HESI Health Assessment EXAM LATEST 200
QUESTIONS AND 100- Verified ANSWERS JUST
RELEASED
SECTION 1: HEALTH HISTORY & INTERVIEWING
1. The nurse is collecting a health history from a client who reports chest pain.
Which of the following questions is structured using the OLDCARTS mnemonic
to assess the "T" (Timing)?
A. "On a scale of 0 to 10, how severe is your chest pain?"
B. "What were you doing when the chest pain first started?"
C. "Does the pain occur at a specific time of day, or is it continuous?"
D. "Does the pain radiate to your jaw or left arm?"
Answer: C
Rationale: The "T" in OLDCARTS stands for Timing, which evaluates when the pain
occurs, whether it is constant or intermittent, and how long it lasts. Option A
assesses Severity, Option B assesses Onset/Context, and Option D assesses
Region/Radiation.
2. Which of the following statements by the nurse demonstrates therapeutic
communication during a health history interview? (Select all that apply)
A. "Why did you wait so long to come to the hospital?"
B. "Can you tell me more about what you mean by 'feeling tired'?"
C. "I understand that this must be a difficult time for you."
D. "It sounds like you are concerned about your test results."
E. "You shouldn't worry; the doctor is very experienced."
Answer: B, C, D
,Rationale: Option B uses an open-ended question to explore a vague symptom.
Option C demonstrates empathy and understanding. Option D uses reflection to
validate the client's feelings. Option A is non-therapeutic because "why" questions
often sound judgmental. Option E is non-therapeutic because it gives false
reassurance.
3. What is the primary purpose of a health history interview?
A. Diagnose the client's condition
B. Establish rapport and gather comprehensive data
C. Prescribe treatment plans
D. Document vital signs
Answer: B
Rationale: The health history builds rapport and collects subjective data for
assessment, not for diagnosis, treatment, or objective data documentation.
4. A client reports "feeling tired all the time." What is the best follow-up
question?
A. "Are you sleeping enough?"
B. "Can you describe your fatigue and what makes it worse or better?"
C. "Have you had blood tests recently?"
D. "Is it due to work stress?"
Answer: B
Rationale: Open-ended questions elicit detailed information about symptoms and
triggers, guiding further assessment. Closed-ended questions limit the client's
response.
5. Which are appropriate techniques for interviewing a client with hearing
impairment? (Select all that apply)
,A. Speak loudly and slowly
B. Face the client directly
C. Use written communication if needed
D. Avoid eye contact to reduce discomfort
E. Confirm understanding frequently
Answer: B, C, E
Rationale: Facing the client aids lip-reading, writing assists communication, and
confirming understanding ensures accuracy. Loud speech may distort sound, and
eye contact is beneficial for communication.
6. A client from a holistic health belief system prefers herbal remedies. What is
the nurse's best action?
A. Discourage herbal use due to lack of evidence
B. Ask about specific remedies and their effects
C. Refer to a physician immediately
D. Document refusal of medical treatment
Answer: B
Rationale: Understanding the client's practices respects their beliefs and informs
safe care planning. Asking about specific remedies allows the nurse to assess for
potential interactions or safety concerns.
7. When documenting a health history, the client mentions "occasional
headaches." What should the nurse do next?
A. Administer analgesics
B. Explore onset, duration, and triggers
C. Assume tension headaches
D. Perform a neurological exam
Answer: B
, Rationale: Clarifying symptom details ensures accurate assessment before
interventions or assumptions. The OLDCARTS mnemonic should be used to gather
complete symptom data.
8. A client with limited English proficiency requires an interpreter. What is the
best practice?
A. Use a family member to interpret
B. Use a trained medical interpreter
C. Speak louder and use gestures
D. Provide written forms only
Answer: B
Rationale: Trained interpreters ensure accuracy and confidentiality, avoiding bias
or errors. Family members may not be qualified to interpret medical information
accurately.
9. During a health history, a client reports smoking 1 pack/day for 10 years. How
should the nurse calculate pack-years?
A. 1 pack × 10 years = 10 pack-years
B. 1 pack × 5 years = 5 pack-years
C. 2 packs × 10 years = 20 pack-years
D. 1 pack × 20 years = 20 pack-years
Answer: A
Rationale: Pack-years = packs per day × years smoked. 1 pack/day × 10 years = 10
pack-years.
10. A client reports a family history of hypertension. What is the nurse's priority
question?
QUESTIONS AND 100- Verified ANSWERS JUST
RELEASED
SECTION 1: HEALTH HISTORY & INTERVIEWING
1. The nurse is collecting a health history from a client who reports chest pain.
Which of the following questions is structured using the OLDCARTS mnemonic
to assess the "T" (Timing)?
A. "On a scale of 0 to 10, how severe is your chest pain?"
B. "What were you doing when the chest pain first started?"
C. "Does the pain occur at a specific time of day, or is it continuous?"
D. "Does the pain radiate to your jaw or left arm?"
Answer: C
Rationale: The "T" in OLDCARTS stands for Timing, which evaluates when the pain
occurs, whether it is constant or intermittent, and how long it lasts. Option A
assesses Severity, Option B assesses Onset/Context, and Option D assesses
Region/Radiation.
2. Which of the following statements by the nurse demonstrates therapeutic
communication during a health history interview? (Select all that apply)
A. "Why did you wait so long to come to the hospital?"
B. "Can you tell me more about what you mean by 'feeling tired'?"
C. "I understand that this must be a difficult time for you."
D. "It sounds like you are concerned about your test results."
E. "You shouldn't worry; the doctor is very experienced."
Answer: B, C, D
,Rationale: Option B uses an open-ended question to explore a vague symptom.
Option C demonstrates empathy and understanding. Option D uses reflection to
validate the client's feelings. Option A is non-therapeutic because "why" questions
often sound judgmental. Option E is non-therapeutic because it gives false
reassurance.
3. What is the primary purpose of a health history interview?
A. Diagnose the client's condition
B. Establish rapport and gather comprehensive data
C. Prescribe treatment plans
D. Document vital signs
Answer: B
Rationale: The health history builds rapport and collects subjective data for
assessment, not for diagnosis, treatment, or objective data documentation.
4. A client reports "feeling tired all the time." What is the best follow-up
question?
A. "Are you sleeping enough?"
B. "Can you describe your fatigue and what makes it worse or better?"
C. "Have you had blood tests recently?"
D. "Is it due to work stress?"
Answer: B
Rationale: Open-ended questions elicit detailed information about symptoms and
triggers, guiding further assessment. Closed-ended questions limit the client's
response.
5. Which are appropriate techniques for interviewing a client with hearing
impairment? (Select all that apply)
,A. Speak loudly and slowly
B. Face the client directly
C. Use written communication if needed
D. Avoid eye contact to reduce discomfort
E. Confirm understanding frequently
Answer: B, C, E
Rationale: Facing the client aids lip-reading, writing assists communication, and
confirming understanding ensures accuracy. Loud speech may distort sound, and
eye contact is beneficial for communication.
6. A client from a holistic health belief system prefers herbal remedies. What is
the nurse's best action?
A. Discourage herbal use due to lack of evidence
B. Ask about specific remedies and their effects
C. Refer to a physician immediately
D. Document refusal of medical treatment
Answer: B
Rationale: Understanding the client's practices respects their beliefs and informs
safe care planning. Asking about specific remedies allows the nurse to assess for
potential interactions or safety concerns.
7. When documenting a health history, the client mentions "occasional
headaches." What should the nurse do next?
A. Administer analgesics
B. Explore onset, duration, and triggers
C. Assume tension headaches
D. Perform a neurological exam
Answer: B
, Rationale: Clarifying symptom details ensures accurate assessment before
interventions or assumptions. The OLDCARTS mnemonic should be used to gather
complete symptom data.
8. A client with limited English proficiency requires an interpreter. What is the
best practice?
A. Use a family member to interpret
B. Use a trained medical interpreter
C. Speak louder and use gestures
D. Provide written forms only
Answer: B
Rationale: Trained interpreters ensure accuracy and confidentiality, avoiding bias
or errors. Family members may not be qualified to interpret medical information
accurately.
9. During a health history, a client reports smoking 1 pack/day for 10 years. How
should the nurse calculate pack-years?
A. 1 pack × 10 years = 10 pack-years
B. 1 pack × 5 years = 5 pack-years
C. 2 packs × 10 years = 20 pack-years
D. 1 pack × 20 years = 20 pack-years
Answer: A
Rationale: Pack-years = packs per day × years smoked. 1 pack/day × 10 years = 10
pack-years.
10. A client reports a family history of hypertension. What is the nurse's priority
question?
