HESI Abdominal Assessment Case
Study Exam Questions and Answers
100% Pass
Management of Care
Which assessment should the nurse complete first? - ANSWER-Observe the color
of the emesis.
Since the client is vomiting, the nurse should first observe the color and
appearance of the emesis for any obvious bleeding or other indications of risk to
the client's homeostasis.
The nurse assesses the patient's vomitus. Which finding would the nurse be the
most concerned about? - ANSWER-Thick dark brown vomit
Thick dark brown vomit may indicate the presents of stool or blood. This is an
abnormal finding that would need to be investigated and communicated.
The nurse is documenting the client's vomitus. Which documentation should be
included in the client's medical record? (Select all that apply.) - ANSWER-Client
vomited green with undigested food particles.
©️COPYRIGHT 2025, ALL RIGHTS RESERVED. 1
, It is important for the nurse to describe the appearance of the emesis, which
includes the color.
Vomit without odor.
It is important for the nurse to describe any odor of the emesis, which could
indicate the presence of blood, undigested foods, or fecal contaminant.
Approximately 250ml of vomit was noted.
It is important for the nurse to describe the volume or amount of emesis.
Client vomited x 1 lasting approximately 2 minutes.
The duration will describe if the episodes of vomiting were short, sporadic,
ongoing, or intermittent.
Which assessment takes priority while the nurse provides oral care? - ANSWER-
Observe the condition of the mucus membranes.
Because the client has a recent history of nausea, vomiting, and weight loss, the
RN should assess the client for signs of fluid volume deficit, including observing
the mucus membranes for excessive dryness.
©️COPYRIGHT 2025, ALL RIGHTS RESERVED. 2
Study Exam Questions and Answers
100% Pass
Management of Care
Which assessment should the nurse complete first? - ANSWER-Observe the color
of the emesis.
Since the client is vomiting, the nurse should first observe the color and
appearance of the emesis for any obvious bleeding or other indications of risk to
the client's homeostasis.
The nurse assesses the patient's vomitus. Which finding would the nurse be the
most concerned about? - ANSWER-Thick dark brown vomit
Thick dark brown vomit may indicate the presents of stool or blood. This is an
abnormal finding that would need to be investigated and communicated.
The nurse is documenting the client's vomitus. Which documentation should be
included in the client's medical record? (Select all that apply.) - ANSWER-Client
vomited green with undigested food particles.
©️COPYRIGHT 2025, ALL RIGHTS RESERVED. 1
, It is important for the nurse to describe the appearance of the emesis, which
includes the color.
Vomit without odor.
It is important for the nurse to describe any odor of the emesis, which could
indicate the presence of blood, undigested foods, or fecal contaminant.
Approximately 250ml of vomit was noted.
It is important for the nurse to describe the volume or amount of emesis.
Client vomited x 1 lasting approximately 2 minutes.
The duration will describe if the episodes of vomiting were short, sporadic,
ongoing, or intermittent.
Which assessment takes priority while the nurse provides oral care? - ANSWER-
Observe the condition of the mucus membranes.
Because the client has a recent history of nausea, vomiting, and weight loss, the
RN should assess the client for signs of fluid volume deficit, including observing
the mucus membranes for excessive dryness.
©️COPYRIGHT 2025, ALL RIGHTS RESERVED. 2
