HESI Assessment Practice Exam Questions & Answers 2024

A client has just returned from the recovery room and asks to get out of bed to go to the bathroom. The nurse decides to obtain orthostatic vital signs first. How will the nurse position the client to begin this procedure? a. Lying. b. Sitting. c. Leaning. d. Standing. - a. lying What is the best nursing response to an older client who has not mentioned incontinence during a genitourinary assessment? a. Ask the client specifically about any leakage of urine. b. Document that the client reports having no incontinence. c. Have the client cough and then check for urine leakage. d. Determine if the client has ever had urinary tract surgery. - a. ask the client specifically about any leakage of urine The nurse is assessing the posterior pharynx during a physical examination. Which technique should the nurse use? a. Press the tongue down one side at a time with a tongue depressor. b. Ask the client to open the mouth and say "ah." c. Listen for hoarseness after asking the client to speak. d. Palpate the neck and ask the client to swallow. - a. press the tongue down on side at a time with a tongue depressor 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? a. Administration of rubeola vaccine at age 7. b. Removal of gallbladder 5 years ago. c. Family history of colon cancer on mother's side. d. Family history of hypertension on father's side. - c. Family history of colon cancer on mothers side What is the best place for the nurse to hear lower lobe lung sounds with a stethoscope? a. Posterior chest below the 3rd intercostal space. b. Posterior-axillary line at the 4th intercostal space. c. Anterior chest at the level of the 4th intercostal space. d. Anterior-axillary line at the 5th intercostal space. - a. Posterior chest below the 3rd intercostal space A client with progressive hearing loss appears distressed when the registered nurse (RN) asks open-ended questions about the client's health history. Which forms of communication should the RN use? a. Face the client so the client can see the RN's mouth. b. Increase one's speech volume when interacting with the client. c. Repeat information to the client if misunderstood. d. Check if the client's hearing aides are working properly. e. Reduce environmental noise surrounding the client. - a. Face client so client can see mouth d. check if clients hearing aides are working properly e. reduce environmental noise 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? a. The client works in a busy office setting. b. There is no sign of associated infection. c. The client has no prior history of hearing loss. d. The hearing loss involves high frequencies. - b. there is no sign of associated infection Which findings can the nurse determine by palpating a client's skin? (Select all that apply.) a. Pruritus. b. Diaphoresis. c. Pallor. d. Jaundice. e. Scaling. - b. Diaphoresis e. Scaling The nurse is interviewing a client who reports having a persistent, productive cough during the winter caused by bronchitis. Which additional finding should the nurse assess for bronchitis? a. Phlegm production and wheezing. b. Smoking history. c. Hemoptysis. d. Night sweats. - a. Phlegm production and wheezing The nurse is assessing a client for a hip flexion contracture. Which finding indicates a negative Thomas test when the client's right knee is brought toward the chest? a. The left leg internally rotates. b. The left leg rises off of the table. c. The left leg remains on the table. d. The left leg externally rotates. - c. the eft leg remains on the table The nurse is assessing a client with liver disease who is jaundice and exhibits scleral edema. During the health assessment, the nurse should implement which technique to determine evidence of hepatomegaly? a. Tap the liver's boundaries lightly with a percussion hammer to produce a sound. b. Push gently using fingers of both hands to determine the boundaries of the liver. c. Use a bouncing motion to tap the middle finger placed within boundaries of the liver. d. Cup hands and clap with alternating contact with the skin over regions of the liver. - c. use a bouncing motion to tap the middle finger paced within boundaries of the liver 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? a. The client works in a daycare setting that has had a scabies outbreak. b. The client has been using a chemical stripping agent for home remodeling. c. The client has a family history of psoriasis in both parents and a sibling. d. The client routinely works with clay and paint as a hobby. - a. the client works in a daycare setting that had a scabies outbreak While assessing level of consciousness, the nurse finds that a client localizes to pain, is confused during conversation, and opens the eyes to sound. How should the nurse document the Glasgow score of this client? a. 12. b. 10. c. 9. d. 7. - a. 12 The client reports to the nurse a recent exposure to the mumps. Which assessment finding suggests the client has contracted the mumps? a. Enlargement centered along the anterior lower neck region. b. Swelling anterior to the ear lobe on one side of the face. c. Generalized rounded shape of the face. d. Paralysis on one side of the face. - b. swelling anterior to the ear lobe on one side of the face 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? a. 2nd intercostal space along the right sternal border. b. 2nd intercostal space along the left sternal border. c. 3rd intercostal space on the right midclavicular line. d. 5th intercostal space on the left midclavicular line. - a. 2nd intercostal space along the right sternal border 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.) a. Be open to people who are different. b. Have a curiosity about people. c. Become culturally competent. d. Interact with each person in the same way. I e. Request nurses take care of patients with the same ethnicity. f. Always request an interpreter for people from other countries. - a, b, c The nurse is assessing a client with liver disease who is jaundice and exhibits scleral edema. During the health assessment, the nurse should implement which technique to determine evidence of hepatomegaly? a. Tap the liver's boundaries lightly with a percussion hammer to produce a sound. b. Push gently using fingers of both hands to determine the boundaries of the liver. c. Use a bouncing motion to tap the middle finger placed within boundaries of the liver. d. Cup hands and clap with alternating contact with the skin over regions of the liver. - c. Use a bouncing motion to tap the middle finger placed within boundaries of the liver. 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? a. Mastitis. b. Paget disease. c. Fibroadenoma. d. Plugged mammary duct. - c. Fibroadenoma Fibroadenoma are benign tumors that are non tender masses that are round and lobular and when palpated move easily through breast tissue and feel solid and firm. They are diagnosed by palpation, ultrasound, and needle biopsy. They are usually not surgically removed unless they enlarged to greater than 5 cm in size. 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? a. Current alcohol and tobacco use. b. A 24-hour dietary recall. c. Use of vitamin and iron supplements. d. Daily pattern of oral hygiene practices. - c. Use of vitamin and iron supplements is caused by lymphatic system blockage occurring after breast and lymph node surgery. A client with lymphedema typically presents with unilateral swelling, non-pitting edema, and tight fitting jewelry. Treatment is required to prevent a chronic progressive condition. - lymphedma The nurse performs a series of cranial nerve tests on a client with a head injury. Which test should the nurse use to assess damage to the first cranial nerve? a. Ask the client to count down from 100 by 7s for as long as possible. b. Occlude one nostril and have the client identify various odors. c. Have the client follow the tip of a moving penlight with the eyes. d. Tell the client to walk heel to toe in a straight line for nine steps. - b. Occlude one nostril and have the client identify various odors. Cranial nerve I is the olfactory nerve.