HESI Health Assessment Nightingale College Fall 2025|| Questions
and answers
Questions in this set (77)
A 29 year old male client informs Describe having a "body-wracking dry cough" of 6 weeks duration.
the nurse that he came to the
clinic to see if, "Maybe I have lung
cancer or something," and wants
to get checked out since, "I
can't seem to get rid of this
body-wracking dry cough that
has been hanging around for
the last six weeks." Which
computer documentation of this
client's concerns should the
nurse enter?
A 75-year-old client with a recent Hyperactive response consistent with an upper motor neuron disorder.
history of a cerebrovascular
accident (CVA) presents with right
hemiparesis. The nurse tests the
deep tendon reflexes on the
right side and elicits a brisk 4+
response. Which interpretation
of this finding is accurate?
The nurse examines a client's Firm mass palpated at bottom of left rib cage.
abdomen. Which finding
indicates an abnormal
response when palpating the
spleen?
Place bell of stethoscope over carotid artery
In auscultating for the
presence of a carotid artery
bruit, the nurse places the bell
of the stethoscope at which
location?
, A male client arrives at the Press the stethoscope's diaphragm firmly on the skin over each lung field.
clinic for follow-up health
assessment after recent
antibiotic treatment for
pneumonia without
hospitalization. Which technique
should the nurse implement to
assess for adventitious lung
sounds?
A client with streptococcus Peritonsillar abscess.
pharyngitis reports high fever,
difficulty swallowing and a
muffled voice. Which
complication should the nurse
suspect?
The nurse is obtaining a health Ask specifically about alcohol, marijuana, cocaine, heroin, and amounts.
history for a client prior to a
scheduled cholecystectomy.
While interviewing the client,
which assessment technique
should the nurse use when
asking about the client's use of
illegal drugs and alcohol?
The nurse applies pressure over Notify the healthcare provider of the rebound tenderness.
an area of the lower abdomen
where the client reports pain.
The client denies pain upon
palpation, but reports pain
when the pressure is released.
What action should the nurse
implement?
The nurse is assessing an ulcer on Observe the specific location and appearance of the ulceration.
a client's lower extremity, which is
likely the result of either venous or
arterial insufficiency. Which
assessment technique should the
nurse use to differentiate the
pathophysiology causing the
ulcer?
Venous leg ulcers usually develop on
A. What type of ulcer is this? the inner lower leg, above the medial
Which pathophysiology? venous malleolus.
or arterial?
Arterial wounds occur most often on
the foot, in between or at the tips of
B. What type of ulcer is this?
the toes, at pressure points from foot
Which pathophysiology? venous
and answers
Questions in this set (77)
A 29 year old male client informs Describe having a "body-wracking dry cough" of 6 weeks duration.
the nurse that he came to the
clinic to see if, "Maybe I have lung
cancer or something," and wants
to get checked out since, "I
can't seem to get rid of this
body-wracking dry cough that
has been hanging around for
the last six weeks." Which
computer documentation of this
client's concerns should the
nurse enter?
A 75-year-old client with a recent Hyperactive response consistent with an upper motor neuron disorder.
history of a cerebrovascular
accident (CVA) presents with right
hemiparesis. The nurse tests the
deep tendon reflexes on the
right side and elicits a brisk 4+
response. Which interpretation
of this finding is accurate?
The nurse examines a client's Firm mass palpated at bottom of left rib cage.
abdomen. Which finding
indicates an abnormal
response when palpating the
spleen?
Place bell of stethoscope over carotid artery
In auscultating for the
presence of a carotid artery
bruit, the nurse places the bell
of the stethoscope at which
location?
, A male client arrives at the Press the stethoscope's diaphragm firmly on the skin over each lung field.
clinic for follow-up health
assessment after recent
antibiotic treatment for
pneumonia without
hospitalization. Which technique
should the nurse implement to
assess for adventitious lung
sounds?
A client with streptococcus Peritonsillar abscess.
pharyngitis reports high fever,
difficulty swallowing and a
muffled voice. Which
complication should the nurse
suspect?
The nurse is obtaining a health Ask specifically about alcohol, marijuana, cocaine, heroin, and amounts.
history for a client prior to a
scheduled cholecystectomy.
While interviewing the client,
which assessment technique
should the nurse use when
asking about the client's use of
illegal drugs and alcohol?
The nurse applies pressure over Notify the healthcare provider of the rebound tenderness.
an area of the lower abdomen
where the client reports pain.
The client denies pain upon
palpation, but reports pain
when the pressure is released.
What action should the nurse
implement?
The nurse is assessing an ulcer on Observe the specific location and appearance of the ulceration.
a client's lower extremity, which is
likely the result of either venous or
arterial insufficiency. Which
assessment technique should the
nurse use to differentiate the
pathophysiology causing the
ulcer?
Venous leg ulcers usually develop on
A. What type of ulcer is this? the inner lower leg, above the medial
Which pathophysiology? venous malleolus.
or arterial?
Arterial wounds occur most often on
the foot, in between or at the tips of
B. What type of ulcer is this?
the toes, at pressure points from foot
Which pathophysiology? venous
