HESI 1 - V1 And V2 REVIEW - Health
Assessment 1 2025 | New Actual Exam
Questions With Answers
When performing range of motion exercises on the joints of an older adult client,
the nurse notes that joint range is greater with passive ranging than with active
ranging. A goniometer indicates that this difference is as much as 15% in some
joints. How should this finding be documented? - correct-answer-Abnormal.
Which action should the registered nurse (RN) implement to complete an
assessment for a client while using an interpreter? - correct-answer-Maintain eye
contact with the client while listening to the translation.
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? - correct-answer-Have you
experienced sudden weight loss?
A male executive is seen in the primary care clinic for a physical examination.
While obtaining the client's health history, the nurse inquires about his drug and
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alcohol use. The executive denies drug use, but reports that he has "two glasses of
wine" per night. Which response is best for the nurse to provide? - correct-
answer-"What effect do you think your use of alcohol may have on you?"
Which part of the body should the nurse examine when assessing for peripheral
edema in a client with heart failure? - correct-answer-Ankles.
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? - correct-answer-Use of vitamin and iron
supplements.
What is the best place for the nurse to hear lower lobe lung sounds with a
stethoscope? - correct-answer-Posterior chest below the 3rd intercostalspace.
A registered nurse (RN) is performing a mini-mental state examination (MMSE) for
a client who is being admitted to an assisted living community. Which
communication techniques should the RN implement to decrease anxiety in the
client? (Select all that apply.) - correct-answer-Use simple sentences during the
examination.
Reduce environmental detractors during the examination.
Ask questions one at a time to decrease confusion.
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The nurse is interviewing a client who reports having a persistent, productive
cough during the winter caused by bronchitis. Which additional finding should the
nurse assess for bronchitis? - correct-answer-Phlegm production and wheezing.
The nurse is assessing the posterior pharynx during a physical examination. Which
technique should the nurse use? - correct-answer-Press the tongue down one
side at a time with a tongue depressor.
The nurse is assessing a client who has a history of mitral stenosis. How should the
nurse assess this client with a stethoscope to listen for this condition? - correct-
answer-Place the bell on the 5th intercostal space, left midclavicular line.
Which statement is accurate about assessing the spleen? - correct-answer-It must
be enlarged at least three times normal size for it to be palpable.
During an external examination of the eyes, the nurse gently palpates the eyes
while the client's eyelids are closed. The eyes are both very firm and resist
movement back into the orbit. How should the nurse document this finding? -
correct-answer-Abnormal finding.