HESI 1-V1 AND V2 REVIEW HEALTH
ASSESSMENT 1 2025/2026 QUESTIONS WITH
ELABORATED ANSWERS ACTUAL EXAM
CHAMBERLAIN
A client has been diagnosed with bilateral lower lobe atelectasis. What percussion sound should the
nurse expect to hear when percussing over the client's lower lobes?
Dull, thud-like.
A client is being assessed upon admission to the medical-surgical unit. The nurse is preparing to
complete a head-to-toe assessment and will begin at the head of the client. Which technique should
the nurse use to begin the assessment?
Inspect the hair and skin.
The nurse is assessing a healthy young adult during an annual physical examination. Which
assessment technique should the nurse implement when palpating the abdominal aorta?
Deep palpation above and to the left of the umbilicus.
The nurse is conducting a family history as part of the assessment interview. Which action should the
nurse take to ensure that sufficient information about the client's blood relatives is obtained?
Document at least 3 generations of the client's family medical history.
The nurse is testing the client's shoulders for range of motion. What should the nurse document to
record normal internal rotation?
Range of 90 degrees when the hands are placed at the small of the back.
A client presents with a rash along the occipital area of the hairline and reports intense itching. How
should the nurse begin the objective part of the examination?
Inspect the scalp looking for nits.
The nurse is assessing a client's range of motion as the client bends the right knee up to the chest
while keeping the left leg straight, but is unable to keep the left thigh on the table. The assessment is
repeated for the left knee, and the client is unable to keep the right thigh on the table. How should
the nurse document this finding?
A flexion deformity referred to as a positive Thomas test.
During a skin asssessment, the nurse notes, round and discrete lesions that are dark red in color and
will not blanch. The lesions range from 1 to 3 mm in size. What is the first question the nurse should
ask the client?
, Have you notice any irregular bleeding
A client with progressive hearing loss appears distressed when the registered nurse (RN) asks open-
ended questions about the client's health history. Which forms of communication should the RN use?
Face the client so the client can see the RN's mouth.
Check if the client's hearing aides are working properly.
Reduce environmental noise surrounding the client.
A client states that she had a mastectomy of her left breast last year and now experiences
lymphedema. What should the nurse expect to find when examining the client?
Swelling of the left arm and non-pitting edema.
A client has just returned from the recovery room and asks to get out of bed to go to the bathroom.
The nurse decides to obtain orthostatic vital signs first. How will the nurse position the client to begin
this procedure?
Lying.
A postmenopausal female client is undergoing a routine physical examination. She has reported
nothing out of the ordinary. When performing the examination of the genitourinary system, the nurse
finds an irregularly enlarged uterus with firm, mobile, painless nodules in the uterine wall. How
should the nurse explain this finding to the client?
You have benign fibroid tumors, a common occurrence in women your age.
A client is reporting chest pain. What statement made by the client, helps the nurse to understand
this client has a naturalistic belief in the cause of illness?
"My life is really out of balance."
The nurse is preparing to assess the hearing of a client with a history of prolonged exposure to
occupational noise. Which hearing test provides the most reliable assessment of hearing status?
Audiometry.
The nurse is performing a routine physical examination on an adult client. When gathering a health
history, which question is included in the CAGE questionnaire?
Have you ever felt guilty about your drinking?
*CAGE is the acronym for Cut down, Annoyed, Guilty, and Eye-opener. Nurse can use it to assess for
possible alcohol abuse.
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?
Knee joint evaluation.
ASSESSMENT 1 2025/2026 QUESTIONS WITH
ELABORATED ANSWERS ACTUAL EXAM
CHAMBERLAIN
A client has been diagnosed with bilateral lower lobe atelectasis. What percussion sound should the
nurse expect to hear when percussing over the client's lower lobes?
Dull, thud-like.
A client is being assessed upon admission to the medical-surgical unit. The nurse is preparing to
complete a head-to-toe assessment and will begin at the head of the client. Which technique should
the nurse use to begin the assessment?
Inspect the hair and skin.
The nurse is assessing a healthy young adult during an annual physical examination. Which
assessment technique should the nurse implement when palpating the abdominal aorta?
Deep palpation above and to the left of the umbilicus.
The nurse is conducting a family history as part of the assessment interview. Which action should the
nurse take to ensure that sufficient information about the client's blood relatives is obtained?
Document at least 3 generations of the client's family medical history.
The nurse is testing the client's shoulders for range of motion. What should the nurse document to
record normal internal rotation?
Range of 90 degrees when the hands are placed at the small of the back.
A client presents with a rash along the occipital area of the hairline and reports intense itching. How
should the nurse begin the objective part of the examination?
Inspect the scalp looking for nits.
The nurse is assessing a client's range of motion as the client bends the right knee up to the chest
while keeping the left leg straight, but is unable to keep the left thigh on the table. The assessment is
repeated for the left knee, and the client is unable to keep the right thigh on the table. How should
the nurse document this finding?
A flexion deformity referred to as a positive Thomas test.
During a skin asssessment, the nurse notes, round and discrete lesions that are dark red in color and
will not blanch. The lesions range from 1 to 3 mm in size. What is the first question the nurse should
ask the client?
, Have you notice any irregular bleeding
A client with progressive hearing loss appears distressed when the registered nurse (RN) asks open-
ended questions about the client's health history. Which forms of communication should the RN use?
Face the client so the client can see the RN's mouth.
Check if the client's hearing aides are working properly.
Reduce environmental noise surrounding the client.
A client states that she had a mastectomy of her left breast last year and now experiences
lymphedema. What should the nurse expect to find when examining the client?
Swelling of the left arm and non-pitting edema.
A client has just returned from the recovery room and asks to get out of bed to go to the bathroom.
The nurse decides to obtain orthostatic vital signs first. How will the nurse position the client to begin
this procedure?
Lying.
A postmenopausal female client is undergoing a routine physical examination. She has reported
nothing out of the ordinary. When performing the examination of the genitourinary system, the nurse
finds an irregularly enlarged uterus with firm, mobile, painless nodules in the uterine wall. How
should the nurse explain this finding to the client?
You have benign fibroid tumors, a common occurrence in women your age.
A client is reporting chest pain. What statement made by the client, helps the nurse to understand
this client has a naturalistic belief in the cause of illness?
"My life is really out of balance."
The nurse is preparing to assess the hearing of a client with a history of prolonged exposure to
occupational noise. Which hearing test provides the most reliable assessment of hearing status?
Audiometry.
The nurse is performing a routine physical examination on an adult client. When gathering a health
history, which question is included in the CAGE questionnaire?
Have you ever felt guilty about your drinking?
*CAGE is the acronym for Cut down, Annoyed, Guilty, and Eye-opener. Nurse can use it to assess for
possible alcohol abuse.
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?
Knee joint evaluation.
