RN Hesi Health Assessment Exam Preparation
Test Bank 1 Latest 2026-2027/ Health Assessment
HESI Exam Prep Test Bank 1 (New!)
The nurse is performing a neurological recheck on an adult client who sustained a
head injury. Which of the following signs/symptoms alerts the nurse to increasing
intracranial pressure? Select all that apply.
Glasgow Coma Scale score of "0".
Nonreactive pupil.
Intact plantar reflex.
Systolic hypertension.
Stereognosis.
Drowsiness.
BDF
To assess for rotator cuff injury, what should the nurse do?
Check for a positive bulge sign.
Evaluate muscle tone bilaterally.
Assess arm span with a tape measure.
Assess the patient's ability to abduct the arm.
D
1
,The nurse auscultates a loud murmur just after S2 over the pulmonic valve area. A
slight thrill is palpated over the area. The nurse documents:
Grade 6/6 systolic murmur present at left midclavicular line.
Grade 5/6 systolic murmur present at left upper sternal border.
Grade 4/6 diastolic murmur present at 2nd left intercostal space.
Grade 5/6 diastolic murmur present at 4th left intercostal space.
C
An older client is admitted to the hospital with severe diarrhea. The registered
nurse (RN) is completing an assessment and notes the client has dry mucous
membranes and poor skin turgor. Which assessment data should the RN gather to
determine if the client has fluid volume deficit?
B
Orthostatic hypotension (B) can be a sign of fluid volume deficit in an older adult
client who has experienced severe diarrhea. (A and C) are signs of excess fluid
volume. Cheyne Stocks respirations (D) is an abnormal breathing pattern often
seen in a client who is near death.
The registered nurse (RN) is caring for a client with tuberculosis (TB) who is
taking a combination drug regimen. The client complains about taking "so many
pills." What information should the RN provide to the client about the prescribed
treatment?
A. The development of resistant strains of TB are decreased with a combination of
drugs.
B. Compliance to the medication regimen is challenging but should be maintained.
C. Side effects are minimized with the use of a single medication but is less
effective.
D. The treatment time is decreased from 6 months to 3 months with this standard
regimen.
A
Combination therapy is necessary to decrease the development of resistant strains
of TB (A) and ensure treatment effectiveness. (B, C, and D) are not the rationales
for multiple drug protocol for TB.
2
,The registered nurse (RN) is caring for a young adult who is having an oral glucose
tolerance test (OGTT). which laboratory result should the RN assess as a normal
value for the two hour postprandial result?
A. 140 mg/dl
B. 160 mg/dl
C. 180 mg/dl
D. 200 mg/dl
A
The two hour postprandial level should be less than 140 mg/dl for a young adult
client (B). (A, C and D) are elevated and not normal at 2 hours after ingesting the
glucose solution.
After a liver biopsy is performed at the bedside, the registered nurse (RN) is
assigned the care of the client. Which nursing intervention is most important for
the RN to implement?
A. Position the client on the left side with pillow placed under the costal margin.
B. Assist the client with voiding immediately after the procedure.
C. Evaluate the vital signs q10 to 20 minutes for every 2 hours after the procedure.
D. Ambulate client 3 times in first hour with pillow held at abdomen.
C
Vital signs should be checked every 10 to 20 minutes (C) to assess for bleeding
after biopsy of the liver, which is highly vascular. The client should be positioned
on the right side, not the left (A), with a pillow or sandbag under the costal margin
and supporting the biopsy site. Voiding immediately after the procedure (B) is not
the highest priority intervention after a liver biopsy. The client should be
maintained on bedrest (D) for several hours to decrease the risk of bleeding from
the biopsy site.
While reviewing the client's electronic medical record (EMR), the registered nurse
(RN) assesses a client who is at risk for possible interaction with an over-the-
counter (OTC) decongestant. Which client health history should the RN report to
the healthcare provider concerning the OTC medication? (Select all that apply)
A. Type I diabetes mellitus (DM)
B. Closed angle glaucoma
C. Chronic hypertension
D. Rheumatoid arthritis
E. Crohn's disease
3
, B Closed angle glaucoma
C Chronic hypertension
(B and C) are correct. OTC decongestants can increase intraocular pressure and
should be avoided in clients with closed angle glaucoma (B). Decongestants can
increase the heart rate and blood pressure which impact the client's management of
chronic hypertension (C). Although the healthcare provider should be informed of
all medications taken, (A, D, and E) are not directly affected by a decongestant.
The registered nurse (RN) is evaluating a client who presents with symptoms of
gastroenteritis. Which assessment finding should the RN report to the healthcare
provider?
A. Dry mucous membranes and lips.
B. Rebound abdominal tenderness over right lower quadrant.
C. Dizziness when client ambulates from a sitting position.
D. Poor skin turgor over client's risk.
B
RLQ rebound abdominal tenderness (B) may be related to acute appendicitis and
should be reported to the healthcare provider. (A, C and D) are expected findings
associated with gastroenteritis that are not urgent findings or life threatening.
The registered nurse (RN) reviews the new prescription, phelezine, a monoamine
oxidase inhibitor (MAOI), for a client on the psychiatric unit with depression.
Which information is most important for the RN to assess?
A. Consumption of any alcohol or tyramine-rich foods.
B. Complaints of nausea or vomiting.
C. Therapeutic serum drug levels.
D. Blood pressure and pulse prior to taking each dose.
A.
All alcohol (A) and any foods that contain tyramine should be avoided while
taking an MAO inhibitor, which interact to cause a hypertensive crisis. (B and C)
should be discussed, but are not as important as (A). Although assessing blood
pressure and pulse may be indicated, it is not necessary prior to taking each dose
(D).
Which actions should the registered nurse (RN) implement to complete an
assessment for a client using an interpreter?
A. Ask close-ended questions with assistance of the interpreter.
B. Maintain eye contact with the client while listening to the translation.
4
Test Bank 1 Latest 2026-2027/ Health Assessment
HESI Exam Prep Test Bank 1 (New!)
The nurse is performing a neurological recheck on an adult client who sustained a
head injury. Which of the following signs/symptoms alerts the nurse to increasing
intracranial pressure? Select all that apply.
Glasgow Coma Scale score of "0".
Nonreactive pupil.
Intact plantar reflex.
Systolic hypertension.
Stereognosis.
Drowsiness.
BDF
To assess for rotator cuff injury, what should the nurse do?
Check for a positive bulge sign.
Evaluate muscle tone bilaterally.
Assess arm span with a tape measure.
Assess the patient's ability to abduct the arm.
D
1
,The nurse auscultates a loud murmur just after S2 over the pulmonic valve area. A
slight thrill is palpated over the area. The nurse documents:
Grade 6/6 systolic murmur present at left midclavicular line.
Grade 5/6 systolic murmur present at left upper sternal border.
Grade 4/6 diastolic murmur present at 2nd left intercostal space.
Grade 5/6 diastolic murmur present at 4th left intercostal space.
C
An older client is admitted to the hospital with severe diarrhea. The registered
nurse (RN) is completing an assessment and notes the client has dry mucous
membranes and poor skin turgor. Which assessment data should the RN gather to
determine if the client has fluid volume deficit?
B
Orthostatic hypotension (B) can be a sign of fluid volume deficit in an older adult
client who has experienced severe diarrhea. (A and C) are signs of excess fluid
volume. Cheyne Stocks respirations (D) is an abnormal breathing pattern often
seen in a client who is near death.
The registered nurse (RN) is caring for a client with tuberculosis (TB) who is
taking a combination drug regimen. The client complains about taking "so many
pills." What information should the RN provide to the client about the prescribed
treatment?
A. The development of resistant strains of TB are decreased with a combination of
drugs.
B. Compliance to the medication regimen is challenging but should be maintained.
C. Side effects are minimized with the use of a single medication but is less
effective.
D. The treatment time is decreased from 6 months to 3 months with this standard
regimen.
A
Combination therapy is necessary to decrease the development of resistant strains
of TB (A) and ensure treatment effectiveness. (B, C, and D) are not the rationales
for multiple drug protocol for TB.
2
,The registered nurse (RN) is caring for a young adult who is having an oral glucose
tolerance test (OGTT). which laboratory result should the RN assess as a normal
value for the two hour postprandial result?
A. 140 mg/dl
B. 160 mg/dl
C. 180 mg/dl
D. 200 mg/dl
A
The two hour postprandial level should be less than 140 mg/dl for a young adult
client (B). (A, C and D) are elevated and not normal at 2 hours after ingesting the
glucose solution.
After a liver biopsy is performed at the bedside, the registered nurse (RN) is
assigned the care of the client. Which nursing intervention is most important for
the RN to implement?
A. Position the client on the left side with pillow placed under the costal margin.
B. Assist the client with voiding immediately after the procedure.
C. Evaluate the vital signs q10 to 20 minutes for every 2 hours after the procedure.
D. Ambulate client 3 times in first hour with pillow held at abdomen.
C
Vital signs should be checked every 10 to 20 minutes (C) to assess for bleeding
after biopsy of the liver, which is highly vascular. The client should be positioned
on the right side, not the left (A), with a pillow or sandbag under the costal margin
and supporting the biopsy site. Voiding immediately after the procedure (B) is not
the highest priority intervention after a liver biopsy. The client should be
maintained on bedrest (D) for several hours to decrease the risk of bleeding from
the biopsy site.
While reviewing the client's electronic medical record (EMR), the registered nurse
(RN) assesses a client who is at risk for possible interaction with an over-the-
counter (OTC) decongestant. Which client health history should the RN report to
the healthcare provider concerning the OTC medication? (Select all that apply)
A. Type I diabetes mellitus (DM)
B. Closed angle glaucoma
C. Chronic hypertension
D. Rheumatoid arthritis
E. Crohn's disease
3
, B Closed angle glaucoma
C Chronic hypertension
(B and C) are correct. OTC decongestants can increase intraocular pressure and
should be avoided in clients with closed angle glaucoma (B). Decongestants can
increase the heart rate and blood pressure which impact the client's management of
chronic hypertension (C). Although the healthcare provider should be informed of
all medications taken, (A, D, and E) are not directly affected by a decongestant.
The registered nurse (RN) is evaluating a client who presents with symptoms of
gastroenteritis. Which assessment finding should the RN report to the healthcare
provider?
A. Dry mucous membranes and lips.
B. Rebound abdominal tenderness over right lower quadrant.
C. Dizziness when client ambulates from a sitting position.
D. Poor skin turgor over client's risk.
B
RLQ rebound abdominal tenderness (B) may be related to acute appendicitis and
should be reported to the healthcare provider. (A, C and D) are expected findings
associated with gastroenteritis that are not urgent findings or life threatening.
The registered nurse (RN) reviews the new prescription, phelezine, a monoamine
oxidase inhibitor (MAOI), for a client on the psychiatric unit with depression.
Which information is most important for the RN to assess?
A. Consumption of any alcohol or tyramine-rich foods.
B. Complaints of nausea or vomiting.
C. Therapeutic serum drug levels.
D. Blood pressure and pulse prior to taking each dose.
A.
All alcohol (A) and any foods that contain tyramine should be avoided while
taking an MAO inhibitor, which interact to cause a hypertensive crisis. (B and C)
should be discussed, but are not as important as (A). Although assessing blood
pressure and pulse may be indicated, it is not necessary prior to taking each dose
(D).
Which actions should the registered nurse (RN) implement to complete an
assessment for a client using an interpreter?
A. Ask close-ended questions with assistance of the interpreter.
B. Maintain eye contact with the client while listening to the translation.
4
