ADVANCED HEALTH ASSESSMENT HESI EXAM
PREP COMPLETE TEST BANK WITH VERIFIED
SOLUTIONS AND PRACTICE QUESTIONS
GRADED A+ 2026
◉ 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.
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.
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?
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
◉ An elderly client with pneumonia is being treated in the intensive care
unit (ICU). He is acutely agitated, restless, and disoriented. The nurse
documents his level of consciousness as:
Manic.
PREP COMPLETE TEST BANK WITH VERIFIED
SOLUTIONS AND PRACTICE QUESTIONS
GRADED A+ 2026
◉ 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.
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.
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?
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
◉ An elderly client with pneumonia is being treated in the intensive care
unit (ICU). He is acutely agitated, restless, and disoriented. The nurse
documents his level of consciousness as:
Manic.
