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HESI V2 HEALTH
ASSESSMENT 2025 BRAND NEW
ACTUAL EXAM WITH ANSWERS.
1. After placing a client in a supine position, the nurse uses the
diaphragm of the stethoscope to auscultate bowel sounds and
hears a loud, high pitched almost continuous gurgling in two
quadrants. What action should the nurse implement?
A. Use the bell of the stethoscope to auscultate again.
B. Elevate the head of the client's bed immediately.
C. Document the presence of borborygmi.
D. Auscultate the remaining two quadrants. - correct answer
-Correct answer is D. Full assessment of all parts of the
lungs, side by side, should be performed before taking
any other action or document the findings.
2. To objectively confirm the presence of fever, before taking the
client's temperature, which action should the nurse take?
A. Ask the client to describe any other related symptoms.
B. Use both hands to hold and palpate the client's hands.
C. Lightly pinch a fold of skin over the client's sternum.
D. Place the dorsum of the hand on the client's forehead. -
correct answer -Correct answer is B.
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3. A male client who is admitted for an acute brain attack reports
the onset of a burning sensation in his hands and legs. Which
action should the nurse implement to identify additional findings
that are consistent with the client's paresthesia?
A. Evaluate client's muscle strength and hand grips.
B. Observe skin for erythema, edema, and warmth.
C. Review the client's serum electrolytes. D. Check distal
phalanges capillary refill - correct answer -Correct answer
is A.
4. A client is being evaluated for environmental allergies. While
examining the client's nasal passage, which finding suggests to
the nurse that the client is experiencing allergic rhinitis?
A. Purulent secretions from eyes and nares.
B. Eye tearing and thick yellow nasal drainage.
C. Snoring and bilateral, pale gray nodules.
D. Intranasal edema and swelling of turbinates. - correct
answer -Correct answer is D.
5. To confirm the presence of a barrel chest documented in the
client's medical record, which action should the nurse take?
A. Observe the appearance of the thorax.
B. Auscultate the client's breath sounds. C. Percuss
diaphragmatic excursion.
C. Palpate tactile fremitus on the posterior chest - correct
answer -Correct answer is A. The chest takes on a barrel-
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like appearance called a "barrel chest." A barrel chest
forms because your lungs are chronically overfilled with
air and can't deflate normally. This causes your rib cage
to be partially expanded at all times. This is common in
COPD patients.
6. When auscultating a client's lung sounds, the nurse hears
rhonchi in the upper lung fields anteriorly. Which action should
the nurse take first?
A. Measure capillary refill.
B. Ask the client to cough.
C. Monitor oxygen saturation.
D. Document the finding. - correct answer -Correct answer is
B. Many abnormal breath sounds are best heard asking
the patient to cough.
7. During a health assessment, the client reports being treated for
osteoarthritis. The nurse examines a client's hands and finds
Heberden's nodes. Which finding should the nurse document in
the client's medical record?
A. Proximal intertarsal join swelling of big toe.
B. Non-painful enlarged interphalangeal joints.
C. Distal interphalangeal joint nodules that deviate.
D. Frozen, non-movable phalangeal joints. - correct answer -
correct answer is C. Heberden nodes (hard or bony
swelilngs in the distal interphalangeal joints) along with a
deviated distal finger are a classic finding in osteoarthritis.
HESI V2 HEALTH
ASSESSMENT 2025 BRAND NEW
ACTUAL EXAM WITH ANSWERS.
1. After placing a client in a supine position, the nurse uses the
diaphragm of the stethoscope to auscultate bowel sounds and
hears a loud, high pitched almost continuous gurgling in two
quadrants. What action should the nurse implement?
A. Use the bell of the stethoscope to auscultate again.
B. Elevate the head of the client's bed immediately.
C. Document the presence of borborygmi.
D. Auscultate the remaining two quadrants. - correct answer
-Correct answer is D. Full assessment of all parts of the
lungs, side by side, should be performed before taking
any other action or document the findings.
2. To objectively confirm the presence of fever, before taking the
client's temperature, which action should the nurse take?
A. Ask the client to describe any other related symptoms.
B. Use both hands to hold and palpate the client's hands.
C. Lightly pinch a fold of skin over the client's sternum.
D. Place the dorsum of the hand on the client's forehead. -
correct answer -Correct answer is B.
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3. A male client who is admitted for an acute brain attack reports
the onset of a burning sensation in his hands and legs. Which
action should the nurse implement to identify additional findings
that are consistent with the client's paresthesia?
A. Evaluate client's muscle strength and hand grips.
B. Observe skin for erythema, edema, and warmth.
C. Review the client's serum electrolytes. D. Check distal
phalanges capillary refill - correct answer -Correct answer
is A.
4. A client is being evaluated for environmental allergies. While
examining the client's nasal passage, which finding suggests to
the nurse that the client is experiencing allergic rhinitis?
A. Purulent secretions from eyes and nares.
B. Eye tearing and thick yellow nasal drainage.
C. Snoring and bilateral, pale gray nodules.
D. Intranasal edema and swelling of turbinates. - correct
answer -Correct answer is D.
5. To confirm the presence of a barrel chest documented in the
client's medical record, which action should the nurse take?
A. Observe the appearance of the thorax.
B. Auscultate the client's breath sounds. C. Percuss
diaphragmatic excursion.
C. Palpate tactile fremitus on the posterior chest - correct
answer -Correct answer is A. The chest takes on a barrel-
, Page | 3
like appearance called a "barrel chest." A barrel chest
forms because your lungs are chronically overfilled with
air and can't deflate normally. This causes your rib cage
to be partially expanded at all times. This is common in
COPD patients.
6. When auscultating a client's lung sounds, the nurse hears
rhonchi in the upper lung fields anteriorly. Which action should
the nurse take first?
A. Measure capillary refill.
B. Ask the client to cough.
C. Monitor oxygen saturation.
D. Document the finding. - correct answer -Correct answer is
B. Many abnormal breath sounds are best heard asking
the patient to cough.
7. During a health assessment, the client reports being treated for
osteoarthritis. The nurse examines a client's hands and finds
Heberden's nodes. Which finding should the nurse document in
the client's medical record?
A. Proximal intertarsal join swelling of big toe.
B. Non-painful enlarged interphalangeal joints.
C. Distal interphalangeal joint nodules that deviate.
D. Frozen, non-movable phalangeal joints. - correct answer -
correct answer is C. Heberden nodes (hard or bony
swelilngs in the distal interphalangeal joints) along with a
deviated distal finger are a classic finding in osteoarthritis.
