HESI Health Assessment Nightingale College Fall
2024 Questions With Complete Solutions
1. A client has presented to the clinic for the treatment of an
ovarian cyst. Which of the following would be most important
for the nurse to do immediately before performing this woman's
physical exam?
A) Explain the purpose of the interview to the client.
B) Construct the client's family genogram.
C) Establish the client's reliability as historian.
D) Collect necessary equipment essential to the exam. Correct
Answer D) Collect necessary equipment essential to the exam.
1. A client has suffered a suspected a rotator cuff tear. Which of
the following would the nurse expect to find?
A) Limitation of all shoulder motion
B) Chronic pain
C) Limited abduction
D) Sharp catches of pain with movement Correct Answer C)
Limited abduction
1. A client tells the clinic nurse that she has sought care because
she has been experiencing excessive tearing of her eyes. Which
assessment should the nurse next perform?
A) Inspect the palpebral conjunctiva.
B) Assess the nasolacrimal sac.
C) Perform the eye positions test.
D) Test pupillary reaction to light. Correct Answer B) Assess
the nasolacrimal sac.
,1. A nurse has completed the general survey of a client who has
been transferred to the unit. The information gathered during the
general survey primarily provides the nurse with which of the
following? Select all that apply.
A) An indication of the level of physical distress experienced by
the client
B) Clues about the overall health of the client
C) A direct link to the client's medical diagnosis
D) Indications about normal variations in the status of body
systems
E) Data relating to the patient's level of social support Correct
Answer A, B, D
A) An indication of the level of physical distress experienced by
the client
B) Clues about the overall health of the client
D) Indications about normal variations in the status of body
systems
1. A nurse is completing the intake assessment of an older adult
who has just relocated to a long-term care facility. Which of the
following nursing actions would be most important to ensure
accurate data when gathering the resident's information?
A) Documenting the data
B) Validating the data
C) Identifying client support systems
D) Determining client needs Correct Answer B) Validating the
data
,1. A nurse on a postsurgical unit is admitting a client following
the client's cholecystectomy (gall bladder removal). What is the
overall purpose of assessment for this client?
A) Collecting accurate data
B) Assisting the primary care provider
C) Validating previous data
D) Making clinical judgments Correct Answer ANS: D)
Making clinical judgments
1. The nurse is assessing a fair-skinned, Caucasian woman with
red hair and freckled skin. During health promotion, the nurse
should focus education on which of the following topics?
A) Management of dry skin
B) Susceptibility to bruising
C) Risks of fungal infections
D) Risks of sun exposure Correct Answer D) Risks of sun
exposure
1. The nurse is assessing the eyes of a client who has a lesion of
the sympathetic nervous system. What assessment finding
should the nurse anticipate?
A) Bilateral dilated pupils
B) Nystagmus (involuntary eye movement)
C) Argyll-Robertson pupils
D) Constricted pupils, unresponsive to light Correct Answer D)
Constricted pupils, unresponsive to light
1. The nurse is preparing to palpate a client's temporal artery.
The nurse would place the hands at which location?
A) On each side of the client's face, anterior and inferior to the
ears
, B) On each side between the top of the ear and the eye
C) Bilaterally, parallel to and anterior to the sternomastoid
muscle
D) Inferior to the lower jaw beneath the client's tongue Correct
Answer B) On each side between the top of the ear and the eye
1. The nurse is reviewing a client's electronic health record
before assessing her mouth. Which of the following diagnoses
would the nurse recognize as an indication for immediate
medical follow-up?
A) Thrush
B) Leukoplakia
C) Gingivitis
D) Canker sore Correct Answer B) Leukoplakia
1. When assessing the client's ear, which finding should the
nurse identify as indicating a need for further assessment and
possible treatment?
A) Darwin tubercle
B) Red, flaky cerumen
C) Tender tragus
D) Pearly gray tympanic membrane Correct Answer C) Tender
tragus
1. When assessing whispered pectoriloquy, the nurse should
instruct a client to do which of the following?
A) Softly repeat the words ìone-two-three.î
B) Say the number ìninety-nine.î
C) Cough each time the stethoscope is moved.
D) Say the letter ìeî until instructed to stop. Correct Answer A
2024 Questions With Complete Solutions
1. A client has presented to the clinic for the treatment of an
ovarian cyst. Which of the following would be most important
for the nurse to do immediately before performing this woman's
physical exam?
A) Explain the purpose of the interview to the client.
B) Construct the client's family genogram.
C) Establish the client's reliability as historian.
D) Collect necessary equipment essential to the exam. Correct
Answer D) Collect necessary equipment essential to the exam.
1. A client has suffered a suspected a rotator cuff tear. Which of
the following would the nurse expect to find?
A) Limitation of all shoulder motion
B) Chronic pain
C) Limited abduction
D) Sharp catches of pain with movement Correct Answer C)
Limited abduction
1. A client tells the clinic nurse that she has sought care because
she has been experiencing excessive tearing of her eyes. Which
assessment should the nurse next perform?
A) Inspect the palpebral conjunctiva.
B) Assess the nasolacrimal sac.
C) Perform the eye positions test.
D) Test pupillary reaction to light. Correct Answer B) Assess
the nasolacrimal sac.
,1. A nurse has completed the general survey of a client who has
been transferred to the unit. The information gathered during the
general survey primarily provides the nurse with which of the
following? Select all that apply.
A) An indication of the level of physical distress experienced by
the client
B) Clues about the overall health of the client
C) A direct link to the client's medical diagnosis
D) Indications about normal variations in the status of body
systems
E) Data relating to the patient's level of social support Correct
Answer A, B, D
A) An indication of the level of physical distress experienced by
the client
B) Clues about the overall health of the client
D) Indications about normal variations in the status of body
systems
1. A nurse is completing the intake assessment of an older adult
who has just relocated to a long-term care facility. Which of the
following nursing actions would be most important to ensure
accurate data when gathering the resident's information?
A) Documenting the data
B) Validating the data
C) Identifying client support systems
D) Determining client needs Correct Answer B) Validating the
data
,1. A nurse on a postsurgical unit is admitting a client following
the client's cholecystectomy (gall bladder removal). What is the
overall purpose of assessment for this client?
A) Collecting accurate data
B) Assisting the primary care provider
C) Validating previous data
D) Making clinical judgments Correct Answer ANS: D)
Making clinical judgments
1. The nurse is assessing a fair-skinned, Caucasian woman with
red hair and freckled skin. During health promotion, the nurse
should focus education on which of the following topics?
A) Management of dry skin
B) Susceptibility to bruising
C) Risks of fungal infections
D) Risks of sun exposure Correct Answer D) Risks of sun
exposure
1. The nurse is assessing the eyes of a client who has a lesion of
the sympathetic nervous system. What assessment finding
should the nurse anticipate?
A) Bilateral dilated pupils
B) Nystagmus (involuntary eye movement)
C) Argyll-Robertson pupils
D) Constricted pupils, unresponsive to light Correct Answer D)
Constricted pupils, unresponsive to light
1. The nurse is preparing to palpate a client's temporal artery.
The nurse would place the hands at which location?
A) On each side of the client's face, anterior and inferior to the
ears
, B) On each side between the top of the ear and the eye
C) Bilaterally, parallel to and anterior to the sternomastoid
muscle
D) Inferior to the lower jaw beneath the client's tongue Correct
Answer B) On each side between the top of the ear and the eye
1. The nurse is reviewing a client's electronic health record
before assessing her mouth. Which of the following diagnoses
would the nurse recognize as an indication for immediate
medical follow-up?
A) Thrush
B) Leukoplakia
C) Gingivitis
D) Canker sore Correct Answer B) Leukoplakia
1. When assessing the client's ear, which finding should the
nurse identify as indicating a need for further assessment and
possible treatment?
A) Darwin tubercle
B) Red, flaky cerumen
C) Tender tragus
D) Pearly gray tympanic membrane Correct Answer C) Tender
tragus
1. When assessing whispered pectoriloquy, the nurse should
instruct a client to do which of the following?
A) Softly repeat the words ìone-two-three.î
B) Say the number ìninety-nine.î
C) Cough each time the stethoscope is moved.
D) Say the letter ìeî until instructed to stop. Correct Answer A
