HESI V2 Health Assessment Questions and Answers 100% Verified (Updated 2024/2025)
A 29 year old male client informs the nurse that he came to the clinic to see if, "Maybe I have lung cancer or something," and wants to get checked out
since, "I can't seem to get rid of thisbody-wracking dry cough that has been hanging around for the last six weeks." Which computer documentation
of this client's concerns should the nurse enter?
A. Presents with a hacking non-productive cough of 6 weeks duration.B. Describe having a "body-wracking
dry cough" of 6 weeks duration. C. Expresses concern of "lung cancer" symptoms for last 6 weeks.
D. Young adult male presents with fears that he has "lung cancer" - correct answers.Correctanswer is B, as assessment process includes chief
complaint which is how the patient describe why he is here in the hospital or clinic and can't include diagnosis.
A 75-year-old client with a recent history of a cerebrovascular accident (CVA) presents with right hemiparesis. The nurse tests the deep tendon
reflexes on the right side and elicits a brisk4+ response. Which interpretation of this finding is accurate?
A. A normal reflex response.
B. Absent or sluggish response consistent with a lower motor neuron lesion.C. Flaccid paralysis.
D. Hyperactive response consistent with an upper motor neuron disorder. - correct answers.Correct answer is D, brisk 4+ response is correlated
with hyperactive response.
The nurse examines a client's abdomen. Which finding indicates an abnormal response whenpalpating the spleen?
A. Pain notes when palpating McBurney's point.
B. Tip of spleen palpable when client is asked to forcefully exhale.
C. Rebound tenderness with compression over right upper quadrant. D. Firm mass palpated atbottom of left rib cage. - correct answers.Correct
answer is D. McBurney's point is related to appendicitis and not spleen.
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, HESI V2 Health Assessment Questions and Answers 100% Verified (Updated 2024/2025)
In auscultating for the presence of a carotid artery bruit, the nurse places the bell of the stethoscope at which location? - correct answers.*under
mandible towards lymph nodes.transverse to trachea
A male client arrives at the clinic for follow-up health assessment after recent antibiotic treatment for pneumonia without hospitalization. Which
technique should the nurse implementto assess for adventitious lung sounds?
A. Use the bell of the stethoscope to listen to the lung fields over lower lobes. B. Have theclient lay flat while listening to the anterior surface of the
chest.
C. Press the stethoscope's diaphragm firmly on the skin over each lung field.
D. Shave all chest hair that may distort sounds heard through the diaphragm. - correct answers.Correct answer is C. The nurse should listen to
all lungs fields during assessmentand move from side to side during auscultation.
A client with streptococcus pharyngitis reports high fever, difficulty swallowing and a muffledvoice. Which complication should the nurse suspect?
A. Foreign body obstruction.B. Laryngeal
polyps.
C. Peritonsillar abscess.
D. Nasal polyps - correct answers.Correct answer is C. Since infections are associated withabscesses and pus.
The nurse is obtaining a health history for a client prior to a scheduled cholecystectomy. Whileinterviewing the client, which assessment technique
should the nurse use when asking about the client's use of illegal drugs and alcohol?
A. Obtain a drug using screen to verify legitimacy of client's stated history.B. Allow the client to decline answering social
questions.
C. Ask specifically about alcohol, marijuana, cocaine, her
D. Use the term illegal or illicit to describe street drug. - correct answers.Correct answer is C.When interviewing the patient, questions should be
clear and specific.
The nurse applies pressure over an area of the lower abdomen where the client reports pain.The client denies pain upon palpation, but reports pain
when the pressure is released. What action should the nurse implement?
A. Offer to administer a laxative prescribed for PRN use. B. Obtain a prescription to
catheterize the client's bladder.C. Instruct the client in distraction and relation techniques.
D. Notify the healthcare provider of the rebound tenderness. - correct answers.Correct answeris D. As this could be a sign of appendicitis.
The nurse is assessing an ulcer on a client's lower extremity, which is likely the result of eithervenous or arterial insufficiency. Which assessment
technique should the nurse use to differentiate the pathophysiology causing the ulcer?
A. Measure the degree of join range of motion in the extremity.B. Compare the skin turgor of the
client's upper and lower leg.
C. Observe the specific location and appearance of the ulceration.
D. Note any change in the color of the ulcer when the leg is moved - correct answers.Correctanswer is C. Location and appearance of the ulcer would
give us the type (venous vs arterial)
The nurse is conducting a physical assessment of a young adult. Which information providesthe best indication of the individual's nutritional
status?
A. Status of current appetite.B. A 24-hour
diet history.
C. History of a recent weight loss.
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A 29 year old male client informs the nurse that he came to the clinic to see if, "Maybe I have lung cancer or something," and wants to get checked out
since, "I can't seem to get rid of thisbody-wracking dry cough that has been hanging around for the last six weeks." Which computer documentation
of this client's concerns should the nurse enter?
A. Presents with a hacking non-productive cough of 6 weeks duration.B. Describe having a "body-wracking
dry cough" of 6 weeks duration. C. Expresses concern of "lung cancer" symptoms for last 6 weeks.
D. Young adult male presents with fears that he has "lung cancer" - correct answers.Correctanswer is B, as assessment process includes chief
complaint which is how the patient describe why he is here in the hospital or clinic and can't include diagnosis.
A 75-year-old client with a recent history of a cerebrovascular accident (CVA) presents with right hemiparesis. The nurse tests the deep tendon
reflexes on the right side and elicits a brisk4+ response. Which interpretation of this finding is accurate?
A. A normal reflex response.
B. Absent or sluggish response consistent with a lower motor neuron lesion.C. Flaccid paralysis.
D. Hyperactive response consistent with an upper motor neuron disorder. - correct answers.Correct answer is D, brisk 4+ response is correlated
with hyperactive response.
The nurse examines a client's abdomen. Which finding indicates an abnormal response whenpalpating the spleen?
A. Pain notes when palpating McBurney's point.
B. Tip of spleen palpable when client is asked to forcefully exhale.
C. Rebound tenderness with compression over right upper quadrant. D. Firm mass palpated atbottom of left rib cage. - correct answers.Correct
answer is D. McBurney's point is related to appendicitis and not spleen.
1
STUDYGUIDESOLUTIONS
, HESI V2 Health Assessment Questions and Answers 100% Verified (Updated 2024/2025)
In auscultating for the presence of a carotid artery bruit, the nurse places the bell of the stethoscope at which location? - correct answers.*under
mandible towards lymph nodes.transverse to trachea
A male client arrives at the clinic for follow-up health assessment after recent antibiotic treatment for pneumonia without hospitalization. Which
technique should the nurse implementto assess for adventitious lung sounds?
A. Use the bell of the stethoscope to listen to the lung fields over lower lobes. B. Have theclient lay flat while listening to the anterior surface of the
chest.
C. Press the stethoscope's diaphragm firmly on the skin over each lung field.
D. Shave all chest hair that may distort sounds heard through the diaphragm. - correct answers.Correct answer is C. The nurse should listen to
all lungs fields during assessmentand move from side to side during auscultation.
A client with streptococcus pharyngitis reports high fever, difficulty swallowing and a muffledvoice. Which complication should the nurse suspect?
A. Foreign body obstruction.B. Laryngeal
polyps.
C. Peritonsillar abscess.
D. Nasal polyps - correct answers.Correct answer is C. Since infections are associated withabscesses and pus.
The nurse is obtaining a health history for a client prior to a scheduled cholecystectomy. Whileinterviewing the client, which assessment technique
should the nurse use when asking about the client's use of illegal drugs and alcohol?
A. Obtain a drug using screen to verify legitimacy of client's stated history.B. Allow the client to decline answering social
questions.
C. Ask specifically about alcohol, marijuana, cocaine, her
D. Use the term illegal or illicit to describe street drug. - correct answers.Correct answer is C.When interviewing the patient, questions should be
clear and specific.
The nurse applies pressure over an area of the lower abdomen where the client reports pain.The client denies pain upon palpation, but reports pain
when the pressure is released. What action should the nurse implement?
A. Offer to administer a laxative prescribed for PRN use. B. Obtain a prescription to
catheterize the client's bladder.C. Instruct the client in distraction and relation techniques.
D. Notify the healthcare provider of the rebound tenderness. - correct answers.Correct answeris D. As this could be a sign of appendicitis.
The nurse is assessing an ulcer on a client's lower extremity, which is likely the result of eithervenous or arterial insufficiency. Which assessment
technique should the nurse use to differentiate the pathophysiology causing the ulcer?
A. Measure the degree of join range of motion in the extremity.B. Compare the skin turgor of the
client's upper and lower leg.
C. Observe the specific location and appearance of the ulceration.
D. Note any change in the color of the ulcer when the leg is moved - correct answers.Correctanswer is C. Location and appearance of the ulcer would
give us the type (venous vs arterial)
The nurse is conducting a physical assessment of a young adult. Which information providesthe best indication of the individual's nutritional
status?
A. Status of current appetite.B. A 24-hour
diet history.
C. History of a recent weight loss.
2
STUDYGUIDESOLUTIONS
