HESI HEALTH ASSESSMENT
HESI 1 - V1 & V2 REVIEW - HEALTH ASSESSMENT 1 EXAM
QUESTIONS WITH ANSWERS
1. The nurse is performing a thoracic assessment on a client with chronic asthma and hyperinflation of
the lungs. Which finding should be expected for this client? - ANSWER ✔ - Barrel chest
2. The nurse is assessing bowel sounds for a hospitalized client. The nurse has heard bowel sounds in
the right upper quadrant. What action should the nurse take next? - ANSWER ✔ - Note the character
and frequency of bowel sounds
3. During inspection of a client's mouth and pharynx, the nurse places a tongue blade on the back of
the tongue which causes the client to gag. After removing the tongue blade, what action should the
nurse take? - ANSWER ✔ - Document an intact gag reflex.
4. When teaching a client how to perform a monthly breast self-assessment, the nurse should tell the
client that it is most important to assess which part of the breast more closely for changes? -
ANSWER ✔ - Upper outer quadrant.
5. The nurse is assessing a postmenopausal client who has a BMI of 32. The client has a chest
measurement of 42 inches, waist measurement of 45 inches, and hip measurement of 50 inches.
What important message should the nurse explain to the client to promote health promotion? -
ANSWER ✔ - A waist circumference is greater than 35 inches in women puts you at higher risk for
type 2 diabetes and heart disease."
6. The nurse performs a physical assessment on an older female client. Which change from the prior
exam may be an indication of osteoporosis? - ANSWER ✔ - Height reduction of 1.5 inches.
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, HESI HEALTH ASSESSMENT
7. While conducting an interview to obtain a health history, the nurse notices that the client pauses
frequently and looks at the nurse expectantly. Which response is best for the nurse to provide? -
ANSWER ✔ - Sit quietly to allow the client to respond comfortably.
8. A client is in the clinical for a yearly physical examination. Which action should the nurse take when
preparing to examine the client's abdomen? - ANSWER ✔ - Ask the client to urinate before beginning
the examination.
9. Which respiratory condition should the nurse document after measuring a respiratory rate of 8
breaths/minute? - ANSWER ✔ - Bradypnea.
10. Which procedure should the nurse use to assessfor a pulse deficit? - ANSWER ✔ - Measure the apical
pulse and compare it to the peripheral pulse.*A pulse deficit is a palpable difference between the
apical pulse at the point of maximal impulse and the radial pulse palpated at the wrist.
11. A client has been diagnosed with bilateral lower lobe atelectasis. What percussion sound should the
nurse expect to hear when percussing over the client's lower lobes? - ANSWER ✔ - Dull, thud-like.
12. A client is being assessed upon admission to the medical-surgical unit. The nurse is preparing to
complete a head-to-toe assessment and will begin at the head of the client. Which technique should
the nurse use to begin the assessment? - ANSWER ✔ - Inspect the hair and skin.
13. The nurse is assessing a healthy young adult during an annual physical examination. Which
assessment technique should the nurse implement when palpating the abdominal aorta? - ANSWER
✔ - Deep palpation above and to the left of the umbilicus.
14. The nurse is conducting a family history as part of the assessment interview. Which action should the
nurse take to ensure that sufficient information about the client's blood relatives is obtained? -
ANSWER ✔ - Document at least 3 generations of the client's family medical history.
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HESI 1 - V1 & V2 REVIEW - HEALTH ASSESSMENT 1 EXAM
QUESTIONS WITH ANSWERS
1. The nurse is performing a thoracic assessment on a client with chronic asthma and hyperinflation of
the lungs. Which finding should be expected for this client? - ANSWER ✔ - Barrel chest
2. The nurse is assessing bowel sounds for a hospitalized client. The nurse has heard bowel sounds in
the right upper quadrant. What action should the nurse take next? - ANSWER ✔ - Note the character
and frequency of bowel sounds
3. During inspection of a client's mouth and pharynx, the nurse places a tongue blade on the back of
the tongue which causes the client to gag. After removing the tongue blade, what action should the
nurse take? - ANSWER ✔ - Document an intact gag reflex.
4. When teaching a client how to perform a monthly breast self-assessment, the nurse should tell the
client that it is most important to assess which part of the breast more closely for changes? -
ANSWER ✔ - Upper outer quadrant.
5. The nurse is assessing a postmenopausal client who has a BMI of 32. The client has a chest
measurement of 42 inches, waist measurement of 45 inches, and hip measurement of 50 inches.
What important message should the nurse explain to the client to promote health promotion? -
ANSWER ✔ - A waist circumference is greater than 35 inches in women puts you at higher risk for
type 2 diabetes and heart disease."
6. The nurse performs a physical assessment on an older female client. Which change from the prior
exam may be an indication of osteoporosis? - ANSWER ✔ - Height reduction of 1.5 inches.
PAGE 1 OF 12
, HESI HEALTH ASSESSMENT
7. While conducting an interview to obtain a health history, the nurse notices that the client pauses
frequently and looks at the nurse expectantly. Which response is best for the nurse to provide? -
ANSWER ✔ - Sit quietly to allow the client to respond comfortably.
8. A client is in the clinical for a yearly physical examination. Which action should the nurse take when
preparing to examine the client's abdomen? - ANSWER ✔ - Ask the client to urinate before beginning
the examination.
9. Which respiratory condition should the nurse document after measuring a respiratory rate of 8
breaths/minute? - ANSWER ✔ - Bradypnea.
10. Which procedure should the nurse use to assessfor a pulse deficit? - ANSWER ✔ - Measure the apical
pulse and compare it to the peripheral pulse.*A pulse deficit is a palpable difference between the
apical pulse at the point of maximal impulse and the radial pulse palpated at the wrist.
11. A client has been diagnosed with bilateral lower lobe atelectasis. What percussion sound should the
nurse expect to hear when percussing over the client's lower lobes? - ANSWER ✔ - Dull, thud-like.
12. A client is being assessed upon admission to the medical-surgical unit. The nurse is preparing to
complete a head-to-toe assessment and will begin at the head of the client. Which technique should
the nurse use to begin the assessment? - ANSWER ✔ - Inspect the hair and skin.
13. The nurse is assessing a healthy young adult during an annual physical examination. Which
assessment technique should the nurse implement when palpating the abdominal aorta? - ANSWER
✔ - Deep palpation above and to the left of the umbilicus.
14. The nurse is conducting a family history as part of the assessment interview. Which action should the
nurse take to ensure that sufficient information about the client's blood relatives is obtained? -
ANSWER ✔ - Document at least 3 generations of the client's family medical history.
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