HESI V2 health Assessment with 100% Correct
Answers | Latest Version (2025/2026) Expert
Verified
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..sin
ce,.."I..can't..seem..to..get..rid..of..this..body-
wracking..dry..cough..that..has..been..hanging..around..for..the..last..six..weeks."..W
hich..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..Answer..-
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..brisk..4+..response...Which..interpretation..of..this..finding..is..ac
curate?..
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..Answer..-
is..D,..brisk..4+..response..is..correlated..with..hyperactive..response.
The..nurse..examines..a..client's..abdomen...Which..finding..indicates..an..abnorma
l..response..when..palpating..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..at..bottom..of..left..rib..cage...-..==>
Correct..Answer..-
is..D...McBurney's..point..is..related..to..appendicitis..and..not..spleen.
In..auscultating..for..the..presence..of..a..carotid..artery..bruit,..the..nurse..places..the..
bell..of..the..stethoscope..at..which..location?..-
..==>*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..implement..to..assess..for..ad
ventitious..lung..sounds?..
A...Use..the..bell..of..the..stethoscope..to..listen..to..the..lung..fields..over..lower..lobes...
B...Have..the..client..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..Answer..-
is..C...The..nurse..should..listen..to..all..lungs..fields..during..assessment..and..move..f
rom..side..to..side..during..auscultation.
, A..client..with..streptococcus..pharyngitis..reports..high..fever,..difficulty..swallowin
g..and..a..muffled..voice...Which..complication..should..the..nurse..suspect?..
A...Foreign..body..obstruction...
B...Laryngeal..polyps...
C...Peritonsillar..abscess...
D...Nasal..polyps..-..==>
Correct..Answer..-is..C...Since..infections..are..associated..with..abscesses..and..pus.
The..nurse..is..obtaining..a..health..history..for..a..client..prior..to..a..scheduled..cholec
ystectomy...While..interviewing..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..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..clien
t..reports..pain...The..client..denies..pain..upon..palpation,..but..reports..pain..when..t
he..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..Answer..-is..D...As..this..could..be..a..sign..of..appendicitis.
Answers | Latest Version (2025/2026) Expert
Verified
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..sin
ce,.."I..can't..seem..to..get..rid..of..this..body-
wracking..dry..cough..that..has..been..hanging..around..for..the..last..six..weeks."..W
hich..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..Answer..-
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..brisk..4+..response...Which..interpretation..of..this..finding..is..ac
curate?..
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..Answer..-
is..D,..brisk..4+..response..is..correlated..with..hyperactive..response.
The..nurse..examines..a..client's..abdomen...Which..finding..indicates..an..abnorma
l..response..when..palpating..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..at..bottom..of..left..rib..cage...-..==>
Correct..Answer..-
is..D...McBurney's..point..is..related..to..appendicitis..and..not..spleen.
In..auscultating..for..the..presence..of..a..carotid..artery..bruit,..the..nurse..places..the..
bell..of..the..stethoscope..at..which..location?..-
..==>*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..implement..to..assess..for..ad
ventitious..lung..sounds?..
A...Use..the..bell..of..the..stethoscope..to..listen..to..the..lung..fields..over..lower..lobes...
B...Have..the..client..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..Answer..-
is..C...The..nurse..should..listen..to..all..lungs..fields..during..assessment..and..move..f
rom..side..to..side..during..auscultation.
, A..client..with..streptococcus..pharyngitis..reports..high..fever,..difficulty..swallowin
g..and..a..muffled..voice...Which..complication..should..the..nurse..suspect?..
A...Foreign..body..obstruction...
B...Laryngeal..polyps...
C...Peritonsillar..abscess...
D...Nasal..polyps..-..==>
Correct..Answer..-is..C...Since..infections..are..associated..with..abscesses..and..pus.
The..nurse..is..obtaining..a..health..history..for..a..client..prior..to..a..scheduled..cholec
ystectomy...While..interviewing..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..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..clien
t..reports..pain...The..client..denies..pain..upon..palpation,..but..reports..pain..when..t
he..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..Answer..-is..D...As..this..could..be..a..sign..of..appendicitis.
