HEALTH ASSESSMENT HESI; EXAM Latest
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"My life is really out of balance." - Answer -A client is reporting chest pain. What statement made
by the client, helps the nurse to understand this client has a naturalistic belief in the cause of illness?
"Short-term memory is intact." - Answer -While performing a mental status exam (MSE), the nurse
asks a client to remember three unrelated words and repeat them later. The client was able to repeat the
words as directed. Which computer documentation is accurate?
"What effect do you think your use of alcohol may have on you?" - Answer -A male executive is
seen in the primary care clinic for a physical examination. While obtaining the client's health history, the
nurse inquires about his drug and alcohol use. The executive denies drug use, but reports that he has
"two glasses of wine" per night. Which response is best for the nurse to provide?
12 - Answer -While assessing level of consciousness, the nurse finds that a client localizes to pain,
is confused during conversation, and opens the eyes to sound. How should the nurse document the
Glasgow score of this client?
24-hour dietary recall - Answer -A nurse is completing a nutritional assessment with a client. What
is the easiest method for the nurse to use to get information about the client's nutritional intake?
2nd intercostal space along the right sternal border. - Answer -The nurse is assessing a client who
has a history of aortic regurgitation. Where should the nurse place the stethoscope diaphragm to listen
for this condition?
Abnormal findings - Answer -During an external examination of the eyes, the nurse gently palpates
the eyes while the client's eyelids are closed. The eyes are both very firm and resist movement back into
the orbit. How should the nurse document this finding?
Abnormal. - Answer -When performing range of motion exercises on the joints of an older adult
client, the nurse notes that joint range is greater with passive ranging than with active ranging. A
goniometer indicates that this difference is as much as 15% in some joints. How should this finding be
documented?
Ankles. - Answer -Which part of the body should the nurse examine when assessing for peripheral
edema in a client with heart failure?
Ask the client specifically about any leakage of urine. - Answer -What is the best nursing response
to an older client who has not mentioned incontinence during a genitourinary assessment?
, audiometry - Answer -The nurse is preparing to assess the hearing of a client with a history of
prolonged exposure to occupational noise. Which hearing test provides the most reliable assessment of
hearing status?
barrel chest - Answer -The nurse is performing a thoracic assessment on a client with chronic
asthma and hyperinflation of the lungs. Which finding should be expected for this client?
Be open to people who are different
Have a curiosity about people.
Become culturally competent. - Answer -2. A nurse is working in a healthcare facility that serves a
diverse population. What action(s) by the nurse will allow the nurse to empathize with and understand
this population? (Select all that apply.)
Cataracts - Answer -During the initial assessment, the nurse notes that a client has blurred vision
with cloudy lenses. Which condition should the nurse document?
Change in consistency - Answer -A client with dark skin is reporting a painful and itching area on
the lower left leg. What should the nurse look for when assessing this client's skin for inflammation?
Diaphoresis.
Scaling. - Answer -Which findings can the nurse determine by palpating a client's skin? (Select all
that apply.)
Diminished hair on legs
Skin cool to touch - Answer -The nurse palpates a weak pedal pulse in the client's right foot. Which
assessment findings should the RN document that are consistent with diminished peripheral circulation?
(Select all that apply.)
Face the client so the client can see the RN's mouth
Check if the client's hearing aides are working properly
Reduce environmental noise surrounding the client - Answer -A client with progressive hearing
loss appears distressed when the registered nurse (RN) asks open-ended questions about the client's
health history. Which forms of communication should the RN use?
Family history of colon cancer on mother's side. Correct - Answer -A client is in the clinic and is
reporting lower abdominal pain and constipation. Which information is of greatest concern to the nurse
when obtaining the health history from this client?
Fibroadenoma. - Answer -While palpating a client's breasts, the nurse detects a nontender,
solitary, round lobular mass that is solid and firm and slides easily through the breast tissue . The findings
of this breast exam are consistent with which condition?
Fungal infection - Answer -Which condition is indicated by a fluorescent, yellow-green color when
the nurse uses a Wood's lamp toexamine a client's skin lesions?
update Questions with Correct Answers
Download to Get A Perfect Score
"My life is really out of balance." - Answer -A client is reporting chest pain. What statement made
by the client, helps the nurse to understand this client has a naturalistic belief in the cause of illness?
"Short-term memory is intact." - Answer -While performing a mental status exam (MSE), the nurse
asks a client to remember three unrelated words and repeat them later. The client was able to repeat the
words as directed. Which computer documentation is accurate?
"What effect do you think your use of alcohol may have on you?" - Answer -A male executive is
seen in the primary care clinic for a physical examination. While obtaining the client's health history, the
nurse inquires about his drug and alcohol use. The executive denies drug use, but reports that he has
"two glasses of wine" per night. Which response is best for the nurse to provide?
12 - Answer -While assessing level of consciousness, the nurse finds that a client localizes to pain,
is confused during conversation, and opens the eyes to sound. How should the nurse document the
Glasgow score of this client?
24-hour dietary recall - Answer -A nurse is completing a nutritional assessment with a client. What
is the easiest method for the nurse to use to get information about the client's nutritional intake?
2nd intercostal space along the right sternal border. - Answer -The nurse is assessing a client who
has a history of aortic regurgitation. Where should the nurse place the stethoscope diaphragm to listen
for this condition?
Abnormal findings - Answer -During an external examination of the eyes, the nurse gently palpates
the eyes while the client's eyelids are closed. The eyes are both very firm and resist movement back into
the orbit. How should the nurse document this finding?
Abnormal. - Answer -When performing range of motion exercises on the joints of an older adult
client, the nurse notes that joint range is greater with passive ranging than with active ranging. A
goniometer indicates that this difference is as much as 15% in some joints. How should this finding be
documented?
Ankles. - Answer -Which part of the body should the nurse examine when assessing for peripheral
edema in a client with heart failure?
Ask the client specifically about any leakage of urine. - Answer -What is the best nursing response
to an older client who has not mentioned incontinence during a genitourinary assessment?
, audiometry - Answer -The nurse is preparing to assess the hearing of a client with a history of
prolonged exposure to occupational noise. Which hearing test provides the most reliable assessment of
hearing status?
barrel chest - Answer -The nurse is performing a thoracic assessment on a client with chronic
asthma and hyperinflation of the lungs. Which finding should be expected for this client?
Be open to people who are different
Have a curiosity about people.
Become culturally competent. - Answer -2. A nurse is working in a healthcare facility that serves a
diverse population. What action(s) by the nurse will allow the nurse to empathize with and understand
this population? (Select all that apply.)
Cataracts - Answer -During the initial assessment, the nurse notes that a client has blurred vision
with cloudy lenses. Which condition should the nurse document?
Change in consistency - Answer -A client with dark skin is reporting a painful and itching area on
the lower left leg. What should the nurse look for when assessing this client's skin for inflammation?
Diaphoresis.
Scaling. - Answer -Which findings can the nurse determine by palpating a client's skin? (Select all
that apply.)
Diminished hair on legs
Skin cool to touch - Answer -The nurse palpates a weak pedal pulse in the client's right foot. Which
assessment findings should the RN document that are consistent with diminished peripheral circulation?
(Select all that apply.)
Face the client so the client can see the RN's mouth
Check if the client's hearing aides are working properly
Reduce environmental noise surrounding the client - Answer -A client with progressive hearing
loss appears distressed when the registered nurse (RN) asks open-ended questions about the client's
health history. Which forms of communication should the RN use?
Family history of colon cancer on mother's side. Correct - Answer -A client is in the clinic and is
reporting lower abdominal pain and constipation. Which information is of greatest concern to the nurse
when obtaining the health history from this client?
Fibroadenoma. - Answer -While palpating a client's breasts, the nurse detects a nontender,
solitary, round lobular mass that is solid and firm and slides easily through the breast tissue . The findings
of this breast exam are consistent with which condition?
Fungal infection - Answer -Which condition is indicated by a fluorescent, yellow-green color when
the nurse uses a Wood's lamp toexamine a client's skin lesions?
