- | P a g e
pg. 1
HEALTH ASSESSMENT HESI (V1 -V4) EXAM NEWEST
2025 TEST BANK| 4 LATEST VERSIONS WITH
COMPLETE 1200 ACTUAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) ALREADY GRADED A+|| BRAND NEW!!
The nurse would use bimanual palpation technique in which situation?
- Palpating the thorax of an infant
- Palpating the kidneys and uterus
- Assessing pulsations and vibrations
- Assessing the presence of tenderness and pain - Correct Answer - B)
Palpating the kidneys and uterus
Pages: 115-116. Bimanual palpation requires the use of both hands to
envelop or capture certain body parts or organs such as the kidneys, uterus, or adnexa. The other situations are not appropriate for bimanual palpation.
The nurse is performing a nutritional assessment on an 80-year-old patient. The nurse knows that physiological changes that directly affect
the nutritional status of the elderly include:
- slowed gastrointestinal motility.
- hyperstimulation of the salivary glands.
- an increased sensitivity to spicy and aromatic foods.
- decreased gastrointestinal absorption causing esophageal reflux. -
Correct Answer - A) slowed gastrointestinal motility. 1 / 4
- | P a g e
pg. 2
Page: 176. Normal physiological changes in aging adults that affect
nutritional status include slowed gastrointestinal motility, decreased gastrointestinal absorption, diminished olfactory and taste sensitivity, decreased saliva production, decreased visual acuity, and poor dentition.
The nurse keeps in mind that a thorough skin assessment is very
important because the skin holds information about a person's:
- support systems.
- circulatory status.
- socioeconomic status.
- psychological wellness. - Correct Answer - B) circulatory status.
Page: 211. The skin holds information about the body's circulation,
nutritional status, and signs of systemic diseases as well as topical data on the integument itself.
A patient tells the nurse that he has noticed that one of his moles has started to burn and bleed. When assessing his skin, the nurse would pay special attention to the danger signs for pigmented lesions and would be concerned with which additional finding?
- Color variation
- Border regularity
- Symmetry of lesions
- Diameter less than 6 mm - Correct Answer - A) Color variation
Pages: 212-213. Abnormal characteristics of pigmented lesions are
summarized in the mnemonic ABCD: asymmetry of pigmented lesion,
border irregularity, color variation, and diameter greater than 6 mm. 2 / 4
- | P a g e
pg. 3 An elderly woman is brought to the emergency department after being found lying on the kitchen floor 2 days, and she is extremely dehydrated.What would the nurse expect to see upon examination?
- Smooth mucous membranes and lips
- Dry mucous membranes and cracked lips
- Pale mucous membranes
- White patches on the mucous membranes - Correct Answer - B) Dry
mucous membranes and cracked lips
Page: 215. With dehydration, mucous membranes look dry and lips look
parched and cracked. The other responses are not found in dehydration.
A 65-year-old man with emphysema and bronchitis has come to the clinic for a follow-up appointment. On assessment, the nurse might expect to see which assessment finding?
- Anasarca
- Scleroderma
- Pedal erythema
- Clubbing of the nails - Correct Answer - D) Clubbing of the nails
Pages: 217-218. Clubbing of the nails occurs with congenital cyanotic
heart disease, neoplastic, and pulmonary diseases. The other responses are assessment findings not associated with pulmonary diseases.
The nurse has discovered decreased skin turgor in a patient and knows that this is an expected finding in which of these conditions?
- Severe obesity
- Childhood growth spurts 3 / 4
- | P a g e
pg. 4
- Severe dehydration
- Connective tissue disorders such as scleroderma - Correct Answer -
- Severe dehydration
Page: 215. Decreased skin turgor is associated with severe dehydration
or extreme weight loss.
When percussing over the liver of a patient, the nurse notices a dull
sound. The nurse should:
- consider this a normal finding.
- palpate this area for an underlying mass.
- reposition the hands and attempt to percuss in this area again.
- consider this an abnormal finding and refer the patient for additional
treatment. - Correct Answer - A) consider this a normal finding.
Pages: 116-117. Percussion over relatively dense organs, such as the
liver or spleen, will produce a dull sound. The other responses are not correct.
The nurse is unable to palpate the right radial pulse on a patient. The
best action would be to:
- auscultate over the area with a fetoscope.
- use a goniometer to measure the pulsations.
- use a Doppler device to check for pulsations over the area.
- check for the presence of pulsations with a stethoscope. - Correct
Answer - C) use a Doppler device to check for pulsations over the area.
Page: 120. Doppler devices are used to augment pulse or blood pressure
measurements. Goniometers measure joint range of motion. A fetoscope
- / 4