COMPLETE HESI PREP HEALTH
ASSESSMENT PRACTICE EXAM
QUESTIONS AND CORRECT ANSWERS
WITH RATIONALES&
EXPLANATIONSLATEST 2024/2025 |
100%|GUARANTEED A+
1;The nurse knows that determining whether a person is oriented to his or her surroundings will test the functioning of which of these
structures?Correct Answer:✓✓
Cerebrum
Pages: 621-622 | Page: 660. The cerebral cortex is responsible for thought, memory, reasoning, sensation, and voluntary movement. The
other options structures are not responsible for a person's level of consciousness.
2;During an assessment of a 22-year-old woman who has a head injury from a car accident 4 hours ago, the nurse notices the following
change: pupils were equal, but now the right pupil is fully dilated and nonreactive, left pupil is 4 mm and reacts to light. What does finding
this suggest?Correct Answer:✓✓
Increased intracranial pressure
Pages: 662-663. In a brain-injured person, a sudden, unilateral, dilated, and nonreactive pupil is ominous. Cranial nerve III runs parallel to
the brainstem. When increasing intracranial pressure pushes the brainstem down (uncal herniation), it puts pressure on cranial nerve III,
causing pupil dilation. The other responses are incorrect.
3. A nurse is taking complete health histories on all of the patients attending a wellness workshop. On the history form, one of the written
questions asks, "You don't smoke, drink, or take drugs, do you correct This question is an example of:?Correct Answer:✓✓"
using biased or leading questions.
Page: 36 This is an example of using leading or biased questions. Asking, "You don't smoke, do you implies that one answer is "better" than
another. If the person wants to please someone, he or she is either forced to answer in a way corresponding to their implied values or is
made to feel guilty when admitting the other answer.
4. During an interview, a parent of a hospitalized child is sitting in an open position. As the interviewer begins to discuss his son's treatment,
however, he suddenly crosses his arms against his chest and crosses his legs. This would suggest that the parent is:
,COMPLETE HESI PREP HEALTH
ASSESSMENT PRACTICE EXAM
QUESTIONS AND CORRECT ANSWERS
WITH RATIONALES&
EXPLANATIONSLATEST 2024/2025 |
100%|GUARANTEED A+
uncomfortable talking about his son's treatment.
Page: 37 Note the person's position. An open position with the extension of large muscle groups shows relaxation, physical comfort, and a
willingness to share information. A closed position with the arms and legs crossed tends to look defensive and anxious. Note any change in
posture. If a person in a relaxed position suddenly tenses, it suggests possible discomfort with the new topic.
.
5. The nurse is interviewing a patient who has a hearing impairment. What techniques would be most beneficial in communicating with this
patient?Correct Answer:✓✓
Determine the communication method he prefers.
Pages: 40-41 The nurse should ask the deaf person the preferred way to communicate—by signing, lip reading, or writing. If the person
prefers lip reading, then the nurse should be sure to face him or her squarely and have good lighting on the nurse's face. The nurse should
not exaggerate lip movements because this distorts words. Similarly, shouting distorts the reception of a hearing aid the person may wear.
The nurse should speak slowly and should supplement his or her voice with appropriate hand gestures or pantomime.
6. The nurse is performing a health interview on a patient who has a language barrier, and no interpreter is available. Which is the best
example of an appropriate question for the nurse to ask in this situation?Correct Answer:✓✓
"Do you take medicine
Page: 46 In a situation where there is a language barrier and no interpreter available, use simple words avoiding medical jargon. Avoid using
contractions and pronouns. Use nouns repeatedly and discuss one topic at a time.
.
7. A female patient does not speak English well, and the nurse needs to choose an interpreter. Which of the following would be the most
appropriate choice?Correct Answer:✓✓
,COMPLETE HESI PREP HEALTH
ASSESSMENT PRACTICE EXAM
QUESTIONS AND CORRECT ANSWERS
WITH RATIONALES&
EXPLANATIONSLATEST 2024/2025 |
100%|GUARANTEED A+
A trained interpreter
Page: 46 whenever possible, the nurse should use a trained interpreter, preferably one who knows medical terminology. In general, an
older, more mature interpreter is preferred to a younger, less experienced one, and the same gender is preferred when possible.
8. The nurse is conducting an interview. Which of these statements is true regarding open-ended questions?Correct Answer:✓✓ Select all
that apply.
They allow for self-expression.
They build and enhance rapport.
They are used when narrative information
Page: 32 Open-ended questions allow for self-expression, build rapport, and obtain narrative information. These features enhance
communication during an interview. The other statements are appropriate for closed or direct questions.
9. The nurse is interviewing an outpatient clinic and is using a computer to record data. Which is the best use of the computer in this
situation?Correct Answer:✓✓ Select all that apply.
Collect the patient's data in a direct, face-to-face manner.
Type the data into the computer after the narrative is fully explored.
Allow the patient to see the monitor during typing.
Page: 32 The use of a computer can become a barrier. The nurse should begin the interview as usual by greeting the patient, establishing
rapport, and collecting the patient's narrative story in a direct face-to-face manner. Only after the narrative is fully explored should the
nurse type data into the computer. When typing, the nurse should position the monitor so that the patient can see it.
10. During an assessment, the nurse notices that a patient is handling a small charm that is tied to a leather strip around his neck. Which
action by the nurse is appropriate?Correct Answer:✓✓
, COMPLETE HESI PREP HEALTH
ASSESSMENT PRACTICE EXAM
QUESTIONS AND CORRECT ANSWERS
WITH RATIONALES&
EXPLANATIONSLATEST 2024/2025 |
100%|GUARANTEED A+
Ask the patient about the item and its significance.
Page: 21 The nurse should inquire about the amulet's meaning. Amulets, such as charms, are often seen as an important means of
protection from "evil spirits" by some cultures.
11. In the majority culture of America, coughing, sweating, and diarrhea are symptoms of an illness. For some individuals of Mexican-
American origin, however, these symptoms are a normal part of living. The nurse recognizes that this is true, probably because Mexican-
Americans:
consider these symptoms a part of normal living, not symptoms of ill health.
Page: 27 The nurse needs to identify the meaning of health to the patient, remembering that concepts are derived, in part, from the way in
which members of the cultural group define health.
12. Among many Asians there is a belief in the yin/yang theory, rooted in the ancient Chinese philosophy of Tao. The nurse recognizes which
statement that most accurately reflects "health" in an Asian with this belief?Correct Answer:✓✓
All aspects of the person are in perfect balance.
Page: 21 Many Asians believe in the yin/yang theory, in which health is believed to exist when all aspects of the person are in perfect
balance. The other statements do not describe this theory.
13. An individual who takes the magicoreligious perspective of illness and disease is likely to believe that his or her illness was caused by:
supernatural forces.
ASSESSMENT PRACTICE EXAM
QUESTIONS AND CORRECT ANSWERS
WITH RATIONALES&
EXPLANATIONSLATEST 2024/2025 |
100%|GUARANTEED A+
1;The nurse knows that determining whether a person is oriented to his or her surroundings will test the functioning of which of these
structures?Correct Answer:✓✓
Cerebrum
Pages: 621-622 | Page: 660. The cerebral cortex is responsible for thought, memory, reasoning, sensation, and voluntary movement. The
other options structures are not responsible for a person's level of consciousness.
2;During an assessment of a 22-year-old woman who has a head injury from a car accident 4 hours ago, the nurse notices the following
change: pupils were equal, but now the right pupil is fully dilated and nonreactive, left pupil is 4 mm and reacts to light. What does finding
this suggest?Correct Answer:✓✓
Increased intracranial pressure
Pages: 662-663. In a brain-injured person, a sudden, unilateral, dilated, and nonreactive pupil is ominous. Cranial nerve III runs parallel to
the brainstem. When increasing intracranial pressure pushes the brainstem down (uncal herniation), it puts pressure on cranial nerve III,
causing pupil dilation. The other responses are incorrect.
3. A nurse is taking complete health histories on all of the patients attending a wellness workshop. On the history form, one of the written
questions asks, "You don't smoke, drink, or take drugs, do you correct This question is an example of:?Correct Answer:✓✓"
using biased or leading questions.
Page: 36 This is an example of using leading or biased questions. Asking, "You don't smoke, do you implies that one answer is "better" than
another. If the person wants to please someone, he or she is either forced to answer in a way corresponding to their implied values or is
made to feel guilty when admitting the other answer.
4. During an interview, a parent of a hospitalized child is sitting in an open position. As the interviewer begins to discuss his son's treatment,
however, he suddenly crosses his arms against his chest and crosses his legs. This would suggest that the parent is:
,COMPLETE HESI PREP HEALTH
ASSESSMENT PRACTICE EXAM
QUESTIONS AND CORRECT ANSWERS
WITH RATIONALES&
EXPLANATIONSLATEST 2024/2025 |
100%|GUARANTEED A+
uncomfortable talking about his son's treatment.
Page: 37 Note the person's position. An open position with the extension of large muscle groups shows relaxation, physical comfort, and a
willingness to share information. A closed position with the arms and legs crossed tends to look defensive and anxious. Note any change in
posture. If a person in a relaxed position suddenly tenses, it suggests possible discomfort with the new topic.
.
5. The nurse is interviewing a patient who has a hearing impairment. What techniques would be most beneficial in communicating with this
patient?Correct Answer:✓✓
Determine the communication method he prefers.
Pages: 40-41 The nurse should ask the deaf person the preferred way to communicate—by signing, lip reading, or writing. If the person
prefers lip reading, then the nurse should be sure to face him or her squarely and have good lighting on the nurse's face. The nurse should
not exaggerate lip movements because this distorts words. Similarly, shouting distorts the reception of a hearing aid the person may wear.
The nurse should speak slowly and should supplement his or her voice with appropriate hand gestures or pantomime.
6. The nurse is performing a health interview on a patient who has a language barrier, and no interpreter is available. Which is the best
example of an appropriate question for the nurse to ask in this situation?Correct Answer:✓✓
"Do you take medicine
Page: 46 In a situation where there is a language barrier and no interpreter available, use simple words avoiding medical jargon. Avoid using
contractions and pronouns. Use nouns repeatedly and discuss one topic at a time.
.
7. A female patient does not speak English well, and the nurse needs to choose an interpreter. Which of the following would be the most
appropriate choice?Correct Answer:✓✓
,COMPLETE HESI PREP HEALTH
ASSESSMENT PRACTICE EXAM
QUESTIONS AND CORRECT ANSWERS
WITH RATIONALES&
EXPLANATIONSLATEST 2024/2025 |
100%|GUARANTEED A+
A trained interpreter
Page: 46 whenever possible, the nurse should use a trained interpreter, preferably one who knows medical terminology. In general, an
older, more mature interpreter is preferred to a younger, less experienced one, and the same gender is preferred when possible.
8. The nurse is conducting an interview. Which of these statements is true regarding open-ended questions?Correct Answer:✓✓ Select all
that apply.
They allow for self-expression.
They build and enhance rapport.
They are used when narrative information
Page: 32 Open-ended questions allow for self-expression, build rapport, and obtain narrative information. These features enhance
communication during an interview. The other statements are appropriate for closed or direct questions.
9. The nurse is interviewing an outpatient clinic and is using a computer to record data. Which is the best use of the computer in this
situation?Correct Answer:✓✓ Select all that apply.
Collect the patient's data in a direct, face-to-face manner.
Type the data into the computer after the narrative is fully explored.
Allow the patient to see the monitor during typing.
Page: 32 The use of a computer can become a barrier. The nurse should begin the interview as usual by greeting the patient, establishing
rapport, and collecting the patient's narrative story in a direct face-to-face manner. Only after the narrative is fully explored should the
nurse type data into the computer. When typing, the nurse should position the monitor so that the patient can see it.
10. During an assessment, the nurse notices that a patient is handling a small charm that is tied to a leather strip around his neck. Which
action by the nurse is appropriate?Correct Answer:✓✓
, COMPLETE HESI PREP HEALTH
ASSESSMENT PRACTICE EXAM
QUESTIONS AND CORRECT ANSWERS
WITH RATIONALES&
EXPLANATIONSLATEST 2024/2025 |
100%|GUARANTEED A+
Ask the patient about the item and its significance.
Page: 21 The nurse should inquire about the amulet's meaning. Amulets, such as charms, are often seen as an important means of
protection from "evil spirits" by some cultures.
11. In the majority culture of America, coughing, sweating, and diarrhea are symptoms of an illness. For some individuals of Mexican-
American origin, however, these symptoms are a normal part of living. The nurse recognizes that this is true, probably because Mexican-
Americans:
consider these symptoms a part of normal living, not symptoms of ill health.
Page: 27 The nurse needs to identify the meaning of health to the patient, remembering that concepts are derived, in part, from the way in
which members of the cultural group define health.
12. Among many Asians there is a belief in the yin/yang theory, rooted in the ancient Chinese philosophy of Tao. The nurse recognizes which
statement that most accurately reflects "health" in an Asian with this belief?Correct Answer:✓✓
All aspects of the person are in perfect balance.
Page: 21 Many Asians believe in the yin/yang theory, in which health is believed to exist when all aspects of the person are in perfect
balance. The other statements do not describe this theory.
13. An individual who takes the magicoreligious perspective of illness and disease is likely to believe that his or her illness was caused by:
supernatural forces.
