HESI RN HEALTH ASSESSMENT ACCURATE
PRACTICE EXAM WITH ALL POSSIBLE APPROVED
WELL ELABORATED PRACTICE QUESTIONS AND
100% CORRECT VERIFIED ANSWERS WITH
DETAILED RATIONALES PLUS EXPERT ANSWER
KEY (100% CORRECT VERIFIED SOLUTIONS) 2026-
2027 CURRENTLY UPDATED VERSION Q&A
GUARANTEED PASS A+ INSTANT DOWNLOAD PDF
Question 1
A nurse is preparing to perform a physical
assessment on a client. Which action should the
nurse take first?
A. Obtain the client’s vital signs.
B. Wash hands and don gloves.
C. Explain the procedure to the client.
D. Gather all necessary equipment.
Correct Answer: C. Rationale: The first step in any
physical assessment is to establish rapport and
explain the procedure to the client to obtain
informed consent and reduce anxiety. Hand
,hygiene is performed before physical contact, but
explanation precedes it.
Question 2
During a health history interview, a client reports
intermittent episodes of chest pain. Which question
is most appropriate for the nurse to ask first?
A. "Does the pain radiate to your arm or jaw?"
B. "On a scale of 0 to 10, how would you rate the
pain?"
C. "What were you doing when the pain started?"
D. "Have you ever had this pain before?"
Correct Answer: B. Rationale: Pain assessment
should begin with intensity using a standardized
scale to establish a baseline. The PQRST
(Provocation, Quality, Region/Radiation, Severity,
Time) framework guides assessment, but severity
is often prioritized for acute pain.
Question 3
A nurse auscultates a client’s lungs and hears
crackles in the lower lobes. Which condition is most
consistent with this finding?
,A. Asthma
B. Pneumonia
C. Chronic bronchitis
D. Pulmonary fibrosis
Correct Answer: B. Rationale: Crackles (rales) are
discontinuous sounds heard during inspiration and
are associated with fluid or exudate in the alveoli,
as seen in pneumonia. Asthma presents with
wheezing, bronchitis with rhonchi, and fibrosis
with fine crackles but is less acute.
Question 4
When assessing a client’s level of consciousness
using the Glasgow Coma Scale, which parameter is
evaluated?
A. Pupillary response
B. Motor response
C. Reflexes
D. Vital signs
Correct Answer: B. Rationale: The Glasgow Coma
Scale assesses eye opening, verbal response, and
motor response. Pupillary response and reflexes
, are part of a neurological exam but not part of the
GCS score.
Question 5
A client has a history of hypertension. Which blood
pressure reading would the nurse classify as stage 1
hypertension?
A. 118/76 mmHg
B. 128/82 mmHg
C. 138/88 mmHg
D. 158/98 mmHg
Correct Answer: C. Rationale: According to
ACC/AHA guidelines, stage 1 hypertension is
systolic 130-139 or diastolic 80-89 mmHg. 138/88
falls within this range. 118/76 is normal, 128/82 is
elevated, and 158/98 is stage 2.
Question 6
A nurse palpates a client’s radial pulse and notes a
rate of 88 beats per minute with an irregular
rhythm. What should the nurse do next?
A. Document the finding as normal.
B. Auscultate the apical pulse for a full minute.
PRACTICE EXAM WITH ALL POSSIBLE APPROVED
WELL ELABORATED PRACTICE QUESTIONS AND
100% CORRECT VERIFIED ANSWERS WITH
DETAILED RATIONALES PLUS EXPERT ANSWER
KEY (100% CORRECT VERIFIED SOLUTIONS) 2026-
2027 CURRENTLY UPDATED VERSION Q&A
GUARANTEED PASS A+ INSTANT DOWNLOAD PDF
Question 1
A nurse is preparing to perform a physical
assessment on a client. Which action should the
nurse take first?
A. Obtain the client’s vital signs.
B. Wash hands and don gloves.
C. Explain the procedure to the client.
D. Gather all necessary equipment.
Correct Answer: C. Rationale: The first step in any
physical assessment is to establish rapport and
explain the procedure to the client to obtain
informed consent and reduce anxiety. Hand
,hygiene is performed before physical contact, but
explanation precedes it.
Question 2
During a health history interview, a client reports
intermittent episodes of chest pain. Which question
is most appropriate for the nurse to ask first?
A. "Does the pain radiate to your arm or jaw?"
B. "On a scale of 0 to 10, how would you rate the
pain?"
C. "What were you doing when the pain started?"
D. "Have you ever had this pain before?"
Correct Answer: B. Rationale: Pain assessment
should begin with intensity using a standardized
scale to establish a baseline. The PQRST
(Provocation, Quality, Region/Radiation, Severity,
Time) framework guides assessment, but severity
is often prioritized for acute pain.
Question 3
A nurse auscultates a client’s lungs and hears
crackles in the lower lobes. Which condition is most
consistent with this finding?
,A. Asthma
B. Pneumonia
C. Chronic bronchitis
D. Pulmonary fibrosis
Correct Answer: B. Rationale: Crackles (rales) are
discontinuous sounds heard during inspiration and
are associated with fluid or exudate in the alveoli,
as seen in pneumonia. Asthma presents with
wheezing, bronchitis with rhonchi, and fibrosis
with fine crackles but is less acute.
Question 4
When assessing a client’s level of consciousness
using the Glasgow Coma Scale, which parameter is
evaluated?
A. Pupillary response
B. Motor response
C. Reflexes
D. Vital signs
Correct Answer: B. Rationale: The Glasgow Coma
Scale assesses eye opening, verbal response, and
motor response. Pupillary response and reflexes
, are part of a neurological exam but not part of the
GCS score.
Question 5
A client has a history of hypertension. Which blood
pressure reading would the nurse classify as stage 1
hypertension?
A. 118/76 mmHg
B. 128/82 mmHg
C. 138/88 mmHg
D. 158/98 mmHg
Correct Answer: C. Rationale: According to
ACC/AHA guidelines, stage 1 hypertension is
systolic 130-139 or diastolic 80-89 mmHg. 138/88
falls within this range. 118/76 is normal, 128/82 is
elevated, and 158/98 is stage 2.
Question 6
A nurse palpates a client’s radial pulse and notes a
rate of 88 beats per minute with an irregular
rhythm. What should the nurse do next?
A. Document the finding as normal.
B. Auscultate the apical pulse for a full minute.
