HESI VERSION 2 HEALTH ASSESSMENT EXAM COMPLETE GUIDE QUESTIONS WITH VERIFIED ANSWERS

HESI VERSION 2 HEALTH ASSESSMENT EXAM
COMPLETE GUIDE QUESTIONS WITH
VERIFIED ANSWERS

A 29 year old male client informs the nurse that he came to the clinic to see if, "Maybe I have lung
M M M M M M M M M M M M M M M M M M M M M




cancer or something," and wants to get checked out since, "I can't seem to get rid of this body-wracking
M M M M M M M M M M M M M M M M M M M




dry cough that has been hanging around for the last six weeks." Which computer documentation of this
M M M M M M M M M M M M M M M M M




client's concerns should the nurse enter?
M M M M M M M




A. Presents with a hacking non-productive cough of 6 weeks duration.
M M M M M M M M M M M




B. Describe having a "body-wracking dry cough" of 6 weeks duration.
M M M M M M M M M M M




C. Expresses concern of "lung cancer" symptoms for last 6 weeks.
M M M M M M M M M M M




D. Young adult male presents with fears that he has "lung cancer" - Correct ansCorrect answer is B, as
M M M M M M M M M M M M M M M M M M




assessment process includes chief complaint which is how the patient describe why he is here in the
M M M M M M M M M M M M M M M M M




hospital or clinic and can't include diagnosis.
M M M M M M M




A 75-year-old client with a recent history of a cerebrovascular accident (CVA) presents with right
M M M M M M M M M M M M M M




hemiparesis. The nurse tests the deep tendon reflexes on the right side and elicits a brisk 4+ response.
M M M M M M M M M M M M M M M M M M




Which interpretation of this finding is accurate?
M M M M M M M M




A. A normal reflex response.
M M M M M




B. Absent or sluggish response consistent with a lower motor neuron lesion.
M M M M M M M M M M M M




C. Flaccid paralysis.
M M M




D. Hyperactive response consistent with an upper motor neuron disorder. - Correct ansCorrect answer
M M M M M M M M M M M M M




is D, brisk 4+ response is correlated with hyperactive response.
M M M M M M M M M M




The nurse examines a client's abdomen. Which finding indicates an abnormal response when palpating
M M M M M M M M M M M M M




the spleen?
M M M




A. Pain notes when palpating McBurney's point.
M M M M M M M




B. Tip of spleen palpable when client is asked to forcefully exhale.
M M M M M M M M M M M M




C. Rebound tenderness with compression over right upper quadrant. D. Firm mass palpated at bottom
M M M M M M M M M M M M M M




of left rib cage. - Correct ansCorrect answer is D. McBurney's point is related to appendicitis and not
M M M M M M M M M M M M M M M M M M




spleen.
M

, In auscultating for the presence of a carotid artery bruit, the nurse places the bell of the stethoscope at
M M M M M M M M M M M M M M M M M M




Mwhich location? - Correct ans*under mandible towards lymph nodes. transverse to trachea
M M M M M M M M M M M




A male client arrives at the clinic for follow-up health assessment after recent antibiotic treatment for
M M M M M M M M M M M M M M M




pneumonia without hospitalization. Which technique should the nurse implement to assess for
M M M M M M M M M M M M




adventitious lung sounds?
M M M M




A. Use the bell of the stethoscope to listen to the lung fields over lower lobes. B. Have the client lay flat
M M M M M M M M M M M M M M M M M M M M M




while listening to the anterior surface of the chest.
M M M M M M M M M M




C. Press the stethoscope's diaphragm firmly on the skin over each lung field.
M M M M M M M M M M M M M




D. Shave all chest hair that may distort sounds heard through the diaphragm. - Correct ansCorrect
M M M M M M M M M M M M M M M




answer is C. The nurse should listen to all lungs fields during assessment and move from side to side
M M M M M M M M M M M M M M M M M M M




during auscultation.
M M




A client with streptococcus pharyngitis reports high fever, difficulty swallowing and a muffled voice.
M M M M M M M M M M M M M




Which complication should the nurse suspect?
M M M M M M M




A. Foreign body obstruction.
M M M M




B. Laryngeal polyps.
M M M




C. Peritonsillar abscess.
M M M




D. Nasal polyps - Correct ansCorrect answer is C. Since infections are associated with abscesses and pus.
M M M M M M M M M M M M M M M M




The nurse is obtaining a health history for a client prior to a scheduled cholecystectomy. While
M M M M M M M M M M M M M M M




interviewing the client, which assessment technique should the nurse use when asking about the
M M M M M M M M M M M M M M




client's use of illegal drugs and alcohol?
M M M M M M M M




A. Obtain a drug using screen to verify legitimacy of client's stated history.
M M M M M M M M M M M M M




B. Allow the client to decline answering social questions.
M M M M M M M M M




C. Ask specifically about alcohol, marijuana, cocaine, her
M M M M M M M




D. Use the term illegal or illicit to describe street drug. - Correct ansCorrect answer is C. When
M M M M M M M M M M M M M M M M M




interviewing the patient, questions should be clear and specific.
M M M M M M M M M




The nurse applies pressure over an area of the lower abdomen where the client reports pain. The client
M M M M M M M M M M M M M M M M M




denies pain upon palpation, but reports pain when the pressure is released. What action should the
M M M M M M M M M M M M M M M M




nurse implement?
M M




A. Offer to administer a laxative prescribed for PRN use.
M M M M M M M M M M