures on a variety of people,
the nurse keeps in mind that:
The blood pressure of a Black adult is usually higher than that of a White adult of the same age.
8. The nurse notices a colleague is preparing to check the blood pressure of a client who is obese by
using a standard-sized blood pressure cuff. The nurse should expect the reading to:
Yield a falsely high blood pressure.
19. A student is late for his appointment and has rushed across campus to the health clinic. The nurse
should:
Allow 5 minutes for him to relax and rest before checking his vital signs.
2025 Update) 100% Correct Questions and Verified
Answers| Grade A
1. During a mental status examination, the nurse wants to assess a client’s affect. The nurse should ask
the client which question?
“How do you feel today?”
2. The nurse is planning to assess new memory with a client. The best way for the nurse to do this
would be to:
Give him the Four Unrelated Words Test.
3. A 45-year-old woman is at the clinic for a mental status assessment. In giving her the Four Unrelated
Words Test, the nurse would be concerned if she could not four unrelated words .
Recall; after a 30-minute delay
4. During a mental status assessment, which question by the nurse would best assess a person’s
judgment?
“Tell me what you plan to do once you are discharged from the hospital.”
5. Which of these individuals would the nurse consider at highest risk for a suicide attempt?
Older adult man who tells the nurse that he is going to “join his wife in heaven” tomorrow and
plans to use a gun
6. When reviewing the use of alcohol by older adults, the nurse notes that older adults have several
characteristics that can increase the risk of alcohol use. Which would increase the bioavailability of
alcohol in the blood for longer periods in the older adult?
Decreased liver and kidney functioning
7. During an assessment, the nurse asks a female client, “How many alcoholic drinks do you have a
week?” Which answer by the client would indicate at-risk drinking?
“I have seven or eight drinks a week, but I never get drunk.”
8. The nurse is asking an adolescent about illicit substance abuse. The adolescent answers, “Yes, I’ve
used marijuana at parties with my friends.” What is the next question the nurse should ask?
“When was the last time you used marijuana?”
9. The nurse has completed an assessment on a client who came to the clinic for a leg injury. As a resultof
the assessment, the nurse has determined that the client has at-risk alcohol use. Which action by the
nurse is most appropriate at this time?
State, “You are drinking more than is medically safe. I strongly recommend that you quit
drinking, and I’m willing to help you.”
, 10. A client is brought to the emergency department. He is restless, has dilated pupils, is sweating, has a
runny nose and tearing eyes, and complains of muscle and joint pains. His girlfriend thinks he has
influenza, but she became concerned when his temperature went up to 39.4° C. She admits that he has
been a heavy drug user, but he has been trying to stop on his own. The nurse suspects that the client is
experiencing withdrawal symptoms from which substance?
Heroin
11. Client taking ipratropium reports nausea, blurred vision, has, insomnia after using the inhaler. RN
action to implement
- withhold med and report symptoms
12. A client has suddenly developed shortness of breath and appears to be in significant respiratory
distress. After calling the physician and placing the client on oxygen, which of these actions is the best
for the nurse to take when further assessing the client?
Bilaterally percuss the thorax, noting any differences in percussion tones.
13. The nurse is teaching a class on basic assessment skills. Which of these statements is true regarding
the stethoscope and its use?
Although the stethoscope does not magnify sound, it does block out extraneous room noise.
14. The nurse is preparing to use a stethoscope for auscultation. Which statement is true regarding the
diaphragm of the stethoscope? The diaphragm:
Is used to listen for high-pitched sounds.
15. Before auscultating the abdomen for the presence of bowel sounds on a client, the nurse should:
Check the temperature of the room, and offer blankets to the client if he or she feels cold.
16. While measuring a client’s blood pressure, the nurse recalls that certain factors, such as
, help determine blood pressure.
Peripheral vascular resistance
17. A nurse is helping at a health fair at a local mall. When taking blood pressures on a variety of people,
the nurse keeps in mind that:
The blood pressure of a Black adult is usually higher than that of a White adult of the same age.
8. The nurse notices a colleague is preparing to check the blood pressure of a client who is obese by
using a standard-sized blood pressure cuff. The nurse should expect the reading to:
Yield a falsely high blood pressure.
19. A student is late for his appointment and has rushed across campus to the health clinic. The nurse
should:
Allow 5 minutes for him to relax and rest before checking his vital signs.
