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HESI Exam Review – HA: Questions With Solutions
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HESI Exam Review – HA: Questions With Solutions
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HESI Exam Review – HA: Questions With SolutionsA 52-year-old male client is seen in the health care provider's (HCP's) office
for a physical examination after experiencing unusual fatigue over the last
several weeks. The client's height is 5 feet, 8 inches (173 cm) and his weight is
220 pounds (99.8 kg). Vital signs are as follows: temperature, 98.6°F (37°C)
orally; pulse, 86 beats/minute; and respirations, 18 breaths/minute. The
blood pressure reading is 184/100 mm Hg. A random blood glucose level is
122 mg/dL (6.8 mmol/L). Which question should the nurse ask the client
first?
"Do you exercise regularly?"
"Are you considering trying to lose weight?"
"Is there a history of diabetes mellitus in your family?"
"When was the last time you had your blood pressure checked?" Right Ans
- when was the last time you had your blood pressure checked?
A client with a diagnosis of asthma is admitted to the hospital with respiratory
distress. Which type of adventitious lung sounds should the nurse expect to
hear when performing a respiratory assessment on this client?
Stridor
Crackles
Wheezes
Diminished Right Ans - Wheezes
The registered nurse (RN) is educating a new RN on how to interpret vision
tests using a Snellen chart. After the client's vision is tested with a Snellen
chart, the results of testing are documented as 20/40. Which statement by the
new RN indicates that the teaching has been effective?
"The client's vision is normal, but the client may require reading glasses."
"The client is legally blind, and glasses or contact lenses will not be helpful."
"The client can read at a distance of 40 feet (12 meters) what a person with
normal vision can read at 20 feet (6 meters)."
,"The client can read at a distance of 20 feet (6 meters) what a person with
normal vision can read at 40 feet (12 meters)." Right Ans - ...
The nurse is assessing for the presence of pallor in a dark-skinned client. What
finding should the nurse look for?
A yellow tinge to the skin
Bluish discoloration of the skin
Loss of normal red tones in the skin
An ashen-gray appearance to the skin Right Ans - Loss of normal red tones
in the skin
The nurse is examining a dark-skinned client for the presence of petechiae.
The nurse will best observe these lesions in which body area?
Sclerae
Oral mucosa
Sole of the foot
Palm of the hand Right Ans - Oral mucosa
The nurse is preparing to perform an otoscopic examination on an adult
client. Which action should the nurse take to perform this examination?
Pull the pinna up and back before inserting the speculum.
Pull the earlobe down and back before inserting the speculum.
Tilt the client's head forward and down before inserting the speculum.
Use the smallest speculum available to decrease the discomfort of the exam.
Right Ans - Pull the pinna up and back before inserting the speculum.
The nurse should ask a client to take which action when testing the function of
the spinal accessory nerve (CN XI)?
Elevate the shoulders.
Swallow a sip of water.
Open the mouth and say "aah."
Vocalize the sounds "la-la," "mi-mi," and "kuh-kuh." Right Ans - Elevate the
shoulders.
,After performing an initial abdominal assessment on a client, the nurse
documents that the bowel sounds are normal. Which description best
describes normal bowel sounds?
Waves of loud gurgles auscultated in all 4 quadrants
Low-pitched swishing auscultated in 1 or 2 quadrants
Relatively high-pitched clicks or gurgles auscultated in all 4 quadrants
Very high-pitched loud rushes auscultated especially in 1 or 2 quadrants
Right Ans - Relatively high-pitched clicks or gurgles auscultated in all 4
quadrants
The nurse performing a neurological examination is assessing eye movement
to evaluate cranial nerves III, IV, and VI. Using a flashlight, the nurse would
perform which action to obtain the assessment data?
Turn the flashlight on directly in front of the eye and watch for a response.
Ask the client to follow the flashlight through the 6 cardinal positions of gaze.
Instruct the client to look straight ahead, and then shine the flashlight from
the temporal area to the eye.
Check pupil size, and then ask the client to alternate looking at the flashlight
and the examiner's finger. Right Ans - Ask the client to follow the flashlight
through the 6 cardinal positions of gaze.
The nurse is preparing to test the sensory function of cranial nerve V in a
client. The nurse should obtain which item to test the sensory function of this
nerve?
Coffee beans
A tuning fork
A wisp of cotton
An ophthalmoscope Right Ans - A wisp of cotton
The nurse is preparing to perform a Weber test on a client. The nurse should
obtain which item needed to perform this test?
A tuning fork
A stethoscope
A tongue blade
A reflex hammer Right Ans - A tuning fork
, The nurse reviews the findings from a physical exam done on a client for ear
or hearing disorders and notes documentation that the client has hyperacusis.
Which would the nurse expect to note on assessment of the client?
Complaints of ringing in the ear
An excessive amount of cerumen in the ear canal
Intolerance for sound levels that do not bother other people
Complaints of dizziness and sensations of being "off balance" Right Ans -
Intolerance for sound levels that do not bother other people
The nurse is conducting a neurological assessment, including a health history,
on a client with a neurological disorder. The nurse observes that the client is
having difficulty answering the questions and should perform which action?
Ask a second nurse to be present during the interview.
Defer both the health history and the neurological examination.
Defer the health history and proceed with the neurological examination.
Ask the client to give permission for a family member to stay during the
interview. Right Ans - Ask the client to give permission for a family
member to stay during the interview.
The clinic nurse prepares to perform a focused assessment on a client who is
complaining of symptoms of a cold, a cough, and lung congestion. Which
should the nurse include for this type of assessment? Select all that apply
Auscultating lung sounds
Obtaining the client's temperature
Assessing the strength of peripheral pulses
Obtaining information about the client's respirations
Performing a musculoskeletal and neurological examination
Asking the client about a family history of any illness or disease Right Ans -
Auscultating lung sounds
Obtaining the client's temperature
Obtaining information about the client's respirations
The emergency department nurse is performing an assessment on a child
suspected of being sexually abused. Which assessment data obtained by the
nurse most likely support this suspicion?
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