HESI REVIEW COMPLETE
EXAM Questions with
100% verified Answers
Latest Updates 2024
GRADED A+
,A 52-year-old male client is seen in the health care provider's (HCP's) office for a
physical examination after experiencing unusual fatigue over the last several weeks.
The client's height is 5 feet, 8 inches (173 cm) and his weight is 220 pounds (99.8 kg).
Vital signs are as follows: temperature, 98.6°F (37°C) orally; pulse, 86 beats/minute;
and respirations, 18 breaths/minute. The blood pressure reading is 184/100 mm Hg. A
random blood glucose level is 122 mg/dL (6.8 mmol/L). Which question should the
nurse ask the client first?
"Do you exercise regularly?"
"Are you considering trying to lose weight?"
"Is there a history of diabetes mellitus in your family?"
"When was the last time you had your blood pressure checked?" - CORRECT
ANSWERS-when was the last time you had your blood pressure checked?
A client with a diagnosis of asthma is admitted to the hospital with respiratory distress.
Which type of adventitious lung sounds should the nurse expect to hear when
performing a respiratory assessment on this client?
Stridor
Crackles
Wheezes
Diminished - CORRECT ANSWERS-Wheezes
The registered nurse (RN) is educating a new RN on how to interpret vision tests using
a Snellen chart. After the client's vision is tested with a Snellen chart, the results of
testing are documented as 20/40. Which statement by the new RN indicates that the
teaching has been effective?
"The client's vision is normal, but the client may require reading glasses."
"The client is legally blind, and glasses or contact lenses will not be helpful."
"The client can read at a distance of 40 feet (12 meters) what a person with normal
vision can read at 20 feet (6 meters)."
"The client can read at a distance of 20 feet (6 meters) what a person with normal vision
can read at 40 feet (12 meters)." - CORRECT ANSWERS-...
The nurse is assessing for the presence of pallor in a dark-skinned client. What finding
should the nurse look for?
A yellow tinge to the skin
Bluish discoloration of the skin
Loss of normal red tones in the skin
,An ashen-gray appearance to the skin - CORRECT ANSWERS-Loss of normal red
tones in the skin
The nurse is examining a dark-skinned client for the presence of petechiae. The nurse
will best observe these lesions in which body area?
Sclerae
Oral mucosa
Sole of the foot
Palm of the hand - CORRECT ANSWERS-Oral mucosa
The nurse is preparing to perform an otoscopic examination on an adult client. Which
action should the nurse take to perform this examination?
Pull the pinna up and back before inserting the speculum.
Pull the earlobe down and back before inserting the speculum.
Tilt the client's head forward and down before inserting the speculum.
Use the smallest speculum available to decrease the discomfort of the exam. -
CORRECT ANSWERS-Pull the pinna up and back before inserting the speculum.
The nurse should ask a client to take which action when testing the function of the
spinal accessory nerve (CN XI)?
Elevate the shoulders.
Swallow a sip of water.
Open the mouth and say "aah."
Vocalize the sounds "la-la," "mi-mi," and "kuh-kuh." - CORRECT ANSWERS-Elevate
the shoulders.
After performing an initial abdominal assessment on a client, the nurse documents that
the bowel sounds are normal. Which description best describes normal bowel sounds?
Waves of loud gurgles auscultated in all 4 quadrants
Low-pitched swishing auscultated in 1 or 2 quadrants
Relatively high-pitched clicks or gurgles auscultated in all 4 quadrants
Very high-pitched loud rushes auscultated especially in 1 or 2 quadrants - CORRECT
ANSWERS-Relatively high-pitched clicks or gurgles auscultated in all 4 quadrants
The nurse performing a neurological examination is assessing eye movement to
evaluate cranial nerves III, IV, and VI. Using a flashlight, the nurse would perform which
action to obtain the assessment data?
Turn the flashlight on directly in front of the eye and watch for a response.
Ask the client to follow the flashlight through the 6 cardinal positions of gaze.
Instruct the client to look straight ahead, and then shine the flashlight from the temporal
area to the eye.
, Check pupil size, and then ask the client to alternate looking at the flashlight and the
examiner's finger. - CORRECT ANSWERS-Ask the client to follow the flashlight through
the 6 cardinal positions of gaze.
The nurse is preparing to test the sensory function of cranial nerve V in a client. The
nurse should obtain which item to test the sensory function of this nerve?
Coffee beans
A tuning fork
A wisp of cotton
An ophthalmoscope - CORRECT ANSWERS-A wisp of cotton
The nurse is preparing to perform a Weber test on a client. The nurse should obtain
which item needed to perform this test?
A tuning fork
A stethoscope
A tongue blade
A reflex hammer - CORRECT ANSWERS-A tuning fork
The nurse reviews the findings from a physical exam done on a client for ear or hearing
disorders and notes documentation that the client has hyperacusis. Which would the
nurse expect to note on assessment of the client?
Complaints of ringing in the ear
An excessive amount of cerumen in the ear canal
Intolerance for sound levels that do not bother other people
Complaints of dizziness and sensations of being "off balance" - CORRECT ANSWERS-
Intolerance for sound levels that do not bother other people
The nurse is conducting a neurological assessment, including a health history, on a
client with a neurological disorder. The nurse observes that the client is having difficulty
answering the questions and should perform which action?
Ask a second nurse to be present during the interview.
Defer both the health history and the neurological examination.
Defer the health history and proceed with the neurological examination.
Ask the client to give permission for a family member to stay during the interview. -
CORRECT ANSWERS-Ask the client to give permission for a family member to stay
during the interview.
The clinic nurse prepares to perform a focused assessment on a client who is
complaining of symptoms of a cold, a cough, and lung congestion. Which should the
nurse include for this type of assessment? Select all that apply
Auscultating lung sounds
EXAM Questions with
100% verified Answers
Latest Updates 2024
GRADED A+
,A 52-year-old male client is seen in the health care provider's (HCP's) office for a
physical examination after experiencing unusual fatigue over the last several weeks.
The client's height is 5 feet, 8 inches (173 cm) and his weight is 220 pounds (99.8 kg).
Vital signs are as follows: temperature, 98.6°F (37°C) orally; pulse, 86 beats/minute;
and respirations, 18 breaths/minute. The blood pressure reading is 184/100 mm Hg. A
random blood glucose level is 122 mg/dL (6.8 mmol/L). Which question should the
nurse ask the client first?
"Do you exercise regularly?"
"Are you considering trying to lose weight?"
"Is there a history of diabetes mellitus in your family?"
"When was the last time you had your blood pressure checked?" - CORRECT
ANSWERS-when was the last time you had your blood pressure checked?
A client with a diagnosis of asthma is admitted to the hospital with respiratory distress.
Which type of adventitious lung sounds should the nurse expect to hear when
performing a respiratory assessment on this client?
Stridor
Crackles
Wheezes
Diminished - CORRECT ANSWERS-Wheezes
The registered nurse (RN) is educating a new RN on how to interpret vision tests using
a Snellen chart. After the client's vision is tested with a Snellen chart, the results of
testing are documented as 20/40. Which statement by the new RN indicates that the
teaching has been effective?
"The client's vision is normal, but the client may require reading glasses."
"The client is legally blind, and glasses or contact lenses will not be helpful."
"The client can read at a distance of 40 feet (12 meters) what a person with normal
vision can read at 20 feet (6 meters)."
"The client can read at a distance of 20 feet (6 meters) what a person with normal vision
can read at 40 feet (12 meters)." - CORRECT ANSWERS-...
The nurse is assessing for the presence of pallor in a dark-skinned client. What finding
should the nurse look for?
A yellow tinge to the skin
Bluish discoloration of the skin
Loss of normal red tones in the skin
,An ashen-gray appearance to the skin - CORRECT ANSWERS-Loss of normal red
tones in the skin
The nurse is examining a dark-skinned client for the presence of petechiae. The nurse
will best observe these lesions in which body area?
Sclerae
Oral mucosa
Sole of the foot
Palm of the hand - CORRECT ANSWERS-Oral mucosa
The nurse is preparing to perform an otoscopic examination on an adult client. Which
action should the nurse take to perform this examination?
Pull the pinna up and back before inserting the speculum.
Pull the earlobe down and back before inserting the speculum.
Tilt the client's head forward and down before inserting the speculum.
Use the smallest speculum available to decrease the discomfort of the exam. -
CORRECT ANSWERS-Pull the pinna up and back before inserting the speculum.
The nurse should ask a client to take which action when testing the function of the
spinal accessory nerve (CN XI)?
Elevate the shoulders.
Swallow a sip of water.
Open the mouth and say "aah."
Vocalize the sounds "la-la," "mi-mi," and "kuh-kuh." - CORRECT ANSWERS-Elevate
the shoulders.
After performing an initial abdominal assessment on a client, the nurse documents that
the bowel sounds are normal. Which description best describes normal bowel sounds?
Waves of loud gurgles auscultated in all 4 quadrants
Low-pitched swishing auscultated in 1 or 2 quadrants
Relatively high-pitched clicks or gurgles auscultated in all 4 quadrants
Very high-pitched loud rushes auscultated especially in 1 or 2 quadrants - CORRECT
ANSWERS-Relatively high-pitched clicks or gurgles auscultated in all 4 quadrants
The nurse performing a neurological examination is assessing eye movement to
evaluate cranial nerves III, IV, and VI. Using a flashlight, the nurse would perform which
action to obtain the assessment data?
Turn the flashlight on directly in front of the eye and watch for a response.
Ask the client to follow the flashlight through the 6 cardinal positions of gaze.
Instruct the client to look straight ahead, and then shine the flashlight from the temporal
area to the eye.
, Check pupil size, and then ask the client to alternate looking at the flashlight and the
examiner's finger. - CORRECT ANSWERS-Ask the client to follow the flashlight through
the 6 cardinal positions of gaze.
The nurse is preparing to test the sensory function of cranial nerve V in a client. The
nurse should obtain which item to test the sensory function of this nerve?
Coffee beans
A tuning fork
A wisp of cotton
An ophthalmoscope - CORRECT ANSWERS-A wisp of cotton
The nurse is preparing to perform a Weber test on a client. The nurse should obtain
which item needed to perform this test?
A tuning fork
A stethoscope
A tongue blade
A reflex hammer - CORRECT ANSWERS-A tuning fork
The nurse reviews the findings from a physical exam done on a client for ear or hearing
disorders and notes documentation that the client has hyperacusis. Which would the
nurse expect to note on assessment of the client?
Complaints of ringing in the ear
An excessive amount of cerumen in the ear canal
Intolerance for sound levels that do not bother other people
Complaints of dizziness and sensations of being "off balance" - CORRECT ANSWERS-
Intolerance for sound levels that do not bother other people
The nurse is conducting a neurological assessment, including a health history, on a
client with a neurological disorder. The nurse observes that the client is having difficulty
answering the questions and should perform which action?
Ask a second nurse to be present during the interview.
Defer both the health history and the neurological examination.
Defer the health history and proceed with the neurological examination.
Ask the client to give permission for a family member to stay during the interview. -
CORRECT ANSWERS-Ask the client to give permission for a family member to stay
during the interview.
The clinic nurse prepares to perform a focused assessment on a client who is
complaining of symptoms of a cold, a cough, and lung congestion. Which should the
nurse include for this type of assessment? Select all that apply
Auscultating lung sounds
