HESI V2 HEALTH ASSESSMENT
QUESTIONS WITH WELL EXPLAINED
AND VERIFIED ANSWERS
A b29 byear bold bmale bclient binforms bthe bnurse bthat bhe bcame bto bthe bclinic bto bsee
bif, b"Maybe bI bhave blung bcancer bor bsomething," band bwants bto bget bchecked bout
bsince, b"I bcan't bseem bto bget brid bof bthis bbody-wracking bdry bcough bthat bhas bbeen
bhanging baround bfor bthe blast bsix bweeks." bWhich bcomputer bdocumentation bof bthis
bclient's bconcerns bshould bthe bnurse benter? b
A. bPresents bwith ba bhacking bnon-productive bcough bof b6 bweeks bduration. b
B. bDescribe bhaving ba b"body-wracking bdry bcough" bof b6 bweeks bduration. b
C. bExpresses bconcern bof b"lung bcancer" bsymptoms bfor blast b6 bweeks. b
D. bYoung badult bmale bpresents bwith bfears bthat bhe bhas b"lung bcancer" b- bcorrect
banswer✔✔Correct banswer bis bB, bas bassessment bprocess bincludes bchief bcomplaint
bwhich bis bhow bthe bpatient bdescribe bwhy bhe bis bhere bin bthe bhospital bor bclinic band
bcan't binclude bdiagnosis.
A b75-year-old bclient bwith ba brecent bhistory bof ba bcerebrovascular baccident b(CVA)
bpresents bwith bright bhemiparesis. bThe bnurse btests bthe bdeep btendon breflexes bon
bthe bright bside band belicits ba bbrisk b4+ bresponse. bWhich binterpretation bof bthis
bfinding bis baccurate? b
A. bA bnormal breflex bresponse. b
B. bAbsent bor bsluggish bresponse bconsistent bwith ba blower bmotor bneuron blesion. b
C. bFlaccid bparalysis. b
D. bHyperactive bresponse bconsistent bwith ban bupper bmotor bneuron bdisorder. b-
bcorrect banswer✔✔Correct banswer bis bD, bbrisk b4+ bresponse bis bcorrelated bwith
bhyperactive bresponse.
The bnurse bexamines ba bclient's babdomen. bWhich bfinding bindicates ban babnormal
bresponse bwhen bpalpating bthe bspleen? b
A. bPain bnotes bwhen bpalpating bMcBurney's bpoint. b
B. bTip bof bspleen bpalpable bwhen bclient bis basked bto bforcefully bexhale. b
C. bRebound btenderness bwith bcompression bover bright bupper bquadrant. bD. bFirm
bmass bpalpated bat bbottom bof bleft brib bcage. b- bcorrect banswer✔✔Correct banswer bis
bD. bMcBurney's bpoint bis brelated bto bappendicitis band bnot bspleen.
In bauscultating bfor bthe bpresence bof ba bcarotid bartery bbruit, bthe bnurse bplaces bthe
bbell bof bthe bstethoscope bat bwhich blocation? b- bcorrect banswer✔✔*under bmandible
btowards blymph bnodes. btransverse bto btrachea
, A bmale bclient barrives bat bthe bclinic bfor bfollow-up bhealth bassessment bafter brecent
bantibiotic btreatment bfor bpneumonia bwithout bhospitalization. bWhich btechnique bshould
bthe bnurse bimplement bto bassess bfor badventitious blung bsounds? b
A. bUse bthe bbell bof bthe bstethoscope bto blisten bto bthe blung bfields bover blower blobes.
bB. bHave bthe bclient blay bflat bwhile blistening bto bthe banterior bsurface bof bthe bchest. b
C. bPress bthe bstethoscope's bdiaphragm bfirmly bon bthe bskin bover beach blung bfield. b
D. bShave ball bchest bhair bthat bmay bdistort bsounds bheard bthrough bthe bdiaphragm. b-
bcorrect banswer✔✔Correct banswer bis bC. bThe bnurse bshould blisten bto ball blungs
bfields bduring bassessment band bmove bfrom bside bto bside bduring bauscultation.
A bclient bwith bstreptococcus bpharyngitis breports bhigh bfever, bdifficulty bswallowing band
ba bmuffled bvoice. bWhich bcomplication bshould bthe bnurse bsuspect? b
A. bForeign bbody bobstruction. b
B. bLaryngeal bpolyps. b
C. bPeritonsillar babscess. b
D. bNasal bpolyps b- bcorrect banswer✔✔Correct banswer bis bC. bSince binfections bare
bassociated bwith babscesses band bpus.
The bnurse bis bobtaining ba bhealth bhistory bfor ba bclient bprior bto ba bscheduled
bcholecystectomy. bWhile binterviewing bthe bclient, bwhich bassessment btechnique
bshould bthe bnurse buse bwhen basking babout bthe bclient's buse bof billegal bdrugs band
balcohol? b
A. bObtain ba bdrug busing bscreen bto bverify blegitimacy bof bclient's bstated bhistory. b
B. bAllow bthe bclient bto bdecline banswering bsocial bquestions. b
C. bAsk bspecifically babout balcohol, bmarijuana, bcocaine, bher
D. bUse bthe bterm billegal bor billicit bto bdescribe bstreet bdrug. b- bcorrect
banswer✔✔Correct banswer bis bC. bWhen binterviewing bthe bpatient, bquestions bshould
bbe bclear band bspecific.
The bnurse bapplies bpressure bover ban barea bof bthe blower babdomen bwhere bthe bclient
breports bpain. bThe bclient bdenies bpain bupon bpalpation, bbut breports bpain bwhen bthe
bpressure bis breleased. bWhat baction bshould bthe bnurse bimplement?
A. bOffer bto badminister ba blaxative bprescribed bfor bPRN buse. b
B. bObtain ba bprescription bto bcatheterize bthe bclient's bbladder. b
C. bInstruct bthe bclient bin bdistraction band brelation btechniques. b
D. bNotify bthe bhealthcare bprovider bof bthe brebound btenderness. b- bcorrect
banswer✔✔Correct banswer bis bD. bAs bthis bcould bbe ba bsign bof bappendicitis.
The bnurse bis bassessing ban bulcer bon ba bclient's blower bextremity, bwhich bis blikely bthe
bresult bof beither bvenous bor barterial binsufficiency. bWhich bassessment btechnique
bshould bthe bnurse buse bto bdifferentiate bthe bpathophysiology bcausing bthe bulcer?
A. bMeasure bthe bdegree bof bjoin brange bof bmotion bin bthe bextremity. b
B. bCompare bthe bskin bturgor bof bthe bclient's bupper band blower bleg. b
C. bObserve bthe bspecific blocation band bappearance bof bthe bulceration. b
QUESTIONS WITH WELL EXPLAINED
AND VERIFIED ANSWERS
A b29 byear bold bmale bclient binforms bthe bnurse bthat bhe bcame bto bthe bclinic bto bsee
bif, b"Maybe bI bhave blung bcancer bor bsomething," band bwants bto bget bchecked bout
bsince, b"I bcan't bseem bto bget brid bof bthis bbody-wracking bdry bcough bthat bhas bbeen
bhanging baround bfor bthe blast bsix bweeks." bWhich bcomputer bdocumentation bof bthis
bclient's bconcerns bshould bthe bnurse benter? b
A. bPresents bwith ba bhacking bnon-productive bcough bof b6 bweeks bduration. b
B. bDescribe bhaving ba b"body-wracking bdry bcough" bof b6 bweeks bduration. b
C. bExpresses bconcern bof b"lung bcancer" bsymptoms bfor blast b6 bweeks. b
D. bYoung badult bmale bpresents bwith bfears bthat bhe bhas b"lung bcancer" b- bcorrect
banswer✔✔Correct banswer bis bB, bas bassessment bprocess bincludes bchief bcomplaint
bwhich bis bhow bthe bpatient bdescribe bwhy bhe bis bhere bin bthe bhospital bor bclinic band
bcan't binclude bdiagnosis.
A b75-year-old bclient bwith ba brecent bhistory bof ba bcerebrovascular baccident b(CVA)
bpresents bwith bright bhemiparesis. bThe bnurse btests bthe bdeep btendon breflexes bon
bthe bright bside band belicits ba bbrisk b4+ bresponse. bWhich binterpretation bof bthis
bfinding bis baccurate? b
A. bA bnormal breflex bresponse. b
B. bAbsent bor bsluggish bresponse bconsistent bwith ba blower bmotor bneuron blesion. b
C. bFlaccid bparalysis. b
D. bHyperactive bresponse bconsistent bwith ban bupper bmotor bneuron bdisorder. b-
bcorrect banswer✔✔Correct banswer bis bD, bbrisk b4+ bresponse bis bcorrelated bwith
bhyperactive bresponse.
The bnurse bexamines ba bclient's babdomen. bWhich bfinding bindicates ban babnormal
bresponse bwhen bpalpating bthe bspleen? b
A. bPain bnotes bwhen bpalpating bMcBurney's bpoint. b
B. bTip bof bspleen bpalpable bwhen bclient bis basked bto bforcefully bexhale. b
C. bRebound btenderness bwith bcompression bover bright bupper bquadrant. bD. bFirm
bmass bpalpated bat bbottom bof bleft brib bcage. b- bcorrect banswer✔✔Correct banswer bis
bD. bMcBurney's bpoint bis brelated bto bappendicitis band bnot bspleen.
In bauscultating bfor bthe bpresence bof ba bcarotid bartery bbruit, bthe bnurse bplaces bthe
bbell bof bthe bstethoscope bat bwhich blocation? b- bcorrect banswer✔✔*under bmandible
btowards blymph bnodes. btransverse bto btrachea
, A bmale bclient barrives bat bthe bclinic bfor bfollow-up bhealth bassessment bafter brecent
bantibiotic btreatment bfor bpneumonia bwithout bhospitalization. bWhich btechnique bshould
bthe bnurse bimplement bto bassess bfor badventitious blung bsounds? b
A. bUse bthe bbell bof bthe bstethoscope bto blisten bto bthe blung bfields bover blower blobes.
bB. bHave bthe bclient blay bflat bwhile blistening bto bthe banterior bsurface bof bthe bchest. b
C. bPress bthe bstethoscope's bdiaphragm bfirmly bon bthe bskin bover beach blung bfield. b
D. bShave ball bchest bhair bthat bmay bdistort bsounds bheard bthrough bthe bdiaphragm. b-
bcorrect banswer✔✔Correct banswer bis bC. bThe bnurse bshould blisten bto ball blungs
bfields bduring bassessment band bmove bfrom bside bto bside bduring bauscultation.
A bclient bwith bstreptococcus bpharyngitis breports bhigh bfever, bdifficulty bswallowing band
ba bmuffled bvoice. bWhich bcomplication bshould bthe bnurse bsuspect? b
A. bForeign bbody bobstruction. b
B. bLaryngeal bpolyps. b
C. bPeritonsillar babscess. b
D. bNasal bpolyps b- bcorrect banswer✔✔Correct banswer bis bC. bSince binfections bare
bassociated bwith babscesses band bpus.
The bnurse bis bobtaining ba bhealth bhistory bfor ba bclient bprior bto ba bscheduled
bcholecystectomy. bWhile binterviewing bthe bclient, bwhich bassessment btechnique
bshould bthe bnurse buse bwhen basking babout bthe bclient's buse bof billegal bdrugs band
balcohol? b
A. bObtain ba bdrug busing bscreen bto bverify blegitimacy bof bclient's bstated bhistory. b
B. bAllow bthe bclient bto bdecline banswering bsocial bquestions. b
C. bAsk bspecifically babout balcohol, bmarijuana, bcocaine, bher
D. bUse bthe bterm billegal bor billicit bto bdescribe bstreet bdrug. b- bcorrect
banswer✔✔Correct banswer bis bC. bWhen binterviewing bthe bpatient, bquestions bshould
bbe bclear band bspecific.
The bnurse bapplies bpressure bover ban barea bof bthe blower babdomen bwhere bthe bclient
breports bpain. bThe bclient bdenies bpain bupon bpalpation, bbut breports bpain bwhen bthe
bpressure bis breleased. bWhat baction bshould bthe bnurse bimplement?
A. bOffer bto badminister ba blaxative bprescribed bfor bPRN buse. b
B. bObtain ba bprescription bto bcatheterize bthe bclient's bbladder. b
C. bInstruct bthe bclient bin bdistraction band brelation btechniques. b
D. bNotify bthe bhealthcare bprovider bof bthe brebound btenderness. b- bcorrect
banswer✔✔Correct banswer bis bD. bAs bthis bcould bbe ba bsign bof bappendicitis.
The bnurse bis bassessing ban bulcer bon ba bclient's blower bextremity, bwhich bis blikely bthe
bresult bof beither bvenous bor barterial binsufficiency. bWhich bassessment btechnique
bshould bthe bnurse buse bto bdifferentiate bthe bpathophysiology bcausing bthe bulcer?
A. bMeasure bthe bdegree bof bjoin brange bof bmotion bin bthe bextremity. b
B. bCompare bthe bskin bturgor bof bthe bclient's bupper band blower bleg. b
C. bObserve bthe bspecific blocation band bappearance bof bthe bulceration. b
