HESI HEALTH ASSESSMENT TEST BANK 2024 | ALL ACTUAL
EXAM QUESTIONS 2024 WITH DETAILED ANSWERS AND
RATIONALES | ACCURATE AND EXPERT VERIFIED FOR
GUARANTEED PASS | STUDY GUIDE INCLUDED AT THE END
The registered nurse (RN) is caring for a client with peptic ulcer disease (PUD). What
assessment should the RN identify that is consistent with PUD? (Select all that apply)
A. Hematemesis
B. Gastric pain on an empty stomach
C. Colic-like pain with fatty food ingestion
D. Intolerance of spicy foods
E. Diarrhea and stearrhea
A. Hematemesis
B. Gastric pain on an empty stomach
D. Intolerance of spicy foods
(A, B and D) correct. Manifestations of PUD include hematemesis (A), gastric pain (B), and
spicy food intolerance. (C) is consistent with cholecystitis (D). (E) is not consistent with PUD.
A client is newly diagnosed with diverticulosis. The registered nurse (RN) is assessing the
client's basic knowledge about the disease process. Which statement by the client conveys
the client's understanding of the etiology of diverticula?
A. Over use of laxatives for bowel regularity result in loss of peristaltic tone.
B. Inflammation of the colon mucosa that cause growths that protrude into the lumen.
C. Diverticulosis is the result of high fiber diet and sedentary life style.
D. Chronic constipation causes weakening of colon wall which result in out-pouching sacs.
D.
A client who has chronic constipation (D) often strains to pass constipated stool which
increases intestinal pressure that weakens the intestinal walls and causes out-pouching sacs,
called diverticula which commonly occur in the signmoid. Regular use of laxatives (A) can
result in the bowel's dependency on the laxative to stimulate intestinal motility, but
constipation due to lack
1|Page
,of fiver in diet, not (C), is a predisposing factor for formation of diverticula. Growths that
protrude into the colon lumen are polyps (B), which are often pre-cancerous lesions.
The registered nurse (RN) is caring for an Asian client who refuses to make eye contact
during conversations. How should the RN assess this client's response?
A. The client cannot understand the nurse.
B. The client is uncomfortable with the nurse.
C. The client is treating the nurse with respect.
D. The client is purposefully disrespecting the nurse.
C.
In some Asian cultures, it is not appropriate to look a person of authority in the eyes, so the
client is being respectful bu looking down while speaking with the nurse (C). (A, B, and D)
does not reflect behaviors common to Asian culture.
The registered nurse (RN) is caring for a client who developed oliguria and was diagnosed
with sepsis and dehydration 48 hours ago. Which assessment finding indicates to the RN that
the client is stabilizing?
A. Urine output of 40 ml/hour
B. Apical pulse 100 and blood pressure 76/42.
C. Urine specific gravity of 1.001.
D. Tented skin on the dorsal surface of the hands.
A.
A decrease in urine output is a sign of dehydration. When the urine output returns to a
normal range, 40 ml/hour (A), the client's kidneys are perfusing adequately and indicates the
client's status is stabilizing. A blood pressure of 76/42 (B) and tented skin (D) are consistent
with dehydration and possible hypovolemia, however the client's urine output is improving.
Specific gravity of 1.001 is indicative of the kidney's ability to concentrate urine adequately.
An older client is admitted to the hospital with severe diarrhea. The registered nurse (RN) is
completing an assessment and notes the client has dry mucous membranes and poor skin
turgor. Which assessment data should the RN gather to determine if the client has fluid
volume deficit?
2|Page
,B
Orthostatic hypotension (B) can be a sign of fluid volume deficit in an older adult client who
has experienced severe diarrhea. (A and C) are signs of excess fluid volume. Cheyne Stocks
respirations (D) is an abnormal breathing pattern often seen in a client who is near death.
The registered nurse (RN) is caring for a client with tuberculosis (TB) who is taking a
combination drug regimen. The client complains about taking "so many pills." What
information should the RN provide to the client about the prescribed treatment?
A. The development of resistant strains of TB are decreased with a combination of drugs.
B. Compliance to the medication regimen is challenging but should be maintained.
C. Side effects are minimized with the use of a single medication but is less effective.
D. The treatment time is decreased from 6 months to 3 months with this standard regimen.
A
Combination therapy is necessary to decrease the development of resistant strains of TB (A)
and ensure treatment effectiveness. (B, C, and D) are not the rationales for multiple drug
protocol for TB.
The registered nurse (RN) is caring for a young adult who is having an oral glucose tolerance
test (OGTT). which laboratory result should the RN assess as a normal value for the two hour
postprandial result?
A. 140 mg/dl
B. 160 mg/dl
C. 180 mg/dl
D. 200 mg/dl
A
The two hour postprandial level should be less than 140 mg/dl for a young adult client (B). (A,
C and D) are elevated and not normal at 2 hours after ingesting the glucose solution.
After a liver biopsy is performed at the bedside, the registered nurse (RN) is assigned the care
of the client. Which nursing intervention is most important for the RN to implement?
A. Position the client on the left side with pillow placed under the costal margin.
B. Assist the client with voiding immediately after the procedure.
3|Page
, C. Evaluate teh vital signs q10 to 20 minutes for every 2 hours after the procedure.
D. Ambulate client 3 times in first hour with pillow held at abdomen.
C
Vital signs should be checked every 10 to 20 minutes (C) to assess for bleeding after biopsy
of the liver, which is highly vascular. The client should be positioned on the right side, not
the left (A), with a pillow or sandbag under the costal margin and supporting the biopsy site.
Voiding immediately after the procedure (B) is not the highest priority intervention after a
liver biopsy.
The registered nurse (RN) notifies the spouse of a client who was admitted to hospice with
shallow respirations, of a change in the client's condition. Over the past hour, the client's
respiratory pattern has changed to a Cheyne Stokes pattern. After receiving this information,
the client's spouse begins vacuuming around the bed. Which stage of grief is the spouse
displaying during the visit?
A. Acceptance
B. Denial
C. Bargaining
D. Depression
B. Denial
The spouse is exhibiting the first stage of denial (B) of Kubler-Ross's grief model by ignoring
that the client's death is imminent (A, C, and D) are stages of grief that are not being
displayed by the client's spouse during this observation.
The registered nurse (RN) places an ice pack on a middle school student who comes to the
school clinic complaining of a sprained ankle. Which therapeutic response should the RN
anticipate?
A. Reduced pain and minimized bruising.
B. Lowering of body core temperature.
C. Increased circulation around injury.
D. Reabsorption of edema at injury.
A.
Cold applications produce a topical anesthetic effect to reduce pain as well as constrict blood
4|Page
EXAM QUESTIONS 2024 WITH DETAILED ANSWERS AND
RATIONALES | ACCURATE AND EXPERT VERIFIED FOR
GUARANTEED PASS | STUDY GUIDE INCLUDED AT THE END
The registered nurse (RN) is caring for a client with peptic ulcer disease (PUD). What
assessment should the RN identify that is consistent with PUD? (Select all that apply)
A. Hematemesis
B. Gastric pain on an empty stomach
C. Colic-like pain with fatty food ingestion
D. Intolerance of spicy foods
E. Diarrhea and stearrhea
A. Hematemesis
B. Gastric pain on an empty stomach
D. Intolerance of spicy foods
(A, B and D) correct. Manifestations of PUD include hematemesis (A), gastric pain (B), and
spicy food intolerance. (C) is consistent with cholecystitis (D). (E) is not consistent with PUD.
A client is newly diagnosed with diverticulosis. The registered nurse (RN) is assessing the
client's basic knowledge about the disease process. Which statement by the client conveys
the client's understanding of the etiology of diverticula?
A. Over use of laxatives for bowel regularity result in loss of peristaltic tone.
B. Inflammation of the colon mucosa that cause growths that protrude into the lumen.
C. Diverticulosis is the result of high fiber diet and sedentary life style.
D. Chronic constipation causes weakening of colon wall which result in out-pouching sacs.
D.
A client who has chronic constipation (D) often strains to pass constipated stool which
increases intestinal pressure that weakens the intestinal walls and causes out-pouching sacs,
called diverticula which commonly occur in the signmoid. Regular use of laxatives (A) can
result in the bowel's dependency on the laxative to stimulate intestinal motility, but
constipation due to lack
1|Page
,of fiver in diet, not (C), is a predisposing factor for formation of diverticula. Growths that
protrude into the colon lumen are polyps (B), which are often pre-cancerous lesions.
The registered nurse (RN) is caring for an Asian client who refuses to make eye contact
during conversations. How should the RN assess this client's response?
A. The client cannot understand the nurse.
B. The client is uncomfortable with the nurse.
C. The client is treating the nurse with respect.
D. The client is purposefully disrespecting the nurse.
C.
In some Asian cultures, it is not appropriate to look a person of authority in the eyes, so the
client is being respectful bu looking down while speaking with the nurse (C). (A, B, and D)
does not reflect behaviors common to Asian culture.
The registered nurse (RN) is caring for a client who developed oliguria and was diagnosed
with sepsis and dehydration 48 hours ago. Which assessment finding indicates to the RN that
the client is stabilizing?
A. Urine output of 40 ml/hour
B. Apical pulse 100 and blood pressure 76/42.
C. Urine specific gravity of 1.001.
D. Tented skin on the dorsal surface of the hands.
A.
A decrease in urine output is a sign of dehydration. When the urine output returns to a
normal range, 40 ml/hour (A), the client's kidneys are perfusing adequately and indicates the
client's status is stabilizing. A blood pressure of 76/42 (B) and tented skin (D) are consistent
with dehydration and possible hypovolemia, however the client's urine output is improving.
Specific gravity of 1.001 is indicative of the kidney's ability to concentrate urine adequately.
An older client is admitted to the hospital with severe diarrhea. The registered nurse (RN) is
completing an assessment and notes the client has dry mucous membranes and poor skin
turgor. Which assessment data should the RN gather to determine if the client has fluid
volume deficit?
2|Page
,B
Orthostatic hypotension (B) can be a sign of fluid volume deficit in an older adult client who
has experienced severe diarrhea. (A and C) are signs of excess fluid volume. Cheyne Stocks
respirations (D) is an abnormal breathing pattern often seen in a client who is near death.
The registered nurse (RN) is caring for a client with tuberculosis (TB) who is taking a
combination drug regimen. The client complains about taking "so many pills." What
information should the RN provide to the client about the prescribed treatment?
A. The development of resistant strains of TB are decreased with a combination of drugs.
B. Compliance to the medication regimen is challenging but should be maintained.
C. Side effects are minimized with the use of a single medication but is less effective.
D. The treatment time is decreased from 6 months to 3 months with this standard regimen.
A
Combination therapy is necessary to decrease the development of resistant strains of TB (A)
and ensure treatment effectiveness. (B, C, and D) are not the rationales for multiple drug
protocol for TB.
The registered nurse (RN) is caring for a young adult who is having an oral glucose tolerance
test (OGTT). which laboratory result should the RN assess as a normal value for the two hour
postprandial result?
A. 140 mg/dl
B. 160 mg/dl
C. 180 mg/dl
D. 200 mg/dl
A
The two hour postprandial level should be less than 140 mg/dl for a young adult client (B). (A,
C and D) are elevated and not normal at 2 hours after ingesting the glucose solution.
After a liver biopsy is performed at the bedside, the registered nurse (RN) is assigned the care
of the client. Which nursing intervention is most important for the RN to implement?
A. Position the client on the left side with pillow placed under the costal margin.
B. Assist the client with voiding immediately after the procedure.
3|Page
, C. Evaluate teh vital signs q10 to 20 minutes for every 2 hours after the procedure.
D. Ambulate client 3 times in first hour with pillow held at abdomen.
C
Vital signs should be checked every 10 to 20 minutes (C) to assess for bleeding after biopsy
of the liver, which is highly vascular. The client should be positioned on the right side, not
the left (A), with a pillow or sandbag under the costal margin and supporting the biopsy site.
Voiding immediately after the procedure (B) is not the highest priority intervention after a
liver biopsy.
The registered nurse (RN) notifies the spouse of a client who was admitted to hospice with
shallow respirations, of a change in the client's condition. Over the past hour, the client's
respiratory pattern has changed to a Cheyne Stokes pattern. After receiving this information,
the client's spouse begins vacuuming around the bed. Which stage of grief is the spouse
displaying during the visit?
A. Acceptance
B. Denial
C. Bargaining
D. Depression
B. Denial
The spouse is exhibiting the first stage of denial (B) of Kubler-Ross's grief model by ignoring
that the client's death is imminent (A, C, and D) are stages of grief that are not being
displayed by the client's spouse during this observation.
The registered nurse (RN) places an ice pack on a middle school student who comes to the
school clinic complaining of a sprained ankle. Which therapeutic response should the RN
anticipate?
A. Reduced pain and minimized bruising.
B. Lowering of body core temperature.
C. Increased circulation around injury.
D. Reabsorption of edema at injury.
A.
Cold applications produce a topical anesthetic effect to reduce pain as well as constrict blood
4|Page
