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HESI RN Health Assessment Questions and Answers | Latest Version | 2025/2026 | Correct & Verified

During a respiratory assessment, the nurse hears high-pitched, musical sounds on expiration.These sounds are called

• Crackles

✔✔B. Wheezes

• Rhonchi
• Pleural rub

When assessing skin turgor in an older adult, the nurse should check

• The back of the hand
• The face

✔✔C. The skin over the sternum or clavicle

• The abdomen

The nurse notes clubbing of the client’s fingernails. This finding is most often associated with

• Liver disease 1 / 4

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• Kidney failure

✔✔C. Chronic hypoxia

• Dehydration

While auscultating heart sounds, the nurse hears a “lub-dub” with no extra sounds. This is documented as

• S1 and S3

✔✔B. Normal S1 and S2

• S2 split
• Murmur

A nurse palpates a dorsalis pedis pulse and finds it absent. The next action should be

• Document “absent” and move on
• Apply a warm compress

✔✔C. Check with a Doppler device

• Notify the healthcare provider immediately without rechecking

During an abdominal assessment, the correct sequence of techniques is 2 / 4

3

• Palpation, percussion, inspection, auscultation
• Inspection, percussion, auscultation, palpation

✔✔C. Inspection, auscultation, percussion, palpation

• Auscultation, inspection, palpation, percussion

A nurse is assessing cranial nerve II. Which method is appropriate?

• Check facial symmetry
• Ask the client to smile

✔✔C. Test visual acuity with a Snellen chart

• Have the client stick out the tongue

A nurse observes unequal pupils in a client after a head injury. This may indicate

• Allergic reaction

✔✔B. Increased intracranial pressure

• Normal variation
• Cataracts

When percussing over a healthy lung, the expected sound is 3 / 4

4

• Dullness

✔✔B. Resonance

• Hyperresonance
• Flatness

A client’s skin is cool and pale with delayed capillary refill. This may indicate

• Fever

✔✔B. Poor peripheral perfusion

• Dehydration
• Allergic rash

The nurse auscultates fine crackles in the lung bases. This may be due to

• Asthma exacerbation

✔✔B. Fluid in the alveoli

• Upper airway obstruction
• Pneumothorax
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