HESI HEALTH ASSESSMENT PRACTICE
EXAM QUESTIONS & CORRECT VERIFIED
ANSWERS | 2026/2027 ALREADY GRADED
A+ GUARANTEED PASS
Left lumbar region of abdomen - ANSWER-- Left middle region of abdomen
- Kidney stones
- UTI
- Constipation
- Lumbar hernia
Right lumbar region of abdomen - ANSWER-- Right middle region of abdomen
- Kidney stones
- Diverticular disease
- Constipation
- IBD
Left Inguinal region of abdomen - ANSWER-- Left lower region of abdomen
- Appendicitis
- Pelvic pain
- Constipation
- Groin Pain
- Inguinal Hernia
Right inguinal region of abdomen - ANSWER-- Right lower region of abdomen
- Diverticular disease
- Pelvic pain
- Groin Pain
- Inguinal hernia
Abdomen Physical Exam - ANSWER-- Empty bladder!
- Inspect
- Auscultate
- Palpate
- Percuss
- Assess tender areas last
Cullen sign - ANSWER-- Pancreatitis
- Round red circle on abdomen
,Diastis Recti - ANSWER-- Abdominal Separation
- Common prenatal and postpartum proble
Pulsations of the Abdomen - ANSWER-- Normally you may see pulsations from aorta
beneath skin in epigastric area, particularly in thin persons with good muscle wall
relaxation
Peristalsis could indicate what? - ANSWER-- An obstruction
- Peristalsis before obstruction
- Nothing after obstruction
Borborygmus - ANSWER-- Hyperactive bowel sounds
- The sound of hyper peristalsis (stomach growling )
Hypoactive - ANSWER-- Decreased BS- few and far between
- Absent- silent x 5 minutes of continual listening
Kidney percussion/palpation area - ANSWER-Costovertebral angle
How to assess for Ascitic fluid - ANSWER-- Fluid Wave
Ulnar surface of your hand at midline
"Strike" the flank
- Shifting Dullness
Where does fluid go?
- Percussion
Dullness in areas of fluid
- Tympany over empty abdomen
Blumberg Sign - ANSWER-- Peritoneal inflammation, possible appendicitis
- Rebound tenderness
Murphy's Sign - ANSWER-- Place fingers under the liver border and pt holds their
breath
- Should not elicit pain
- Gallbladder inflammation
Iliopsoas muscle test - ANSWER-- Client raises right leg- examiner pushes down on
right thigh
- Does client c/o pain in RLQ?
McBurney's Point - ANSWER-- Pain with appendicitis
,Bowel Obstruction S/S - ANSWER-- Vomiting
- Absence of stool or gas
- Dehydration
- Fever
- Pressure from excess fluid and gas (distention)
- Hypovolemic shock
Hypovelmic shock - ANSWER-- Low BP
- High pulse
- Cool skin
Risk Factors for Colon Cancer - ANSWER-- Age older than 50 years (push for 45
years)
- Family history
- Personal history
- Colon cancer
- Polyps
- Inflammatory bowel disease
- Ovarian or endometrial cancer
- African Americans
- Diet low in fiber high in red meat
- Obesity
- Smoking
- Lack of exercise
- Heavy alcohol use
- Diabetes Type 2
Relaxation or incompetence of the lower esophageal sphincter causes: - ANSWER-
GERD
Borborygmi sounds are: - ANSWER-High-pitched tinkling sounds
Atrioventricular Valves - ANSWER-- Rt. Atrium/Ventricle
(Tricuspid valve)
- Lt. Atrium/Ventricle
(Mitral valve)
Semilunar Valves - ANSWER-- Rt. Ventricle/ PA
(Pulmonic valve)
- Lt. Ventricle/ Aorta
(Aortic valve)
Try pulling my arm - ANSWER-- Tricuspid valve
, - Pulmonary valve
- Mitral valve
- Aortic valve
Diastole - ANSWER-- "filling stage"
- Blood moves from atria to ventricles
(third heart sound). = S3
- AV valves open
- passive filling into ventricles
- ventricles dilate, & rest
- Causes complete emptying of atria
(fourth heart sound). = S4
Systole - ANSWER-- "emptying stage"
- ventricular pressure rises
- AV valves close!!
- semilunar valves open
- blood is ejected from heart
into Pulmonary artery
or Aorta
- Ventricles contract
- s1 sound
s3 - ANSWER-- ken - tuc - KY
- Sometimes called the ventricular gallop
- Occurs after s2
- Can be heard in young adults and children, and will usually disappear when sitting up,
does not vary with respirations
- In adults it can mean heart failure, volume overload, valve problems, high cardiac
output states (hyperthyroidism, anemia, pregnancy)
- Heard best at apex of heart
s4 - ANSWER-- Heard best at base of heart
- TEN - nes- see
- Sometimes called atrial gallop
- Older adults (elderly) after exercise would be a normal variation
- In adults it can mean CAD, cardiomyopathy, aortic stenosis, HTN
Jugular vein distention - ANSWER-- Reflects right side of the heart, no valve b/w svc
and right atrium.
Thrill - ANSWER-turbulant blood flow, correlates with murmur, cardiac enlargement
(occupies a greater space)
EXAM QUESTIONS & CORRECT VERIFIED
ANSWERS | 2026/2027 ALREADY GRADED
A+ GUARANTEED PASS
Left lumbar region of abdomen - ANSWER-- Left middle region of abdomen
- Kidney stones
- UTI
- Constipation
- Lumbar hernia
Right lumbar region of abdomen - ANSWER-- Right middle region of abdomen
- Kidney stones
- Diverticular disease
- Constipation
- IBD
Left Inguinal region of abdomen - ANSWER-- Left lower region of abdomen
- Appendicitis
- Pelvic pain
- Constipation
- Groin Pain
- Inguinal Hernia
Right inguinal region of abdomen - ANSWER-- Right lower region of abdomen
- Diverticular disease
- Pelvic pain
- Groin Pain
- Inguinal hernia
Abdomen Physical Exam - ANSWER-- Empty bladder!
- Inspect
- Auscultate
- Palpate
- Percuss
- Assess tender areas last
Cullen sign - ANSWER-- Pancreatitis
- Round red circle on abdomen
,Diastis Recti - ANSWER-- Abdominal Separation
- Common prenatal and postpartum proble
Pulsations of the Abdomen - ANSWER-- Normally you may see pulsations from aorta
beneath skin in epigastric area, particularly in thin persons with good muscle wall
relaxation
Peristalsis could indicate what? - ANSWER-- An obstruction
- Peristalsis before obstruction
- Nothing after obstruction
Borborygmus - ANSWER-- Hyperactive bowel sounds
- The sound of hyper peristalsis (stomach growling )
Hypoactive - ANSWER-- Decreased BS- few and far between
- Absent- silent x 5 minutes of continual listening
Kidney percussion/palpation area - ANSWER-Costovertebral angle
How to assess for Ascitic fluid - ANSWER-- Fluid Wave
Ulnar surface of your hand at midline
"Strike" the flank
- Shifting Dullness
Where does fluid go?
- Percussion
Dullness in areas of fluid
- Tympany over empty abdomen
Blumberg Sign - ANSWER-- Peritoneal inflammation, possible appendicitis
- Rebound tenderness
Murphy's Sign - ANSWER-- Place fingers under the liver border and pt holds their
breath
- Should not elicit pain
- Gallbladder inflammation
Iliopsoas muscle test - ANSWER-- Client raises right leg- examiner pushes down on
right thigh
- Does client c/o pain in RLQ?
McBurney's Point - ANSWER-- Pain with appendicitis
,Bowel Obstruction S/S - ANSWER-- Vomiting
- Absence of stool or gas
- Dehydration
- Fever
- Pressure from excess fluid and gas (distention)
- Hypovolemic shock
Hypovelmic shock - ANSWER-- Low BP
- High pulse
- Cool skin
Risk Factors for Colon Cancer - ANSWER-- Age older than 50 years (push for 45
years)
- Family history
- Personal history
- Colon cancer
- Polyps
- Inflammatory bowel disease
- Ovarian or endometrial cancer
- African Americans
- Diet low in fiber high in red meat
- Obesity
- Smoking
- Lack of exercise
- Heavy alcohol use
- Diabetes Type 2
Relaxation or incompetence of the lower esophageal sphincter causes: - ANSWER-
GERD
Borborygmi sounds are: - ANSWER-High-pitched tinkling sounds
Atrioventricular Valves - ANSWER-- Rt. Atrium/Ventricle
(Tricuspid valve)
- Lt. Atrium/Ventricle
(Mitral valve)
Semilunar Valves - ANSWER-- Rt. Ventricle/ PA
(Pulmonic valve)
- Lt. Ventricle/ Aorta
(Aortic valve)
Try pulling my arm - ANSWER-- Tricuspid valve
, - Pulmonary valve
- Mitral valve
- Aortic valve
Diastole - ANSWER-- "filling stage"
- Blood moves from atria to ventricles
(third heart sound). = S3
- AV valves open
- passive filling into ventricles
- ventricles dilate, & rest
- Causes complete emptying of atria
(fourth heart sound). = S4
Systole - ANSWER-- "emptying stage"
- ventricular pressure rises
- AV valves close!!
- semilunar valves open
- blood is ejected from heart
into Pulmonary artery
or Aorta
- Ventricles contract
- s1 sound
s3 - ANSWER-- ken - tuc - KY
- Sometimes called the ventricular gallop
- Occurs after s2
- Can be heard in young adults and children, and will usually disappear when sitting up,
does not vary with respirations
- In adults it can mean heart failure, volume overload, valve problems, high cardiac
output states (hyperthyroidism, anemia, pregnancy)
- Heard best at apex of heart
s4 - ANSWER-- Heard best at base of heart
- TEN - nes- see
- Sometimes called atrial gallop
- Older adults (elderly) after exercise would be a normal variation
- In adults it can mean CAD, cardiomyopathy, aortic stenosis, HTN
Jugular vein distention - ANSWER-- Reflects right side of the heart, no valve b/w svc
and right atrium.
Thrill - ANSWER-turbulant blood flow, correlates with murmur, cardiac enlargement
(occupies a greater space)
