4/20/25, 10:28 AM HESI- Health Assessment 2022
HESI –HEALTH ASSESSMENT 2022 ACTUAL EXAM
\\LATEST VERSION WITH ALL 110 UPDATED QUESTIONS
AND CORRECT DETAILED ANSWERS \\LATEST UPDATE
2024\2025 ||BRAND NEW !!
A client with severe Correct Answers: B
coronary artery disease
who had cardiac surgery 24 Rationale: The client who undergoes cardiac surgery is
hours ago has had a urine at risk for renal injury from poor perfusion, hemolysis,
output averaging 20 low cardiac output, or vasopressor medication therapy.
Renal injury is signaled by decreased urine output and increased
mL/hour for 2 hours. The blood urea
client received a single nitrogen (BUN) and creatinine levels. Normal reference
bolus of 500 mL of levels are BUN, 10 to 20 mg/dL (3.6 to 7.1 mmol/L), and
intravenous fluid. Urine creatinine, male 0.6 to 1.2 mg/dL (53 to 106 mcmol/L) and
output for the subsequent female 0.5 to 1.1 mg/dL (44 to 97 mcmol/L). The client
hour was may need medications to
25 mL. Daily laboratory increase renal perfusion and possibly could need
results indicate that the peritoneal dialysis or hemodialysis. No data in the
blood urea nitrogen level question indicate the presence of hypovolemia,
is 45 mg/dL (16 mmol/L) glomerulonephritis,
and the serum creatinine or heart failure.
level is 2.2 mg/dL (194
mcmol/L). On the basis of
these findings, the nurse
would anticipate
that the client is at risk for
which problem?
A. Hypovolemia
B. Acute kidney
injury
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,4/20/25, 10:28 AM HESI- Health Assessment 2022
C.Glomerulon
ephritis
D.Heart
Failure
The nurse is performing an Correct Answers: A
assessment on a client with a
diagnosis of left-sided heart Rationale: The client with heart failure may present with different
failure. Which assessment symptoms,
component depending on whether the right or the left side of the
would elicit specific
heart is failing. Peripheral and sacral edema, jugular
information regarding the
vein distention, and organomegaly all are
client's left-sided heart
manifestations of
function?
problems with right-sided heart function. Lung sounds
constitute an accurate indicator of left-sided heart
A. Listening to lung sounds
function.
B. Palpating for organomegaly
C. Assessing for jugular
vein distention
D.Assessing for
peripheral and sacral
edema
A 56-year-old client with Correct Answers: B
heart failure is taking digoxin
for treatment of the health Rationale:The normal heart rate is 60 to 100 beats/min in
problem. The nurse an adult. On auscultating a heart rate that is less than 60
auscultates the client's apical beats/min, the nurse would not administer the digoxin
heart rate before and would report the finding to the primary health
administering digoxin and care provider for further instruction. The remaining
notes that the heart rate is 52 options are incorrect interpretations because the heart
beats/min. The nurse would rate of 52 beats/min is not normal.
make which
interpretation of this
information?
2/63
,4/20/25, 10:28 AM HESI- Health Assessment 2022
A.Normal, because of the
client's age
B.Abnormal, requiring further
assessment C.Normal, as a
result of the effects of
digoxin
D.Normal, because this is the
reason the
client is receiving digoxin
A client recovering from an Correct Answers: D
exacerbation of left-sided
heart failure is experiencing Rationale:Vital signs that remain near baseline indicate
activity intolerance. Which good cardiac reserve with exercise. Only the respiratory
change in vital signs rate remains within the normal range. In addition, it
during activity would be reflects a minimal increase. A pulse rate increase to a
the best rate more than 100 beats per minute during mild
indicator that the client is exercise does not show tolerance, nor does a
tolerating mild exercise? decrease of 5
percentage points in oxygen saturation levels. In addition, blood
pressure
A.Oxygen saturation decreasing by more than 10 mm Hg is not a sign indicating
decreased from 96% to tolerance of activity.
91%.
B.Pulse rate increased from 80
to 104 beats per minute.
C.Blood pressure
decreased from 140/86 to
112/72 mm Hg.
D.Respiratory rate increased
from 16 to 19 breaths per
minute.
The nurse notes that a Correct Answers: C
client's cardiac rhythm
shows absent P waves, Rationale: In atrial fibrillation, the P waves are absent
no PR interval, and an and replaced by fibrillatory waves. There is no PR
irregular rhythm. How interval, and the QRS duration usually is normal and
would the nurse interpret this constant and the rhythm is irregular. Bradycardia is a
rhythm?
slowed heart rate, and tachycardia is a fast heart rate.
3/63
, 4/20/25, 10:28 AM HESI- Health Assessment 2022
A.Bradycardia In NSR, a P wave precedes each QRS complex, the
B.Tachycardia rhythm is
C.Atrial Fibrillation essentially regular, the PR interval is 0.12 to 0.20 second,
D.Normal Sinus Rhythm (NSR)
and the QRS interval is 0.06 to 0.10 second.
A client with an acute Correct Answers: D
respiratory infection is
admitted to the hospital with Rationale: Sinus tachycardia often is caused by fever,
a diagnosis of sinus physical and emotional stress, heart failure,
tachycardia. Which nursing hypovolemia, certain medications, nicotine, caffeine, and
action would be included exercise. Fluid restriction and exercise will not alleviate
in the client's plan of tachycardia. Measuring the pulse each shift will not
care? decrease the heart rate. In addition, the pulse needs
to be taken more
A.Limiting oral and intravenous frequently than each shift.
fluids
B.Measuring the client's
pulse each shift C.Providing
the client with short, frequent
walks
D.Eliminating sources of
caffeine from meal
trays
The nurse is conducting a Correct Answers: A,B,C.E
health history of a client
with a primary diagnosis Rationale:Heart failure is precipitated or exacerbated
of heart failure. Which by physical or emotional stress, dysrhythmias,
conditions reported by the infections, anemia, thyroid disorders, pregnancy,
client could play a role in Paget's disease, nutritional deficiencies (thiamine,
exacerbating the heart alcoholism), pulmonary disease, and hypervolemia.
failure? Select all that Peptic ulcer disease is not an exacerbating factor
apply.
A.Emotional
Stress B.Atrial
Fibrillation
4/63
HESI –HEALTH ASSESSMENT 2022 ACTUAL EXAM
\\LATEST VERSION WITH ALL 110 UPDATED QUESTIONS
AND CORRECT DETAILED ANSWERS \\LATEST UPDATE
2024\2025 ||BRAND NEW !!
A client with severe Correct Answers: B
coronary artery disease
who had cardiac surgery 24 Rationale: The client who undergoes cardiac surgery is
hours ago has had a urine at risk for renal injury from poor perfusion, hemolysis,
output averaging 20 low cardiac output, or vasopressor medication therapy.
Renal injury is signaled by decreased urine output and increased
mL/hour for 2 hours. The blood urea
client received a single nitrogen (BUN) and creatinine levels. Normal reference
bolus of 500 mL of levels are BUN, 10 to 20 mg/dL (3.6 to 7.1 mmol/L), and
intravenous fluid. Urine creatinine, male 0.6 to 1.2 mg/dL (53 to 106 mcmol/L) and
output for the subsequent female 0.5 to 1.1 mg/dL (44 to 97 mcmol/L). The client
hour was may need medications to
25 mL. Daily laboratory increase renal perfusion and possibly could need
results indicate that the peritoneal dialysis or hemodialysis. No data in the
blood urea nitrogen level question indicate the presence of hypovolemia,
is 45 mg/dL (16 mmol/L) glomerulonephritis,
and the serum creatinine or heart failure.
level is 2.2 mg/dL (194
mcmol/L). On the basis of
these findings, the nurse
would anticipate
that the client is at risk for
which problem?
A. Hypovolemia
B. Acute kidney
injury
1/63
,4/20/25, 10:28 AM HESI- Health Assessment 2022
C.Glomerulon
ephritis
D.Heart
Failure
The nurse is performing an Correct Answers: A
assessment on a client with a
diagnosis of left-sided heart Rationale: The client with heart failure may present with different
failure. Which assessment symptoms,
component depending on whether the right or the left side of the
would elicit specific
heart is failing. Peripheral and sacral edema, jugular
information regarding the
vein distention, and organomegaly all are
client's left-sided heart
manifestations of
function?
problems with right-sided heart function. Lung sounds
constitute an accurate indicator of left-sided heart
A. Listening to lung sounds
function.
B. Palpating for organomegaly
C. Assessing for jugular
vein distention
D.Assessing for
peripheral and sacral
edema
A 56-year-old client with Correct Answers: B
heart failure is taking digoxin
for treatment of the health Rationale:The normal heart rate is 60 to 100 beats/min in
problem. The nurse an adult. On auscultating a heart rate that is less than 60
auscultates the client's apical beats/min, the nurse would not administer the digoxin
heart rate before and would report the finding to the primary health
administering digoxin and care provider for further instruction. The remaining
notes that the heart rate is 52 options are incorrect interpretations because the heart
beats/min. The nurse would rate of 52 beats/min is not normal.
make which
interpretation of this
information?
2/63
,4/20/25, 10:28 AM HESI- Health Assessment 2022
A.Normal, because of the
client's age
B.Abnormal, requiring further
assessment C.Normal, as a
result of the effects of
digoxin
D.Normal, because this is the
reason the
client is receiving digoxin
A client recovering from an Correct Answers: D
exacerbation of left-sided
heart failure is experiencing Rationale:Vital signs that remain near baseline indicate
activity intolerance. Which good cardiac reserve with exercise. Only the respiratory
change in vital signs rate remains within the normal range. In addition, it
during activity would be reflects a minimal increase. A pulse rate increase to a
the best rate more than 100 beats per minute during mild
indicator that the client is exercise does not show tolerance, nor does a
tolerating mild exercise? decrease of 5
percentage points in oxygen saturation levels. In addition, blood
pressure
A.Oxygen saturation decreasing by more than 10 mm Hg is not a sign indicating
decreased from 96% to tolerance of activity.
91%.
B.Pulse rate increased from 80
to 104 beats per minute.
C.Blood pressure
decreased from 140/86 to
112/72 mm Hg.
D.Respiratory rate increased
from 16 to 19 breaths per
minute.
The nurse notes that a Correct Answers: C
client's cardiac rhythm
shows absent P waves, Rationale: In atrial fibrillation, the P waves are absent
no PR interval, and an and replaced by fibrillatory waves. There is no PR
irregular rhythm. How interval, and the QRS duration usually is normal and
would the nurse interpret this constant and the rhythm is irregular. Bradycardia is a
rhythm?
slowed heart rate, and tachycardia is a fast heart rate.
3/63
, 4/20/25, 10:28 AM HESI- Health Assessment 2022
A.Bradycardia In NSR, a P wave precedes each QRS complex, the
B.Tachycardia rhythm is
C.Atrial Fibrillation essentially regular, the PR interval is 0.12 to 0.20 second,
D.Normal Sinus Rhythm (NSR)
and the QRS interval is 0.06 to 0.10 second.
A client with an acute Correct Answers: D
respiratory infection is
admitted to the hospital with Rationale: Sinus tachycardia often is caused by fever,
a diagnosis of sinus physical and emotional stress, heart failure,
tachycardia. Which nursing hypovolemia, certain medications, nicotine, caffeine, and
action would be included exercise. Fluid restriction and exercise will not alleviate
in the client's plan of tachycardia. Measuring the pulse each shift will not
care? decrease the heart rate. In addition, the pulse needs
to be taken more
A.Limiting oral and intravenous frequently than each shift.
fluids
B.Measuring the client's
pulse each shift C.Providing
the client with short, frequent
walks
D.Eliminating sources of
caffeine from meal
trays
The nurse is conducting a Correct Answers: A,B,C.E
health history of a client
with a primary diagnosis Rationale:Heart failure is precipitated or exacerbated
of heart failure. Which by physical or emotional stress, dysrhythmias,
conditions reported by the infections, anemia, thyroid disorders, pregnancy,
client could play a role in Paget's disease, nutritional deficiencies (thiamine,
exacerbating the heart alcoholism), pulmonary disease, and hypervolemia.
failure? Select all that Peptic ulcer disease is not an exacerbating factor
apply.
A.Emotional
Stress B.Atrial
Fibrillation
4/63
