• EVOLVE HESI
HEALTH 09/07/2026
ASSESSMENT
EXAM
EVOLVE HESI HEALTH ASSESSMENT EXAM 3
PREP NEWEST 2026/2027 ACTUAL EXAM
COMPLETE QUESTIONS AND CORRECT
VERIFIED ANSWERS WITH RATIONALE
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.
P 1
, • EVOLVE HESI
HEALTH 09/07/2026
ASSESSMENT
EXAM
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. –
Correct 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
dilate the pupils. Then the nurse should advance a bright light into one pupil and note any response. Normally
there will be constriction of the same-sided pupil (a direct light reflex) and 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 millimeters using a gauge located on the penlight or in a healthcare record. The response
to light and pupil size should also be documented.
When assessing a client with dyspnea, the nurse hears an audible inspiratory crowing sound. Which lung sound
should the nurse document?
A) Stridor.
B) Crackles.
C) Wheezing.
D) Pleural rub. - Correct Answer :A) Stridor.
Stridor is an audible monophonic inspiratory crowing sound. Stridor in a client with dyspnea indicates airway
obstruction.
Which term should the nurse use to document the condition of a client who reports waking up frequently during
the night to urinate?
A) Nocturia.
P 2
, • EVOLVE HESI
HEALTH 09/07/2026
ASSESSMENT
EXAM
B) Polyuria.
C) Oliguria.
D) Dysuria. - Correct Answer :A) Nocturia.
Nocturia is the medical terminology used to describe when a client wakes up throughout the night more than
usual to urinate. The nurse should document this condition as "nocturia" in the client's medical record.
During the interview portion of the health assessment, a nurse notes 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. - Correct 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: the person's posture, physical appearance, ability to carry on a conversation, and overall demeanor.
The nurse observes peristaltic movement in the left lower quadrant of a client's abdomen. Which further
assessment of the area should the nurse perform?
A) Observe the direction of movement.
B) Auscultate the area of movement.
C) Lightly palpate the area of movement.
D) Percuss the area of movement. - Correct Answer :A) Observe the direction of movement.
P 3
, • EVOLVE HESI
HEALTH 09/07/2026
ASSESSMENT
EXAM
Increased peristaltic movements are occasionally seen in very thin clients and may indicate the presence of
intestinal obstruction. In addition to noting the quadrant of origin, the nurse should also note the direction of
the peristaltic flow and report these findings to the healthcare provider.
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 contraction that indicates muscle atrophy.
B) Limited internal rotation of the hips that suggests degeneration.
C) A normal left and right hip flexion with expected range of motion.
D) A flexion deformity referred to as a positive Thomas test. - Correct Answer :D) A flexion deformity referred to
as a positive Thomas test.
Flexion flattens the lumbar spine, and the opposite thigh should remain on the table. The inability to perform the
hip range of motion (ROM) as expected indicates flexion deformity referred to as a positive Thomas test.
A client reports lower abdominal pain and a feeling of pressure in the bladder. Which assessment finding
indicates acute urinary retention?
A) Hyperactive bowel sounds.
B) Dull sound percussed over bladder.
C) Bruits auscultated in left lower quadrant.
D) Tenderness with palpation of lower back. - Correct Answer :B) Dull sound percussed over bladder.
Clients with acute urinary retention may present with lower abdominal pain and bladder distension. Percussion
(tapping on the body wall) is performed to detect differences in pitch. A dull sound produced when percussing a
distended urinary bladder is an indication of urinary retention.
P 4
HEALTH 09/07/2026
ASSESSMENT
EXAM
EVOLVE HESI HEALTH ASSESSMENT EXAM 3
PREP NEWEST 2026/2027 ACTUAL EXAM
COMPLETE QUESTIONS AND CORRECT
VERIFIED ANSWERS WITH RATIONALE
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.
P 1
, • EVOLVE HESI
HEALTH 09/07/2026
ASSESSMENT
EXAM
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. –
Correct 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
dilate the pupils. Then the nurse should advance a bright light into one pupil and note any response. Normally
there will be constriction of the same-sided pupil (a direct light reflex) and 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 millimeters using a gauge located on the penlight or in a healthcare record. The response
to light and pupil size should also be documented.
When assessing a client with dyspnea, the nurse hears an audible inspiratory crowing sound. Which lung sound
should the nurse document?
A) Stridor.
B) Crackles.
C) Wheezing.
D) Pleural rub. - Correct Answer :A) Stridor.
Stridor is an audible monophonic inspiratory crowing sound. Stridor in a client with dyspnea indicates airway
obstruction.
Which term should the nurse use to document the condition of a client who reports waking up frequently during
the night to urinate?
A) Nocturia.
P 2
, • EVOLVE HESI
HEALTH 09/07/2026
ASSESSMENT
EXAM
B) Polyuria.
C) Oliguria.
D) Dysuria. - Correct Answer :A) Nocturia.
Nocturia is the medical terminology used to describe when a client wakes up throughout the night more than
usual to urinate. The nurse should document this condition as "nocturia" in the client's medical record.
During the interview portion of the health assessment, a nurse notes 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. - Correct 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: the person's posture, physical appearance, ability to carry on a conversation, and overall demeanor.
The nurse observes peristaltic movement in the left lower quadrant of a client's abdomen. Which further
assessment of the area should the nurse perform?
A) Observe the direction of movement.
B) Auscultate the area of movement.
C) Lightly palpate the area of movement.
D) Percuss the area of movement. - Correct Answer :A) Observe the direction of movement.
P 3
, • EVOLVE HESI
HEALTH 09/07/2026
ASSESSMENT
EXAM
Increased peristaltic movements are occasionally seen in very thin clients and may indicate the presence of
intestinal obstruction. In addition to noting the quadrant of origin, the nurse should also note the direction of
the peristaltic flow and report these findings to the healthcare provider.
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 contraction that indicates muscle atrophy.
B) Limited internal rotation of the hips that suggests degeneration.
C) A normal left and right hip flexion with expected range of motion.
D) A flexion deformity referred to as a positive Thomas test. - Correct Answer :D) A flexion deformity referred to
as a positive Thomas test.
Flexion flattens the lumbar spine, and the opposite thigh should remain on the table. The inability to perform the
hip range of motion (ROM) as expected indicates flexion deformity referred to as a positive Thomas test.
A client reports lower abdominal pain and a feeling of pressure in the bladder. Which assessment finding
indicates acute urinary retention?
A) Hyperactive bowel sounds.
B) Dull sound percussed over bladder.
C) Bruits auscultated in left lower quadrant.
D) Tenderness with palpation of lower back. - Correct Answer :B) Dull sound percussed over bladder.
Clients with acute urinary retention may present with lower abdominal pain and bladder distension. Percussion
(tapping on the body wall) is performed to detect differences in pitch. A dull sound produced when percussing a
distended urinary bladder is an indication of urinary retention.
P 4
