1
Exhibits Which assessment(s) should the nurse conduct? Select all that apply.
A. Muscle toneB. Level of consciousnessC. Cranial nervesD. Brudzinski reflexes
Wgu rn hesi health assessment proctored examWGU RN HESI Health Assessment Proctored Exam
56 questions · Page 1 of 3
WGU RN HESI Health Assessment Proctored Exam is a nursing-school practice exam with 56 questions. It is written for nursing students preparing for this course exam and for NCLEX-style review. Every question has its own page showing the full stem, all answer options, the correct answer, and a written rationale explaining why each option is right or wrong.
Topics covered on this page: Wgu rn hesi health assessment proctored exam.
Practice resources for this exam
Study this exam in Review mode (questions and rationales together), Tutor mode (instant feedback per question), or Exam mode (timed). You can also browse the full exam library.
Start Practice ExamQuestions 1–25 of 56
2
When assessing a client's range of motion, the nurse notes crepitation with movement of the left knee. Which information in the client's history is most likely related to this finding?
A. Needle aspiration of the synovial space.B. Knee arthroplasty surgery.C. Degenerative disease.D. History of a fractured patella.
Wgu rn hesi health assessment proctored exam3
While auscultating for bowel sounds in an adult client, the nurse notes a series of gurgles that last about 3 seconds and occur every 5 to 10 seconds in all quadrants. How should the nurse document th
A. Borborygmi sounds.B. Hypoactive bowel sounds.C. Normal bowel sounds.D. Hyperactive bowel sounds.
Wgu rn hesi health assessment proctored exam4
The nurse is assessing a client with gallstones for jaundice. Which action should the nurse perform to confirm this information?
A. Review recent serum bilirubin levels.B. Assess conjunctival sacs of lower lids for pallor.C. Observe the client's urine for dark orange color.D. Examine client's sclera for icterus.
Wgu rn hesi health assessment proctored exam5
A client asks the nurse to look at a mole located on the back. The client tells the nurse that the mole has changed from brown to black and enlarged in size. Which is the priority nursing action?
A. Advise the client to see his healthcare provider fB. Offer to teach a family member how to monitor the C. Encourage the client to keep checking the mole witD. Ask the client if he often spends time outside in
Wgu rn hesi health assessment proctored exam6
The nurse is obtaining a health history for a client being admitted for new onset seizures. Which action should the nurse implement to accurately record the health history findings?
A. Enter the information in the electronic medical reB. Document the assessment findings on the computer aC. Document the client's history that is directly relD. Enter subjective data in the note section of the c
Wgu rn hesi health assessment proctored exam7
The nurse assesses a young adult female who was brought to the emergency department (ED) by her boyfriend because she has not been feeling well all day and he believes she is getting worse. Which find
A. Sudden onset of severe anxiety, fear, and concern.B. Periumbilical pain localizing to right lower quadrC. Anorexia progressing to nausea, vomiting, and feveD. Diffuse abdominal pain with elevated neutrophil co
Wgu rn hesi health assessment proctored exam8
To assess for the presence of egophony, which instruction should the nurse give the client who has a lung abscess?
A. Repeat the number "99" during a systematic auscultB. Whisper "one, two, three" in sequence during auscuC. Repeat vocalizing the letter "E" while the thorax D. Breathe in and out while all lobes of both lungs a
Wgu rn hesi health assessment proctored exam9
Complete the diagram by dragging from the choices area to specify which condition the client is most likely experiencing, two actions the nurse should take to address that condition, and two parameter
Wgu rn hesi health assessment proctored exam10
When assessing an older adult client with a history of cardiovascular disease, dyspnea, and peripheral edema, which method is best for the nurse to use to assess the client's pulse rate?
A. Palpate the radial pulses in both arms for a deficB. Feel the volume of the dorsalis pedis and posterioC. Use the stethoscope to listen over the carotid artD. Auscultate the apical pulse at the point of maxima
Wgu rn hesi health assessment proctored exam11
The nurse is doing a health assessment of a client who smoked three packs of cigarettes every day for the last twenty years before quitting two years ago. How should the nurse document the client's pa
Wgu rn hesi health assessment proctored exam12
When assessing an older adult client, which finding is most indicative of dehydration?
A. A Loss of skin elasticity in the handB. Thinning hair in the lower extremitiesC. Skin is warm and dry.D. Tenting noted in subclavicular area.
Wgu rn hesi health assessment proctored exam13
A 16-year-old client with a history of chronic ear infections when younger comes to the clinic for a health exam. No ear pain, vertigo or hearing loss is reported during history taking. Inspection of
A. Referral to an audiologist for a hearing evaluatioB. Culture the white patches for possible fungal growC. Record the findings in the client's record.D. Clean the ears to remove excess wax build up.
Wgu rn hesi health assessment proctored exam14
The nurse plans to assess a client's ability to think abstractly. Which question or statement is likely to provide the best information about the client's abstract thinking?
A. "Has anyone come to visit you today?"B. "In what year were you born?"C. "What does, "The early bird catches the worm," meaD. "Count backwards by 7, starting with 100."
Wgu rn hesi health assessment proctored exam15
The nurse is performing oral inspection of a client with dark pigmented skin. The nurse observes a patchy discoloration of the buccal mucosa- Which action should the nurse take?
A. Document this finding in the medical record.B. Ask the client about use of irritating chemical agC. Schedule an appointment with a dermatologistD. Ask if the client recently received any antibiotic
Wgu rn hesi health assessment proctored exam16
When assessing heart sounds of a client with rheumatic valvular heart disease, where should the nurse place the stethoscope to auscultate the tricuspid valve?
A. Left fourth intercostal space next to left sternalB. Second right intercostal space.C. Third left intercostal space.D. Left fifth intercostal space, midclavicular line.
Wgu rn hesi health assessment proctored exam17
While assessing a client who is obese, the nurse is unable to locate the gallbladder when palpating below the liver margin at the lateral border of the rectus abdominal muscle. Which is the most likel
A. Palpating in the wrong abdominal quadrant.B. Deeper palpation technique is needed.C. The gallbladder is normal.D. The client is too obese.
Wgu rn hesi health assessment proctored exam18
The nurse assesses that a client has nailbed clubbing. Which additional information is consistent with this finding?
A. Absent deep tendon reflexes.B. Capillary refill less than 3 seconds.C. 3+ peripheral dependent edema.D. Oxygen saturation of 85%.
Wgu rn hesi health assessment proctored exam19
The nurse begins a client's musculoskeletal assessment. While using the technique of inspection, the nurse assesses for which possible findings? Select all that apply.
A. Contracture.B. Kyphosis.C. Osteopenia.D. Atrophy.
Wgu rn hesi health assessment proctored exam20
While conducting a physical assessment, the nurse shines a pen light into a client's right eye and moves the light source to check the client's left eye. Which finding indicates the need for further e
A. Bilateral pupil size changes as the distance of thB. The right pupil constricts and the left consensualC. The left iris is "notched" and the pupil size chanD. Both pupils are equal in size and constrict readil
Wgu rn hesi health assessment proctored exam21
The school nurse is interviewing a 13-year-old girl who wants to go home from school because of "back pain." Which question should the nurse ask the adolescent first?
A. "Have you taken any medications to relieve the paiB. "Does changing your position make the pain worse?"C. "What were you doing when you first noticed the prD. "Do you remember ever having this type of pain in
Wgu rn hesi health assessment proctored exam22
During a health assessment, the client reports being treated for osteoarthritis. The nurse examines a client's hands and finds Heberden's nodes- Which finding should the nurse document in the client's
A. Proximal inter-tarsal joint swelling of big toe.B. Non-painful enlarged interphalangeal joints.C. Distal interphalangeal joint nodules that deviate.D. Frozen, non-movable phalangeal joints.
Wgu rn hesi health assessment proctored exam23
The nurse observes that the lower legs of a client with diabetes mellitus are shiny, and with no hair growth. To obtain additional data to support these findings, which assessment should the nurse per
A. Palpate the client's dorsalis pedis pulses.B. Compare the range of motion of both legs.C. Ask if the client often feels weak or hungry.D. Measure the client's capillary glucose.
Wgu rn hesi health assessment proctored exam24
The nurse reviews a client's laboratory results for a client admitted with gastrointestinal (Gl) bleeding who has no visible hemorrhoids on inspection of the anal area. Which laboratory test indicates
A. Hemoglobin AIC changes from 10% to 8%.B. Hematocrit changes from 36% to 32%.C. Guaiac test changes from positive to negative.D. Prothrombin time (PT) changes from 12 seconds to 1
Wgu rn hesi health assessment proctored exam25
A client states, "l am legally blind." Which assessment technique should the nurse use to obtain subjective data to support the client's statement?
A. Observe the client's pupillary response to a penliB. Assess the client's ability to read a Snellen charC. Observe the client's optic disc through an ophthalD. Observe the client's eye movements through the car
Wgu rn hesi health assessment proctored exam