HESI Health Assessment Real Exam 2026 Correct Questions and Answers

HESI Health Assessment Real Exam 2026 Correct Questions and Answers What is the most important assessment for the nurse to conduct following the administration of epidural anesthesia to a client who is at 40-weeks gestation? A. Maternal blood pressure B. Level of pain sensation C. Station of preseneting part D. Variability of fetal heart rate - ANSWER: A. Maternal blood pressure The nurse observes that a client is experiencing melena. What serum laboratory test should the nurse monitor in response to this finding? A. White blood cell count WBC B. Blood urea nitrogen BUN C. Glucose D. Hematocrit - ANSWER: A. White blood cell count The nurse is performing a cranial nerve exam on an 87-year-old client. The nurse notes that the client has a reduced upward gaze, a decreased corneal reflex, a high frequency hearing loss, and a reduced gag reflex. What action should the nurse take next? A. Continue the assessment of the next pairs of cranial nerves B. Assess the spinal reflexes for demyelination symptoms C. Implement neural vital signs every 2 hours to detect Cushing's Triad D. Review past history for any episodes of a cerebral cortex lesion - ANSWER: C. Implement neural vital signs every 2 hours to detect Cushing's Triad The nurse assesses a male client who is brought to the ED by his family who believe he is having a heart attack. Which finding is the best indicator that a client is experiencing an acute coronary syndrome (ACS)? A. Chest pain that intensifies upon chest excursion B. Localized sternal border pain intensified by palpation C. Pain in the neck, jaw, or medial side of the left arm D. Anterior thorax pain that radiates between the scapulae - ANSWER: C. Pain in the neck, jaw, or medial side of the left arm The nurse is reviewing the health history of a client who had osteoarthritis. During the physical assessment, the nurse identifies the presence of Heberden's nodes. Which finding should the nurse document in the client's medical record? A. A firm ganglion mass that is fluid filled over the dorsum of the wrist B. Swollen nodes at the middle proximal interphalangeal joints C. Palpable nodes at the distal interphalangeal joints with joint deviation D. Weakness of hand muscle strength and poor grip when picking up a cup - ANSWER: C. Palpable nodes at the distal interphalangeal joints with joint deviation During an abdominal assessment, a client with a temp of 103F experiences pain and abruptly stops inhaling during deep palpation. Which prescription is most important for the nurse to implement. A. Nothing by mouth B. Complete bed rest C. Monitor urinary output D. Electrocardiogram - ANSWER: A. Nothing by mouth