HESI RN Health Assessment
Questions and Answers | Latest
Version | 2025/2026 | Correct & Verified
During a respiratory assessment, the nurse hears high-pitched, musical sounds on expiration.
These sounds are called
A. Crackles
✔✔B. Wheezes
C. Rhonchi
D. Pleural rub
When assessing skin turgor in an older adult, the nurse should check
A. The back of the hand
B. The face
✔✔C. The skin over the sternum or clavicle
D. The abdomen
The nurse notes clubbing of the client’s fingernails. This finding is most often associated with
A. Liver disease
1
,B. Kidney failure
✔✔C. Chronic hypoxia
D. Dehydration
While auscultating heart sounds, the nurse hears a “lub-dub” with no extra sounds. This is
documented as
A. S1 and S3
✔✔B. Normal S1 and S2
C. S2 split
D. Murmur
A nurse palpates a dorsalis pedis pulse and finds it absent. The next action should be
A. Document “absent” and move on
B. Apply a warm compress
✔✔C. Check with a Doppler device
D. Notify the healthcare provider immediately without rechecking
During an abdominal assessment, the correct sequence of techniques is
2
,A. Palpation, percussion, inspection, auscultation
B. Inspection, percussion, auscultation, palpation
✔✔C. Inspection, auscultation, percussion, palpation
D. Auscultation, inspection, palpation, percussion
A nurse is assessing cranial nerve II. Which method is appropriate?
A. Check facial symmetry
B. Ask the client to smile
✔✔C. Test visual acuity with a Snellen chart
D. Have the client stick out the tongue
A nurse observes unequal pupils in a client after a head injury. This may indicate
A. Allergic reaction
✔✔B. Increased intracranial pressure
C. Normal variation
D. Cataracts
When percussing over a healthy lung, the expected sound is
3
, A. Dullness
✔✔B. Resonance
C. Hyperresonance
D. Flatness
A client’s skin is cool and pale with delayed capillary refill. This may indicate
A. Fever
✔✔B. Poor peripheral perfusion
C. Dehydration
D. Allergic rash
The nurse auscultates fine crackles in the lung bases. This may be due to
A. Asthma exacerbation
✔✔B. Fluid in the alveoli
C. Upper airway obstruction
D. Pneumothorax
4
Questions and Answers | Latest
Version | 2025/2026 | Correct & Verified
During a respiratory assessment, the nurse hears high-pitched, musical sounds on expiration.
These sounds are called
A. Crackles
✔✔B. Wheezes
C. Rhonchi
D. Pleural rub
When assessing skin turgor in an older adult, the nurse should check
A. The back of the hand
B. The face
✔✔C. The skin over the sternum or clavicle
D. The abdomen
The nurse notes clubbing of the client’s fingernails. This finding is most often associated with
A. Liver disease
1
,B. Kidney failure
✔✔C. Chronic hypoxia
D. Dehydration
While auscultating heart sounds, the nurse hears a “lub-dub” with no extra sounds. This is
documented as
A. S1 and S3
✔✔B. Normal S1 and S2
C. S2 split
D. Murmur
A nurse palpates a dorsalis pedis pulse and finds it absent. The next action should be
A. Document “absent” and move on
B. Apply a warm compress
✔✔C. Check with a Doppler device
D. Notify the healthcare provider immediately without rechecking
During an abdominal assessment, the correct sequence of techniques is
2
,A. Palpation, percussion, inspection, auscultation
B. Inspection, percussion, auscultation, palpation
✔✔C. Inspection, auscultation, percussion, palpation
D. Auscultation, inspection, palpation, percussion
A nurse is assessing cranial nerve II. Which method is appropriate?
A. Check facial symmetry
B. Ask the client to smile
✔✔C. Test visual acuity with a Snellen chart
D. Have the client stick out the tongue
A nurse observes unequal pupils in a client after a head injury. This may indicate
A. Allergic reaction
✔✔B. Increased intracranial pressure
C. Normal variation
D. Cataracts
When percussing over a healthy lung, the expected sound is
3
, A. Dullness
✔✔B. Resonance
C. Hyperresonance
D. Flatness
A client’s skin is cool and pale with delayed capillary refill. This may indicate
A. Fever
✔✔B. Poor peripheral perfusion
C. Dehydration
D. Allergic rash
The nurse auscultates fine crackles in the lung bases. This may be due to
A. Asthma exacerbation
✔✔B. Fluid in the alveoli
C. Upper airway obstruction
D. Pneumothorax
4
