HESI HEALTH ASSESSMENT EXAM 2025
WITH QUESTIONS AND VERIFIED
CORRECT ANSWERS | ALREADY GRADED
A+ | GUARANTEED PASS | HESI HELTH
ASSESSMENT ACTUAL EXAM [BRAND
NEW!!]
During an examination, the nurse knows that Paget's disease would be indicated by which of these assessment findings?
- Positive Macewen sign
- Premature closure of the sagittal suture
- Headache, vertigo, tinnitus, and deafness
- Elongated head with heavy eyebrow ridge - ANSWER- C) Headache, vertigo,
tinnitus, and deafness
Paget's disease occurs more often in males and is characterized by bowed long bones, sudden fractures, and enlarging skull bones that press on cranial nerves causing symptoms of headache, vertigo, tinnitus, and progressive deafness.
A woman comes to the clinic and states, "I've been sick for so long! My eyes have gotten so puffy, and my eyebrows and hair have become coarse and dry." The
nurse will assess for other signs and symptoms of:
- / 4
- cachexia.
- Parkinson's syndrome.
- myxedema.
- scleroderma. - ANSWER- C) myxedema.
Pages: 276-277. Myxedema (hypothyroidism) is a deficiency of thyroid hormone
that, when severe, causes a nonpitting edema or myxedema. The patient will have a puffy edematous face especially around eyes (periorbital edema), coarse facial features, dry skin, and dry, coarse hair and eyebrows. See Table 13-4, Abnormal Facial Appearances with Chronic Illnesses, for descriptions of the other responses.
The physician reports that a patient with a neck tumor has a tracheal shift. The
nurse is aware that this means that the patient's trachea is:
- pulled to the affected side.
- pushed to the unaffected side.
- pulled downward.
- pulled downward in a rhythmic pattern. - ANSWER- B) pushed to the
unaffected side.
Pages: 262-263. The trachea is pushed to the unaffected side with an aortic
aneurysm, a tumor, unilateral thyroid lobe enlargement, and pneumothorax. The trachea is pulled to the affected side with large atelectasis, pleural adhesions, or fibrosis. Tracheal tug is a rhythmic downward pull that is synchronous with systole and occurs with aortic arch aneurysm.
During an assessment of an infant, the nurse notes that the fontanels are depressed and sunken. The nurse suspects which condition?
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- Rickets
- Dehydration
- Mental retardation
- Increased intracranial pressure - ANSWER- B) Dehydration
Pages: 265-266. Depressed and sunken fontanels occur with dehydration or
malnutrition. Mental retardation and rickets have no effect on fontanels. Increased intracranial pressure would cause tense or bulging, and possibly pulsating fontanels.
The nurse is assessing a 7-year-old child who has symptoms of chronic watery eyes, sneezing, and clear nasal drainage. The nurse notices the presence of a transverse line across the bridge of the nose, dark blue shadows below the eyes,
and a double crease on the lower eyelids. These findings are characteristic of:
- allergies.
- a sinus infection.
- nasal congestion.
- an upper respiratory infection. - ANSWER- A) allergies.
Page: 275. Chronic allergies often develop chronic facial characteristics. These include blue shadows below the eyes, a double or single crease on the lower eyelids, open-mouth breathing, and a transverse line on the nose.
A mother asks when her newborn infant's eyesight will be developed. The nurse
should reply:
- "Vision is not totally developed until 2 years of age." 3 / 4
- "Infants develop the ability to focus on an object at around 8 months."
- "By about 3 months, infants develop more coordinated eye movements and can
- "Most infants have uncoordinated eye movements for the first year of life." -
fixate on an object."
ANSWER- C) "By about 3 months, infants develop more coordinated eye movements and can fixate on an object."
Page: 284. Eye movements may be poorly coordinated at birth, but by 3 to 4
months of age, the infant should establish binocularity and should be able to fixate on a single image with both eyes simultaneously.
The nurse is performing an eye assessment on an 80-year-old patient. Which of these findings is considered abnormal?
- A decrease in tear production
- Unequal pupillary constriction in response to light
- The presence of arcus senilis seen around the cornea
- Loss of the outer hair on the eyebrows due to a decrease in hair follicles -
ANSWER- B) Unequal pupillary constriction in response to light
Pages: 305-308. Pupils are small in old age, and the pupillary light reflex may be slowed, but pupillary constriction should be symmetric. The assessment findings in the other responses are considered normal in older persons.
A woman in labor suffers from preeclampsia. Nurses in the labor and delivery unit
need to assess her blood pressure. The nurse explains to the patient that:
- Using a cuff that is too narrow will give a reading that is inaccurate and high.
- Deflating the cuff too quickly will make the reading inaccurate and high.
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