Page 1 of 336
HEALTH ASSESSMENT HESI NEWEST 2025 TEST
BANK| BSN 246 HESI HEALTH ASSESSMENT EXAM
PREP WITH COMPLETE 800 ACTUAL EXAM
QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) GRADED A+ (MOST RECENT!!)
The registered nurse (RN) is caring for a client who developed oliguria
and was diagnosed with sepsis and dehydration 48 hours ago. Which
assessment finding indicates to the RN that the client is stabilizing?
A. Urine output of 40 ml/hour
B. Apical pulse 100 and blood pressure 76/42.
C. Urine specific gravity of 1.001.
D. Tented skin on the dorsal surface of the hands. - Correct Answer -A.
A decrease in urine output is a sign of dehydration. When the urine
output returns to a normal range, 40 ml/hour (A), the client's kidneys are
perfusing adequately and indicates the client's status is stabilizing. A
blood pressure of 76/42 (B) and tented skin (D) are consistent with
dehydration and possible hypovolemia, however the client's urine output
is improving. Specific gravity of 1.001 is indicative of the kidney's
ability to concentrate urine adequately.
An older client is admitted to the hospital with severe diarrhea. The
registered nurse (RN) is completing an assessment and notes the client
has dry mucous membranes and poor skin turgor. Which assessment data
should the RN gather to determine if the client has a fluid volume
deficit?
pg. 1
,Page 2 of 336
A. Elevated blood pressure
B. Orthostatic hypotension
C. Shortness of breath
D. Cheyne Stocks respirations - Correct Answer -B
Orthostatic hypotension (B) can be a sign of fluid volume deficit in an
older adult client who has experienced severe diarrhea. (A and C) are
signs of excess fluid volume. Cheyne Stocks respirations (D) is an
abnormal breathing pattern often seen in a client who is near death.
The registered nurse (RN) is caring for a young adult who is having an
oral glucose tolerance test (OGTT). which laboratory result should the
RN assess as a normal value for the two hour postprandial result?
A. 140 mg/dl
B. 160 mg/dl
C. 180 mg/dl
D. 200 mg/dl - Correct Answer -A
The two hour postprandial level should be less than 140 mg/dl for a
young adult client (B). (A, C and D) are elevated and not normal at 2
hours after ingesting the glucose solution.
The registered nurse (RN) is interviewing a female client who states she
has a persistent cough during the winter caused by bronchitis. Which
additional finding should the RN assess for bronchitis?
A. Phlegm production and wheezing.
pg. 2
,Page 3 of 336
B. Smoking history
C. Hemoptysis
D. Night sweats - Correct Answer -A
A chronic seasonal cough related to bronchitis is likely accompanied
with phlegm production and wheezing (A). Although smoking can
contribute to chronic cough, the typical seasonal cough is an
inflammatory reaction to seasonal changes (B). Hemoptysis (C) or a
"new" cough or changes in a persistent chronic cough is likely related to
lung cancer (C). Night sweats (D) is a trend in fever that is often seen
with tuberculosis.
The registered nurse (RN) is caring for a client who has a closed head
injury from a motor vehicle collision. Which finding should the RN
assess the client for the risk of diabetes insipidus (DI)?
A. high fever
B. low blood pressure
C. muscle rigidity
D. polydipsia - Correct Answer -D
A characteristic finding of DI is excretion of large quantities of urine (5
to 20L/day), and most clients compensate for fluid loss by drinking large
amounts of water (polydipsia) (D). (A) is indicative of an infection, not
DI. (B) can be characteristic of hypovolemia, but not an initial finding of
DI. Muscle rigidity (C) can be a serious manifestation of a closed head
injury that requires immediate action, but is not related to DI.
pg. 3
, Page 4 of 336
The registered nurse (RN) is teaching a client who is newly diagnosed
with emphysema to perform pursed-lip breathing. What is the primary
reason for teaching the client this method of breathing?
A. Decreases respiratory rate
B. Increases O2 saturation throughout the body
C. Conserves energy while ambulating
D. Promotes CO2 elimination - Correct Answer -D
Pursed lip breathing helps eliminate CO2 (D) by increasing positive
pressure within the alveoli which makes it easier to expel air from lungs.
(A, B and C) do not explain the reason for using pursed lip breathing.
The registered nurse (RN) is assessing a male client who arrives at the
clinic with severe abdominal cramping, pain, tenesmus, and dehydration.
The RN discovers that the client has had 14 to 20 loose stools with rectal
bleeding. Which condition should the RN ask the client about his
medical history?
A. Irritable bowel syndrome
B. diverticulitis
C. Crohn's disease
D. ulcerative colitis - Correct Answer -D
The RN should ask the client if he has a history of ulcerative colitis (D),
which is characterized by these presenting symptoms. Irritable bowel
(A) often includes irregular bowel movements with constipation.
Diverticulitis (B) is related to constipation, bowel irregularity and
cramping. Crohn's disease (C) can cause constipation or diarrhea,
abscess formation, and abdominal cramping, but tenesmus is rare.
pg. 4
HEALTH ASSESSMENT HESI NEWEST 2025 TEST
BANK| BSN 246 HESI HEALTH ASSESSMENT EXAM
PREP WITH COMPLETE 800 ACTUAL EXAM
QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) GRADED A+ (MOST RECENT!!)
The registered nurse (RN) is caring for a client who developed oliguria
and was diagnosed with sepsis and dehydration 48 hours ago. Which
assessment finding indicates to the RN that the client is stabilizing?
A. Urine output of 40 ml/hour
B. Apical pulse 100 and blood pressure 76/42.
C. Urine specific gravity of 1.001.
D. Tented skin on the dorsal surface of the hands. - Correct Answer -A.
A decrease in urine output is a sign of dehydration. When the urine
output returns to a normal range, 40 ml/hour (A), the client's kidneys are
perfusing adequately and indicates the client's status is stabilizing. A
blood pressure of 76/42 (B) and tented skin (D) are consistent with
dehydration and possible hypovolemia, however the client's urine output
is improving. Specific gravity of 1.001 is indicative of the kidney's
ability to concentrate urine adequately.
An older client is admitted to the hospital with severe diarrhea. The
registered nurse (RN) is completing an assessment and notes the client
has dry mucous membranes and poor skin turgor. Which assessment data
should the RN gather to determine if the client has a fluid volume
deficit?
pg. 1
,Page 2 of 336
A. Elevated blood pressure
B. Orthostatic hypotension
C. Shortness of breath
D. Cheyne Stocks respirations - Correct Answer -B
Orthostatic hypotension (B) can be a sign of fluid volume deficit in an
older adult client who has experienced severe diarrhea. (A and C) are
signs of excess fluid volume. Cheyne Stocks respirations (D) is an
abnormal breathing pattern often seen in a client who is near death.
The registered nurse (RN) is caring for a young adult who is having an
oral glucose tolerance test (OGTT). which laboratory result should the
RN assess as a normal value for the two hour postprandial result?
A. 140 mg/dl
B. 160 mg/dl
C. 180 mg/dl
D. 200 mg/dl - Correct Answer -A
The two hour postprandial level should be less than 140 mg/dl for a
young adult client (B). (A, C and D) are elevated and not normal at 2
hours after ingesting the glucose solution.
The registered nurse (RN) is interviewing a female client who states she
has a persistent cough during the winter caused by bronchitis. Which
additional finding should the RN assess for bronchitis?
A. Phlegm production and wheezing.
pg. 2
,Page 3 of 336
B. Smoking history
C. Hemoptysis
D. Night sweats - Correct Answer -A
A chronic seasonal cough related to bronchitis is likely accompanied
with phlegm production and wheezing (A). Although smoking can
contribute to chronic cough, the typical seasonal cough is an
inflammatory reaction to seasonal changes (B). Hemoptysis (C) or a
"new" cough or changes in a persistent chronic cough is likely related to
lung cancer (C). Night sweats (D) is a trend in fever that is often seen
with tuberculosis.
The registered nurse (RN) is caring for a client who has a closed head
injury from a motor vehicle collision. Which finding should the RN
assess the client for the risk of diabetes insipidus (DI)?
A. high fever
B. low blood pressure
C. muscle rigidity
D. polydipsia - Correct Answer -D
A characteristic finding of DI is excretion of large quantities of urine (5
to 20L/day), and most clients compensate for fluid loss by drinking large
amounts of water (polydipsia) (D). (A) is indicative of an infection, not
DI. (B) can be characteristic of hypovolemia, but not an initial finding of
DI. Muscle rigidity (C) can be a serious manifestation of a closed head
injury that requires immediate action, but is not related to DI.
pg. 3
, Page 4 of 336
The registered nurse (RN) is teaching a client who is newly diagnosed
with emphysema to perform pursed-lip breathing. What is the primary
reason for teaching the client this method of breathing?
A. Decreases respiratory rate
B. Increases O2 saturation throughout the body
C. Conserves energy while ambulating
D. Promotes CO2 elimination - Correct Answer -D
Pursed lip breathing helps eliminate CO2 (D) by increasing positive
pressure within the alveoli which makes it easier to expel air from lungs.
(A, B and C) do not explain the reason for using pursed lip breathing.
The registered nurse (RN) is assessing a male client who arrives at the
clinic with severe abdominal cramping, pain, tenesmus, and dehydration.
The RN discovers that the client has had 14 to 20 loose stools with rectal
bleeding. Which condition should the RN ask the client about his
medical history?
A. Irritable bowel syndrome
B. diverticulitis
C. Crohn's disease
D. ulcerative colitis - Correct Answer -D
The RN should ask the client if he has a history of ulcerative colitis (D),
which is characterized by these presenting symptoms. Irritable bowel
(A) often includes irregular bowel movements with constipation.
Diverticulitis (B) is related to constipation, bowel irregularity and
cramping. Crohn's disease (C) can cause constipation or diarrhea,
abscess formation, and abdominal cramping, but tenesmus is rare.
pg. 4
