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Health Assessment HESI Version 1 Exam 2026/2027
Actual Complete Real Verified Exam Questions And
Correct Answers (Verified Answers)Graded
A+||Newest Exam!!
The nurse is completing a physical exam on an adult
client. Which thyroid finding is considered normal?
A. Gland is not palpable
B. Gland is solid bilaterally
C. Bruits are detected bilaterally
D. Nodals are palpated - Answer-A. Gland is not palpable
In a normal healthy adult, thyroid glands are not usually
palpable.
The nurse is assessing a client's middle lung lobe. What is
the best location for the nurse to place a stethoscope
diaphragm to hear normal lung sounds in the lobe?
A. 4th intercostal space, right midclavicular line
B. 5th intercostal space, left midclavicular line
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C. Left mid-posterior lung field
D. Right mid-posterior lung field - Answer-A. 4th intercostal
space, right midclavicular line
The 4th intercostal soace, right midclavicular line is the
best location for the nurse to place a stethoscope
diaphragm to hear lung sounds in the client's middle lobe.
The left side has only two lobes (upper and lower) and
middle lobe sounds cannot normally be heard in the
posterior lung fields.
While performing a head-to-toe assessment, the nurse
assesses the client's pupillary accommodation. During the
second portion of the test, the nurse notes that the client's
pupil constricts and there is convergence of the axes of
the eyes. What action should the nurse implement next?
A. Document a normal finding
B. Request a referral to an ophthalmologist
C. Repeat the test after having the client rest for 5 minutes
D. Ask the client, "Have you noticed that you cannot see
things close up?" - Answer-A. Document a normal finding
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When testing for pupillary accomodation, the nurse asks
the client to focus on a distant object and then shift the
gaze to a penlight tip near the nose. Focusing on a distant
object causes both pupils to dilate; shifting the gaze to a
near object (a finger or a penlight tip). Which is held about
7 to 8cm (3 inches) from the client's nose, should result in
bilateral pupillary constricition with both eyes focused on
the object simultaneously.
The nurse is performing a head-to-toe assessment on a
client. The nurse is assessing the client's pupillary light
reflex by first darkening the room and asking the person to
gaze into the distance. Then, the nurse advances a light
toward one eye from the client's side. What would the
nurse expect to see at this time?
A. A consensual response in the opposite eye
B. No change in the eye on the opposite side of the face
C. Dilation of the eye on the opposite side of the face
D. Dilation of the eye on the same side of the face. -
Answer-A. A consensual response in the opposite eye
To test the pupillary light reflex, the nurse should darken
the room and ask the client to gaze into the distance to
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dilate the pupils. Then the nurse should advance a bright
light into one pupil and note any response. Normally there
will be (1) constriction of the same-sided pupil (a direct
light reflex) and (2) simultaneous constriction of the other
pupil (a consensual light reflex). The approximate pupil
size that occurs when the light is shined into the eye
should be estimated in milimeters using a gauge located
on the penlight or in a healthcare record. The repsonse to
light and the pupil size should also be documented.
During the interview portion of the health assessment, a
nurse notes that the person's posture, physical
appearance, and ability to converse. How should the
nurse document these findings?
A. Objective
B. Subjective
C. Expected
D. Reportable - Answer-A. Objective
Although the purpose of the interview is not to collect
objective data, there are some things the nurse observes
at this time: person's posture, physical appearance, ability
to carry on a conversation, and overall demeanor
Health Assessment HESI Version 1 Exam 2026/2027
Actual Complete Real Verified Exam Questions And
Correct Answers (Verified Answers)Graded
A+||Newest Exam!!
The nurse is completing a physical exam on an adult
client. Which thyroid finding is considered normal?
A. Gland is not palpable
B. Gland is solid bilaterally
C. Bruits are detected bilaterally
D. Nodals are palpated - Answer-A. Gland is not palpable
In a normal healthy adult, thyroid glands are not usually
palpable.
The nurse is assessing a client's middle lung lobe. What is
the best location for the nurse to place a stethoscope
diaphragm to hear normal lung sounds in the lobe?
A. 4th intercostal space, right midclavicular line
B. 5th intercostal space, left midclavicular line
,2|Page
C. Left mid-posterior lung field
D. Right mid-posterior lung field - Answer-A. 4th intercostal
space, right midclavicular line
The 4th intercostal soace, right midclavicular line is the
best location for the nurse to place a stethoscope
diaphragm to hear lung sounds in the client's middle lobe.
The left side has only two lobes (upper and lower) and
middle lobe sounds cannot normally be heard in the
posterior lung fields.
While performing a head-to-toe assessment, the nurse
assesses the client's pupillary accommodation. During the
second portion of the test, the nurse notes that the client's
pupil constricts and there is convergence of the axes of
the eyes. What action should the nurse implement next?
A. Document a normal finding
B. Request a referral to an ophthalmologist
C. Repeat the test after having the client rest for 5 minutes
D. Ask the client, "Have you noticed that you cannot see
things close up?" - Answer-A. Document a normal finding
,3|Page
When testing for pupillary accomodation, the nurse asks
the client to focus on a distant object and then shift the
gaze to a penlight tip near the nose. Focusing on a distant
object causes both pupils to dilate; shifting the gaze to a
near object (a finger or a penlight tip). Which is held about
7 to 8cm (3 inches) from the client's nose, should result in
bilateral pupillary constricition with both eyes focused on
the object simultaneously.
The nurse is performing a head-to-toe assessment on a
client. The nurse is assessing the client's pupillary light
reflex by first darkening the room and asking the person to
gaze into the distance. Then, the nurse advances a light
toward one eye from the client's side. What would the
nurse expect to see at this time?
A. A consensual response in the opposite eye
B. No change in the eye on the opposite side of the face
C. Dilation of the eye on the opposite side of the face
D. Dilation of the eye on the same side of the face. -
Answer-A. A consensual response in the opposite eye
To test the pupillary light reflex, the nurse should darken
the room and ask the client to gaze into the distance to
, 4|Page
dilate the pupils. Then the nurse should advance a bright
light into one pupil and note any response. Normally there
will be (1) constriction of the same-sided pupil (a direct
light reflex) and (2) simultaneous constriction of the other
pupil (a consensual light reflex). The approximate pupil
size that occurs when the light is shined into the eye
should be estimated in milimeters using a gauge located
on the penlight or in a healthcare record. The repsonse to
light and the pupil size should also be documented.
During the interview portion of the health assessment, a
nurse notes that the person's posture, physical
appearance, and ability to converse. How should the
nurse document these findings?
A. Objective
B. Subjective
C. Expected
D. Reportable - Answer-A. Objective
Although the purpose of the interview is not to collect
objective data, there are some things the nurse observes
at this time: person's posture, physical appearance, ability
to carry on a conversation, and overall demeanor
