HESI HEALTH ASSESSMENT 200 PLUS EXAM
QUESTIONS 2026/2027 || COMPREHENSIVE
NURSING HEALTH ASSESSMENT EXAM
PREPARATION WITH UPDATED PHYSICAL EXAM
TECHNIQUES, DIAGNOSTIC REASONING, AND
CLINICAL SCENARIO REVIEW || REAL HESI-STYLE
QUESTIONS WITH VERIFIED DETAILED ACCURATE
ANSWERS LATEST EDITION || ELITE A+ PREMIUM
QUALITY GUARANTEED
The answer is after the question
A 29 year old male client informs the nurse that he came to the clinic to
see if, "Maybe I have lung cancer or something," and wants to get
checked out since, "I can't seem to get rid of this body-wracking dry
cough that has been hanging around for the last six weeks." Which
computer documentation of this client's concerns should the nurse
enter?
A. Presents with a hacking non-productive cough of 6 weeks duration.
B. Describe having a "body-wracking dry cough" of 6 weeks duration.
C. Expresses concern of "lung cancer" symptoms for last 6 weeks.
D. Young adult male presents with fears that he has "lung cancer"
B, as assessment process includes chief complaint which is how the
patient describe why he is here in the hospital or clinic and can't include
diagnosis.
A 75-year-old client with a recent history of a cerebrovascular accident
(CVA) presents with right hemiparesis. The nurse tests the deep tendon
reflexes on the right side and elicits a brisk 4+ response. Which
interpretation of this finding is accurate?
A. A normal reflex response.
B. Absent or sluggish response consistent with a lower motor neuron
lesion.
C. Flaccid paralysis.
D. Hyperactive response consistent with an upper motor neuron
disorder.
Correct answer is D, brisk 4+ response is correlated with hyperactive
response.
,The nurse examines a client's abdomen. Which finding indicates an
abnormal response when palpating the spleen?
A. Pain notes when palpating McBurney's point.
B. Tip of spleen palpable when client is asked to forcefully exhale.
C. Rebound tenderness with compression over right upper quadrant.
D. Firm mass palpated at bottom of left rib cage.
Correct answer is D. McBurney's point is related to appendicitis and not
spleen.
In auscultating for the presence of a carotid artery bruit, the nurse places
the bell of the stethoscope at which location?
side of neck (bell used)
A male client arrives at the clinic for follow-up health assessment after
recent antibiotic treatment for pneumonia without hospitalization.
Which technique should the nurse implement to assess for adventitious
lung sounds?
A. Use the bell of the stethoscope to listen to the lung fields over lower
lobes.
B. Have the client lay flat while listening to the anterior surface of the
chest.
C. Press the stethoscope's diaphragm firmly on the skin over each lung
field.
D. Shave all chest hair that may distort sounds heard through the
diaphragm.
correct answer is C. The nurse should listen to all lungs fields during
assessment and move from side to side during auscultation.
A client with streptococcus pharyngitis reports high fever, difficulty
swallowing and a muffled voice. Which complication should the nurse
suspect?
A. Foreign body obstruction.
B. Laryngeal polyps.
C. Peritonsillar abscess.
D. Nasal polyps.
Correct answer is C. Since infections are associated with abscesses and
pus.
,The nurse is obtaining a health history for a client prior to a scheduled
cholecystectomy. While interviewing the client, which assessment
technique should the nurse use when asking about the client's use of
illegal drugs and alcohol?
A. Obtain a drug using screen to verify legitimacy of client's stated
history.
B. Allow the client to decline answering social questions.
C. Ask specifically about alcohol, marijuana, cocaine, heroin, and
amounts.
D. Use the term illegal or illicit to describe street drugs.
Correct answer is C. When interviewing the patient, questions should
be clear and specific.
During her annual OB/GYN exam, a 24-year-old woman asks the nurse
when she should perform her breast exams. The nurse's best response
is:
Correct: "One week after your period starts, or when your breasts are
least engorged."
b/c
In menstruating women, self breast exams are best performed 4-7 days
after the start of a woman's cycle, when the breasts are least engorged
and painful.
While assessing for common signs and symptoms of benign prostatic
hypertrophy (BPH), the nurse should ask:
"Do you need to strain to start or maintain stream?"
b/c
Hesitancy, weak stream, and dribbling are common symptoms of BPH.
The other questions are not useful to determine BPH.
incorrect: "Are you urinating more than twice a day?", Is your urine
bloody or cloudy?", "Do you have to stand further from the toilet?"
A 19-year-old female post-miscarriage presents with "vaginal
bleeding." What is a priority health history question at this time?
How many pads are you soaking per hour?"
b/c
During the History of Present Illness, quantity or severity should be
assessed and documented. For example: "Vaginal bleeding soaking two
pads per hour." Soaking one or more pads per hour can indicate
hemorrhage.
The nurse is educating an adolescent male about testicular self-
examination (TSE). The nurse includes which point in the teaching?
"If you notice an enlarged testicle or a lump, call your health care
provider."
b/c
, If the patient notices a firm painless lump, a hard area, or an overall
enlarged testicle, then he should call his health care provider for further
evaluation. The testicle normally feels rubbery with a smooth surface.
A good time to examine the testicles is during the shower or bath, when
one's hands are warm and soapy and the scrotum is warm. Testicular
self-examination should be performed once a month.
During a complete physical exam, the RN notices that a female patient
has an inverted left nipple; the right one is everted. What should the
nurse do next?
Ask the patient when she first noticed the inversion.
b/c
The nurse should distinguish between a recently retracted nipple from
one that has been inverted for many years or since puberty. Normal
nipple inversion may be unilateral or bilateral and usually can be pulled
out; that is, if it is not fixed. Recent nipple retraction signifies acquired
disease.
When examining an adult patient presenting with "scrotal pain", the
nurse notices that a positive glow with transillumination. On the basis
of this finding the nurse would:
Suspect the presence of serous fluid in the scrotum.
b/c
Normal scrotal contents do not allow light to pass through the scrotum.
However, serous fluid does transilluminate and shows as a red glow.
Neither a mass nor a hernia would transilluminate.
A 30 year-old female who is 4 weeks postpartum calls the OB/GYN
clinic to report that her left breast is red, swollen, and very tender. What
should the nurse do next?
Ask if the woman has had a fever, fatigue, or chills.
b/c
If the woman is also experiencing flu-like symptoms,it is suspicious for
mastitis, which stems from an infection or stasis caused by a plugged
duct. A plugged duct does not have infection present.
A new mother presses her call light to report that her baby "has had his
first poop." The nurse observes a dark green meconium stool. The RN
understands that:
The first stool indicates anal patency.
b/c
The first stool passed by the newborn is dark green meconium and
occurs within 24 to 48 hours of birth, indicating anal patency. The other
responses are not correct.
While assessing for hemorrhoids in a 28-year-old male, the nurse
inspect the anus while the client:
QUESTIONS 2026/2027 || COMPREHENSIVE
NURSING HEALTH ASSESSMENT EXAM
PREPARATION WITH UPDATED PHYSICAL EXAM
TECHNIQUES, DIAGNOSTIC REASONING, AND
CLINICAL SCENARIO REVIEW || REAL HESI-STYLE
QUESTIONS WITH VERIFIED DETAILED ACCURATE
ANSWERS LATEST EDITION || ELITE A+ PREMIUM
QUALITY GUARANTEED
The answer is after the question
A 29 year old male client informs the nurse that he came to the clinic to
see if, "Maybe I have lung cancer or something," and wants to get
checked out since, "I can't seem to get rid of this body-wracking dry
cough that has been hanging around for the last six weeks." Which
computer documentation of this client's concerns should the nurse
enter?
A. Presents with a hacking non-productive cough of 6 weeks duration.
B. Describe having a "body-wracking dry cough" of 6 weeks duration.
C. Expresses concern of "lung cancer" symptoms for last 6 weeks.
D. Young adult male presents with fears that he has "lung cancer"
B, as assessment process includes chief complaint which is how the
patient describe why he is here in the hospital or clinic and can't include
diagnosis.
A 75-year-old client with a recent history of a cerebrovascular accident
(CVA) presents with right hemiparesis. The nurse tests the deep tendon
reflexes on the right side and elicits a brisk 4+ response. Which
interpretation of this finding is accurate?
A. A normal reflex response.
B. Absent or sluggish response consistent with a lower motor neuron
lesion.
C. Flaccid paralysis.
D. Hyperactive response consistent with an upper motor neuron
disorder.
Correct answer is D, brisk 4+ response is correlated with hyperactive
response.
,The nurse examines a client's abdomen. Which finding indicates an
abnormal response when palpating the spleen?
A. Pain notes when palpating McBurney's point.
B. Tip of spleen palpable when client is asked to forcefully exhale.
C. Rebound tenderness with compression over right upper quadrant.
D. Firm mass palpated at bottom of left rib cage.
Correct answer is D. McBurney's point is related to appendicitis and not
spleen.
In auscultating for the presence of a carotid artery bruit, the nurse places
the bell of the stethoscope at which location?
side of neck (bell used)
A male client arrives at the clinic for follow-up health assessment after
recent antibiotic treatment for pneumonia without hospitalization.
Which technique should the nurse implement to assess for adventitious
lung sounds?
A. Use the bell of the stethoscope to listen to the lung fields over lower
lobes.
B. Have the client lay flat while listening to the anterior surface of the
chest.
C. Press the stethoscope's diaphragm firmly on the skin over each lung
field.
D. Shave all chest hair that may distort sounds heard through the
diaphragm.
correct answer is C. The nurse should listen to all lungs fields during
assessment and move from side to side during auscultation.
A client with streptococcus pharyngitis reports high fever, difficulty
swallowing and a muffled voice. Which complication should the nurse
suspect?
A. Foreign body obstruction.
B. Laryngeal polyps.
C. Peritonsillar abscess.
D. Nasal polyps.
Correct answer is C. Since infections are associated with abscesses and
pus.
,The nurse is obtaining a health history for a client prior to a scheduled
cholecystectomy. While interviewing the client, which assessment
technique should the nurse use when asking about the client's use of
illegal drugs and alcohol?
A. Obtain a drug using screen to verify legitimacy of client's stated
history.
B. Allow the client to decline answering social questions.
C. Ask specifically about alcohol, marijuana, cocaine, heroin, and
amounts.
D. Use the term illegal or illicit to describe street drugs.
Correct answer is C. When interviewing the patient, questions should
be clear and specific.
During her annual OB/GYN exam, a 24-year-old woman asks the nurse
when she should perform her breast exams. The nurse's best response
is:
Correct: "One week after your period starts, or when your breasts are
least engorged."
b/c
In menstruating women, self breast exams are best performed 4-7 days
after the start of a woman's cycle, when the breasts are least engorged
and painful.
While assessing for common signs and symptoms of benign prostatic
hypertrophy (BPH), the nurse should ask:
"Do you need to strain to start or maintain stream?"
b/c
Hesitancy, weak stream, and dribbling are common symptoms of BPH.
The other questions are not useful to determine BPH.
incorrect: "Are you urinating more than twice a day?", Is your urine
bloody or cloudy?", "Do you have to stand further from the toilet?"
A 19-year-old female post-miscarriage presents with "vaginal
bleeding." What is a priority health history question at this time?
How many pads are you soaking per hour?"
b/c
During the History of Present Illness, quantity or severity should be
assessed and documented. For example: "Vaginal bleeding soaking two
pads per hour." Soaking one or more pads per hour can indicate
hemorrhage.
The nurse is educating an adolescent male about testicular self-
examination (TSE). The nurse includes which point in the teaching?
"If you notice an enlarged testicle or a lump, call your health care
provider."
b/c
, If the patient notices a firm painless lump, a hard area, or an overall
enlarged testicle, then he should call his health care provider for further
evaluation. The testicle normally feels rubbery with a smooth surface.
A good time to examine the testicles is during the shower or bath, when
one's hands are warm and soapy and the scrotum is warm. Testicular
self-examination should be performed once a month.
During a complete physical exam, the RN notices that a female patient
has an inverted left nipple; the right one is everted. What should the
nurse do next?
Ask the patient when she first noticed the inversion.
b/c
The nurse should distinguish between a recently retracted nipple from
one that has been inverted for many years or since puberty. Normal
nipple inversion may be unilateral or bilateral and usually can be pulled
out; that is, if it is not fixed. Recent nipple retraction signifies acquired
disease.
When examining an adult patient presenting with "scrotal pain", the
nurse notices that a positive glow with transillumination. On the basis
of this finding the nurse would:
Suspect the presence of serous fluid in the scrotum.
b/c
Normal scrotal contents do not allow light to pass through the scrotum.
However, serous fluid does transilluminate and shows as a red glow.
Neither a mass nor a hernia would transilluminate.
A 30 year-old female who is 4 weeks postpartum calls the OB/GYN
clinic to report that her left breast is red, swollen, and very tender. What
should the nurse do next?
Ask if the woman has had a fever, fatigue, or chills.
b/c
If the woman is also experiencing flu-like symptoms,it is suspicious for
mastitis, which stems from an infection or stasis caused by a plugged
duct. A plugged duct does not have infection present.
A new mother presses her call light to report that her baby "has had his
first poop." The nurse observes a dark green meconium stool. The RN
understands that:
The first stool indicates anal patency.
b/c
The first stool passed by the newborn is dark green meconium and
occurs within 24 to 48 hours of birth, indicating anal patency. The other
responses are not correct.
While assessing for hemorrhoids in a 28-year-old male, the nurse
inspect the anus while the client:
