Page 1 of 93
HESI-HA EXAM REVIEW QUESTIONS WITH
VERIFIED ANSWERS
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.
Ask the client to follow the flashlight through the 6 cardinal positions
of gaze.
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?"
, Page 2 of 93
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
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)."
...
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
, Page 3 of 93
Bluish discoloration of the skin
Loss of normal red tones in the skin
An ashen-gray appearance to the skin
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
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.
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."
Elevate the shoulders.
, Page 4 of 93
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
Relatively high-pitched clicks or gurgles auscultated in all 4
quadrants
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
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
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?
HESI-HA EXAM REVIEW QUESTIONS WITH
VERIFIED ANSWERS
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.
Ask the client to follow the flashlight through the 6 cardinal positions
of gaze.
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?"
, Page 2 of 93
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
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)."
...
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
, Page 3 of 93
Bluish discoloration of the skin
Loss of normal red tones in the skin
An ashen-gray appearance to the skin
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
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.
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."
Elevate the shoulders.
, Page 4 of 93
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
Relatively high-pitched clicks or gurgles auscultated in all 4
quadrants
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
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
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?
