HESI HEALTH ASSESSMENT EXAM 2025
UPDATED PRACTICE TEST BANK 2026
TESTED QUESTIONS WITH ANSWERS
GRADED A+
⩥ Which tool should the nurse use when assessing the neurological
status of a client with traumatic brain injury? Answer: Braden Scale.
Cranial nerve examination.
Glasgow Coma Scale. (The Glasgow Coma Scale is the best method for
assessing the neurological status and level of consciousness following a
traumatic brain injury. The Glasgow Coma Scale assesses eye opening,
motor responses, and verbal responses and has a scale of 3 to 15 (15 is
awake, alert, and oriented).
Numerical pain scale.
⩥ The nurse is assessing a client with liver disease who is jaundice and
exhibits scleral edema. During the health assessment, the nurse should
implement which technique to determine evidence of hepatomegaly?.
Answer: 1.)Push gently using fingers of both hands to determine the
boundaries of the liver.
2.)Use a bouncing motion to tap the middle finger placed within
boundaries of the liver. (Percussion is a tapping techniques done with
short, sharp strokes to assess underlying structures, such as the liver
which is solid and should have a dull sound. When percussing the liver
for abnormal sounds, the middle finder of dominant hand is used to tap
, with a bouncing motion on the opposite middle finder that is placed
within the boundaries of the liver, which if diseased is no longer dense
and does not reveal a dull sound.)
3.)Tap the liver's boundaries lightly with a percussion hammer to
produce a sound.
4.)Cup hands and clap with alternating contact with the skin over
regions of the liver.
⩥ The nurse is examining the hip joint of a client who reports hip pain.
Which other assessment is most helpful in determining the cause of the
client's pain?. Answer: Postural alignment.
Knee joint evaluation. (A client with hip pain usually experiences
radiation of pain to the groin or knee. Although the hip is difficult to
palpate, the knee is readily accessible. A client with hip pain should be
assessed for knee joint mobility, structural abnormalities, and fluid
accumulation.)
Deep tendon reflexes.
Cranial nerve testing.
⩥ The nurse palpates a weak pedal pulse in the client's right foot. Which
assessment findings should the RN document that are consistent with
diminished peripheral circulation? (Select all that apply.). Answer:
Bruising on extremities
Darkened skin on extremities
Capillary refill less than 3 seconds
UPDATED PRACTICE TEST BANK 2026
TESTED QUESTIONS WITH ANSWERS
GRADED A+
⩥ Which tool should the nurse use when assessing the neurological
status of a client with traumatic brain injury? Answer: Braden Scale.
Cranial nerve examination.
Glasgow Coma Scale. (The Glasgow Coma Scale is the best method for
assessing the neurological status and level of consciousness following a
traumatic brain injury. The Glasgow Coma Scale assesses eye opening,
motor responses, and verbal responses and has a scale of 3 to 15 (15 is
awake, alert, and oriented).
Numerical pain scale.
⩥ The nurse is assessing a client with liver disease who is jaundice and
exhibits scleral edema. During the health assessment, the nurse should
implement which technique to determine evidence of hepatomegaly?.
Answer: 1.)Push gently using fingers of both hands to determine the
boundaries of the liver.
2.)Use a bouncing motion to tap the middle finger placed within
boundaries of the liver. (Percussion is a tapping techniques done with
short, sharp strokes to assess underlying structures, such as the liver
which is solid and should have a dull sound. When percussing the liver
for abnormal sounds, the middle finder of dominant hand is used to tap
, with a bouncing motion on the opposite middle finder that is placed
within the boundaries of the liver, which if diseased is no longer dense
and does not reveal a dull sound.)
3.)Tap the liver's boundaries lightly with a percussion hammer to
produce a sound.
4.)Cup hands and clap with alternating contact with the skin over
regions of the liver.
⩥ The nurse is examining the hip joint of a client who reports hip pain.
Which other assessment is most helpful in determining the cause of the
client's pain?. Answer: Postural alignment.
Knee joint evaluation. (A client with hip pain usually experiences
radiation of pain to the groin or knee. Although the hip is difficult to
palpate, the knee is readily accessible. A client with hip pain should be
assessed for knee joint mobility, structural abnormalities, and fluid
accumulation.)
Deep tendon reflexes.
Cranial nerve testing.
⩥ The nurse palpates a weak pedal pulse in the client's right foot. Which
assessment findings should the RN document that are consistent with
diminished peripheral circulation? (Select all that apply.). Answer:
Bruising on extremities
Darkened skin on extremities
Capillary refill less than 3 seconds
