HESI RN Health Assessment Questions and Correct Answers
A client comes to the clinic with a report of fever and a recent exposure to someone who was diagnosed with
meningitis. Which nursing assessment should be completed during the initial examination of this client?
A. Level of consciousness
B. Gait characteristics
C. Presence of trauma
D. Bladder control ability. - ansA. Level of consciousness
A client has just returned from the recovery room and asks to get out of bed to go to the bathroom. The nurse
decides to obtain orthostatic vital signs first. How will the nurse position the client to begin this procedure?
A. Lying
B. Sitting
C. Leaning
D. Standing - ansA. Lying
A client is in the clinic and is reporting lower abdominal pain and constipation. Which information is of greatest
concern to the nurse when obtaining the health history from this client?
A. Administration of rubeola vaccine at age 7.
B. Removal of gallbladder 5 years ago.
C. Family history of colon cancer on mother's side.
D. Family history of hypertension on father's side. - ansC. Family history of colon cancer on mother's side.
A client is in the clinic for a routine health examination. The nurse notices the client appears underweight.
Which question is most important for the nurse to ask when completing the health history of this client?
,A. What types of food do you like or dislike?
B. Have you experienced sudden weight loss?
C. Do you use dietary supplements every day?
D. Can you recall the last 24 hours of food intake? - ansB. Have you experienced sudden weight loss?
A client is reporting chest pain. What statement made by the client helps the nurse to understand the client
has a naturalistic belief in the cause of illness?
A. "My life is really out of balance."
B. "I knew I should have changed my diet."
C. "I should have gone to church last week."
D. "I forgot to take my medicines last night." - ansA. "My life is really out of balance."
A client reports feeling increasingly fatigued for several months, and the nurse observes that the client's lips
are pale. Which additional data should the nurse collect based on this presentation?
A. Current alcohol and tobacco use
B. A 24-hour dietary recall
C. Use of vitamin and iron supplements
D. Daily pattern of oral hygiene practices - ansC. Use of vitamin and iron supplements
A client reports pain when taking a deep breath. Which lung auscultation sound should the nurse anticipate
hearing?
A. Pleural friction rub
B. Rhonchus
C. Coarse crackles
D. Wheezing - ansA. Pleural friction rub
, A client states that she had a mastectomy of her left breast last year and now experiences lymphedema. What
should the nurse expect to find when examining the client?
A. Swelling of the left arm and non-pitting edema.
B. Bilateral swelling of the arms with weakened pulses.
C. Complaints of pain when taking the blood pressure on the affected side.
D. Metastasis of cancer due to cancer being in the lymph nodes. - ansA. Swelling of the left arm and non-pitting
edema.
A client with dark skin is reporting a painful and itching area on the lower left leg. What should the nurse look
for when assessing this client's skin for inflammation?
A. Change in consistency
B. Change in turgor
C. Redness
D. Pallor - ansA. Change in consistency
A client with progressive hearing loss appears distressed when the registered nurse asks open-ended questions
about the client's health history. Which forms of communication should the RN use?
A. Face the client so the client can see the RN's mouth.
B. Increase one's speech volume when interacting with the client
C. Repeat information to the client if misunderstood
D. Check if the client's hearing aides are working properly
E. Reduce environmental noise surrounding the client. - ansA. Face the client so the client can see the RN's
mouth.
D. Check if the client's hearing aides are working properly
E. Reduce environmental noise surrounding the client.
A client comes to the clinic with a report of fever and a recent exposure to someone who was diagnosed with
meningitis. Which nursing assessment should be completed during the initial examination of this client?
A. Level of consciousness
B. Gait characteristics
C. Presence of trauma
D. Bladder control ability. - ansA. Level of consciousness
A client has just returned from the recovery room and asks to get out of bed to go to the bathroom. The nurse
decides to obtain orthostatic vital signs first. How will the nurse position the client to begin this procedure?
A. Lying
B. Sitting
C. Leaning
D. Standing - ansA. Lying
A client is in the clinic and is reporting lower abdominal pain and constipation. Which information is of greatest
concern to the nurse when obtaining the health history from this client?
A. Administration of rubeola vaccine at age 7.
B. Removal of gallbladder 5 years ago.
C. Family history of colon cancer on mother's side.
D. Family history of hypertension on father's side. - ansC. Family history of colon cancer on mother's side.
A client is in the clinic for a routine health examination. The nurse notices the client appears underweight.
Which question is most important for the nurse to ask when completing the health history of this client?
,A. What types of food do you like or dislike?
B. Have you experienced sudden weight loss?
C. Do you use dietary supplements every day?
D. Can you recall the last 24 hours of food intake? - ansB. Have you experienced sudden weight loss?
A client is reporting chest pain. What statement made by the client helps the nurse to understand the client
has a naturalistic belief in the cause of illness?
A. "My life is really out of balance."
B. "I knew I should have changed my diet."
C. "I should have gone to church last week."
D. "I forgot to take my medicines last night." - ansA. "My life is really out of balance."
A client reports feeling increasingly fatigued for several months, and the nurse observes that the client's lips
are pale. Which additional data should the nurse collect based on this presentation?
A. Current alcohol and tobacco use
B. A 24-hour dietary recall
C. Use of vitamin and iron supplements
D. Daily pattern of oral hygiene practices - ansC. Use of vitamin and iron supplements
A client reports pain when taking a deep breath. Which lung auscultation sound should the nurse anticipate
hearing?
A. Pleural friction rub
B. Rhonchus
C. Coarse crackles
D. Wheezing - ansA. Pleural friction rub
, A client states that she had a mastectomy of her left breast last year and now experiences lymphedema. What
should the nurse expect to find when examining the client?
A. Swelling of the left arm and non-pitting edema.
B. Bilateral swelling of the arms with weakened pulses.
C. Complaints of pain when taking the blood pressure on the affected side.
D. Metastasis of cancer due to cancer being in the lymph nodes. - ansA. Swelling of the left arm and non-pitting
edema.
A client with dark skin is reporting a painful and itching area on the lower left leg. What should the nurse look
for when assessing this client's skin for inflammation?
A. Change in consistency
B. Change in turgor
C. Redness
D. Pallor - ansA. Change in consistency
A client with progressive hearing loss appears distressed when the registered nurse asks open-ended questions
about the client's health history. Which forms of communication should the RN use?
A. Face the client so the client can see the RN's mouth.
B. Increase one's speech volume when interacting with the client
C. Repeat information to the client if misunderstood
D. Check if the client's hearing aides are working properly
E. Reduce environmental noise surrounding the client. - ansA. Face the client so the client can see the RN's
mouth.
D. Check if the client's hearing aides are working properly
E. Reduce environmental noise surrounding the client.
