HESI HEALTH ASSESSMENT EXAM QUESTIONS AND
ANSWERS/CORRECT AND VERIFIED/NEWEST 2025
BRANDNEW (GRADED A+ !!!!!
The nurse is caring for a patient with chronic lower back pain. The nurse
knows that the most reliable indicator of pain in this client is:
The patient is reporting "6/10" pain.
The patient is refusing to get out of bed.
The patient is refusing to eat breakfast.
The patient's heart rate is 90 beats per minute. - ANSWER -A
Which of the following actions should the nurse take to ensure an
accurate blood pressure (BP) reading?
Ensure the width of the BP cuff is equal to 80% of the arm
circumference.
Ensure the client's back is supported and feet are flat on the ground.
pg. 1
,Take two BP readings 20 seconds apart.
Ensure that the patient's arm is above heart level. - ANSWER -B
The patient's arm should be supported at heart level. Separate BP
readings may need to be taken, but not one right after the other. The
length of the BP bladder should equal 80% of the arm circumferen
The nurse obtains which piece of data during the general survey?
Client is alert and calm.
Client's heart rate is 80 beats per minute.
Client's body mass index (BMI) is 30.
Client's lung sounds are "clear" to auscultation. - ANSWER -A
A man is at the clinic for a complete physical exam. He states that he is
"very anxious". What steps can the nurse take to make him more
comfortable?
Appear confident and unhurried during the exam.
pg. 2
,Measure vital signs at the end to allow the patient sufficient time to
relax.
Let him leave his clothes on during the examination.
Obtain another nurse to examine the patient. - ANSWER -A
A father brings his 13 month-old child in for "fever" and he reports that
the child has been "pulling on his left ear". Upon entering the exam
room, the child is asleep in the father's arms. The nurse should perform
which assessment first?
Use the otoscope to look inside the ear.
Use a penlight to check the eyes and nose.
Auscultate the lungs, heart, and abdomen.
Assess gross motor skills using the Denver II screening tool. - ANSWER -
C
An 18 year-old presents to the emergency department with
"headache." Which of these assessment findings alerts the nurse to
recent opioid use?
pg. 3
, Pupillary constriction
Hallucinations.
Fever.
Tachypnea. - ANSWER -A- constricted pupils are a sign of recent opioid
use, the rest are withdrawals
While collecting the pulse on a 26 year-old client, the nurse notes that
the heart rate seems to speed up and then slow down in accordance
with respirations. The pulse is counted at 80 beats per minute. What
should the nurse do next?
Obtain orthostatic vital signs.
Notify the physician.
Document "sinus arrhythmia."
Use a doppler to confirm the finding. - ANSWER -C
pg. 4
ANSWERS/CORRECT AND VERIFIED/NEWEST 2025
BRANDNEW (GRADED A+ !!!!!
The nurse is caring for a patient with chronic lower back pain. The nurse
knows that the most reliable indicator of pain in this client is:
The patient is reporting "6/10" pain.
The patient is refusing to get out of bed.
The patient is refusing to eat breakfast.
The patient's heart rate is 90 beats per minute. - ANSWER -A
Which of the following actions should the nurse take to ensure an
accurate blood pressure (BP) reading?
Ensure the width of the BP cuff is equal to 80% of the arm
circumference.
Ensure the client's back is supported and feet are flat on the ground.
pg. 1
,Take two BP readings 20 seconds apart.
Ensure that the patient's arm is above heart level. - ANSWER -B
The patient's arm should be supported at heart level. Separate BP
readings may need to be taken, but not one right after the other. The
length of the BP bladder should equal 80% of the arm circumferen
The nurse obtains which piece of data during the general survey?
Client is alert and calm.
Client's heart rate is 80 beats per minute.
Client's body mass index (BMI) is 30.
Client's lung sounds are "clear" to auscultation. - ANSWER -A
A man is at the clinic for a complete physical exam. He states that he is
"very anxious". What steps can the nurse take to make him more
comfortable?
Appear confident and unhurried during the exam.
pg. 2
,Measure vital signs at the end to allow the patient sufficient time to
relax.
Let him leave his clothes on during the examination.
Obtain another nurse to examine the patient. - ANSWER -A
A father brings his 13 month-old child in for "fever" and he reports that
the child has been "pulling on his left ear". Upon entering the exam
room, the child is asleep in the father's arms. The nurse should perform
which assessment first?
Use the otoscope to look inside the ear.
Use a penlight to check the eyes and nose.
Auscultate the lungs, heart, and abdomen.
Assess gross motor skills using the Denver II screening tool. - ANSWER -
C
An 18 year-old presents to the emergency department with
"headache." Which of these assessment findings alerts the nurse to
recent opioid use?
pg. 3
, Pupillary constriction
Hallucinations.
Fever.
Tachypnea. - ANSWER -A- constricted pupils are a sign of recent opioid
use, the rest are withdrawals
While collecting the pulse on a 26 year-old client, the nurse notes that
the heart rate seems to speed up and then slow down in accordance
with respirations. The pulse is counted at 80 beats per minute. What
should the nurse do next?
Obtain orthostatic vital signs.
Notify the physician.
Document "sinus arrhythmia."
Use a doppler to confirm the finding. - ANSWER -C
pg. 4
