HESI V2 health assessment Exam 2026
Questions and Answers 100% Pass
Guaranteed
A 29 year old male client informs the nurse that he came to the clinic to see if,
"Maybe I have lung cancer or something," and wants to get checked out since, "I
can't seem to get rid of this body-wracking dry cough that has been hanging around
for the last six weeks." Which computer documentation of this client's concerns
should the nurse enter?
A. Presents with a hacking non-productive cough of 6 weeks duration.
B. Describe having a "body-wracking dry cough" of 6 weeks duration.
C. Expresses concern of "lung cancer" symptoms for last 6 weeks.
D. Young adult male presents with fears that he has "lung cancer" - Correct
answer-Correct answer is B, as assessment process includes chief complaint which
is how the patient describe why he is here in the hospital or clinic and can't include
diagnosis.
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,A 75-year-old client with a recent history of a cerebrovascular accident (CVA)
presents with right hemiparesis. The nurse tests the deep tendon reflexes on the
right side and elicits a brisk 4+ response. Which interpretation of this finding is
accurate?
A. A normal reflex response.
B. Absent or sluggish response consistent with a lower motor neuron lesion.
C. Flaccid paralysis.
D. Hyperactive response consistent with an upper motor neuron disorder. - Correct
answer-Correct answer is D, brisk 4+ response is correlated with hyperactive
response.
The nurse examines a client's abdomen. Which finding indicates an abnormal
response when palpating the spleen?
A. Pain notes when palpating McBurney's point.
B. Tip of spleen palpable when client is asked to forcefully exhale.
C. Rebound tenderness with compression over right upper quadrant. D. Firm mass
palpated at bottom of left rib cage. - Correct answer-Correct answer is D.
McBurney's point is related to appendicitis and not spleen.
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, In auscultating for the presence of a carotid artery bruit, the nurse places the bell of
the stethoscope at which location? - Correct answer-*under mandible towards
lymph nodes. transverse to trachea
A male client arrives at the clinic for follow-up health assessment after recent
antibiotic treatment for pneumonia without hospitalization. Which technique
should the nurse implement to assess for adventitious lung sounds?
A. Use the bell of the stethoscope to listen to the lung fields over lower lobes. B.
Have the client lay flat while listening to the anterior surface of the chest.
C. Press the stethoscope's diaphragm firmly on the skin over each lung field.
D. Shave all chest hair that may distort sounds heard through the diaphragm. -
Correct answer-Correct answer is C. The nurse should listen to all lungs fields
during assessment and move from side to side during auscultation.
A client with streptococcus pharyngitis reports high fever, difficulty swallowing
and a muffled voice. Which complication should the nurse suspect?
A. Foreign body obstruction.
B. Laryngeal polyps.
C. Peritonsillar abscess.
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Questions and Answers 100% Pass
Guaranteed
A 29 year old male client informs the nurse that he came to the clinic to see if,
"Maybe I have lung cancer or something," and wants to get checked out since, "I
can't seem to get rid of this body-wracking dry cough that has been hanging around
for the last six weeks." Which computer documentation of this client's concerns
should the nurse enter?
A. Presents with a hacking non-productive cough of 6 weeks duration.
B. Describe having a "body-wracking dry cough" of 6 weeks duration.
C. Expresses concern of "lung cancer" symptoms for last 6 weeks.
D. Young adult male presents with fears that he has "lung cancer" - Correct
answer-Correct answer is B, as assessment process includes chief complaint which
is how the patient describe why he is here in the hospital or clinic and can't include
diagnosis.
©COPYRIGHT 2025, ALL RIGHTS RESERVE 1
,A 75-year-old client with a recent history of a cerebrovascular accident (CVA)
presents with right hemiparesis. The nurse tests the deep tendon reflexes on the
right side and elicits a brisk 4+ response. Which interpretation of this finding is
accurate?
A. A normal reflex response.
B. Absent or sluggish response consistent with a lower motor neuron lesion.
C. Flaccid paralysis.
D. Hyperactive response consistent with an upper motor neuron disorder. - Correct
answer-Correct answer is D, brisk 4+ response is correlated with hyperactive
response.
The nurse examines a client's abdomen. Which finding indicates an abnormal
response when palpating the spleen?
A. Pain notes when palpating McBurney's point.
B. Tip of spleen palpable when client is asked to forcefully exhale.
C. Rebound tenderness with compression over right upper quadrant. D. Firm mass
palpated at bottom of left rib cage. - Correct answer-Correct answer is D.
McBurney's point is related to appendicitis and not spleen.
©COPYRIGHT 2025, ALL RIGHTS RESERVE 2
, In auscultating for the presence of a carotid artery bruit, the nurse places the bell of
the stethoscope at which location? - Correct answer-*under mandible towards
lymph nodes. transverse to trachea
A male client arrives at the clinic for follow-up health assessment after recent
antibiotic treatment for pneumonia without hospitalization. Which technique
should the nurse implement to assess for adventitious lung sounds?
A. Use the bell of the stethoscope to listen to the lung fields over lower lobes. B.
Have the client lay flat while listening to the anterior surface of the chest.
C. Press the stethoscope's diaphragm firmly on the skin over each lung field.
D. Shave all chest hair that may distort sounds heard through the diaphragm. -
Correct answer-Correct answer is C. The nurse should listen to all lungs fields
during assessment and move from side to side during auscultation.
A client with streptococcus pharyngitis reports high fever, difficulty swallowing
and a muffled voice. Which complication should the nurse suspect?
A. Foreign body obstruction.
B. Laryngeal polyps.
C. Peritonsillar abscess.
©COPYRIGHT 2025, ALL RIGHTS RESERVE 3
