HESI HEALTH ASSESSMENT LATEST 2024
TEST BANK REAL EXAM 100 QUESTIONS AND
DETAILED ANSWERS | GRADED A+
Course
HESI
1. During a health history interview, a patient states, "I feel fine, but I’ve had
this nagging cough for three weeks." What is the best documentation of this
symptom?
A. Patient denies symptoms.
B. Chronic cough reported; no current complaints.
C. Patient reports persistent cough for three weeks; otherwise feels well.
D. Patient says everything is fine.
Correct Answer: C
Rationale: This option provides a clear, objective summary of the patient’s reported symptom
and overall status. It uses the patient’s own words and is clinically relevant.
2. When performing auscultation of the lungs, the nurse hears crackles in the
posterior lower lobes. What does this likely indicate?
A. Asthma
B. Bronchitis
C. Pneumonia
D. Pulmonary embolism
Correct Answer: C
Rationale: Crackles (rales) in the lower lobes are a classic finding in pneumonia due to fluid
accumulation in the alveoli. Asthma typically presents with wheezing, not crackles.
3. Which technique is correct when assessing the carotid arteries of an adult
patient?
A. Palpate both arteries simultaneously.
B. Auscultate using the diaphragm of the stethoscope.
C. Palpate one artery at a time.
D. Press firmly with your thumbs.
,Correct Answer: C
Rationale: To prevent decreased cerebral blood flow, each carotid artery should be palpated
individually, gently.
4. A nurse is assessing skin turgor in an elderly client. Where should this
assessment be performed for the most accurate result?
A. Abdomen
B. Dorsum of the hand
C. Forearm
D. Sternum or clavicle
Correct Answer: D
Rationale: In older adults, skin turgor is most accurately assessed over the sternum or clavicle
due to decreased skin elasticity in the extremities.
5. What is the normal range for adult respiratory rate?
A. 10–16 breaths per minute
B. 16–24 breaths per minute
C. 12–20 breaths per minute
D. 8–14 breaths per minute
Correct Answer: C
Rationale: The standard adult respiratory rate is 12 to 20 breaths per minute.
6. A patient is oriented to person and place but not time. How should this be
documented?
A. Alert and oriented ×3
B. Disoriented
C. Alert and oriented ×2
D. Cognitive deficit present
Correct Answer: C
Rationale: “Alert and oriented ×2” indicates the patient knows who they are and where they are,
but not the time, which is accurate.
, 7. What finding is expected when percussing healthy lung tissue?
A. Dullness
B. Hyperresonance
C. Flatness
D. Resonance
Correct Answer: D
Rationale: Resonance is the expected sound over normal, air-filled lung tissue. Dullness
indicates fluid or consolidation.
8. When assessing the abdomen, in what order should the nurse proceed?
A. Palpation, percussion, auscultation, inspection
B. Inspection, palpation, percussion, auscultation
C. Auscultation, percussion, inspection, palpation
D. Inspection, auscultation, percussion, palpation
Correct Answer: D
Rationale: Always auscultate before palpation or percussion to avoid altering bowel sounds.
9. What is the correct way to assess for tactile fremitus?
A. Use the bell of the stethoscope.
B. Place the back of the hand on the chest and ask the patient to whisper.
C. Place the palm or ulnar surface of the hand on the chest while the patient says “ninety-nine.”
D. Percuss over each intercostal space and compare both sides.
Correct Answer: C
Rationale: Tactile fremitus is assessed by using the ulnar surface or palm of the hand and asking
the patient to speak—vibrations are compared bilaterally.
10. Which symptom is considered a "red flag" during a neurological assessment?
A. Mild headache
B. Unequal pupil size
C. Slight forgetfulness
D. Dry mouth
TEST BANK REAL EXAM 100 QUESTIONS AND
DETAILED ANSWERS | GRADED A+
Course
HESI
1. During a health history interview, a patient states, "I feel fine, but I’ve had
this nagging cough for three weeks." What is the best documentation of this
symptom?
A. Patient denies symptoms.
B. Chronic cough reported; no current complaints.
C. Patient reports persistent cough for three weeks; otherwise feels well.
D. Patient says everything is fine.
Correct Answer: C
Rationale: This option provides a clear, objective summary of the patient’s reported symptom
and overall status. It uses the patient’s own words and is clinically relevant.
2. When performing auscultation of the lungs, the nurse hears crackles in the
posterior lower lobes. What does this likely indicate?
A. Asthma
B. Bronchitis
C. Pneumonia
D. Pulmonary embolism
Correct Answer: C
Rationale: Crackles (rales) in the lower lobes are a classic finding in pneumonia due to fluid
accumulation in the alveoli. Asthma typically presents with wheezing, not crackles.
3. Which technique is correct when assessing the carotid arteries of an adult
patient?
A. Palpate both arteries simultaneously.
B. Auscultate using the diaphragm of the stethoscope.
C. Palpate one artery at a time.
D. Press firmly with your thumbs.
,Correct Answer: C
Rationale: To prevent decreased cerebral blood flow, each carotid artery should be palpated
individually, gently.
4. A nurse is assessing skin turgor in an elderly client. Where should this
assessment be performed for the most accurate result?
A. Abdomen
B. Dorsum of the hand
C. Forearm
D. Sternum or clavicle
Correct Answer: D
Rationale: In older adults, skin turgor is most accurately assessed over the sternum or clavicle
due to decreased skin elasticity in the extremities.
5. What is the normal range for adult respiratory rate?
A. 10–16 breaths per minute
B. 16–24 breaths per minute
C. 12–20 breaths per minute
D. 8–14 breaths per minute
Correct Answer: C
Rationale: The standard adult respiratory rate is 12 to 20 breaths per minute.
6. A patient is oriented to person and place but not time. How should this be
documented?
A. Alert and oriented ×3
B. Disoriented
C. Alert and oriented ×2
D. Cognitive deficit present
Correct Answer: C
Rationale: “Alert and oriented ×2” indicates the patient knows who they are and where they are,
but not the time, which is accurate.
, 7. What finding is expected when percussing healthy lung tissue?
A. Dullness
B. Hyperresonance
C. Flatness
D. Resonance
Correct Answer: D
Rationale: Resonance is the expected sound over normal, air-filled lung tissue. Dullness
indicates fluid or consolidation.
8. When assessing the abdomen, in what order should the nurse proceed?
A. Palpation, percussion, auscultation, inspection
B. Inspection, palpation, percussion, auscultation
C. Auscultation, percussion, inspection, palpation
D. Inspection, auscultation, percussion, palpation
Correct Answer: D
Rationale: Always auscultate before palpation or percussion to avoid altering bowel sounds.
9. What is the correct way to assess for tactile fremitus?
A. Use the bell of the stethoscope.
B. Place the back of the hand on the chest and ask the patient to whisper.
C. Place the palm or ulnar surface of the hand on the chest while the patient says “ninety-nine.”
D. Percuss over each intercostal space and compare both sides.
Correct Answer: C
Rationale: Tactile fremitus is assessed by using the ulnar surface or palm of the hand and asking
the patient to speak—vibrations are compared bilaterally.
10. Which symptom is considered a "red flag" during a neurological assessment?
A. Mild headache
B. Unequal pupil size
C. Slight forgetfulness
D. Dry mouth
