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HESI HEALTH ASSESSMENT EXIT EXAM COMPLETE
QUESTIONS BANK WITH ALL VERSIONS 2024-2025
ACTUAL EXAM 580 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES (VERIFIED
ANSWERS) |ALREADY GRADED A+
HEALTH ASSESSMENT HESI
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. - ANSWER- 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.
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The nurse uses the mini-mental state examination (MMSE)
when assessing a client for admission to an assisted living
facility. Which finding is the nurse assessing when requesting
the client to count backward by 7s?
Recall of information.
Orientation to surroundings.
Attention to details.
Ability to follow complex commands. - ANSWER- Attention to
details.
Rationale; When conducting the MMSE and having the
client count backward by 7s. This evaluates their ability to
do simple calculations and is specific to the client's attention
to detail and staying focused and not getting distracted by
external stimuli.
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.
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Nodals are palpated. - ANSWER- Gland is usually not visible
on inspection.
Rationale; In a normal healthy adult, thyroid glands are
usually not visible on inspection.
During a client's routine well-woman physical exam, the nurse
examines the breasts. Which assessment technique should the
nurse implement to evaluate for any abnormal lumps?
Palpate each breast simultaneously noting any differences.
Inspect the areolar area's color, shape, and the nipples for
galactorrhea.
Check for breast symmetry while the client's hands are above
the head.
With both arms at client's side, lift one arm and palpate the
axilla. - ANSWER- With both arms at client's side, lift one arm
and palpate the axilla.
Rationale; Lymph nodes or masses should not normally be
palpated in the axilla. The best way to assess the axilla is to
have the client relax her arms at her side so that the muscles
are relaxed. Typically, breasts are not exactly the same size
or shape, and assessing symmetry will not uncover small
lumps.
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The nurse is assessing a client who reports having shoulder pain.
Which sign is the best indicator of a rotator cuff tear?
Inability to adduct the arm from the body.
Inability to slowly lower the arm when abducted.
Inability to externally rotate the arm.
Inability to internally rotate the arm. - ANSWER- Inability to
slowly lower the arm when abducted.
Rationale; Rotator cuff damage can be assessed with the
Drop Arm test, in which the affected arm is passively
abducted at 90 degrees and the client is unable to keep the
arm elevated or slowly and smoothly lower the arm from
this position without moving the shoulder forward to have
the other muscles compensate for the torn rotator cuff
muscle.
The nurse is testing the client's shoulders for range of motion.
What should the nurse document to record normal internal
rotation?
Ability to lift both arms over the head and swing each arm
across the front of the body.
HESI HEALTH ASSESSMENT EXIT EXAM COMPLETE
QUESTIONS BANK WITH ALL VERSIONS 2024-2025
ACTUAL EXAM 580 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES (VERIFIED
ANSWERS) |ALREADY GRADED A+
HEALTH ASSESSMENT HESI
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. - ANSWER- 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.
,2|Page
The nurse uses the mini-mental state examination (MMSE)
when assessing a client for admission to an assisted living
facility. Which finding is the nurse assessing when requesting
the client to count backward by 7s?
Recall of information.
Orientation to surroundings.
Attention to details.
Ability to follow complex commands. - ANSWER- Attention to
details.
Rationale; When conducting the MMSE and having the
client count backward by 7s. This evaluates their ability to
do simple calculations and is specific to the client's attention
to detail and staying focused and not getting distracted by
external stimuli.
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.
,3|Page
Nodals are palpated. - ANSWER- Gland is usually not visible
on inspection.
Rationale; In a normal healthy adult, thyroid glands are
usually not visible on inspection.
During a client's routine well-woman physical exam, the nurse
examines the breasts. Which assessment technique should the
nurse implement to evaluate for any abnormal lumps?
Palpate each breast simultaneously noting any differences.
Inspect the areolar area's color, shape, and the nipples for
galactorrhea.
Check for breast symmetry while the client's hands are above
the head.
With both arms at client's side, lift one arm and palpate the
axilla. - ANSWER- With both arms at client's side, lift one arm
and palpate the axilla.
Rationale; Lymph nodes or masses should not normally be
palpated in the axilla. The best way to assess the axilla is to
have the client relax her arms at her side so that the muscles
are relaxed. Typically, breasts are not exactly the same size
or shape, and assessing symmetry will not uncover small
lumps.
, 4|Page
The nurse is assessing a client who reports having shoulder pain.
Which sign is the best indicator of a rotator cuff tear?
Inability to adduct the arm from the body.
Inability to slowly lower the arm when abducted.
Inability to externally rotate the arm.
Inability to internally rotate the arm. - ANSWER- Inability to
slowly lower the arm when abducted.
Rationale; Rotator cuff damage can be assessed with the
Drop Arm test, in which the affected arm is passively
abducted at 90 degrees and the client is unable to keep the
arm elevated or slowly and smoothly lower the arm from
this position without moving the shoulder forward to have
the other muscles compensate for the torn rotator cuff
muscle.
The nurse is testing the client's shoulders for range of motion.
What should the nurse document to record normal internal
rotation?
Ability to lift both arms over the head and swing each arm
across the front of the body.
