HESI V2 HEALTH EXAM WITH CORRECT
ANSWERS 2025
A 29 year old male client informs the nurse that he came to the clinic to see
if, "Maybe I have lung cancer or something," and wants to get checked out
since, "I can't seem to get rid of this body-wracking dry cough that has been
hanging around for the last six weeks." Which computer documentation of
this client's concerns should the nurse enter?
A. Presents with a hacking non-productive cough of 6 weeks duration.
B. Describe having a "body-wracking dry cough" of 6 weeks duration.
C. Expresses concern of "lung cancer" symptoms for last 6 weeks.
D. Young adult male presents with fears that he has "lung cancer" correct
answersCorrect answer is B, as assessment process includes chief
complaint which is how the patient describe why he is here in the hospital
or clinic and can't include diagnosis.
A 75-year-old client with a recent history of a cerebrovascular accident
(CVA) presents with right hemiparesis. The nurse tests the deep tendon
reflexes on the right side and elicits a brisk 4+ response. Which
interpretation of this finding is accurate?
A. A normal reflex response.
B. Absent or sluggish response consistent with a lower motor neuron lesion.
C. Flaccid paralysis.
D. Hyperactive response consistent with an upper motor neuron disorder.
correct answersCorrect answer is D, brisk 4+ response is correlated with
hyperactive response.
The nurse examines a client's abdomen. Which finding indicates an
abnormal response when palpating the spleen?
A. Pain notes when palpating McBurney's point.
B. Tip of spleen palpable when client is asked to forcefully exhale.
C. Rebound tenderness with compression over right upper quadrant. D.
Firm mass palpated at bottom of left rib cage. correct answersCorrect
answer is D. McBurney's point is related to appendicitis and not spleen.
In auscultating for the presence of a carotid artery bruit, the nurse places
the bell of the stethoscope at which location? correct answers*under
mandible towards lymph nodes. transverse to trachea
A male client arrives at the clinic for follow-up health assessment after
recent antibiotic treatment for pneumonia without hospitalization. Which
technique should the nurse implement to assess for adventitious lung
sounds?
A. Use the bell of the stethoscope to listen to the lung fields over lower
lobes. B. Have the client lay flat while listening to the anterior surface of
the chest.
, C. Press the stethoscope's diaphragm firmly on the skin over each lung field.
D. Shave all chest hair that may distort sounds heard through the
diaphragm. correct answersCorrect answer is C. The nurse should listen to
all lungs fields during assessment and move from side to side during
auscultation.
A client with streptococcus pharyngitis reports high fever, difficulty
swallowing and a muffled voice. Which complication should the nurse
suspect?
A. Foreign body obstruction.
B. Laryngeal polyps.
C. Peritonsillar abscess.
D. Nasal polyps correct answersCorrect answer is C. Since infections are
associated with abscesses and pus.
The nurse is obtaining a health history for a client prior to a scheduled
cholecystectomy. While interviewing the client, which assessment technique
should the nurse use when asking about the client's use of illegal drugs and
alcohol?
A. Obtain a drug using screen to verify legitimacy of client's stated history.
B. Allow the client to decline answering social questions.
C. Ask specifically about alcohol, marijuana, cocaine, her
D. Use the term illegal or illicit to describe street drug. correct
answersCorrect answer is
C. When interviewing the patient, questions should be clear and specific.
The nurse applies pressure over an area of the lower abdomen where the
client reports pain. The client denies pain upon palpation, but reports pain
when the pressure is released. What action should the nurse implement?
A. Offer to administer a laxative prescribed for PRN use.
B. Obtain a prescription to catheterize the client's bladder.
C. Instruct the client in distraction and relation techniques.
D. Notify the healthcare provider of the rebound tenderness. correct
answersCorrect answer is D. As this could be a sign of appendicitis.
The nurse is assessing an ulcer on a client's lower extremity, which is likely
the result of either venous or arterial insufficiency. Which assessment
technique should the nurse use to differentiate the pathophysiology causing
the ulcer?
A. Measure the degree of join range of motion in the extremity.
B. Compare the skin turgor of the client's upper and lower leg.
C. Observe the specific location and appearance of the ulceration.
D. Note any change in the color of the ulcer when the leg is moved correct
answersCorrect answer is C. Location and appearance of the ulcer would
give us the type (venous vs arterial)
The nurse is conducting a physical assessment of a young adult. Which
information provides the best indication of the individual's nutritional
status?
A. Status of current appetite.
B. A 24-hour diet history.
C. History of a recent weight loss.
ANSWERS 2025
A 29 year old male client informs the nurse that he came to the clinic to see
if, "Maybe I have lung cancer or something," and wants to get checked out
since, "I can't seem to get rid of this body-wracking dry cough that has been
hanging around for the last six weeks." Which computer documentation of
this client's concerns should the nurse enter?
A. Presents with a hacking non-productive cough of 6 weeks duration.
B. Describe having a "body-wracking dry cough" of 6 weeks duration.
C. Expresses concern of "lung cancer" symptoms for last 6 weeks.
D. Young adult male presents with fears that he has "lung cancer" correct
answersCorrect answer is B, as assessment process includes chief
complaint which is how the patient describe why he is here in the hospital
or clinic and can't include diagnosis.
A 75-year-old client with a recent history of a cerebrovascular accident
(CVA) presents with right hemiparesis. The nurse tests the deep tendon
reflexes on the right side and elicits a brisk 4+ response. Which
interpretation of this finding is accurate?
A. A normal reflex response.
B. Absent or sluggish response consistent with a lower motor neuron lesion.
C. Flaccid paralysis.
D. Hyperactive response consistent with an upper motor neuron disorder.
correct answersCorrect answer is D, brisk 4+ response is correlated with
hyperactive response.
The nurse examines a client's abdomen. Which finding indicates an
abnormal response when palpating the spleen?
A. Pain notes when palpating McBurney's point.
B. Tip of spleen palpable when client is asked to forcefully exhale.
C. Rebound tenderness with compression over right upper quadrant. D.
Firm mass palpated at bottom of left rib cage. correct answersCorrect
answer is D. McBurney's point is related to appendicitis and not spleen.
In auscultating for the presence of a carotid artery bruit, the nurse places
the bell of the stethoscope at which location? correct answers*under
mandible towards lymph nodes. transverse to trachea
A male client arrives at the clinic for follow-up health assessment after
recent antibiotic treatment for pneumonia without hospitalization. Which
technique should the nurse implement to assess for adventitious lung
sounds?
A. Use the bell of the stethoscope to listen to the lung fields over lower
lobes. B. Have the client lay flat while listening to the anterior surface of
the chest.
, C. Press the stethoscope's diaphragm firmly on the skin over each lung field.
D. Shave all chest hair that may distort sounds heard through the
diaphragm. correct answersCorrect answer is C. The nurse should listen to
all lungs fields during assessment and move from side to side during
auscultation.
A client with streptococcus pharyngitis reports high fever, difficulty
swallowing and a muffled voice. Which complication should the nurse
suspect?
A. Foreign body obstruction.
B. Laryngeal polyps.
C. Peritonsillar abscess.
D. Nasal polyps correct answersCorrect answer is C. Since infections are
associated with abscesses and pus.
The nurse is obtaining a health history for a client prior to a scheduled
cholecystectomy. While interviewing the client, which assessment technique
should the nurse use when asking about the client's use of illegal drugs and
alcohol?
A. Obtain a drug using screen to verify legitimacy of client's stated history.
B. Allow the client to decline answering social questions.
C. Ask specifically about alcohol, marijuana, cocaine, her
D. Use the term illegal or illicit to describe street drug. correct
answersCorrect answer is
C. When interviewing the patient, questions should be clear and specific.
The nurse applies pressure over an area of the lower abdomen where the
client reports pain. The client denies pain upon palpation, but reports pain
when the pressure is released. What action should the nurse implement?
A. Offer to administer a laxative prescribed for PRN use.
B. Obtain a prescription to catheterize the client's bladder.
C. Instruct the client in distraction and relation techniques.
D. Notify the healthcare provider of the rebound tenderness. correct
answersCorrect answer is D. As this could be a sign of appendicitis.
The nurse is assessing an ulcer on a client's lower extremity, which is likely
the result of either venous or arterial insufficiency. Which assessment
technique should the nurse use to differentiate the pathophysiology causing
the ulcer?
A. Measure the degree of join range of motion in the extremity.
B. Compare the skin turgor of the client's upper and lower leg.
C. Observe the specific location and appearance of the ulceration.
D. Note any change in the color of the ulcer when the leg is moved correct
answersCorrect answer is C. Location and appearance of the ulcer would
give us the type (venous vs arterial)
The nurse is conducting a physical assessment of a young adult. Which
information provides the best indication of the individual's nutritional
status?
A. Status of current appetite.
B. A 24-hour diet history.
C. History of a recent weight loss.
