ANSWERS
2020 HESI HEALTH ASSESSMENT NURSING RN V1 100 QUESTIONS
WITH ANSWERS
1. During a mental status examination, the nurse wants to assess a patient’s affect.
The nurse should ask the patient which question?
“How do you feel today?”
2. The nurse is planning to assess new memory with a patient. The best way for the
nurse to do this would be to:
Give him the Four Unrelated Words Test.
3. A 45-year-old woman is at the clinic for a mental status assessment. In giving
her the Four Unrelated Words Test, the nurse would be concerned if she could
not ____ four unrelated words ____.
Recall; after a 30-minute delay
4. During a mental status assessment, which question by the nurse would best
assess a person’s judgment?
“Tell me what you plan to do once you are discharged from the hospital.”
5. Which of these individuals would the nurse consider at highest risk for a suicide
attempt?
Older adult man who tells the nurse that he is going to “join his wife in
heaven” tomorrow and plans to use a gun
6. When reviewing the use of alcohol by older adults, the nurse notes that older
adults have several characteristics that can increase the risk of alcohol use.
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, 2020 HESI HEALTH ASSESSMENT NURSING RN V1 100 QUESTIONS WITH
ANSWERS
Which would increase the bioavailability of alcohol in the blood for longer
periods in the older adult?
Decreased liver and kidney functioning
7. During an assessment, the nurse asks a female patient, “How many alcoholic
drinks do you have a week?” Which answer by the patient would indicate at-risk
drinking?
“I have seven or eight drinks a week, but I never get drunk.”
8. The nurse is asking an adolescent about illicit substance abuse. The adolescent
answers, “Yes, I’ve used marijuana at parties with my friends.” What is the next
question the nurse should ask?
“When was the last time you used marijuana?”
9. The nurse has completed an assessment on a patient who came to the clinic for a
leg injury. As a resultof the assessment, the nurse has determined that the patient
has at-risk alcohol use. Which action by the nurse is most appropriate at this
time?
State, “You are drinking more than is medically safe. I strongly recommend
that you quit drinking, and I’m willing to help you.”
10. A patient is brought to the emergency department. He is restless, has dilated
pupils, is sweating, has a runny nose and tearing eyes, and complains of muscle
and joint pains. His girlfriend thinks he has influenza, but she became concerned
when his temperature went up to 39.4° C. She admits that he has been a heavy
drug user, but he has been trying to stop on his own. The nurse suspects that the
patient is experiencing withdrawal symptoms from which substance?
Heroin
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, 2020 HESI HEALTH ASSESSMENT NURSING RN V1 100 QUESTIONS WITH
ANSWERS
11. Patient taking ipratropium reports nausea, blurred vision, has, insomnia after
using the inhaler. RN action to implement
- withhold med and report symptoms
12. A patient has suddenly developed shortness of breath and appears to be in
significant respiratory distress. After calling the physician and placing the
patient on oxygen, which of these actions is the best for the nurse to take when
further assessing the patient?
Bilaterally percuss the thorax, noting any differences in percussion tones.
13. The nurse is teaching a class on basic assessment skills. Which of these
statements is true regarding the stethoscope and its use?
Although the stethoscope does not magnify sound, it does block out
extraneous room noise.
14. The nurse is preparing to use a stethoscope for auscultation. Which statement is
true regarding the diaphragm of the stethoscope? The diaphragm:
Is used to listen for high-pitched sounds.
15. Before auscultating the abdomen for the presence of bowel sounds on a patient,
the nurse should:
Check the temperature of the room, and offer blankets to the patient if he or
she feels cold.
16. While measuring a patient’s blood pressure, the nurse recalls that certain
factors, such as __________, help determine blood pressure.
Peripheral vascular resistance
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