HESI Health Assessment Practice Exam With Answers (50 Solved Questions)

Name: HESI Health Assessment Practice Exam With Answers (50 Solved Questions)
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Health Assessment HESI Exam
1. The registered nurse (RN) recognizes which client group is at the greatest
risk for developing a urinary tract infection (UTI)? (Rank from highest risk to
lowest risk.)
- School-aged females
- Older males
- Older females
- Adolescent males: 1. older females
2. school-aged females
3. older males
4. adolescent males
2. The registered nurse (RN) is interviewing a female client who states she
has a persistent productive cough during the winter caused by bronchitis.
Which additional finding should the RN assess for bronchitis?
A.) Phlegm production & wheezing
B.) Smoking history
C.) Hemoptysis
D.) Night sweats: A.) phlegm production & wheezing
3. The registered nurse (RN) is caring for a client with tuberculosis (TB) who
is taking a combination drug regimen. The client complains about taking "so
many pills." What information should the RN provide to the client about the
prescribed treatement?
A.) The development of resistant strains of TB are decreased with a
combina-tion of drugs.
B.) Compliance to the medication regimen is challenging but should be
main-tained.
C.) Side effects are minimized with the use of a single medication but is less
effective.
D.) The treatment time is decreased from 6 months to 3 months with this
standard regimen.: A.) The development of resistant strains of TB are decreased
with a combination of drugs.

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4. A client with progressive hearing loss appears distressed when the
registered nurse (RN) asks open-ended questions about the client's health
history. Which forms of communication should the RN use? (SATA)
A.) Face the client so the client can see the RN's mouth.
B.) Increase one's speech volume when interacting with the client.
C.) Repeat information to the client if misunderstood.
D.) Check if the client's hearing aides are working properly.
E.) Reduce environmental noise surrounding the client.: A.) Face the client so
the client can see the RN's mouth.
D.) Check if the client's hearing aides are working properly.
E.) Reduce environmental noise surrounding the client.
Speaking clearly with enunciation and in a regular tone is easier for a client to
understand than increasing the volume of speech. If a client shows signs of
confusion, rephrasing the question, instead of repeating, should be done to
decrease client anxiety and facilitate understanding.
5. The registered nurse (RN) is administering haloperidol 0.5 mg IM PRN to a
client for the first time. What side effects should the RN assess the client for
during the initial dose?
A.) Bradykinesia.
B.) Dystonia.
C.) Somatization.
D.) Akathisia.: B.) Dystonia
6. An older client is admitted to the hospital with severe diarrhea. The
registered nurse (RN) is completing an assessment and notes the client has
dry mucous membranes and poor skin turgor. Which assessment data should
the RN gather to determine if the client has a fluid volume deficit?
A.) Lower extremity edema.
B.) Orthostatic hypotension.
C.) Elevated blood pressure.
D.) Cheyne-Stokes respirations: B.) Orthostatic hypotension.

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Orthostatic hypotension can be a sign of fluid volume deficit in an older client who
has experienced severe diarrhea.
7. The registered nurse (RN) notifies the spouse of a client who was admitted
to hospice with shallow respirations, of a change in the client's condition.
Over the past hour, the client's respiratory pattern has changed to a Cheyne
Stokes pattern. After receiving this information, the client's spouse begins
vacuuming around the bed. Which stage of grief is the spouse displaying
during the visit?
A.) Acceptance.
B.) Denial.
C.) Bargaining.
D.) Depression.: B.) Denial.
The spouse is exhibiting the first stage of denial of Kubler-Ross's grief model by
ignoring that the client's death is imminent.
8. The registered nurse (RN) is teaching a client who is being discharged after
treatment of tuberculosis (TB). Which cultural issues should the RN assess
when preparing the client for discharge? (Select all that apply.)
A.) Native language.
B.) Education level.
C.) Type of lifestyle.
D.) Financial resources.
E.) Previous medical history.: A.) Native language.
B.) Education level.
C.) Type of lifestyle.
D.) Financial resources.
9. The registered nurse (RN) is assisting the healthcare provider (HCP) with
the removal of a chest tube. Which intervention has the highest priority and
should be anticipated by the RN after the removal of the chest tube?
A.) Prepare the client for chest x-ray at the bedside.
B.) Review arterial blood gases after removal.
C.) Elevate the head of bed to 45 degrees.

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D.) Assist with disassembling the drainage system.: A.) Prepare the client for
chest x-ray at the bedside.
A chest x-ray should be performed immediately after the removal of a chest tube
to ensure lung expansion has been maintained after its removal.
10. The registered nurse (RN) is developing the plan of care for a client who
is admitted for alcohol detoxification. Which goal should be most important
for the RN to primarily focus the client's care?
A.) The client maintains optimal nutritional status.
B.) The client will remain alert and oriented.
C.) The client will remain free from injury.
D.) The client will remain alcohol free during hospitalization.: C.) The client will
remain free from injury.
The client is at highest risk for injury due to altered cognitive and sensory
disturbances as well as delirium tremors during withdrawal. Remaining free from
injury is the most important goal for the acute phase of alcohol withdrawal.
11. The registered nurse (RN) assesses a client's results for arterial blood
gases who has emphysema. Which finding is consistent with respiratory
acidosis?
A.) pH 7.32, pCO2 46 mmHg, HCO3 24 MEq/L.
B.) pH 7.45 , pCO2 37 mmHg, HCO3 24 mEq/L.
C.) pH 7.34, pCO2 36 mmHg, HCO3 21 mEq/L.
D.) pH 7.46, pCO2 35 mmHg, HCO3 28 mEq/L.: A.) pH 7.32, pCO2 46 mmHg,
HCO3 24 MEq/L.
Represents a client with respiratory acidosis which is characterized by: low pH,
pCO2 higher than normal, and HCO3 within normal limits.
12. The registered nurse (RN) is caring for a client with peptic ulcer disease
(PUD). What assessment should the RN identify and document that is
consistent with PUD? (Select all that apply).
A.) Hematemesis.

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B.) Gastric pain on an empty stomachC.) Colic-like pain with
fatty food ingestion.
D.) Intolerance of spicy foods.
E.) Diarrhea and stearrhea.: A.) Hematemesis.
B.) Gastric pain on an empty stomach
D.) Intolerance of spicy foods
13. A client with cirrhosis of the liver asks the registered nurse (RN) to explain
how varicose veins can occur in the esophagus. Which statement should the
RN provide to teach the client about the physiological etiology?
A.) The enlarged liver presses on the lower half of the esophagus which
weakens blood vessel walls.
B.) Abnormal vessels form as a result of liver damage that causes chronic
low serum protein levels.
C.) Esophageal swelling and tissue damage causes blood to circulate blood
back through the stomach.
D.) Increased portal pressure causes blood flow through liver to be shunted
to the esophageal vessels.: D.) Increased portal pressure causes blood flow
through liver to be shunted to the esophageal vessels.
Cirrhotic and fibrosed liver damage causes obstructed blood flow through portal
vessels to the liver which increases the portal pressure causing the blood flow
through the liver to be shunted to the esophageal vessels. The result of this shunting
of blood causes the esophageal vessels (veins) to balloon out and weaken. As the
portal hypertension increases, these esophageal varices can rupture and cause
bleeding resulting in bloody emesis and black tarry stools.
14. A client is admitted for dehydration, weight loss, and a flat affect. After
reviewing the client's history, the registered nurse (RN) discovers that the
client's spouse died 2 weeks ago. Which nursing interventions should the RN
implement to help the client begin the process of dealing with loss?
A.) Establish trust by creating an safe atmosphere for sharing.
B.) Share personal stories about how other clients dealt with grief.
C.) Help the client identify ways to adapt lifestyle to accommodate loss.
D.) Assure the client that their grief will last a short period of time.

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HESI Health Assessment Practice Exam With Answers (50 Solved Questions)

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