HESI RN PRACTICE TEST 2 NEWEST UPDATED 2024-2025 FINAL
EXAM WITH COMPLETE DETAILED QUESTIONS AND CORRECT
VERIFIED ANSWERS ALREADY A+ GRADED
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?
A) Level of consciousness.
B) Gait characteristics.
C) Presence of trauma.
D) Bladder control ability. - ANSWER-A) Level of consciousness
Initial symptoms of meningitis include headache, fatigue, stiff neck, and changes in level of
consciousness. It is necessary to determine if the client is demonstrating signs of meningitis before
planning immediate care.
The nurse is assessing the posterior pharynx during a physical examination. Which technique should the
nurse use?
A) Press the tongue down one side at a time with a tongue depressor.
B) Ask the client to open the mouth and say "ah."
C) Listen for hoarseness after asking the client to speak.
D) Palpate the neck and ask the client to swallow. - ANSWER-A) Press the tongue down one side at a
time with a tongue depressor.
When assessing the posterior pharynx, a tongue depressor should be used to press down one side of the
tongue at a time to avoid stimulating the gag reflex.
Which findings can the nurse determine by palpating a client's skin? (Select all that apply.)
A) Pruritus.
B) Diaphoresis.
,C) Pallor.
D) Jaundice.
E) Scaling. - ANSWER-B) Diaphoresis.
E) Scaling.
Palpation, or touch, can provide information about skin texture, including the presence of scaling and
skin moisture, including diaphoresis, or perspiration. Pruritus, or itching, is a subjective finding reported
by the client, and pallor and jaundice describe skin color, assessed through observation.
The nurse is completing a physical assessment of a client who feel from a tree. The client's abdomen is
soft with hyperactive bowel sounds in all four quadrants. Which assessment technique should the nurse
implement when evaluating the client's spleen?
A) Elevate head of bed 30 degrees to percuss the spleen.
B) Palpate the splenic borders before percussing.
C) Percuss the splenic area as the client takes a deep breath.
D) Place client in a Trendelenburg position to isolate the spleen. - ANSWER-C) Percuss the splenic area as
the client takes a deep breath
If the spleen is enlarged due to an infection or trauma, tympany changes are noted with dullness upon
inspiration.
Which information should the nurse obtain to identify the client's self-perception of health status?
A) Vital signs.
B) Health history.
C) Informed consent.
D) Genetic predisposition. - ANSWER-B) Health history.
A health history is a collection of subjective data. Obtaining a detailed health history is a good way for
the nurse to assess the client's perception of current health status.
Which action should the registered nurse (RN) implement to complete an assessment for a client while
using an interpreter?
, A) Ask closed-ended questions with the assistance of the interpreter.
B) Maintain eye contact with the client while listening to the translation.
C) Instruct interpreter to answer questions from interpreter's point of view.
D) Protect the client's privacy by asking a limited number of questions. - ANSWER-B) Maintain eye
contact with the client while listening to the translation.
When completing an assessment, the RN should maintain eye contact with the client to gather
additional information from the client's nonverbal cues.
When performing range of motion exercises on the joints of an older adult client, the nurse notes that
joint range is greater with passive ranging than with active ranging. A goniometer indicates that this
difference is as much as 15% in some joints. How should this finding be documented?
A) Normal.
B) Expected in older adults.
C) Minor deviation.
D) Abnormal. - ANSWER-D) Abnormal.
This finding is abnormal and may be indicative of generalized muscle weakness or a joint disorder.
A nurse is completing a nutritional assessment with a client. What is the easiest method for the nurse to
use to get information about the client's nutritional intake?
A) 24-hour dietary recall
B) Food diary.
C) Intake and output record.
D) Lab information (albumin, pre-albumin). - ANSWER-A) 24-hour dietary recall
Nutritional history, which includes the client's recall of food and fluid intake during a 24-hour period, is
an important factor in determining a client's nutritional status. The nurse should include the client's
dietary recall when performing a nutritional screening.
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?
EXAM WITH COMPLETE DETAILED QUESTIONS AND CORRECT
VERIFIED ANSWERS ALREADY A+ GRADED
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?
A) Level of consciousness.
B) Gait characteristics.
C) Presence of trauma.
D) Bladder control ability. - ANSWER-A) Level of consciousness
Initial symptoms of meningitis include headache, fatigue, stiff neck, and changes in level of
consciousness. It is necessary to determine if the client is demonstrating signs of meningitis before
planning immediate care.
The nurse is assessing the posterior pharynx during a physical examination. Which technique should the
nurse use?
A) Press the tongue down one side at a time with a tongue depressor.
B) Ask the client to open the mouth and say "ah."
C) Listen for hoarseness after asking the client to speak.
D) Palpate the neck and ask the client to swallow. - ANSWER-A) Press the tongue down one side at a
time with a tongue depressor.
When assessing the posterior pharynx, a tongue depressor should be used to press down one side of the
tongue at a time to avoid stimulating the gag reflex.
Which findings can the nurse determine by palpating a client's skin? (Select all that apply.)
A) Pruritus.
B) Diaphoresis.
,C) Pallor.
D) Jaundice.
E) Scaling. - ANSWER-B) Diaphoresis.
E) Scaling.
Palpation, or touch, can provide information about skin texture, including the presence of scaling and
skin moisture, including diaphoresis, or perspiration. Pruritus, or itching, is a subjective finding reported
by the client, and pallor and jaundice describe skin color, assessed through observation.
The nurse is completing a physical assessment of a client who feel from a tree. The client's abdomen is
soft with hyperactive bowel sounds in all four quadrants. Which assessment technique should the nurse
implement when evaluating the client's spleen?
A) Elevate head of bed 30 degrees to percuss the spleen.
B) Palpate the splenic borders before percussing.
C) Percuss the splenic area as the client takes a deep breath.
D) Place client in a Trendelenburg position to isolate the spleen. - ANSWER-C) Percuss the splenic area as
the client takes a deep breath
If the spleen is enlarged due to an infection or trauma, tympany changes are noted with dullness upon
inspiration.
Which information should the nurse obtain to identify the client's self-perception of health status?
A) Vital signs.
B) Health history.
C) Informed consent.
D) Genetic predisposition. - ANSWER-B) Health history.
A health history is a collection of subjective data. Obtaining a detailed health history is a good way for
the nurse to assess the client's perception of current health status.
Which action should the registered nurse (RN) implement to complete an assessment for a client while
using an interpreter?
, A) Ask closed-ended questions with the assistance of the interpreter.
B) Maintain eye contact with the client while listening to the translation.
C) Instruct interpreter to answer questions from interpreter's point of view.
D) Protect the client's privacy by asking a limited number of questions. - ANSWER-B) Maintain eye
contact with the client while listening to the translation.
When completing an assessment, the RN should maintain eye contact with the client to gather
additional information from the client's nonverbal cues.
When performing range of motion exercises on the joints of an older adult client, the nurse notes that
joint range is greater with passive ranging than with active ranging. A goniometer indicates that this
difference is as much as 15% in some joints. How should this finding be documented?
A) Normal.
B) Expected in older adults.
C) Minor deviation.
D) Abnormal. - ANSWER-D) Abnormal.
This finding is abnormal and may be indicative of generalized muscle weakness or a joint disorder.
A nurse is completing a nutritional assessment with a client. What is the easiest method for the nurse to
use to get information about the client's nutritional intake?
A) 24-hour dietary recall
B) Food diary.
C) Intake and output record.
D) Lab information (albumin, pre-albumin). - ANSWER-A) 24-hour dietary recall
Nutritional history, which includes the client's recall of food and fluid intake during a 24-hour period, is
an important factor in determining a client's nutritional status. The nurse should include the client's
dietary recall when performing a nutritional screening.
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?
