HESI Health Assessment Exam
"My life is really out of balance." - Question and answersA 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?
Be open to people who are different
Have a curiosity about people.
Become culturally competent. - Question and answers2. 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.)
It must be enlarged at least three times normal size for it to be palpable. - Question and
answersWhich statement is accurate about assessing the spleen?
Posterior chest below the 3rd intercostalspace. - Question and answersWhat is the best
place for the nurse to hear lower lobe lung sounds with a stethoscope?
Place the bell on the 5th intercostal space, left midclavicular line. - Question and
answersThe 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?
2nd intercostal space along the right sternal border. - Question and answersThe 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?
The client works in a daycare setting that has had a scabies outbreak. - Question and
answersThe client is experiencing severe pruritus and small papules and burrows on
areas over one hand and the inner thighs. Which assessment data best explains the
condition the client is experiencing?
Level of consciousness. - Question and answersA client comes to the clinic with a
report of fever and a recent exposure to someone who was diagnosed with meningitis.
Which nursing assessment should be completed during the initial examination of this
client?
, Use of vitamin and iron supplements. - Question and answersA client reports feeling
increasingly fatigued for several months, and the nurse observes that the client's lips
are pale. Which additional data should the nurse collect based on this presentation?
There is no sign of associated infection. - Question and answersThe nurse is assessing
a client who has experienced a sudden onset of hearing loss in the right ear. Which
finding should alert the nurse to a potentially serious medical condition that requires
further evaluation?
Swelling anterior to the ear lobe on one side of the face. - Question and answersThe
client reports to the nurse a recent exposure to the mumps. Which assessment finding
suggests the client has contracted the mumps?
Swelling of the left arm and non-pitting edema. - Question and answersA client states
that she had a mastectomy of her left breast last year and now experiences
lymphedema. What should the nurse expect to find when examining the client?
Ask the client specifically about any leakage of urine. - Question and answersWhat is
the best nursing response to an older client who has not mentioned incontinence during
a genitourinary assessment?
Have you experienced sudden weight loss? - Question and answersA client is in the
clinic for a routine health examination. The nurse notices the client appears
underweight. Which question is most important for the nurse to ask when completing
the health history of this client?
Family history of colon cancer on mother's side. Correct - Question and answersA 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?
Health history. - Question and answersWhich information should the nurse obtain to
identify the client's self-perception of health status?
Cataracts - Question and answersDuring the initial assessment, the nurse notes that a
client has blurred vision with cloudy lenses. Which condition should the nurse
document?
Fibroadenoma. - Question and answersWhile 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?
Ankles. - Question and answersWhich part of the body should the nurse examine when
assessing for peripheral edema in a client with heart failure?
"My life is really out of balance." - Question and answersA 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?
Be open to people who are different
Have a curiosity about people.
Become culturally competent. - Question and answers2. 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.)
It must be enlarged at least three times normal size for it to be palpable. - Question and
answersWhich statement is accurate about assessing the spleen?
Posterior chest below the 3rd intercostalspace. - Question and answersWhat is the best
place for the nurse to hear lower lobe lung sounds with a stethoscope?
Place the bell on the 5th intercostal space, left midclavicular line. - Question and
answersThe 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?
2nd intercostal space along the right sternal border. - Question and answersThe 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?
The client works in a daycare setting that has had a scabies outbreak. - Question and
answersThe client is experiencing severe pruritus and small papules and burrows on
areas over one hand and the inner thighs. Which assessment data best explains the
condition the client is experiencing?
Level of consciousness. - Question and answersA client comes to the clinic with a
report of fever and a recent exposure to someone who was diagnosed with meningitis.
Which nursing assessment should be completed during the initial examination of this
client?
, Use of vitamin and iron supplements. - Question and answersA client reports feeling
increasingly fatigued for several months, and the nurse observes that the client's lips
are pale. Which additional data should the nurse collect based on this presentation?
There is no sign of associated infection. - Question and answersThe nurse is assessing
a client who has experienced a sudden onset of hearing loss in the right ear. Which
finding should alert the nurse to a potentially serious medical condition that requires
further evaluation?
Swelling anterior to the ear lobe on one side of the face. - Question and answersThe
client reports to the nurse a recent exposure to the mumps. Which assessment finding
suggests the client has contracted the mumps?
Swelling of the left arm and non-pitting edema. - Question and answersA client states
that she had a mastectomy of her left breast last year and now experiences
lymphedema. What should the nurse expect to find when examining the client?
Ask the client specifically about any leakage of urine. - Question and answersWhat is
the best nursing response to an older client who has not mentioned incontinence during
a genitourinary assessment?
Have you experienced sudden weight loss? - Question and answersA client is in the
clinic for a routine health examination. The nurse notices the client appears
underweight. Which question is most important for the nurse to ask when completing
the health history of this client?
Family history of colon cancer on mother's side. Correct - Question and answersA 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?
Health history. - Question and answersWhich information should the nurse obtain to
identify the client's self-perception of health status?
Cataracts - Question and answersDuring the initial assessment, the nurse notes that a
client has blurred vision with cloudy lenses. Which condition should the nurse
document?
Fibroadenoma. - Question and answersWhile 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?
Ankles. - Question and answersWhich part of the body should the nurse examine when
assessing for peripheral edema in a client with heart failure?
