HESI V2 Health Assessm ent Exam Questions
w ith 100% Ver ifi ed Cor r ect Answ er s
1. A 29 year old male client informs 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. Presents with a hacking non-productive cough of 6 weeks duration.
B. Describe having a "body-wracking dry cough" of 6 weeks duration.
C. Expresses concern of "lung cancer" symptoms for last 6 weeks.
D. Young adult male presents with fears that he has "lung cancer"
Correct Correct answer is B, as assessment process includes chief complaint which is how the patient describe
why he is here in the hospital or clinic and can't include diagnosis.
2. A 75-year-old client with a recent 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?
A. A normal reflex response.
,B. Absent or sluggish response consistent with a lower motor neuron lesion.
C. Flaccid paralysis.
D.Hyperactive response consistent with an upper motor neuron disorder.
Correct Correct answer is D, brisk 4+ response is correlated with hyperactive response.
3. The nurse examines a client's abdomen. Which finding indicates an
abnormal response when palpating the spleen?
A. Pain notes when palpating McBurney's point.
B. Tip of spleen palpable when client is asked to forcefully exhale.
C. Rebound tenderness with compression over right upper quadrant. D. Firm
mass palpated at bottom of left rib cage.
Correct Correct answer is D. McBurney's point is related to appendicitis and not spleen.
4. In auscultating for the presence of a carotid artery bruit, the nurse places
the bell of the stethoscope at which location?
Correct *under mandible towards lymph nodes. transverse to trachea
5. A male client arrives at the 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. Use the bell of the stethoscope to listen to the lung fields over lower lobes.
, B. Have the client lay flat while listening to the anterior surface of the chest.
C. Press the stethoscope's diaphragm firmly on the skin over each lung field.
D. Shave all chest hair that may distort sounds heard through the diaphragm.-
Correct Correct answer is C. The nurse should listen to all lungs fields during assessment and move from side to side
during auscultation.
6. A client with streptococcus pharyngitis reports high fever, difficulty
swallow- ing and a muffled voice. Which complication should the nurse
suspect?
A. Foreign body obstruction.
B. Laryngeal polyps.
C. Peritonsillar abscess.
D. Nasal polyps
Correct Correct answer is C. Since infections are associated with abscesses and pus.
7. The nurse is obtaining a health 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?
A. Obtain a drug using screen to verify legitimacy of client's stated history.
B. Allow the client to decline answering social questions.
w ith 100% Ver ifi ed Cor r ect Answ er s
1. A 29 year old male client informs 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. Presents with a hacking non-productive cough of 6 weeks duration.
B. Describe having a "body-wracking dry cough" of 6 weeks duration.
C. Expresses concern of "lung cancer" symptoms for last 6 weeks.
D. Young adult male presents with fears that he has "lung cancer"
Correct Correct answer is B, as assessment process includes chief complaint which is how the patient describe
why he is here in the hospital or clinic and can't include diagnosis.
2. A 75-year-old client with a recent 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?
A. A normal reflex response.
,B. Absent or sluggish response consistent with a lower motor neuron lesion.
C. Flaccid paralysis.
D.Hyperactive response consistent with an upper motor neuron disorder.
Correct Correct answer is D, brisk 4+ response is correlated with hyperactive response.
3. The nurse examines a client's abdomen. Which finding indicates an
abnormal response when palpating the spleen?
A. Pain notes when palpating McBurney's point.
B. Tip of spleen palpable when client is asked to forcefully exhale.
C. Rebound tenderness with compression over right upper quadrant. D. Firm
mass palpated at bottom of left rib cage.
Correct Correct answer is D. McBurney's point is related to appendicitis and not spleen.
4. In auscultating for the presence of a carotid artery bruit, the nurse places
the bell of the stethoscope at which location?
Correct *under mandible towards lymph nodes. transverse to trachea
5. A male client arrives at the 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. Use the bell of the stethoscope to listen to the lung fields over lower lobes.
, B. Have the client lay flat while listening to the anterior surface of the chest.
C. Press the stethoscope's diaphragm firmly on the skin over each lung field.
D. Shave all chest hair that may distort sounds heard through the diaphragm.-
Correct Correct answer is C. The nurse should listen to all lungs fields during assessment and move from side to side
during auscultation.
6. A client with streptococcus pharyngitis reports high fever, difficulty
swallow- ing and a muffled voice. Which complication should the nurse
suspect?
A. Foreign body obstruction.
B. Laryngeal polyps.
C. Peritonsillar abscess.
D. Nasal polyps
Correct Correct answer is C. Since infections are associated with abscesses and pus.
7. The nurse is obtaining a health 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?
A. Obtain a drug using screen to verify legitimacy of client's stated history.
B. Allow the client to decline answering social questions.
