2025/2026 HESI HEALTH ASSESSMENT NURSING RN V1 100
Questions with Correct Answers (Verified Answers) Graded A+
During a mental status examination, the nurse wants to
1.
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.
A 45-year-old woman is at the clinic for a mental status
3.
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
When reviewing the use of alcohol by older adults, the
6.
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
During an assessment, the nurse asks a female client,
7.
“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.”
The nurse is asking an adolescent about illicit
8.
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?”
The nurse has completed an assessment on a client who
9.
came to the clinic for a leg injury. As a result of 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.”
, A client is brought to the emergency department. He is
10.
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
Client taking ipratropium reports nausea, blurred
11.
vision, has, insomnia after using the inhaler. RN action
to implement
- withhold med and report symptoms
A client has suddenly developed shortness of breath
12.
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.
The nurse is teaching a class on basic assessment
13.
skills. Which of these statements is true regarding the
stethoscope and its use?
Questions with Correct Answers (Verified Answers) Graded A+
During a mental status examination, the nurse wants to
1.
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.
A 45-year-old woman is at the clinic for a mental status
3.
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
When reviewing the use of alcohol by older adults, the
6.
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
During an assessment, the nurse asks a female client,
7.
“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.”
The nurse is asking an adolescent about illicit
8.
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?”
The nurse has completed an assessment on a client who
9.
came to the clinic for a leg injury. As a result of 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.”
, A client is brought to the emergency department. He is
10.
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
Client taking ipratropium reports nausea, blurred
11.
vision, has, insomnia after using the inhaler. RN action
to implement
- withhold med and report symptoms
A client has suddenly developed shortness of breath
12.
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.
The nurse is teaching a class on basic assessment
13.
skills. Which of these statements is true regarding the
stethoscope and its use?
