HESI Health Assessment Exam
A client is reporting chest pain. What statement made by the client, helps the nurse
to understand this client has a naturalistic belief in the cause of illness?
(ANS- “My life is really out of balance.”
- 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.)
(ANS- Be open to people who are different
Have a curiosity about people.
Become culturally competent.
Which statement is accurate about assessing the spleen?
(ANS- It must be enlarged at least three times normal size for it to be palpable.
What is the best place for the nurse to hear lower lobe lung sounds with a
stethoscope?
(ANS- Posterior chest below the 3rd intercostalspace.
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?
(ANS- Place the bell on the 5th intercostal space, left midclavicular line.
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?
(ANS- 2nd intercostal space along the right sternal border.
The client is experiencing severe pruritus 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?
(ANS- The client works in a daycare setting that has had a scabies outbreak.
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?
(ANS- Level of consciousness.
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?
(ANS- Use of vitamin and iron supplements.
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?
(ANS- There is no sign of associated infection.
The client reports to the nurse a recent exposure to the mumps. Which assessment
finding suggests the client has contracted the mumps?
(ANS- Swelling anterior to the ear lobe on one side of the face.