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HESI Health Assessment Practice Quiz Correct and Verified Answers Graded A
Question During the initial assessment, the nurse notes that a client has blurred vision with cloudy lenses. Which condition should the nurse document?Multiple Choices • Cataracts • Pink eye • Corneal abrasion • Glaucoma Correct Answer Cataracts
Question The nurse is assessing a client who has experienced a sudden onset of hearing loss in the right ear. Which finding should alert the nurse to a potentially serious medical condition that requires further evaluation?Multiple Choices • The hearing loss involves high frequencies.• There is no sign of associated infection.• The client works in a busy office setting.• The client has no prior history of hearing loss.Correct Answer There is no sign of associated infection.
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Question Which findings can the nurse determine by palpating a client's skin? (Select all that apply.) Multiple Choices • Scaling • Pallor • Diaphoresis • Pruritus • Jaundice Correct Answer Scaling, Diaphoresis
Question Which information should the nurse obtain to identify the client's self-perception of health status?Multiple Choices • Vital signs • Genetic predisposition • Health history • Informed consent Correct Answer Health history
Question 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?Multiple Choices
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• Removal of gallbladder 5 years ago.• Family history of hypertension on father's side.• Administration of rubeola vaccine at age 7.• Family history of colon cancer on mother's side.Correct Answer Family history of colon cancer on mother's side.
Question The nurse palpates a weak pedal pulse in the client's right foot. Which assessment findings should the RN document that are consistent with diminished peripheral circulation?(Select all that apply.) Multiple Choices • Bruising on extremities • Darkened skin on extremities • Capillary refill less than 3 seconds • Diminished hair on legs • Skin cool to touch Correct Answer Diminished hair on legs, Skin cool to touch
Question The nurse is examining the hip joint of a client who reports hip pain. Which other assessment is most helpful in determining the cause of the client's pain?Multiple Choices • Postural alignment • Knee joint evaluation • Deep tendon reflexes
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• Cranial nerve testing Correct Answer Knee joint evaluation
Question The nurse is assessing a client with liver disease who is jaundice and exhibits scleral edema. During the health assessment, the nurse should implement which technique to determine evidence of hepatomegaly?Multiple Choices • Push gently using fingers of both hands to determine the boundaries of the liver.• Use a bouncing motion to tap the middle finger placed within boundaries of the liver.• Tap the liver's boundaries lightly with a percussion hammer to produce a sound.• Cup hands and clap with alternating contact with the skin over regions of the liver.Correct Answer Use a bouncing motion to tap the middle finger placed within boundaries of the liver.
Question Which tool should the nurse use when assessing the neurological status of a client with traumatic brain injury?Multiple Choices • Braden Scale • Cranial nerve examination • Glasgow Coma Scale • Numerical pain scale Correct Answer Glasgow Coma Scale
