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ADVANCED HEALTH ASSESSMENT
HESI RN QUESTIONS AND ANSWERS
UPDATED VERSION LATEST
GUARANTEED PASS
HEALTH ASSESSMENT HESI RN
The nurse is assessing a client with liver disease who is jaundiced and exhibits
scleral edema. During the health assessment, the nurse should implement which
technique to determine evidence of hepatomegaly?
A. Tap the liver's boundaries lightly with a percussion hammer to produce a
sound.
B. Push gently using fingers of both hands to determine the boundaries of the
liver.
C. Use a bouncing motion to tap the middle finger placed within boundaries of the
liver.
D. Cup hands and clap with alternating contact with the skin over regions of the
liver. - Correct Answer-C. Use a bouncing motion to tap the middle finger placed
within boundaries of the liver.
When assessing facial nerve function of a 96-year-old, the nurse asks the client to
smile in an exaggerated manner. Which finding is most important for the nurse to
further assess?
A. Only one side of the mouth moves when smiling.
B. The client's teeth have a yellowed appearance.
C. The client smiles broadly but appears anxious.
D. The client asks the nurse to repeat the directions. - Correct Answer-A. Only one
side of the mouth moves when smiling.
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
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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?
A. "Your alcohol intake should be reduced by 8 ounces daily."
B. "Does your use of alcohol concern any of your family members?"
C. "What effect do you think your use of alcohol may have on you?"
D. "The amount of alcohol you are drinking concerns me." - Correct Answer-C.
"What effect do you think your use of alcohol may have on you?"
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?
A. Normal
B. Expected in older adults
C. Minor deviation
D. Abnormal - Correct Answer-D. Abnormal
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?
A. Abnormal finding
B. Expected finding
C. Normal variation
D. Sign of aging - Correct Answer-A. Abnormal finding
The nurse enters an examination room to conduct a routine health assessment on
an adolescent female client, who is accompanied by her mother. Which action by
the nurse is likely to facilitate accurate responses to personal and social history
questions?
A. Include the mother in the interviewing process.
B. Request that the mother leave the exam room
C. Allow the client to broach discussion of any sensitive topics.
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D. Use highly structured and directed questions to explore sensitive topics. -
Correct Answer-B. Request that the mother leave the exam room
While performing a mental status exam, 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?
A. "Exhibits an above average intelligence."
B. "Reflects no apparent lapses in concentration."
C. "Demonstrates appropriate judgement in everyday scenario."
D. "Short-term memory is intact." - Correct Answer-D. "Short-term memory is
intact
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." - Correct Answer-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. - Correct
Answer-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?
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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. -
Correct Answer-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. - Correct Answer-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. - Correct
Answer-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 - Correct Answer-A. 2nd
intercostal space along the right sternal border
ADVANCED HEALTH ASSESSMENT
HESI RN QUESTIONS AND ANSWERS
UPDATED VERSION LATEST
GUARANTEED PASS
HEALTH ASSESSMENT HESI RN
The nurse is assessing a client with liver disease who is jaundiced and exhibits
scleral edema. During the health assessment, the nurse should implement which
technique to determine evidence of hepatomegaly?
A. Tap the liver's boundaries lightly with a percussion hammer to produce a
sound.
B. Push gently using fingers of both hands to determine the boundaries of the
liver.
C. Use a bouncing motion to tap the middle finger placed within boundaries of the
liver.
D. Cup hands and clap with alternating contact with the skin over regions of the
liver. - Correct Answer-C. Use a bouncing motion to tap the middle finger placed
within boundaries of the liver.
When assessing facial nerve function of a 96-year-old, the nurse asks the client to
smile in an exaggerated manner. Which finding is most important for the nurse to
further assess?
A. Only one side of the mouth moves when smiling.
B. The client's teeth have a yellowed appearance.
C. The client smiles broadly but appears anxious.
D. The client asks the nurse to repeat the directions. - Correct Answer-A. Only one
side of the mouth moves when smiling.
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
,2|Page
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?
A. "Your alcohol intake should be reduced by 8 ounces daily."
B. "Does your use of alcohol concern any of your family members?"
C. "What effect do you think your use of alcohol may have on you?"
D. "The amount of alcohol you are drinking concerns me." - Correct Answer-C.
"What effect do you think your use of alcohol may have on you?"
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?
A. Normal
B. Expected in older adults
C. Minor deviation
D. Abnormal - Correct Answer-D. Abnormal
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?
A. Abnormal finding
B. Expected finding
C. Normal variation
D. Sign of aging - Correct Answer-A. Abnormal finding
The nurse enters an examination room to conduct a routine health assessment on
an adolescent female client, who is accompanied by her mother. Which action by
the nurse is likely to facilitate accurate responses to personal and social history
questions?
A. Include the mother in the interviewing process.
B. Request that the mother leave the exam room
C. Allow the client to broach discussion of any sensitive topics.
,3|Page
D. Use highly structured and directed questions to explore sensitive topics. -
Correct Answer-B. Request that the mother leave the exam room
While performing a mental status exam, 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?
A. "Exhibits an above average intelligence."
B. "Reflects no apparent lapses in concentration."
C. "Demonstrates appropriate judgement in everyday scenario."
D. "Short-term memory is intact." - Correct Answer-D. "Short-term memory is
intact
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." - Correct Answer-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. - Correct
Answer-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?
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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. -
Correct Answer-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. - Correct Answer-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. - Correct
Answer-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 - Correct Answer-A. 2nd
intercostal space along the right sternal border
