• EVOLVE HESI
HEALTH 09/07/2026
ASSESSMENT
EXAM
EVOLVE HESI HEALTH ASSESSMENT EXAM 1
PREP NEWEST 2026/2027 ACTUAL EXAM
COMPLETE QUESTIONS AND CORRECT
VERIFIED ANSWERS WITH RATIONALE
Which term should the nurse use to document the condition of a client who reports waking up frequently during
the night to urinate?
Nocturia.
P 1
, • EVOLVE HESI
HEALTH 09/07/2026
ASSESSMENT
EXAM
Polyuria.
Oliguria.
Dysuria.
Nocturia.
Rationale
Nocturia is the medical terminology used to describe when a client wakes up throughout the night more than
usual to urinate. The nurse should document this condition as "nocturia" in the client's medical record.
An older client has just returned to the room following a surgical procedure. Which pain scale should the nurse
use when assessing the client's pain level?
Verbal descriptor scale.
Wong-Baker scale.
Numeric rating scale.
Faces pain scale-revised.
Verbal descriptor scale.
Rationale
The descriptor scale uses words rather than numbers or pictures to describe pain. This method of reporting pain
is less confusing and less abstract for older adults. The choices provided for rating the intensity of pain include
the following: no pain, mild pain, moderate pain, and severe pain.
P 2
, • EVOLVE HESI
HEALTH 09/07/2026
ASSESSMENT
EXAM
The nurse is assessing a client's middle lung lobe. Which is the best location for the nurse to place a stethoscope
diaphragm to hear normal lung sounds in this lobe?
4th intercostal space, right midclavicular line.
5th intercostal space, left midclavicular line.
Left mid-posterior lung field.
Right mid-posterior lung field.
4th intercostal space, right midclavicular line.
Rationale
The 4th intercostal space, the right midclavicular line is the best location for the nurse to place a stethoscope
diaphragm to hear lung sounds in the client's middle lobe. The left side has only two lobes (upper and lower) and
middle lobe sounds cannot normally be heard in the posterior lung fields.
As a part of a routine health assessment, the nurse assesses the kidneys as part of the abdominal assessment.
Which assessment finding should the nurse conclude is normal when palpating the client's right kidney?
A round smooth mass that slides between the fingers.
The right kidney is palpated higher than the left kidney.
The kidney slides forward and has movable nodules throughout.
A vibration is felt slightly left of the abdominal midline.
A round smooth mass that slides between the fingers.
Rationale
Occasionally, when assessing the adult kidneys, the nurse may feel the lower pole of the right kidney as a round,
smooth mass that slides between the fingers - or the nurse will feel nothing at all. Either condition is normal. The
P 3
, • EVOLVE HESI
HEALTH 09/07/2026
ASSESSMENT
EXAM
nurse should search for the right kidney by placing hands together in a "duck-bill" position at the client's right
flank. The nurse should then press two hands together firmly and ask the client to take a deep breath. In most
people, the nurse will feel no change.
The nurse is completing a physical exam on an adult client. Which thyroid finding is considered normal?
Gland is usually not visible on inspection.
Gland is solid bilaterally.
Bruits are detected bilaterally.
Nodals are palpated.
Gland is usually not visible on inspection.
Rationale
In a normal healthy adult, thyroid glands are usually not visible on inspection.
The nurse performs a physical assessment on an older female client. Which change from the prior exam may be
an indication of osteoporosis?
Thick and brittle fingernails.
Decreased range of motion.
Weight gain of 15 pounds.
Height reduction of 1.5 inches.
Height reduction of 1.5 inches.
Rationale
Osteoporosis is a loss of bone density that causes brittle bones and an increased risk for fractures. Reduced
P 4
HEALTH 09/07/2026
ASSESSMENT
EXAM
EVOLVE HESI HEALTH ASSESSMENT EXAM 1
PREP NEWEST 2026/2027 ACTUAL EXAM
COMPLETE QUESTIONS AND CORRECT
VERIFIED ANSWERS WITH RATIONALE
Which term should the nurse use to document the condition of a client who reports waking up frequently during
the night to urinate?
Nocturia.
P 1
, • EVOLVE HESI
HEALTH 09/07/2026
ASSESSMENT
EXAM
Polyuria.
Oliguria.
Dysuria.
Nocturia.
Rationale
Nocturia is the medical terminology used to describe when a client wakes up throughout the night more than
usual to urinate. The nurse should document this condition as "nocturia" in the client's medical record.
An older client has just returned to the room following a surgical procedure. Which pain scale should the nurse
use when assessing the client's pain level?
Verbal descriptor scale.
Wong-Baker scale.
Numeric rating scale.
Faces pain scale-revised.
Verbal descriptor scale.
Rationale
The descriptor scale uses words rather than numbers or pictures to describe pain. This method of reporting pain
is less confusing and less abstract for older adults. The choices provided for rating the intensity of pain include
the following: no pain, mild pain, moderate pain, and severe pain.
P 2
, • EVOLVE HESI
HEALTH 09/07/2026
ASSESSMENT
EXAM
The nurse is assessing a client's middle lung lobe. Which is the best location for the nurse to place a stethoscope
diaphragm to hear normal lung sounds in this lobe?
4th intercostal space, right midclavicular line.
5th intercostal space, left midclavicular line.
Left mid-posterior lung field.
Right mid-posterior lung field.
4th intercostal space, right midclavicular line.
Rationale
The 4th intercostal space, the right midclavicular line is the best location for the nurse to place a stethoscope
diaphragm to hear lung sounds in the client's middle lobe. The left side has only two lobes (upper and lower) and
middle lobe sounds cannot normally be heard in the posterior lung fields.
As a part of a routine health assessment, the nurse assesses the kidneys as part of the abdominal assessment.
Which assessment finding should the nurse conclude is normal when palpating the client's right kidney?
A round smooth mass that slides between the fingers.
The right kidney is palpated higher than the left kidney.
The kidney slides forward and has movable nodules throughout.
A vibration is felt slightly left of the abdominal midline.
A round smooth mass that slides between the fingers.
Rationale
Occasionally, when assessing the adult kidneys, the nurse may feel the lower pole of the right kidney as a round,
smooth mass that slides between the fingers - or the nurse will feel nothing at all. Either condition is normal. The
P 3
, • EVOLVE HESI
HEALTH 09/07/2026
ASSESSMENT
EXAM
nurse should search for the right kidney by placing hands together in a "duck-bill" position at the client's right
flank. The nurse should then press two hands together firmly and ask the client to take a deep breath. In most
people, the nurse will feel no change.
The nurse is completing a physical exam on an adult client. Which thyroid finding is considered normal?
Gland is usually not visible on inspection.
Gland is solid bilaterally.
Bruits are detected bilaterally.
Nodals are palpated.
Gland is usually not visible on inspection.
Rationale
In a normal healthy adult, thyroid glands are usually not visible on inspection.
The nurse performs a physical assessment on an older female client. Which change from the prior exam may be
an indication of osteoporosis?
Thick and brittle fingernails.
Decreased range of motion.
Weight gain of 15 pounds.
Height reduction of 1.5 inches.
Height reduction of 1.5 inches.
Rationale
Osteoporosis is a loss of bone density that causes brittle bones and an increased risk for fractures. Reduced
P 4
