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HESI Health Assessment Practice (NEW UPDATED VERSION) LATEST
ACTUAL EXAM QUESTIONS AND CORRECT ANSWERS (VERIFIED
QUESTIONS AND ANSWERS) | GUARANTEED PASS A+ UPDATED 2026
HESI Health Assessment Practice
1. During assessment, the nurse notes a client’s blood
pressure is 150/92 mmHg. This finding is classified as:
A. Normal
B. Prehypertension
C. Stage 1 hypertension
D. Stage 2 hypertension
Answer: C. Stage 1 hypertension
Rationale: Stage 1 hypertension is systolic 140–159 mmHg or diastolic 90–99 mmHg.
2. When auscultating lung sounds, the nurse hears high-
pitched whistling during expiration. This is:
A. Crackles
B. Wheezes
C. Rhonchi
D. Stridor
Answer: B. Wheezes
Rationale: Wheezes indicate narrowed airways, commonly seen in asthma or COPD.
3. A nurse is assessing a client’s pulse. Which site is most
appropriate for assessing heart rate in an adult?
A. Radial
B. Brachial
2026 2027 GRADED A+
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C. Carotid
D. Femoral
Answer: A. Radial
Rationale: The radial pulse is easily accessible and safe for routine heart rate assessment.
4. During abdominal assessment, the nurse should:
A. Inspect, auscultate, percuss, palpate
B. Palpate first
C. Auscultate last
D. Only inspect and palpate
Answer: A. Inspect, auscultate, percuss, palpate
Rationale: Palpation can alter bowel sounds; auscultation is performed before palpation.
5. A client has jugular vein distention when sitting at 45°.
This may indicate:
A. Dehydration
B. Right-sided heart failure
C. Hypotension
D. Pneumonia
Answer: B. Right-sided heart failure
Rationale: JVD reflects elevated central venous pressure, often due to right-sided heart failure.
6. The nurse is assessing a client’s neurological status. Which
is included in the Glasgow Coma Scale?
A. Eye opening, verbal response, motor response
B. Blood pressure, pulse, respiration
C. Muscle strength only
D. Reflexes only
Answer: A. Eye opening, verbal response, motor response
Rationale: GCS evaluates level of consciousness via these three components.
2026 2027 GRADED A+
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7. A client reports abdominal pain. Which question is most
important to assess the pain?
A. Location, quality, intensity, duration, aggravating/relieving factors
B. Only intensity
C. Only duration
D. Only previous surgeries
Answer: A. Location, quality, intensity, duration, aggravating/relieving factors
Rationale: Comprehensive pain assessment guides diagnosis and management.
8. Which technique is used to assess skin turgor?
A. Pinch skin on the forearm or clavicle
B. Inspect nails
C. Palpate pulses
D. Measure temperature
Answer: A. Pinch skin on the forearm or clavicle
Rationale: Tenting or delayed return indicates dehydration or decreased skin elasticity.
9. When assessing a client’s abdomen, bowel sounds are
absent. The nurse should:
A. Listen in all four quadrants for at least 5 minutes
B. Document as normal immediately
C. Percuss only
D. Palpate deeply first
Answer: A. Listen in all four quadrants for at least 5 minutes
Rationale: Absent bowel sounds require careful, thorough assessment to confirm.
10. A nurse percusses over the lungs and hears dullness. This
may indicate:
2026 2027 GRADED A+
, 4|Page
A. Pleural effusion
B. Normal lungs
C. Emphysema
D. Hyperinflation
Answer: A. Pleural effusion
Rationale: Dullness suggests fluid or solid tissue in the lungs.
11. The nurse is auscultating heart sounds and hears an S3.
This is commonly associated with:
A. Heart failure
B. Normal valve closure
C. Hypertension only
D. Pneumothorax
Answer: A. Heart failure
Rationale: S3 “ventricular gallop” can indicate volume overload or decreased compliance.
12. A client presents with clubbing of the fingers. This may
indicate:
A. Chronic hypoxia
B. Anemia
C. Dehydration
D. Hypotension
Answer: A. Chronic hypoxia
Rationale: Clubbing develops due to long-term oxygen deprivation.
13. A nurse is checking cranial nerve II. Which test is
appropriate?
A. Visual acuity (Snellen chart)
B. Facial sensation
C. Shoulder shrug
D. Tongue movement
2026 2027 GRADED A+
HESI Health Assessment Practice (NEW UPDATED VERSION) LATEST
ACTUAL EXAM QUESTIONS AND CORRECT ANSWERS (VERIFIED
QUESTIONS AND ANSWERS) | GUARANTEED PASS A+ UPDATED 2026
HESI Health Assessment Practice
1. During assessment, the nurse notes a client’s blood
pressure is 150/92 mmHg. This finding is classified as:
A. Normal
B. Prehypertension
C. Stage 1 hypertension
D. Stage 2 hypertension
Answer: C. Stage 1 hypertension
Rationale: Stage 1 hypertension is systolic 140–159 mmHg or diastolic 90–99 mmHg.
2. When auscultating lung sounds, the nurse hears high-
pitched whistling during expiration. This is:
A. Crackles
B. Wheezes
C. Rhonchi
D. Stridor
Answer: B. Wheezes
Rationale: Wheezes indicate narrowed airways, commonly seen in asthma or COPD.
3. A nurse is assessing a client’s pulse. Which site is most
appropriate for assessing heart rate in an adult?
A. Radial
B. Brachial
2026 2027 GRADED A+
,2|Page
C. Carotid
D. Femoral
Answer: A. Radial
Rationale: The radial pulse is easily accessible and safe for routine heart rate assessment.
4. During abdominal assessment, the nurse should:
A. Inspect, auscultate, percuss, palpate
B. Palpate first
C. Auscultate last
D. Only inspect and palpate
Answer: A. Inspect, auscultate, percuss, palpate
Rationale: Palpation can alter bowel sounds; auscultation is performed before palpation.
5. A client has jugular vein distention when sitting at 45°.
This may indicate:
A. Dehydration
B. Right-sided heart failure
C. Hypotension
D. Pneumonia
Answer: B. Right-sided heart failure
Rationale: JVD reflects elevated central venous pressure, often due to right-sided heart failure.
6. The nurse is assessing a client’s neurological status. Which
is included in the Glasgow Coma Scale?
A. Eye opening, verbal response, motor response
B. Blood pressure, pulse, respiration
C. Muscle strength only
D. Reflexes only
Answer: A. Eye opening, verbal response, motor response
Rationale: GCS evaluates level of consciousness via these three components.
2026 2027 GRADED A+
,3|Page
7. A client reports abdominal pain. Which question is most
important to assess the pain?
A. Location, quality, intensity, duration, aggravating/relieving factors
B. Only intensity
C. Only duration
D. Only previous surgeries
Answer: A. Location, quality, intensity, duration, aggravating/relieving factors
Rationale: Comprehensive pain assessment guides diagnosis and management.
8. Which technique is used to assess skin turgor?
A. Pinch skin on the forearm or clavicle
B. Inspect nails
C. Palpate pulses
D. Measure temperature
Answer: A. Pinch skin on the forearm or clavicle
Rationale: Tenting or delayed return indicates dehydration or decreased skin elasticity.
9. When assessing a client’s abdomen, bowel sounds are
absent. The nurse should:
A. Listen in all four quadrants for at least 5 minutes
B. Document as normal immediately
C. Percuss only
D. Palpate deeply first
Answer: A. Listen in all four quadrants for at least 5 minutes
Rationale: Absent bowel sounds require careful, thorough assessment to confirm.
10. A nurse percusses over the lungs and hears dullness. This
may indicate:
2026 2027 GRADED A+
, 4|Page
A. Pleural effusion
B. Normal lungs
C. Emphysema
D. Hyperinflation
Answer: A. Pleural effusion
Rationale: Dullness suggests fluid or solid tissue in the lungs.
11. The nurse is auscultating heart sounds and hears an S3.
This is commonly associated with:
A. Heart failure
B. Normal valve closure
C. Hypertension only
D. Pneumothorax
Answer: A. Heart failure
Rationale: S3 “ventricular gallop” can indicate volume overload or decreased compliance.
12. A client presents with clubbing of the fingers. This may
indicate:
A. Chronic hypoxia
B. Anemia
C. Dehydration
D. Hypotension
Answer: A. Chronic hypoxia
Rationale: Clubbing develops due to long-term oxygen deprivation.
13. A nurse is checking cranial nerve II. Which test is
appropriate?
A. Visual acuity (Snellen chart)
B. Facial sensation
C. Shoulder shrug
D. Tongue movement
2026 2027 GRADED A+
