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60. During an examination, the nurse knows that Paget's disease would be indicated by which of these
assessment findings?
A) Positive Macewen sign
B) Premature closure of the sagittal suture
C) Headache, vertigo, tinnitus, and deafness
D) Elongated head with heavy eyebrow ridge - CORRECT ANSWERS C) Headache, vertigo,
tinnitus, and deafness
Paget's disease occurs more often in males and is characterized by bowed long bones, sudden fractures,
and enlarging skull bones that press on cranial nerves causing symptoms of headache, vertigo, tinnitus,
and progressive deafness.
61. A woman comes to the clinic and states, "I've been sick for so long! My eyes have gotten so puffy,
and my eyebrows and hair have become coarse and dry." The nurse will assess for other signs and
symptoms of:
A) cachexia.
B) Parkinson's syndrome.
C) myxedema.
D) scleroderma. - CORRECT ANSWERS C) myxedema.
Pages: 276-277. Myxedema (hypothyroidism) is a deficiency of thyroid hormone that, when severe,
causes a nonpitting edema or myxedema. The patient will have a puffy edematous face especially
around eyes (periorbital edema), coarse facial features, dry skin, and dry, coarse hair and eyebrows. See
Table 13-4, Abnormal Facial Appearances with Chronic Illnesses, for descriptions of the other responses.
,HESI PREP - HEALTH ASSESSMENT PRACTICE QUESTIONS
AND ANSWERS LATEST DOWNLOADED 2025/2026 A
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62. The physician reports that a patient with a neck tumor has a tracheal shift. The nurse is aware that
this means that the patient's trachea is:
A) pulled to the affected side.
B) pushed to the unaffected side.
C) pulled downward.
D) pulled downward in a rhythmic pattern. - CORRECT ANSWERS B) pushed to the unaffected
side.
Pages: 262-263. The trachea is pushed to the unaffected side with an aortic aneurysm, a tumor,
unilateral thyroid lobe enlargement, and pneumothorax. The trachea is pulled to the affected side with
large atelectasis, pleural adhesions, or fibrosis. Tracheal tug is a rhythmic downward pull that is
synchronous with systole and occurs with aortic arch aneurysm.
63. During an assessment of an infant, the nurse notes that the fontanels are depressed and sunken. The
nurse suspects which condition?
A) Rickets
B) Dehydration
C) Mental retardation
D) Increased intracranial pressure - CORRECT ANSWERS B) Dehydration
Pages: 265-266. Depressed and sunken fontanels occur with dehydration or malnutrition. Mental
retardation and rickets have no effect on fontanels. Increased intracranial pressure would cause tense or
bulging, and possibly pulsating fontanels.
64. The nurse is performing an assessment on a 7-year-old child who has symptoms of chronic watery
eyes, sneezing, and clear nasal drainage. The nurse notices the presence of a transverse line across the
,HESI PREP - HEALTH ASSESSMENT PRACTICE QUESTIONS
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bridge of the nose, dark blue shadows below the eyes, and a double crease on the lower eyelids. These
findings are characteristic of:
A) allergies.
B) a sinus infection.
C) nasal congestion.
D) an upper respiratory infection. - CORRECT ANSWERS A) allergies.
Page: 275. Chronic allergies often develop chronic facial characteristics. These include blue shadows
below the eyes, a double or single crease on the lower eyelids, open-mouth breathing, and a transverse
line on the nose.
65. A mother asks when her newborn infant's eyesight will be developed. The nurse should reply:
A) "Vision is not totally developed until 2 years of age."
B) "Infants develop the ability to focus on an object at around 8 months."
C) "By about 3 months, infants develop more coordinated eye movements and can fixate on an object."
D) "Most infants have uncoordinated eye movements for the first year of life." - CORRECT
ANSWERS C) "By about 3 months, infants develop more coordinated eye movements and can fixate
on an object."
Page: 284. Eye movements may be poorly coordinated at birth, but by 3 to 4 months of age, the infant
should establish binocularity and should be able to fixate on a single image with both eyes
simultaneously.
66. The nurse is performing an eye assessment on an 80-year-old patient. Which of these findings is
considered abnormal?
, HESI PREP - HEALTH ASSESSMENT PRACTICE QUESTIONS
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A) A decrease in tear production
B) Unequal pupillary constriction in response to light
C) The presence of arcus senilis seen around the cornea
D) Loss of the outer hair on the eyebrows due to a decrease in hair follicles - CORRECT ANSWERS
B) Unequal pupillary constriction in response to light
Pages: 305-308. Pupils are small in old age, and the pupillary light reflex may be slowed, but pupillary
constriction should be symmetric. The assessment findings in the other responses are considered
normal in older persons.
67. The nurse notices the presence of periorbital edema when performing an eye assessment on a 70-
year-old patient. The nurse should:
A) check for the presence of exophthalmos.
B) suspect that the patient has hyperthyroidism.
C) ask the patient if he or she has a history of heart failure.
D) assess for blepharitis because this is often associated with periorbital edema. - CORRECT
ANSWERS C) ask the patient if he or she has a history of heart failure.
Page: 312. Periorbital edema occurs with local infections, crying, and systemic conditions such as heart
failure, renal failure, allergy, and hypothyroidism. Periorbital edema is not associated with blepharitis.
68. A patient comes to the emergency department after a boxing match, and his left eye is swollen
almost shut. He has bruises on his face and neck. He says he is worried because he "can't see well" from
his left eye. The physician suspects retinal damage. The nurse recognizes that signs of retinal
detachment include:
A) loss of central vision.
AND ANSWERS LATEST DOWNLOADED 2025/2026 A
COMPLETE EXAM SOLUTION WITH 100% CORRECT
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60. During an examination, the nurse knows that Paget's disease would be indicated by which of these
assessment findings?
A) Positive Macewen sign
B) Premature closure of the sagittal suture
C) Headache, vertigo, tinnitus, and deafness
D) Elongated head with heavy eyebrow ridge - CORRECT ANSWERS C) Headache, vertigo,
tinnitus, and deafness
Paget's disease occurs more often in males and is characterized by bowed long bones, sudden fractures,
and enlarging skull bones that press on cranial nerves causing symptoms of headache, vertigo, tinnitus,
and progressive deafness.
61. A woman comes to the clinic and states, "I've been sick for so long! My eyes have gotten so puffy,
and my eyebrows and hair have become coarse and dry." The nurse will assess for other signs and
symptoms of:
A) cachexia.
B) Parkinson's syndrome.
C) myxedema.
D) scleroderma. - CORRECT ANSWERS C) myxedema.
Pages: 276-277. Myxedema (hypothyroidism) is a deficiency of thyroid hormone that, when severe,
causes a nonpitting edema or myxedema. The patient will have a puffy edematous face especially
around eyes (periorbital edema), coarse facial features, dry skin, and dry, coarse hair and eyebrows. See
Table 13-4, Abnormal Facial Appearances with Chronic Illnesses, for descriptions of the other responses.
,HESI PREP - HEALTH ASSESSMENT PRACTICE QUESTIONS
AND ANSWERS LATEST DOWNLOADED 2025/2026 A
COMPLETE EXAM SOLUTION WITH 100% CORRECT
DETAILED ANSWERS RATED TO SCORE A+ FOR SUCCESS
62. The physician reports that a patient with a neck tumor has a tracheal shift. The nurse is aware that
this means that the patient's trachea is:
A) pulled to the affected side.
B) pushed to the unaffected side.
C) pulled downward.
D) pulled downward in a rhythmic pattern. - CORRECT ANSWERS B) pushed to the unaffected
side.
Pages: 262-263. The trachea is pushed to the unaffected side with an aortic aneurysm, a tumor,
unilateral thyroid lobe enlargement, and pneumothorax. The trachea is pulled to the affected side with
large atelectasis, pleural adhesions, or fibrosis. Tracheal tug is a rhythmic downward pull that is
synchronous with systole and occurs with aortic arch aneurysm.
63. During an assessment of an infant, the nurse notes that the fontanels are depressed and sunken. The
nurse suspects which condition?
A) Rickets
B) Dehydration
C) Mental retardation
D) Increased intracranial pressure - CORRECT ANSWERS B) Dehydration
Pages: 265-266. Depressed and sunken fontanels occur with dehydration or malnutrition. Mental
retardation and rickets have no effect on fontanels. Increased intracranial pressure would cause tense or
bulging, and possibly pulsating fontanels.
64. The nurse is performing an assessment on a 7-year-old child who has symptoms of chronic watery
eyes, sneezing, and clear nasal drainage. The nurse notices the presence of a transverse line across the
,HESI PREP - HEALTH ASSESSMENT PRACTICE QUESTIONS
AND ANSWERS LATEST DOWNLOADED 2025/2026 A
COMPLETE EXAM SOLUTION WITH 100% CORRECT
DETAILED ANSWERS RATED TO SCORE A+ FOR SUCCESS
bridge of the nose, dark blue shadows below the eyes, and a double crease on the lower eyelids. These
findings are characteristic of:
A) allergies.
B) a sinus infection.
C) nasal congestion.
D) an upper respiratory infection. - CORRECT ANSWERS A) allergies.
Page: 275. Chronic allergies often develop chronic facial characteristics. These include blue shadows
below the eyes, a double or single crease on the lower eyelids, open-mouth breathing, and a transverse
line on the nose.
65. A mother asks when her newborn infant's eyesight will be developed. The nurse should reply:
A) "Vision is not totally developed until 2 years of age."
B) "Infants develop the ability to focus on an object at around 8 months."
C) "By about 3 months, infants develop more coordinated eye movements and can fixate on an object."
D) "Most infants have uncoordinated eye movements for the first year of life." - CORRECT
ANSWERS C) "By about 3 months, infants develop more coordinated eye movements and can fixate
on an object."
Page: 284. Eye movements may be poorly coordinated at birth, but by 3 to 4 months of age, the infant
should establish binocularity and should be able to fixate on a single image with both eyes
simultaneously.
66. The nurse is performing an eye assessment on an 80-year-old patient. Which of these findings is
considered abnormal?
, HESI PREP - HEALTH ASSESSMENT PRACTICE QUESTIONS
AND ANSWERS LATEST DOWNLOADED 2025/2026 A
COMPLETE EXAM SOLUTION WITH 100% CORRECT
DETAILED ANSWERS RATED TO SCORE A+ FOR SUCCESS
A) A decrease in tear production
B) Unequal pupillary constriction in response to light
C) The presence of arcus senilis seen around the cornea
D) Loss of the outer hair on the eyebrows due to a decrease in hair follicles - CORRECT ANSWERS
B) Unequal pupillary constriction in response to light
Pages: 305-308. Pupils are small in old age, and the pupillary light reflex may be slowed, but pupillary
constriction should be symmetric. The assessment findings in the other responses are considered
normal in older persons.
67. The nurse notices the presence of periorbital edema when performing an eye assessment on a 70-
year-old patient. The nurse should:
A) check for the presence of exophthalmos.
B) suspect that the patient has hyperthyroidism.
C) ask the patient if he or she has a history of heart failure.
D) assess for blepharitis because this is often associated with periorbital edema. - CORRECT
ANSWERS C) ask the patient if he or she has a history of heart failure.
Page: 312. Periorbital edema occurs with local infections, crying, and systemic conditions such as heart
failure, renal failure, allergy, and hypothyroidism. Periorbital edema is not associated with blepharitis.
68. A patient comes to the emergency department after a boxing match, and his left eye is swollen
almost shut. He has bruises on his face and neck. He says he is worried because he "can't see well" from
his left eye. The physician suspects retinal damage. The nurse recognizes that signs of retinal
detachment include:
A) loss of central vision.
