ADVANCED HEALTH ASSESSMENT HESI NEWEST 2025 ACTUAL EXAM COMPLETE 200 QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) ALREADY GRADED A+BRAND NEW!!.pdf

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HESI HEALTH ASSESSMENT EXAM/ HEALTH
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ASSESSMENT HESI PRACTICE EXAM MOST R m m m m m



ECENT AND COMPLETE VERSION ALL QUES m m m m m



TIONS AND CORRECT ANSWERSWELLEXPL
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AINED / BEST GRADED A+ m m m m




What is gamma globulin and when is it used? -
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mANSWER: Gamma globulin, which is an immune globulin, contains most of the
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mantibodies circulating in the blood. When injected into an individual, it prevents
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a specific antigen from entering a host cell. So the antigen is neutralized by the an
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tibodies gamma globulin supplies. Used when a pt is exposed to Hep A
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A nurse is obtaining a health history from the newly admitted client who has chro
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nic pain in the knee. What should the nurse include in the pain assessment? Select
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all that apply.
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1
Pain history, including location, intensity, and quality of pain
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2
Client's purposeful body movement in arranging the papers on the bedside table
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3
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Pain pattern, including precipitating and alleviating factors
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4
Vital signs, such as increased blood pressure and heart rate
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5
The client's family statement about increases in pain with ambulation - ANSWER:
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1&3 m m




Why not others?? Physiological responses such as elevated blood pressure andh
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eart rate are most likely to be absent in the client with chronic pain. Pain is a
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subjective experience, and therefore the nurse has to ask the client directly instead
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of accepting the statement of the family members.
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Pressure Ulcers and stages - ANSWER: stage I pressure ulcer-
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an area of persistent redness with no break in skin integrity.
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stage II pressure ulcer-partial-
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thickness wound with skin loss involving the epidermis, dermis, or both; the ulcer i
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s superficial and may present as an abrasion, blister, or shallow crater
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stage III pressure ulcer- full-
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thickness tissue loss with visible subcutaneous fat.Bone, tendon, and muscle are n
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ot exposed.
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stage IV- m


mfull thickness tissue loss with exposed bone, tendon, muscle, bone (slough or es
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char may be present within wound bed)
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unstageable-
contains necrotic tissue, necrotic tissue must be removed before thewound can be
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mstaged.


While assessing a client's skin, a nurse notices that the skin is dry. What is the pr
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obable etiology of the condition? Select all that apply. -
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mANSWER: The use of hard soap and frequent bathing may result in dry skin. A
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skin allergy may result in skin rashes, but not dry skin. Using tanning pills and pet
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roleum products may result in skin cancer.
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The community nurse is assessing an elderly client who lives alone at home. the clie
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nt refrains from physical activity for fear of falling when walking. Which interventi
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ons by the nurse are most beneficial to promote a healthy lifestyle? -
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mANSWER: Encourage the client to wear nonskid shoes.m m m m m m m




Suggest that the client use an assistive device. He
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lp the client rearrange furniture in the house.
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Which features distinguish nursing diagnoses from medical diagnoses? Select al
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l that apply.
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1
Nursing diagnoses involve the client when possible
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.2
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Nursing diagnoses are based on results of diagnostic tests and procedures.
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3
Nursing diagnoses are the identification of a disease condition in the client
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.4
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Nursing diagnoses involve the sorting of health problems within the nursing domai
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n.
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Nursing diagnoses involve clinical judgment about the client's response to health pr
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oblems. - m


mANSWER: Nursing diagnoses involve (client participation) the client when possibl
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e.
Nursing diagnoses involve the sorting of health problems within the nursing domai
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n.
Nursing diagnoses involve clinical judgment about the client's response to healthp
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roblems.
WRONG ANSWER: m



Nursing diagnoses are based on results of diagnostic tests and procedures.
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WRONG ANSWER:
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Nursing diagnoses are the identification of a disease condition in the client.
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A 50-year-old client with a 30-
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year history of smoking reports a chronic cough andshortness of breath related to c
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hronic obstructive pulmonary disease (COPD). The clinical data on admission are a
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s follows: a heart rate of 100, a blood pressure of 138/82, a respiratory rate of 32, a
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mtympanic temperature 36.8 °C, and an oxygen saturation of 80%. Which vital sign
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s obtained by the nurse during the therapy indicates a positive outcome? Select all t
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hat apply. m



1

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Radial pulse: 70 m m



2
Temperature: 37 °C m m



3
Respiratory rate: 14 m m



4
Blood pressure: 110/70
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5
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Oxygen saturation: 96% - ANSWER: 3,4,5
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Why not 1&2? The radial pulse indicates a positive outcome of the therapy if the cli
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ent has a history of heart disease. A body temperature reading of 36.8 °C is conside
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red normal and not a sign of COPD.
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Which client is at an increased risk for right-
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sided heart failure? Client A:
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R Jugular Venous Pressure: 2.5 c
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m L Jugular Venous Pressure: 3.0
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cm


Client B: m



RJVP = 2.0 m m



LJVP = 1.5 m m




Client C: m




RJVP = 1.5 m m



LJVP = 1.0 - ANSWER: Client A
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