HESI RN HEALTH ASSESSMENT QUESTIONS
A client is reporting chest pain. What statement made by the client helps the nurse to
understand the client has a naturalistic belief in the cause of illness?
A. "My life is really out of balance."
B. "I knew I should have changed my diet."
C. "I should have gone to church last week."
D. "I forgot to take my medicines last night." - Answers -A. "My life is really out of
balance."
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.)
A. Be open to people who are different.
B. Have a curiosity about people.
C. Become culturally competent.
D. Interact with each person in the same way.
E. Request nurses take care of patients with the same ethnicity.
F. Always request an interpreter for people from other countries. - Answers -A. Be open
to people who are different.
B. Have a curiosity about people.
C. Become culturally competent.
Which statement is accurate about assessing the spleen?
A. It must be enlarged at least three times normal size for it to be palpable
B. It is easily felt by reaching the left hand behind the 11th and 12th ribs.
C. It is normally felt by rolling the client on the right side and palpating.
D. It is a firm mass palpated slightly left of midline in the upper abdomen. - Answers -A.
It must be enlarged at least three times normal size for it to be palpable
What is the best place for the nurse to hear lower lobe lung sounds with a stethoscope?
A. Posterior chest below the 3rd intercostal space
B. Posterior-axillary line at the 4th intercostal space
C. Anterior chest at the level of the 4th intercostal space.
D. Anterior-axillary line at the 5th intercostal space. - Answers -A. Posterior chest below
the 3rd intercostal space
The nurse is assessing a client who has a history of mitral stenosis. How should the
nurse assess this client with a stethoscope to listen for this condition?
A. Place the bell on the 5th intercostal space, left midclavicular line.
B. Place the bell on the 2nd intercostal space, left midclavicular line.
, C. Put the diaphragm on the 5th intercostal space, left sternal border.
D. Put the diaphragm on the 2nd intercostal space, left sternal border. - Answers -A.
Place the bell on the 5th intercostal space, left midclavicular line.
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?
A. 2nd intercostal space along the right sternal border
B. 2nd intercostal space along the left sternal border.
C. 3rd intercostal space on the right midclavicular line
D. 5th intercostal space on the left midclavicular line - Answers -A. 2nd intercostal
space along the right sternal border
Which information should the nurse obtain to identify the client's self-perception of
health status?
A. Vital signs
B. Health history
C. Informed consent
D. Genetic predisposition - Answers -B. Health history
During the initial assessment, the nurse notes that a client has blurred vision with cloudy
lenses. Which condition should the nurse document?
A. Pink eye
B. Cataracts
C. Glaucoma
D. Corneal abrasion - Answers -B. Cataracts
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?
A. Mastitis
B. Paget disease
C. Fibroadenoma
D. Plugged mammary duct - Answers -C. Fibroadenoma
Which part of the body should the nurse examine when assessing for peripheral edema
in a client with heart failure?
A. Face
B. Ankles
C. Knees
D. Jugular veins - Answers -B. Ankles
A client is reporting chest pain. What statement made by the client helps the nurse to
understand the client has a naturalistic belief in the cause of illness?
A. "My life is really out of balance."
B. "I knew I should have changed my diet."
C. "I should have gone to church last week."
D. "I forgot to take my medicines last night." - Answers -A. "My life is really out of
balance."
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.)
A. Be open to people who are different.
B. Have a curiosity about people.
C. Become culturally competent.
D. Interact with each person in the same way.
E. Request nurses take care of patients with the same ethnicity.
F. Always request an interpreter for people from other countries. - Answers -A. Be open
to people who are different.
B. Have a curiosity about people.
C. Become culturally competent.
Which statement is accurate about assessing the spleen?
A. It must be enlarged at least three times normal size for it to be palpable
B. It is easily felt by reaching the left hand behind the 11th and 12th ribs.
C. It is normally felt by rolling the client on the right side and palpating.
D. It is a firm mass palpated slightly left of midline in the upper abdomen. - Answers -A.
It must be enlarged at least three times normal size for it to be palpable
What is the best place for the nurse to hear lower lobe lung sounds with a stethoscope?
A. Posterior chest below the 3rd intercostal space
B. Posterior-axillary line at the 4th intercostal space
C. Anterior chest at the level of the 4th intercostal space.
D. Anterior-axillary line at the 5th intercostal space. - Answers -A. Posterior chest below
the 3rd intercostal space
The nurse is assessing a client who has a history of mitral stenosis. How should the
nurse assess this client with a stethoscope to listen for this condition?
A. Place the bell on the 5th intercostal space, left midclavicular line.
B. Place the bell on the 2nd intercostal space, left midclavicular line.
, C. Put the diaphragm on the 5th intercostal space, left sternal border.
D. Put the diaphragm on the 2nd intercostal space, left sternal border. - Answers -A.
Place the bell on the 5th intercostal space, left midclavicular line.
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?
A. 2nd intercostal space along the right sternal border
B. 2nd intercostal space along the left sternal border.
C. 3rd intercostal space on the right midclavicular line
D. 5th intercostal space on the left midclavicular line - Answers -A. 2nd intercostal
space along the right sternal border
Which information should the nurse obtain to identify the client's self-perception of
health status?
A. Vital signs
B. Health history
C. Informed consent
D. Genetic predisposition - Answers -B. Health history
During the initial assessment, the nurse notes that a client has blurred vision with cloudy
lenses. Which condition should the nurse document?
A. Pink eye
B. Cataracts
C. Glaucoma
D. Corneal abrasion - Answers -B. Cataracts
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?
A. Mastitis
B. Paget disease
C. Fibroadenoma
D. Plugged mammary duct - Answers -C. Fibroadenoma
Which part of the body should the nurse examine when assessing for peripheral edema
in a client with heart failure?
A. Face
B. Ankles
C. Knees
D. Jugular veins - Answers -B. Ankles
