HESI HEALTH ASSESSMENT LATEST 2024/2025 ACTUAL EXAM ALL
QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES
(VERIFIED ANSWERS) |ALREADY GRADED A+
For a client admitted with metabolic acidosis, which two body systems would the nurse assess for
compensatory changes?
A. Skeletal and nervous
B. Circulatory and urinary
C. Respiratory and urinary
D. Muscular and endocrine - ANSWER-C. Respiratory and urinary
Kidney and lungs
When providing care for a client with diarrhea, in which clinical indicator would the nurse anticipate
a decrease?
A. Pulse rate
B. Tissue turgor
C. Specific gravity
D. Body temperature - ANSWER-B. Tissue turgor
Dehydration
The nurse notes a client has dependent edema around the area of the feet and ankles. To
characterize the severity of the edema, the nurse presses the medial malleolus area, noting an 8-mm
depression after release. In which way would the nurse document the edema?
A. 1+
,B. 2+
C. 3+
D. 4+ - ANSWER-D. 4+
Dependent edema around the area of feet and ankles often indicates right sided heart failure or
venous insufficiency.
1+ = 2mm
2+ = 4mm
3+ = 6mm
4+ = 8mm
Which Korotkoff sound represents the diastolic pressure for children?
A. First
B. Second
C. Fourth
D. Fifth - ANSWER-C. Fourth
For a client suspected of having a prostate disorder, which client position would facilitate a rectal
examination by the registered nurse?
A. Left lateral recumbent position
B. Prone position
C. Dorsal recumbent position
D. Lateral recumbent position - ANSWER-A. Left lateral recumbent position
While assessing a client with dehydration, the nurse notices diminished skin elasticity. Which portion
of the nurse's hand would the nurse use to perform this assessment?
A. Fingertips,
B. Pads of fingertips
,C. Ulnar surface of hand
D. Palmer surface of finger pds - ANSWER-A. Fingertips,
A client with a family history of diabetes has been following a diet regimen recommended by the
dietician and walking for 45 minutes daily for the past 8 months. Based on the transtheoretical
model of health behavior change, which stage would the nurse document for this client?
A. Action
B. Preparation
C. Maintenance
D. Contemplation - ANSWER-C. Maintenance
Maintenance = 6 mos after action
A client reports right ear hearing loss. When performing a Weber test with a tuning fork, the client
hears the sound better with the right ear. Which condition would the nurse suspect from these
results?
A. Normal hearing
B. Mixed hearing loss
C. Conduction hearing loss
D. Sensorineural hearing loss - ANSWER-C. Conduction hearing loss
In conduction hearing loss, the client can hear the tuning fork better on the impaired ear.
Sensorineural, you hear better with the normal ear. Mixed is both ^^
When an African American client with renal failure reports the illness is punishment for sins, which
cultural health belief is the client communicating?
A. Yin/Yang balance
B. Biomedical belief
C. Determinism belief
D. Magicoreligious belief - ANSWER-D. Magicoreligious belief
, While assessing the eyes of a client, a health care provider notices there is an obstruction to the
outflow of aqueous humor. Which additional finding would support a diagnosis of glaucoma?
A. Blurred central vision
B. Increased opacity of the lens
C. Elevated intraocular pressure
D. Changes in retinal blood vessels - ANSWER-C. Elevated intraocular pressure
The nurse providing care for a client who underwent cardiac catherization, found the client's skin was
cool, tender to touch, with edema of 15.2 cm (1-6 inches) at the site of catheterization. Which
condition would the nurse suspect?
A. Phlebitis
B. Infection
C. Infiltration
D. Circulatory overload - ANSWER-C. Infiltration
After performing an optical assessment on a client, a primary health care provider notices impaired
near vision. Which other finding would confirm the client's diagnosis as presbyopia?
A. Loss of elasticity of the lens
B. Increased opacity of the lens.
C. Elevated intraocular pressure
D. Noninflammatory changes in eyes - ANSWER-A. Loss of elasticity of the lens
Presbyopia is defined as impaired near vision caused by a loss of elasticity of the lens. This condition
is reported in middle-aged and older adults.
Which skin condition would the nurse associate with a client whose skin pathophysiology involves
increased visibility of oxyhemoglobin caused by an increased blood flow due to capillary dilation?
A. Pallor
QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES
(VERIFIED ANSWERS) |ALREADY GRADED A+
For a client admitted with metabolic acidosis, which two body systems would the nurse assess for
compensatory changes?
A. Skeletal and nervous
B. Circulatory and urinary
C. Respiratory and urinary
D. Muscular and endocrine - ANSWER-C. Respiratory and urinary
Kidney and lungs
When providing care for a client with diarrhea, in which clinical indicator would the nurse anticipate
a decrease?
A. Pulse rate
B. Tissue turgor
C. Specific gravity
D. Body temperature - ANSWER-B. Tissue turgor
Dehydration
The nurse notes a client has dependent edema around the area of the feet and ankles. To
characterize the severity of the edema, the nurse presses the medial malleolus area, noting an 8-mm
depression after release. In which way would the nurse document the edema?
A. 1+
,B. 2+
C. 3+
D. 4+ - ANSWER-D. 4+
Dependent edema around the area of feet and ankles often indicates right sided heart failure or
venous insufficiency.
1+ = 2mm
2+ = 4mm
3+ = 6mm
4+ = 8mm
Which Korotkoff sound represents the diastolic pressure for children?
A. First
B. Second
C. Fourth
D. Fifth - ANSWER-C. Fourth
For a client suspected of having a prostate disorder, which client position would facilitate a rectal
examination by the registered nurse?
A. Left lateral recumbent position
B. Prone position
C. Dorsal recumbent position
D. Lateral recumbent position - ANSWER-A. Left lateral recumbent position
While assessing a client with dehydration, the nurse notices diminished skin elasticity. Which portion
of the nurse's hand would the nurse use to perform this assessment?
A. Fingertips,
B. Pads of fingertips
,C. Ulnar surface of hand
D. Palmer surface of finger pds - ANSWER-A. Fingertips,
A client with a family history of diabetes has been following a diet regimen recommended by the
dietician and walking for 45 minutes daily for the past 8 months. Based on the transtheoretical
model of health behavior change, which stage would the nurse document for this client?
A. Action
B. Preparation
C. Maintenance
D. Contemplation - ANSWER-C. Maintenance
Maintenance = 6 mos after action
A client reports right ear hearing loss. When performing a Weber test with a tuning fork, the client
hears the sound better with the right ear. Which condition would the nurse suspect from these
results?
A. Normal hearing
B. Mixed hearing loss
C. Conduction hearing loss
D. Sensorineural hearing loss - ANSWER-C. Conduction hearing loss
In conduction hearing loss, the client can hear the tuning fork better on the impaired ear.
Sensorineural, you hear better with the normal ear. Mixed is both ^^
When an African American client with renal failure reports the illness is punishment for sins, which
cultural health belief is the client communicating?
A. Yin/Yang balance
B. Biomedical belief
C. Determinism belief
D. Magicoreligious belief - ANSWER-D. Magicoreligious belief
, While assessing the eyes of a client, a health care provider notices there is an obstruction to the
outflow of aqueous humor. Which additional finding would support a diagnosis of glaucoma?
A. Blurred central vision
B. Increased opacity of the lens
C. Elevated intraocular pressure
D. Changes in retinal blood vessels - ANSWER-C. Elevated intraocular pressure
The nurse providing care for a client who underwent cardiac catherization, found the client's skin was
cool, tender to touch, with edema of 15.2 cm (1-6 inches) at the site of catheterization. Which
condition would the nurse suspect?
A. Phlebitis
B. Infection
C. Infiltration
D. Circulatory overload - ANSWER-C. Infiltration
After performing an optical assessment on a client, a primary health care provider notices impaired
near vision. Which other finding would confirm the client's diagnosis as presbyopia?
A. Loss of elasticity of the lens
B. Increased opacity of the lens.
C. Elevated intraocular pressure
D. Noninflammatory changes in eyes - ANSWER-A. Loss of elasticity of the lens
Presbyopia is defined as impaired near vision caused by a loss of elasticity of the lens. This condition
is reported in middle-aged and older adults.
Which skin condition would the nurse associate with a client whose skin pathophysiology involves
increased visibility of oxyhemoglobin caused by an increased blood flow due to capillary dilation?
A. Pallor
