HESI Health Assessment Exam 40
questions and answers 2024 HESI
Health Assessment
,Which of the following statements from a patient's history is it most
important to investigate further?
a. "I have an allergy to peanuts."
b. "I have lost 30 pounds over the last 4 months."
c. "I don't like many vegetables so I take multivitamins."
d. "I drink 2 cups of coffee each morning." - ans ANS: B
The statement in option "b is most important to investigate further because
any significant weight loss may indicate a serious problem. The statement
about an allergy to peanuts is not the most important piece of information,
although the nurse would want to investigate and document any food
allergies. Option "c" is not the most significant statement; however, the
nurse should investigate the types and amounts of vegetables the patient
eats. Two cups of coffee is considered fairly typical and the patient is not
consuming an excessive amount of caffeine.
Your patient complains of pruritus. You should examine the patient for
which of the following associated signs and symptoms?
a. rash and edema
b. coolness and pallor
c. cyanosis and coolness
d. ecchymosis and purpura - ans ANS: A
Pruritus or itching of the skin is associated with the following
manifestations: rashes, lesions, edema, angioedema, anaphylaxis,
excoriation or ulcers as a result of scratching, lichenification or thickening
of the skin, and systemic disease. As a result of scratching the skin due to
pruritus, the skin would most likely be warm and red, not pale, cool, or
cyanotic. Ecchymosis is a violaceous discoloration, also called a black-and-
blue mark. Purpura is a condition characterized by the presence of
, confluent petechiae or confluent ecchymosis. Neither of these is associated
with pruritus.
____ 3. Your patient asks you about the small, reddish purple
discolorations of the skin, less than 0.5 cm in diameter. You inform the
patient that this is known as which of the following?
a. ecchymoses c. purpura
b. petechiae d. spider telangiectasia - ans ANS: B
Petechiae are violaceous (red-purple) discolorations of less than 0.5 cm in
diameter. Petechiae do not blanch. They can indicate an increased bleeding
tendency or embolism; causes include intravascular defects and infections.
Ecchymosis is a violaceous discoloration of varying size, also called a
black-and-blue mark. It is caused by extravasation of blood into the skin as
a result of trauma; heparin or Coumadin use; or liver dysfunction. Purpura
is a condition characterized by the presence of confluent petechiae or
confluent ecchymosis over any part of the body. Purpura is caused by
hemorrhage into the skin and can be the result of decreased platelet
formation. Spider angiomas, a type of telangiectasia, are bright red and
star-shaped. Most often these lesions are found on the face, neck, and chest.
There is often a central pulsation noted with pressure, and this results in
blanching in the extensions.
Your patient expresses concern about a mole on her right leg that has
recently started itching. Which accompanying finding most likely indicates
a developing cancerous lesion?
a. regular and distinct border c. edema in both feet
b. multiple colorations d. inflammation of periungual tissue - ans ANS: B
Developing cancerous lesions may have multiple colorations such as
brownish, tan, red, white, blue, pink, purple, or gray. Other signs in
potentially cancerous lesions include the following: 1) rapid change in size;
2) change in coloration; 3) irregular or butterfly-shaped border; 4) elevation
in a previously flat mole; 5) multiple colorations in a lesion; 6) change in
surface characteristics, such as oozing; 7) change in sensation, such as pain,
questions and answers 2024 HESI
Health Assessment
,Which of the following statements from a patient's history is it most
important to investigate further?
a. "I have an allergy to peanuts."
b. "I have lost 30 pounds over the last 4 months."
c. "I don't like many vegetables so I take multivitamins."
d. "I drink 2 cups of coffee each morning." - ans ANS: B
The statement in option "b is most important to investigate further because
any significant weight loss may indicate a serious problem. The statement
about an allergy to peanuts is not the most important piece of information,
although the nurse would want to investigate and document any food
allergies. Option "c" is not the most significant statement; however, the
nurse should investigate the types and amounts of vegetables the patient
eats. Two cups of coffee is considered fairly typical and the patient is not
consuming an excessive amount of caffeine.
Your patient complains of pruritus. You should examine the patient for
which of the following associated signs and symptoms?
a. rash and edema
b. coolness and pallor
c. cyanosis and coolness
d. ecchymosis and purpura - ans ANS: A
Pruritus or itching of the skin is associated with the following
manifestations: rashes, lesions, edema, angioedema, anaphylaxis,
excoriation or ulcers as a result of scratching, lichenification or thickening
of the skin, and systemic disease. As a result of scratching the skin due to
pruritus, the skin would most likely be warm and red, not pale, cool, or
cyanotic. Ecchymosis is a violaceous discoloration, also called a black-and-
blue mark. Purpura is a condition characterized by the presence of
, confluent petechiae or confluent ecchymosis. Neither of these is associated
with pruritus.
____ 3. Your patient asks you about the small, reddish purple
discolorations of the skin, less than 0.5 cm in diameter. You inform the
patient that this is known as which of the following?
a. ecchymoses c. purpura
b. petechiae d. spider telangiectasia - ans ANS: B
Petechiae are violaceous (red-purple) discolorations of less than 0.5 cm in
diameter. Petechiae do not blanch. They can indicate an increased bleeding
tendency or embolism; causes include intravascular defects and infections.
Ecchymosis is a violaceous discoloration of varying size, also called a
black-and-blue mark. It is caused by extravasation of blood into the skin as
a result of trauma; heparin or Coumadin use; or liver dysfunction. Purpura
is a condition characterized by the presence of confluent petechiae or
confluent ecchymosis over any part of the body. Purpura is caused by
hemorrhage into the skin and can be the result of decreased platelet
formation. Spider angiomas, a type of telangiectasia, are bright red and
star-shaped. Most often these lesions are found on the face, neck, and chest.
There is often a central pulsation noted with pressure, and this results in
blanching in the extensions.
Your patient expresses concern about a mole on her right leg that has
recently started itching. Which accompanying finding most likely indicates
a developing cancerous lesion?
a. regular and distinct border c. edema in both feet
b. multiple colorations d. inflammation of periungual tissue - ans ANS: B
Developing cancerous lesions may have multiple colorations such as
brownish, tan, red, white, blue, pink, purple, or gray. Other signs in
potentially cancerous lesions include the following: 1) rapid change in size;
2) change in coloration; 3) irregular or butterfly-shaped border; 4) elevation
in a previously flat mole; 5) multiple colorations in a lesion; 6) change in
surface characteristics, such as oozing; 7) change in sensation, such as pain,
