HESI HEALTH ASSESSMENT EXAM VERSION 3 – NURSING ASSESSMENT (HESI) 2025 –
COMPLETE EXAM QUESTIONS WITH DETAILED ANSWERS
1. Open Ended Question: When obtaining a nursing history, use the open-ended question technique to
allow the patient a wide range of possible responses.
2. Interpreter: Person who can translate between languages.
For patients who do not speak English, use an interpreter whenever possible
3. Interrupting Client: Do not interrupt clients, in health care settings, it is better to listen than to talk and
to ask good questions rather than have all of the right answers.
4. BMI Risk Assessment: An assessment of risk factors includes questions about past medical and surgical
histories, medication and supplement use, family history, food and fluid intake patterns, and the patient's psychosocial
profile
5. Low BMI: Below 18.5
6. Normal BMI: 18.5-24.9
7. Nutritional Assessment: Risk factors to review in a nutritional assessment include medical history, ab-
normal weight history, appetite or taste changes, gastrointestinal symptoms, food allergies or intolerances, changes
in eating or fluid patterns, poor food habits, inability to cook, social isolation, multiple medications, inappropriate
supplements or lack of supplements, and alcohol or drug use.
Consider a board range of influences on patient's food choices
8. Mental Orientation: Person, Place, Time, Situation
9. CAGE: CAGE is a self report questionnaire used as an assessment tool for drugs and alcohol. Yes to two or more
of the questions indicate a potential problem
Cutdown,Annoyed,Guilty,Eye Opener
10. Abstract Thinking: Assessment of thought processes:
Patient's thoughts are easy to follow, logical, coherent, relevant, goal directed, consistent, and abstract
Abstract Thinking: Ability to understand concepts that are real
11. Referred Pain Appendicitis: Referred pain originates from a specific site, but the person experienc-
ing it feels the pain at another site along the innervating spinal nerve
It will "refer" pain often to the mid upper abdomen, the epigastrum. Because the appendix is a piece of intestine, it
follows a similar referral pattern.
12. Nail Ridges in Geriatric Patients: Longitudinal ridging is common in aging patients
13. Skin Turger Assessment: Assess skin turgor. Gently grasp a fold of the patient's skin between your
fingers and pull up, then release. Below clavicle
Tenting indicates dehydration, poor skin turgor is also associated with aging
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, HESI HEALTH ASSESSMENT EXAM VERSION 3 – NURSING ASSESSMENT (HESI) 2025 –
COMPLETE EXAM QUESTIONS WITH DETAILED ANSWERS
14. Clubbing Oxygen Saturation: Clubbing of the nails indicates chronic hypoxia. Clubbing is identified
when the angle of the nail to the finger is more than 160º
Emphysema or congestive heart failure
15. Pallor Dark Skin: Normal skin color is pink, noting the usual undertones present with even dark skin. The
tongue, lips, nail beds, and buccal mucosa are less pigmented areas and may be the best indicators of pallor or
cyanosis. Patients with darker skin may normally have hypopigmented skin on the palms and soles
16. Lesion Assessment & Primary vs. Secondary Lesion: Primary Lesion: arise from previ-
ously normal skin
Secondary Lesion: follow primary lesions (scare tissue)
If observed, note the shape and measure the length, width, and depth with a ruler. If a wound is deep or tunneled,
insert a cotton applicator to measure depth.
17. Goiter Assessment: Palpation of Thyroid, Unilateral Bulging
18. Fall Assessment After a Fall: Falls or sudden jerking of the head and neck (whiplash) are particularly
likely to result in dislocation of the cervical vertebrae. Fractures may also occur with headfirst falls. Any history of falls
or sudden jerks of the neck requires careful investigation.
19. Snellen Test: Tests for far vision & visual acuity.
Snellen test, measure and place a mark or piece of masking tape on the floor 6 m (about 20 ft) from the chart
20. Tinnitus: Tinnitus: buzzing or ringing in one or both ears that does not correspond with external sound
21. Conductive Hearing Loss: BC that is longer than or the same as AC is evidence of conductive hearing
loss. Conductive hearing loss on one side may indicate external or middle ear disease. Patients with conductive
hearing loss should have an assessment of the auricle and external auditory canal to look for blockage
22. Assessment of Mouth/Tongue: Holding a light in the nondominant hand and a tongue blade in
the dominant one, gently separate areas to fully inspect the buccal mucosa, noting color and pigmentation
Small, isolated, white or yellow papules (Fordyce granules) may be noted on the cheeks, tongue, and lips. These
sebaceous cysts or salivary tissues are insignificant
23. Newborn Temperature: 97.7 F to 98.6 F (36.5 C to 37 C)
24. Newborn Flaring Nares: Nasal flaring is a sign of respiratory distress
25. ADLs: Mobility impairments attecting activities of daily living (ADLs) and instrumental activities of daily living
(IADLs)
26. Carotene Rich Foods: The richest sources of beta-carotene are yellow, orange, and green leafy fruits
and vegetables (such as carrots, spinach, lettuce, tomatoes, sweet potatoes, broccoli, cantaloupe, and winter squash).
In general, the more intense the color of the fruit or vegetable, the more beta-carotene it has
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COMPLETE EXAM QUESTIONS WITH DETAILED ANSWERS
1. Open Ended Question: When obtaining a nursing history, use the open-ended question technique to
allow the patient a wide range of possible responses.
2. Interpreter: Person who can translate between languages.
For patients who do not speak English, use an interpreter whenever possible
3. Interrupting Client: Do not interrupt clients, in health care settings, it is better to listen than to talk and
to ask good questions rather than have all of the right answers.
4. BMI Risk Assessment: An assessment of risk factors includes questions about past medical and surgical
histories, medication and supplement use, family history, food and fluid intake patterns, and the patient's psychosocial
profile
5. Low BMI: Below 18.5
6. Normal BMI: 18.5-24.9
7. Nutritional Assessment: Risk factors to review in a nutritional assessment include medical history, ab-
normal weight history, appetite or taste changes, gastrointestinal symptoms, food allergies or intolerances, changes
in eating or fluid patterns, poor food habits, inability to cook, social isolation, multiple medications, inappropriate
supplements or lack of supplements, and alcohol or drug use.
Consider a board range of influences on patient's food choices
8. Mental Orientation: Person, Place, Time, Situation
9. CAGE: CAGE is a self report questionnaire used as an assessment tool for drugs and alcohol. Yes to two or more
of the questions indicate a potential problem
Cutdown,Annoyed,Guilty,Eye Opener
10. Abstract Thinking: Assessment of thought processes:
Patient's thoughts are easy to follow, logical, coherent, relevant, goal directed, consistent, and abstract
Abstract Thinking: Ability to understand concepts that are real
11. Referred Pain Appendicitis: Referred pain originates from a specific site, but the person experienc-
ing it feels the pain at another site along the innervating spinal nerve
It will "refer" pain often to the mid upper abdomen, the epigastrum. Because the appendix is a piece of intestine, it
follows a similar referral pattern.
12. Nail Ridges in Geriatric Patients: Longitudinal ridging is common in aging patients
13. Skin Turger Assessment: Assess skin turgor. Gently grasp a fold of the patient's skin between your
fingers and pull up, then release. Below clavicle
Tenting indicates dehydration, poor skin turgor is also associated with aging
1/6
, HESI HEALTH ASSESSMENT EXAM VERSION 3 – NURSING ASSESSMENT (HESI) 2025 –
COMPLETE EXAM QUESTIONS WITH DETAILED ANSWERS
14. Clubbing Oxygen Saturation: Clubbing of the nails indicates chronic hypoxia. Clubbing is identified
when the angle of the nail to the finger is more than 160º
Emphysema or congestive heart failure
15. Pallor Dark Skin: Normal skin color is pink, noting the usual undertones present with even dark skin. The
tongue, lips, nail beds, and buccal mucosa are less pigmented areas and may be the best indicators of pallor or
cyanosis. Patients with darker skin may normally have hypopigmented skin on the palms and soles
16. Lesion Assessment & Primary vs. Secondary Lesion: Primary Lesion: arise from previ-
ously normal skin
Secondary Lesion: follow primary lesions (scare tissue)
If observed, note the shape and measure the length, width, and depth with a ruler. If a wound is deep or tunneled,
insert a cotton applicator to measure depth.
17. Goiter Assessment: Palpation of Thyroid, Unilateral Bulging
18. Fall Assessment After a Fall: Falls or sudden jerking of the head and neck (whiplash) are particularly
likely to result in dislocation of the cervical vertebrae. Fractures may also occur with headfirst falls. Any history of falls
or sudden jerks of the neck requires careful investigation.
19. Snellen Test: Tests for far vision & visual acuity.
Snellen test, measure and place a mark or piece of masking tape on the floor 6 m (about 20 ft) from the chart
20. Tinnitus: Tinnitus: buzzing or ringing in one or both ears that does not correspond with external sound
21. Conductive Hearing Loss: BC that is longer than or the same as AC is evidence of conductive hearing
loss. Conductive hearing loss on one side may indicate external or middle ear disease. Patients with conductive
hearing loss should have an assessment of the auricle and external auditory canal to look for blockage
22. Assessment of Mouth/Tongue: Holding a light in the nondominant hand and a tongue blade in
the dominant one, gently separate areas to fully inspect the buccal mucosa, noting color and pigmentation
Small, isolated, white or yellow papules (Fordyce granules) may be noted on the cheeks, tongue, and lips. These
sebaceous cysts or salivary tissues are insignificant
23. Newborn Temperature: 97.7 F to 98.6 F (36.5 C to 37 C)
24. Newborn Flaring Nares: Nasal flaring is a sign of respiratory distress
25. ADLs: Mobility impairments attecting activities of daily living (ADLs) and instrumental activities of daily living
(IADLs)
26. Carotene Rich Foods: The richest sources of beta-carotene are yellow, orange, and green leafy fruits
and vegetables (such as carrots, spinach, lettuce, tomatoes, sweet potatoes, broccoli, cantaloupe, and winter squash).
In general, the more intense the color of the fruit or vegetable, the more beta-carotene it has
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