HESI RN Health Assessment Questions Correct and Verified Answers Graded A

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HESI RN Health Assessment Questions Correct and Verified Answers Graded A

• 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?

• The client works in a busy office setting
• There is no sign of associated infection
• The client has no prior history of hearing loss
• The hearing loss involves high frequencies

Correct Answer: B. There is no sign of associated infection

• 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?

• Current alcohol and tobacco use
• A 24-hour dietary recall
• Use of vitamin and iron supplements
• Daily pattern of oral hygiene practices

Correct Answer: C. Use of vitamin and iron supplements

• 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?

• Level of consciousness
• Gait characteristics
• Presence of trauma
• Bladder control ability.

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Correct Answer: A. Level of consciousness

• The client is experiencing severe pruritis and small papules and burrows on areas

over one hand and the inner thighs. Which assessment data best explains the condition the client is experiencing?

• The client works in a daycare setting that has had a scabies outbreak.
• The client has been using a chemical stripping agent for home remodeling.
• The client has a family history of psoriasis in both parents and a sibling.
• The client routinely works with clay and paint as a hobby.

Correct Answer: A. The client works in a daycare setting that has had a scabies

outbreak.

• The nurse is assessing a client who has a history of aortic regurgitation. Where

should the nurse place the stethoscope diaphragm to listen for this condition?

• 2nd intercostal space along the right sternal border
• 2nd intercostal space along the left sternal border.
• 3rd intercostal space on the right midclavicular line
• 5th intercostal space on the left midclavicular line

Correct Answer: A. 2nd intercostal space along the right sternal border

• 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?

• Place the bell on the 5th intercostal space, left midclavicular line.
• Place the bell on the 2nd intercostal space, left midclavicular line.
• Put the diaphragm on the 5th intercostal space, left sternal border.
• Put the diaphragm on the 2nd intercostal space, left sternal border.

Correct Answer: A. Place the bell on the 5th intercostal space, left midclavicular line.

• What is the best place for the nurse to hear lower lobe lung sounds with a

stethoscope?

• Posterior chest below the 3rd intercostal space
• Posterior-axillary line at the 4th intercostal space

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• Anterior chest at the level of the 4th intercostal space.
• Anterior-axillary line at the 5th intercostal space.

Correct Answer: A. Posterior chest below the 3rd intercostal space

• Which statement is accurate about assessing the spleen?
• It must be enlarged at least three times normal size for it to be palpable
• It is easily felt by reaching the left hand behind the 11th and 12th ribs.
• It is normally felt by rolling the client on the right side and palpating.
• It is a firm mass palpated slightly left of midline in the upper abdomen.

Correct Answer: A. It must be enlarged at least three times normal size for it to be palpable

• A nurse is working in a healthcare facility that serves a diverse population. What

action(s) by the nurse will allow the nurse to empathize with and understand this population? (Select all that apply.)

• Be open to people who are different.
• Have a curiosity about people.
• Become culturally competent.
• Interact with each person in the same way.
• Request nurses take care of patients with the same ethnicity.
• Always request an interpreter for people from other countries.

Correct Answer: A, B, C

• 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?

• "My life is really out of balance."
• "I knew I should have changed my diet."
• "I should have gone to church last week."
• "I forgot to take my medicines last night."

Correct Answer: A. "My life is really out of balance."

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• The client reports to the nurse a recent exposure to the mumps. Which

assessment finding suggests the client has contracted the mumps?

• Enlargement centered along the anterior lower neck region
• Swelling anterior to the ear lobe on one side of the face
• Generalized rounded shape of the face
• Paralysis on one side of the face

Correct Answer: B. Swelling anterior to the ear lobe on one side of the face

• 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?

• Swelling of the left arm and non-pitting edema.
• Bilateral swelling of the arms with weakened pulses.
• Complaints of pain when taking the blood pressure on the affected side.
• Metastasis of cancer due to cancer being in the lymph nodes.

Correct Answer: A. Swelling of the left arm and non-pitting edema.

• What is the best nursing response to an older client who has not mentioned

incontinence during a genitourinary assessment?

• Ask the client specifically about any leakage of urine.
• Document that the client reports having no incontinence
• Have the client cough and then check for urine leakage
• Determine if the client has ever had urinary tract surgery.

Correct Answer: A. Ask the client specifically about any leakage of urine.

• 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?

• What types of food do you like or dislike?
• Have you experienced sudden weight loss?
• Do you use dietary supplements every day?