HESI Health Assessment Exam/51
Questions And Answers
"My life is really out of balance." - Correct Answer -A client is
reporting chest pain. What statement made by the client, helps the
nurse to understand this client has a naturalistic belief in the cause
of illness?
Be open to people who are different
Have a curiosity about people.
Become culturally competent. - Correct Answer -2. A nurse is working
in a healthcare facility that serves a diverse population. What
action(s) by the nurse will allow the nurse to empathize with and
understand this population? (Select all that apply.)
It must be enlarged at least three times normal size for it to be
palpable. - Correct Answer -Which statement is accurate about
assessing the spleen?
Posterior chest below the 3rd intercostalspace. - Correct Answer -
What is the best place for the nurse to hear lower lobe lung sounds
with a stethoscope?
Place the bell on the 5th intercostal space, left midclavicular line. -
Correct Answer -The nurse is assessing a client who has a history of
mitral stenosis. How should the nurse assess this client with a
stethoscope to listen for this condition?
2nd intercostal space along the right sternal border. - Correct
Answer -The nurse is assessing a client who has a history of aortic
regurgitation. Where should the nurse place the stethoscope
diaphragm to listen for this condition?
The client works in a daycare setting that has had a scabies
outbreak. - Correct Answer -The client is experiencing severe
pruritus and small papules and burrows on areas over one hand
and the inner thighs. Which assessment data best explains the
condition the client is experiencing?
Level of consciousness. - Correct Answer -A client comes to the
clinic with a report of fever and a recent exposure to someone who
was diagnosed with meningitis. Which nursing assessment should
be completed during the initial examination of this client?
Use of vitamin and iron supplements. - Correct Answer -A client
reports feeling increasingly fatigued for several months, and the
nurse observes that the client's lips are pale. Which additional data
should the nurse collect based on this presentation?
, There is no sign of associated infection. - Correct Answer -The nurse
is assessing a client who has experienced a sudden onset of hearing
loss in the right ear. Which finding should alert the nurse to a
potentially serious medical condition that requires further
evaluation?
Swelling anterior to the ear lobe on one side of the face. - Correct
Answer
-The client reports to the nurse a recent exposure to the mumps.
Which assessment finding suggests the client has contracted the
mumps?
Swelling of the left arm and non-pitting edema. - Correct Answer -A
client states that she had a mastectomy of her left breast last year
and now experiences lymphedema. What should the nurse expect to
find when examining the client?
Ask the client specifically about any leakage of urine. - Correct
Answer -What is the best nursing response to an older client who has
not mentioned incontinence during a genitourinary assessment?
Have you experienced sudden weight loss? - Correct Answer -A
client is in the clinic for a routine health examination. The nurse
notices the client appears underweight. Which question is most
important for the nurse to ask when completing the health history of
this client?
Family history of colon cancer on mother's side. Correct - Correct
Answer -A client is in the clinic and is reporting lower abdominal pain
and constipation. Which information is of greatest concern to the
nurse when obtaining the health history from this client?
Health history. - Correct Answer -Which information should the
nurse obtain to identify the client's self-perception of health status?
Cataracts - Correct Answer -During the initial assessment, the
nurse notes that a client has blurred vision with cloudy lenses.
Which condition should the nurse document?
Fibroadenoma. - Correct Answer -While palpating a client's breasts,
the nurse detects a nontender, solitary, round lobular mass that is
solid and firm and slides easily through the breast tissue . The
findings of this breast exam are consistent with which condition?
Ankles. - Correct Answer -Which part of the body should the nurse
examine when assessing for peripheral edema in a client with heart
failure?
Fungal infection - Correct Answer -Which condition is
indicated by a fluorescent, yellow-green color when the
Questions And Answers
"My life is really out of balance." - Correct Answer -A client is
reporting chest pain. What statement made by the client, helps the
nurse to understand this client has a naturalistic belief in the cause
of illness?
Be open to people who are different
Have a curiosity about people.
Become culturally competent. - Correct Answer -2. A nurse is working
in a healthcare facility that serves a diverse population. What
action(s) by the nurse will allow the nurse to empathize with and
understand this population? (Select all that apply.)
It must be enlarged at least three times normal size for it to be
palpable. - Correct Answer -Which statement is accurate about
assessing the spleen?
Posterior chest below the 3rd intercostalspace. - Correct Answer -
What is the best place for the nurse to hear lower lobe lung sounds
with a stethoscope?
Place the bell on the 5th intercostal space, left midclavicular line. -
Correct Answer -The nurse is assessing a client who has a history of
mitral stenosis. How should the nurse assess this client with a
stethoscope to listen for this condition?
2nd intercostal space along the right sternal border. - Correct
Answer -The nurse is assessing a client who has a history of aortic
regurgitation. Where should the nurse place the stethoscope
diaphragm to listen for this condition?
The client works in a daycare setting that has had a scabies
outbreak. - Correct Answer -The client is experiencing severe
pruritus and small papules and burrows on areas over one hand
and the inner thighs. Which assessment data best explains the
condition the client is experiencing?
Level of consciousness. - Correct Answer -A client comes to the
clinic with a report of fever and a recent exposure to someone who
was diagnosed with meningitis. Which nursing assessment should
be completed during the initial examination of this client?
Use of vitamin and iron supplements. - Correct Answer -A client
reports feeling increasingly fatigued for several months, and the
nurse observes that the client's lips are pale. Which additional data
should the nurse collect based on this presentation?
, There is no sign of associated infection. - Correct Answer -The nurse
is assessing a client who has experienced a sudden onset of hearing
loss in the right ear. Which finding should alert the nurse to a
potentially serious medical condition that requires further
evaluation?
Swelling anterior to the ear lobe on one side of the face. - Correct
Answer
-The client reports to the nurse a recent exposure to the mumps.
Which assessment finding suggests the client has contracted the
mumps?
Swelling of the left arm and non-pitting edema. - Correct Answer -A
client states that she had a mastectomy of her left breast last year
and now experiences lymphedema. What should the nurse expect to
find when examining the client?
Ask the client specifically about any leakage of urine. - Correct
Answer -What is the best nursing response to an older client who has
not mentioned incontinence during a genitourinary assessment?
Have you experienced sudden weight loss? - Correct Answer -A
client is in the clinic for a routine health examination. The nurse
notices the client appears underweight. Which question is most
important for the nurse to ask when completing the health history of
this client?
Family history of colon cancer on mother's side. Correct - Correct
Answer -A client is in the clinic and is reporting lower abdominal pain
and constipation. Which information is of greatest concern to the
nurse when obtaining the health history from this client?
Health history. - Correct Answer -Which information should the
nurse obtain to identify the client's self-perception of health status?
Cataracts - Correct Answer -During the initial assessment, the
nurse notes that a client has blurred vision with cloudy lenses.
Which condition should the nurse document?
Fibroadenoma. - Correct Answer -While palpating a client's breasts,
the nurse detects a nontender, solitary, round lobular mass that is
solid and firm and slides easily through the breast tissue . The
findings of this breast exam are consistent with which condition?
Ankles. - Correct Answer -Which part of the body should the nurse
examine when assessing for peripheral edema in a client with heart
failure?
Fungal infection - Correct Answer -Which condition is
indicated by a fluorescent, yellow-green color when the
