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HESI Health Assessment Exam Prep Test
Bank Latest 2026 with 700 Questions and
Correct Answers / Hesi Health
Assessment
Exam Prep Guide 2026 / BSN 245 Hesi
Exam
2026 Prep
The registered nurse (RN) is caring for a client with peptic ulcer disease (PUD). What assessment should the RN identify that is consistent with PUD? (Select all that apply) A. Hematemesis B. Gastric pain on an empty stomach C. Colic-like pain with fatty food ingestion D. Intolerance of spicy foods E. Diarrhea and stearrhea ........ANSWER..........A B D A client is newly diagnosed with diverticulosis. The registered nurse (RN) is assessing the client's basic knowledge about the disease
process. Which statement by the client conveys the client's understanding of the etiology of diverticula? A. Over use of laxatives for bowel regularity result in loss of peristaltic tone. B. Inflammation of the colon mucosa that cause growths that protrude into the lumen. C. Diverticulosis is the result of high fiber diet and sedentary life style. D. Chronic constipation causes weakening of colon wall which result in out-pouching sacs. ........ANSWER..........D The registered nurse (RN) is caring for an Asian client who refuses to make eye contact during conversations. How should the RN assess this client's response? A. The client cannot understand the nurse. B. The client is uncomfortable with the nurse. C. The client is treating the nurse with respect. D. The client is purposefully disrespecting the nurse. ........ANSWER..........C
D. The treatment time is decreased from 6 months to 3 months with this standard regimen. ........ANSWER..........A The registered nurse (RN) is caring for a young adult who is having an oral glucose tolerance test (OGTT). which laboratory result should the RN assess as a normal value for the two hour postprandial result? A. 140 mg/dl B. 160 mg/dl C. 180 mg/dl D. 200 mg/dl ........ANSWER..........A After a liver biopsy is performed at the bedside, the registered nurse (RN) is assigned the care of the client. Which nursing intervention is most important for the RN to implement? A. Position the client on the left side with pillow placed under the costal margin. B. Assist the client with voiding immediately after the procedure. C. Evaluate the vital signs q10 to 20 minutes for every 2 hours after the procedure.
D. Ambulate client 3 times in first hour with pillow held at abdomen. ........ANSWER..........C 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 ........ANSWER..........B The registered nurse (RN) places an ice pack on a middle school student who comes to the school clinic complaining of a sprained ankle. Which therapeutic response should the RN anticipate? A. Reduced pain and minimized bruising. B. Lowering of body core temperature. C. Increased circulation around injury. D. Reabsorption of edema at injury. ........ANSWER..........A
The registered nurse (RN) is caring for a client who has taken atenolol for 2 years. The healthcare provider recently changed the medication to enalapril to manage the client's bloodpressure. Which instruction should the RN provide the client regarding the new medication? A. Take the medication at bedtime. B. Report presence of increased bruising. C. Check pulse before taking medication. D. Rise slowly when getting out of bed or chair ........ANSWER..........D 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 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 the bed to 45 degrees. D. Assist with disassembling the drainage system. ........ANSWER..........A
A male client is admitted after falling from his bed. The healthcare provider (HCP) tells the family that he has an incomplete fracture of the humerus. The family asks the nurse what this means. Which type of fracture should the RN explain from these findings? A. Straight fracture line that is also a simple, closed fracture. B. Nondisplaced fracture line that wraps around the bone. C. A complete fracture that also punctures the skin. D. A fracture that bends or splinters part of the bone. ........ANSWER..........D While reviewing the client's electronic medical record (EMR), the registered nurse (RN) assesses a client who is at risk for possible interaction with an over-the-counter (OTC) decongestant. Which client health history should the RN report to the healthcare provider concerning the OTC medication? (Select all that apply) A. Type I diabetes mellitus (DM) B. Closed angle glaucoma C. Chronic hypertension D. Rheumatoid arthritis E. Crohn's disease ........ANSWER..........B C
A. Ask close-ended questions with assistance of the interpreter. B. Maintain eye contact with the client while listening to the translation. C. Instruct interpreter to answer questions from the interpreter's point of view. D. Protect the client's privacy by asking a limited number of questions. ........ANSWER..........B The registered nurse (RN) is interviewing a female client who states she has a persistent cough during the winter caused by bronchitis. Which additional finding should the RN assess for bronchitis? A. Phlegm production and wheezing. B. Smoking history C. Hemoptysis D. Night sweats ........ANSWER..........A 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
a. Establish trust by creating a 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. e. Explore ways to assist the client to make new emotional investments. ........ANSWER..........A C E The registered nurse (RN) is caring for a client who has a closed head injury from a motor vehicle collision. Which finding should the RN assess the client for the risk of diabetes insipidus (DI)? a. high fever b. low blood pressure c. muscle rigidity d. polydipsia ........ANSWER..........D The registered nurse (RN) is teaching a client who is newly diagnosed with emphysema to perform pursed lip breathing. What is the primary reason for teaching the client this method of breathing? a. Decreases respiratory rate
b. Increases O2 saturation throughout the body c. Conserves energy while ambulating d. Promotes CO2 elimination ........ANSWER..........D The registered nurse (RN) is assessing a male client who arrives at the clinic with severe abdominal cramping, pain, tenesmus, and dehydration. The RN discovers that the client has had 14 to 20 loose stools with rectal bleeding. Which condition should the RN ask the client about his medical history? a. Irritable bowel syndrome b. diverticulitis c. Crohn's disease d. ulcerative colitis ........ANSWER..........D The registered nurse (RN) is making early morning rounds on a group of clients when a client begins exhibiting symptoms of an acute asthma attack. The RN administers a PRN prescription for a Beta 2 receptor agonist agent. Which client response should the RN expect? ( Select All that Apply) a. tachycardia b. increased blood pressure
B. Complaints of nausea or vomiting C. Therapeutic serum drug levels. D. Blood pressure and pulse prior to taking each dose. ........ANSWER..........A A female client is recently diagnosed with Sarciodosis. The client tells the registered nurse (RN) that she does not understand why she has this. When teaching about the occurrence of sarcoidosis, the RN should include that sarcoidosis most commonly occurs with which ethnic group of women? A. African American women B. Caucasian women C. Asian women D. Hispanic women ........ANSWER..........A A client who uses ipratropium reports having nausea, blurred vision, headaches, and insomnia after using the inhaler. Which action should the registered nurse (RN) implement first? A. Withhold medication and report symptoms and vital signs to healthcare provider.
B. Give PRN medication for nausea and vomiting and evaluate client in 30 minutes. C. Reassure client that the ipratropium given will alleviate the symptoms. D. Delay administration of ipratropium until next maintenance medication is scheduled. ........ANSWER..........A A client with chest pain, dizziness, and vomiting for the last 2 hours is admitted for evaluation for Acute Coronary Syndrome (ACS). Which cardiac biomarker should the registered nurse (RN) anticipate to be elevated if the client experienced myocardial damage? A. Creatine Kinase (CK-MB) B. Serum troponin C. Myoglobin D. Ischemia modified albumin ........ANSWER..........B The registered nurse (RN) is caring for an older client who recently experienced a fractured pelvis from a fall. Which assessment finding is most important for the RN to report to the healthcare provider? A. Lower back pain
D. Stiffness in right ankle joint ........ANSWER..........D An 82-year-old client is admitted with pneumonia. Which of the following actions should be the nurse's first priority as she performs this client's admission assessment? A. Having the client sign the admission forms B. Establishing rapport with the client C. Obtaining the necessary equipment D. Taking the client's vital signs ........ANSWER..........B An 86-year-old client is admitted with a diagnosis of syncope. He tells the nurse, "When I get up in the morning, I feel dizzy." The nurse replies, "You feel dizzy when you get out of bed in the morning?" What communication strategy is this nurse using? A. Reflection B. Facilitation C. Confirmation D. Summarization ........ANSWER..........A
An occupational health nurse is performing a physical assessment on a prospective company employee. Which assessment should she perform first? A. Vital signs B. Presence of skin lesions C. Anthropometric measurements D. Appearance ........ANSWER..........D A 52-year-old client is admitted with unstable angina. The nurse assigned to the client notes an irregular rhythm when assessing his pulse. To further assess the irregular pulse, the nurse knows she must determine the client's pulse deficit. Which pulses help identify pulse deficit? A. Carotid and apical B. Apical and radial C. Radial and brachial D. Carotid and radial ........ANSWER..........B A 65-year-old client who underwent a right-sided thoracotomy 2 days ago complains of nausea. The nurse performs an abdominal
