1|Page
ADVANCED HEALTH ASSESSMENT HESI NEWEST 2025/2026
ACTUAL EXAM WITH COMPLETE QUESTIONS AND CORRECT
DETAILED ANSWERS (100% VERIFIED ANSWERS) |ALREADY
GRADED A+| ||PROFESSOR VERIFIED||
A 10-month-old infant is brought to the clinic with complaints of
cough and rhinorrhea. When auscultating the child's lungs, you
note a large, bulging umbilical mass. The mass is easily reducible
but increases when the child cries. This assessment finding is
a(n):
a. Inguinal hernia
b. Umbilical hernia
c. Gastroschisis
d. Omphalocele - ANSWER-b. Umbilical hernia
The iliopsoas (psoas sign) test is used to identify:
a. Splenic enlargement
b. Costovertebral tenderness
c. Intra-abdominal inflammation
d. Decreased peristalsis or intestinal activity - ANSWER-c. Intra-
abdominal inflammation
,2|Page
When auscultating bowel sounds in an infant or a young child, it is
essential to use a pediatric stethoscope because:
a. A stethoscope diaphragm that is too large may also encompass
lung sounds, confusing the clinical picture
b. A stethoscope diaphragm that is too large may also encompass
vascular sounds, confusing the clinical picture
c. A stethoscope diaphragm that is too large may cause pain in a
small infant if pressure is applied during auscultation
d. A stethoscope diaphragm that is too large may decrease the
child's cooperation - ANSWER-a. A stethoscope diaphragm that
is too large may also encompass lung sounds, confusing the
clinical picture
Decreased hepatic enzyme function in children from birth until
age 3 to 4 years causes:
a. Short drug half-lives
b. Long drug half-lives
c. Physiologic jaundice
d. Hypoglycemia - ANSWER-b. Long drug half-lives
,3|Page
The stomach capacity in a neonate is approximately:
a. 30 mL
b. 60 mL
c. 90 mL
d. 120 mL - ANSWER-b. 60 mL
A dull percussion note at or beyond the anterior axillary line on
the left indicates:
a. Hepatomegaly
b. Splenomegaly
c. A normal finding
d. A fibrotic spleen - ANSWER-b. Splenomegaly
Assessment for renal tenderness should be performed with the
child:
a. Lying supine
b. Lying prone
c. In a side-lying position
, 4|Page
d. Sitting upright - ANSWER-d. Sitting upright
Indirect percussion can be used to detect:
a. Costovertebral tenderness
b. Abdominal masses
c. Rebound tenderness
d. Hepatomegaly - ANSWER-a. Costovertebral tenderness
The lower left quadrant (LLQ) contains the:
a. Left ureter
b. Pancreas (body)
c. Stomach
d. Liver (left lobe) - ANSWER-a. Left ureter
The percussion note that is normally heard over a child's stomach
is:
a. Dull
b. Tympany
ADVANCED HEALTH ASSESSMENT HESI NEWEST 2025/2026
ACTUAL EXAM WITH COMPLETE QUESTIONS AND CORRECT
DETAILED ANSWERS (100% VERIFIED ANSWERS) |ALREADY
GRADED A+| ||PROFESSOR VERIFIED||
A 10-month-old infant is brought to the clinic with complaints of
cough and rhinorrhea. When auscultating the child's lungs, you
note a large, bulging umbilical mass. The mass is easily reducible
but increases when the child cries. This assessment finding is
a(n):
a. Inguinal hernia
b. Umbilical hernia
c. Gastroschisis
d. Omphalocele - ANSWER-b. Umbilical hernia
The iliopsoas (psoas sign) test is used to identify:
a. Splenic enlargement
b. Costovertebral tenderness
c. Intra-abdominal inflammation
d. Decreased peristalsis or intestinal activity - ANSWER-c. Intra-
abdominal inflammation
,2|Page
When auscultating bowel sounds in an infant or a young child, it is
essential to use a pediatric stethoscope because:
a. A stethoscope diaphragm that is too large may also encompass
lung sounds, confusing the clinical picture
b. A stethoscope diaphragm that is too large may also encompass
vascular sounds, confusing the clinical picture
c. A stethoscope diaphragm that is too large may cause pain in a
small infant if pressure is applied during auscultation
d. A stethoscope diaphragm that is too large may decrease the
child's cooperation - ANSWER-a. A stethoscope diaphragm that
is too large may also encompass lung sounds, confusing the
clinical picture
Decreased hepatic enzyme function in children from birth until
age 3 to 4 years causes:
a. Short drug half-lives
b. Long drug half-lives
c. Physiologic jaundice
d. Hypoglycemia - ANSWER-b. Long drug half-lives
,3|Page
The stomach capacity in a neonate is approximately:
a. 30 mL
b. 60 mL
c. 90 mL
d. 120 mL - ANSWER-b. 60 mL
A dull percussion note at or beyond the anterior axillary line on
the left indicates:
a. Hepatomegaly
b. Splenomegaly
c. A normal finding
d. A fibrotic spleen - ANSWER-b. Splenomegaly
Assessment for renal tenderness should be performed with the
child:
a. Lying supine
b. Lying prone
c. In a side-lying position
, 4|Page
d. Sitting upright - ANSWER-d. Sitting upright
Indirect percussion can be used to detect:
a. Costovertebral tenderness
b. Abdominal masses
c. Rebound tenderness
d. Hepatomegaly - ANSWER-a. Costovertebral tenderness
The lower left quadrant (LLQ) contains the:
a. Left ureter
b. Pancreas (body)
c. Stomach
d. Liver (left lobe) - ANSWER-a. Left ureter
The percussion note that is normally heard over a child's stomach
is:
a. Dull
b. Tympany
