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HESI ADVANCED HEALTH ASSESSMENT EXAM -
ACTUAL QUESTIONS & VERIFIED ANSWERS LATEST
A+ GRADE
When listening to heart tones, you hear a murmur that is quiet but heard
immediately after placing your stethoscope on the chest. How would you classify
this murmur?
A) 4/6
B) 1/6
C) 3/6
D) 2/6 - correct-answer -D) 2/6
Bates, p396
A patient notes that they have a history of goiter. What is a goiter?
A) a type of skin lesion
B) the primary lymph node used for cancer staging
C) an enlargement of the thyroid
D) an ear abnormality - correct-answer -C) an enlargement of the thyroid
Bates, p221, 262
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You are assessing a patient with Wilson's disease and you see a golden/brown ring
around the iris. This is called:
A) chalazion
B) pterygium
C) pinguecula
D) Kayser-Fleischer ring - correct-answer -D) Kayser-Fleischer ring
A ring around the iris from Wilson's disease is called a Kayser-Fleischer ring and it
is from excessive copper (Bates, p276).
If a patient is reporting light, gray colored stool, it is likely that ________ is missing
from the stool.
A) bile
B) fiber
C) bacteria
D) mucus - correct-answer -A) bile
Bile is what gives stools a darker color, so lighter, gray colored stools may indicate
a bile duct obstruction (Bates, p461).
Kidney pain is commonly described as "flank pain." Which of the following would
be considered in the flank area?
A) periumbilical
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B) costovertebral angle
C) suprapubic
D) epigastric - correct-answer -B) costovertebral angle
Costovertabal angle (CVA) pain or tenderness with percussion is a common test
for kidney pain (Bates, p463-464).
At what age is colorectal cancer screening started in those with "average risk?"
A) 50
B) 45
C) 25
D) 35 - correct-answer -A) 50
The recommendation for colorectal cancer screening starts at 50 years old for
those with "average risk." Bates, p 469
While performing a fundoscopic examination on a 38 year old African American
female, the color of the fundus is a grayish brown, almost purple. You determine:
A) this is a sign of diabetic retinopathy
B) this is a sign of hypertensive retinopathy
C) this indicates retinal detachment and requires immediate intervention
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D) this is a normal variation, no action is needed - correct-answer -D) this is a
normal variation, no action is needed
There are normal variants for darker skinned patients (Bates, p283).
Wheezes are a result of:
A) abnormal lung tissue
B) narrowed air passages
C) fibrosis
D) fluid in the lungs - correct-answer -B) narrowed air passages
Wheezes are the result of narrowed airways, like in asthma, COPD, or bronchitis
(Bates, p338)
Rhonchi suggests:
A) secretions is large airways
B) secretions in the pleural sac
C) secretions in alveoli
D) secretions in bronchioles - correct-answer -A) secretions is large airways
Rhonchi are suggestive of secretions in large airways (Bates, p325).
HESI ADVANCED HEALTH ASSESSMENT EXAM -
ACTUAL QUESTIONS & VERIFIED ANSWERS LATEST
A+ GRADE
When listening to heart tones, you hear a murmur that is quiet but heard
immediately after placing your stethoscope on the chest. How would you classify
this murmur?
A) 4/6
B) 1/6
C) 3/6
D) 2/6 - correct-answer -D) 2/6
Bates, p396
A patient notes that they have a history of goiter. What is a goiter?
A) a type of skin lesion
B) the primary lymph node used for cancer staging
C) an enlargement of the thyroid
D) an ear abnormality - correct-answer -C) an enlargement of the thyroid
Bates, p221, 262
,2|Page
You are assessing a patient with Wilson's disease and you see a golden/brown ring
around the iris. This is called:
A) chalazion
B) pterygium
C) pinguecula
D) Kayser-Fleischer ring - correct-answer -D) Kayser-Fleischer ring
A ring around the iris from Wilson's disease is called a Kayser-Fleischer ring and it
is from excessive copper (Bates, p276).
If a patient is reporting light, gray colored stool, it is likely that ________ is missing
from the stool.
A) bile
B) fiber
C) bacteria
D) mucus - correct-answer -A) bile
Bile is what gives stools a darker color, so lighter, gray colored stools may indicate
a bile duct obstruction (Bates, p461).
Kidney pain is commonly described as "flank pain." Which of the following would
be considered in the flank area?
A) periumbilical
,3|Page
B) costovertebral angle
C) suprapubic
D) epigastric - correct-answer -B) costovertebral angle
Costovertabal angle (CVA) pain or tenderness with percussion is a common test
for kidney pain (Bates, p463-464).
At what age is colorectal cancer screening started in those with "average risk?"
A) 50
B) 45
C) 25
D) 35 - correct-answer -A) 50
The recommendation for colorectal cancer screening starts at 50 years old for
those with "average risk." Bates, p 469
While performing a fundoscopic examination on a 38 year old African American
female, the color of the fundus is a grayish brown, almost purple. You determine:
A) this is a sign of diabetic retinopathy
B) this is a sign of hypertensive retinopathy
C) this indicates retinal detachment and requires immediate intervention
, 4|Page
D) this is a normal variation, no action is needed - correct-answer -D) this is a
normal variation, no action is needed
There are normal variants for darker skinned patients (Bates, p283).
Wheezes are a result of:
A) abnormal lung tissue
B) narrowed air passages
C) fibrosis
D) fluid in the lungs - correct-answer -B) narrowed air passages
Wheezes are the result of narrowed airways, like in asthma, COPD, or bronchitis
(Bates, p338)
Rhonchi suggests:
A) secretions is large airways
B) secretions in the pleural sac
C) secretions in alveoli
D) secretions in bronchioles - correct-answer -A) secretions is large airways
Rhonchi are suggestive of secretions in large airways (Bates, p325).
