• EVOLVE HESI
HEALTH 09/07/2026
ASSESSMENT
EXAM
EVOLVE HESI HEALTH ASSESSMENT ACTUAL
EXAM PREP NEW 2026/2027 ACTUAL EXAM
COMPLETE QUESTIONS AND CORRECT
VERIFIED ANSWERS WITH RATIONALE
The nurse is assessing a client who reports having shoulder pain. Which sign is the best indicator of a rotator cuff
tear?
A) Inability to adduct the arm from the body.
P 1
, • EVOLVE HESI
HEALTH 09/07/2026
ASSESSMENT
EXAM
B) Inability to slowly lower the arm when abducted.
C) Inability to externally rotate the arm.
D) Inability to internally rotate the arm. - Correct Answer :B) Inability to slowly lower the arm when abducted.
Rotator cuff damage can be assessed with the Drop Arm test, in which the affected arm is passively abducted at
90 degrees and the client is unable to keep the arm elevated or slowly and smoothly lower the arm from this
position without moving the shoulder forward to have the other muscles compensate for the torn rotator cuff
muscle.
The nurse is assessing a healthy young adult during an annual physical examination. Which assessment
technique should the nurse implement when palpating the abdominal aorta?
A) Deep palpation above and to the left of the umbilicus.
B) Palpation of the abdomen as the client completes a deep breath.
C) With the client standing, compress the abdomen as the nurse stands behind the client.
D) With the palm of one hand, compress the abdomen 2 fingerbreaths below xiphoid process. - Correct Answer
:A) Deep palpation above and to the left of the umbilicus.
Deep palpation above and to the left of the umbilicus is effective in sensing the pulsation of the aorta.
The nurse is requesting the client to perform a Romberg Test to assess neurological status. During the test, the
nurse notes that the client sways slightly. Which is the nurse's next action?
A) Document the normal finding.
B) Have the client widen the base of the feet.
C) Ask the client to walk to the door and back.
D) Ask the client if there is any dizziness. - Correct Answer :A) Document the normal finding.
P 2
, • EVOLVE HESI
HEALTH 09/07/2026
ASSESSMENT
EXAM
To perform a Romberg Test, the client is asked to stand up with feet together and arms at the sides. Once in a
stable position, the client is asked to close their eyes and hold the position for about 20 seconds. Normally a
person can maintain posture and balance even with the visual orienting information blocked, although slight
swaying may occur.
The nurse uses a tongue depressor to assess a client's mouth. Which structure should the nurse be able to
visualize?
A) Esophagus.
B) Pharynx.
C) Trachea.
D) Maxillary sinus. - Correct Answer :B) Pharynx.
Depressing the tongue when examining the mouth allows the nurse to visualize the pharynx, tonsils, and
adenoids.
An older client pushes the nurse's hand away when palpation is initiated during physical assessment. Which
additional objective sign aids the nurse in assessing for abdominal tenderness?
A) Takes deep breaths when palpation is performed.
B) Rebound tenderness.
C) Closes eyes during palpation of the abdomen.
D) Smiles when asked if pain is illicited with palpation. - Correct Answer :B) Rebound tenderness.
An objective sign that can aid in determining abdominal tenderness is the assessment of rebound tenderness
when the person reports abdominal pain or when you elicit tenderness during palpation.
P 3
, • EVOLVE HESI
HEALTH 09/07/2026
ASSESSMENT
EXAM
The nurse is assessing bowel sounds for a hospitalized client. The nurse has heard bowel sounds in the right
upper quadrant. Which action should the nurse take next?
A) Auscultate over the other 3 abdominal quadrants.
B) Count the number of bowel sounds per minute.
C) Note the character and frequency of bowel sounds.
D) Count to determine how many bowel sounds occur in one minute. - Correct Answer :C) Note the character
and frequency of bowel sounds.
Bowel sounds originate from the air and fluid movement through the stomach and intestines. A wide range of
normal sounds can occur depending on when the last meal was ingested. The nurse should assess for
hyperactive or hypoactive bowel sounds during auscultation, noting the character and frequency. It is not
necessary to count the number of bowel sounds per minute and to listen to all four quadrants. It is necessary to
listen for bowel sounds for a minimum of 5 minutes before declaring bowel sounds absent.
Which term should the nurse use to document in the client's medical record for a high-pitched scratchy sound
during auscultation of the heart?
A) Murmur.
B) Ejection click.
C) Friction rub.
D) Normal heart sound. - Correct Answer :C) Friction rub.
A high-pitched, scratchy, or grating sound heard during auscultation of the heart is called a pericardial friction
rub, which is associated with inflammation of the pericardium, often seen during the following week in a client
after a myocardial infarction. To best hear the pericardial friction rub, the nurse should have the client sitting
upright and leaning forward while the client holds their breath and the nurse listens with the diaphragm of the
stethoscope at the apex and left lower sternal border.
P 4
HEALTH 09/07/2026
ASSESSMENT
EXAM
EVOLVE HESI HEALTH ASSESSMENT ACTUAL
EXAM PREP NEW 2026/2027 ACTUAL EXAM
COMPLETE QUESTIONS AND CORRECT
VERIFIED ANSWERS WITH RATIONALE
The nurse is assessing a client who reports having shoulder pain. Which sign is the best indicator of a rotator cuff
tear?
A) Inability to adduct the arm from the body.
P 1
, • EVOLVE HESI
HEALTH 09/07/2026
ASSESSMENT
EXAM
B) Inability to slowly lower the arm when abducted.
C) Inability to externally rotate the arm.
D) Inability to internally rotate the arm. - Correct Answer :B) Inability to slowly lower the arm when abducted.
Rotator cuff damage can be assessed with the Drop Arm test, in which the affected arm is passively abducted at
90 degrees and the client is unable to keep the arm elevated or slowly and smoothly lower the arm from this
position without moving the shoulder forward to have the other muscles compensate for the torn rotator cuff
muscle.
The nurse is assessing a healthy young adult during an annual physical examination. Which assessment
technique should the nurse implement when palpating the abdominal aorta?
A) Deep palpation above and to the left of the umbilicus.
B) Palpation of the abdomen as the client completes a deep breath.
C) With the client standing, compress the abdomen as the nurse stands behind the client.
D) With the palm of one hand, compress the abdomen 2 fingerbreaths below xiphoid process. - Correct Answer
:A) Deep palpation above and to the left of the umbilicus.
Deep palpation above and to the left of the umbilicus is effective in sensing the pulsation of the aorta.
The nurse is requesting the client to perform a Romberg Test to assess neurological status. During the test, the
nurse notes that the client sways slightly. Which is the nurse's next action?
A) Document the normal finding.
B) Have the client widen the base of the feet.
C) Ask the client to walk to the door and back.
D) Ask the client if there is any dizziness. - Correct Answer :A) Document the normal finding.
P 2
, • EVOLVE HESI
HEALTH 09/07/2026
ASSESSMENT
EXAM
To perform a Romberg Test, the client is asked to stand up with feet together and arms at the sides. Once in a
stable position, the client is asked to close their eyes and hold the position for about 20 seconds. Normally a
person can maintain posture and balance even with the visual orienting information blocked, although slight
swaying may occur.
The nurse uses a tongue depressor to assess a client's mouth. Which structure should the nurse be able to
visualize?
A) Esophagus.
B) Pharynx.
C) Trachea.
D) Maxillary sinus. - Correct Answer :B) Pharynx.
Depressing the tongue when examining the mouth allows the nurse to visualize the pharynx, tonsils, and
adenoids.
An older client pushes the nurse's hand away when palpation is initiated during physical assessment. Which
additional objective sign aids the nurse in assessing for abdominal tenderness?
A) Takes deep breaths when palpation is performed.
B) Rebound tenderness.
C) Closes eyes during palpation of the abdomen.
D) Smiles when asked if pain is illicited with palpation. - Correct Answer :B) Rebound tenderness.
An objective sign that can aid in determining abdominal tenderness is the assessment of rebound tenderness
when the person reports abdominal pain or when you elicit tenderness during palpation.
P 3
, • EVOLVE HESI
HEALTH 09/07/2026
ASSESSMENT
EXAM
The nurse is assessing bowel sounds for a hospitalized client. The nurse has heard bowel sounds in the right
upper quadrant. Which action should the nurse take next?
A) Auscultate over the other 3 abdominal quadrants.
B) Count the number of bowel sounds per minute.
C) Note the character and frequency of bowel sounds.
D) Count to determine how many bowel sounds occur in one minute. - Correct Answer :C) Note the character
and frequency of bowel sounds.
Bowel sounds originate from the air and fluid movement through the stomach and intestines. A wide range of
normal sounds can occur depending on when the last meal was ingested. The nurse should assess for
hyperactive or hypoactive bowel sounds during auscultation, noting the character and frequency. It is not
necessary to count the number of bowel sounds per minute and to listen to all four quadrants. It is necessary to
listen for bowel sounds for a minimum of 5 minutes before declaring bowel sounds absent.
Which term should the nurse use to document in the client's medical record for a high-pitched scratchy sound
during auscultation of the heart?
A) Murmur.
B) Ejection click.
C) Friction rub.
D) Normal heart sound. - Correct Answer :C) Friction rub.
A high-pitched, scratchy, or grating sound heard during auscultation of the heart is called a pericardial friction
rub, which is associated with inflammation of the pericardium, often seen during the following week in a client
after a myocardial infarction. To best hear the pericardial friction rub, the nurse should have the client sitting
upright and leaning forward while the client holds their breath and the nurse listens with the diaphragm of the
stethoscope at the apex and left lower sternal border.
P 4
