HESI MILESTONE EXAM 1 COMPREHENSIVE
TEST BANK 2026 COMPLETE ANSWERS
ACCURATE
⫸ What color ink should be used when documenting on paper Answer:
Permanent black ink
⫸ What is the correct order for vital signs Answer: T, P, RR, BP,
extremity, pt position, SPO2
⫸ What should be at the top of every page of documentation Answer:
Patient initials and date and time of entry
⫸ What should be at the end of every documentation entry Answer:
Interviewers signature
⫸ How do you correct a mistake in documentation Answer: 1) Draw a
single line through the incorrect documentation
2) Write error above the entry
3) Initial and date the crossed out entry
⫸ Documentation tips Answer: 1) Avoid complete sentences
2) Do not use A, an, the
3) Do not put opinion in notes
,4) Avoid use of normal or within normal limits
⫸ Normal oral temp range Answer: 96.4 - 99.1 F
⫸ Febrile Answer: With fever
⫸ Afebrile Answer: Without fever
⫸ Hyperthermia symptoms Answer: 1) Cessation of shivering
2) Bradycardia
3) Decrease in respiratory minute volume
⫸ Most common and easy method of assessing temperature Answer:
Oral
⫸ What methods of assessing temperature reflects core temperature
Answer: 1) Oral
2) Rectal
3) Tympanic
4) Temporal Artery
⫸ What is the least accurate method of assessing temperature Answer:
axillary
,⫸ Which patients are contraindicated for rectal temperature readings
Answer: Patients with increased HR
⫸ Preferred method of taking infants and small children's temperatures
Answer: Rectal
⫸ Pulse deficit Answer: - Difference between apical peripheral pulse
⫸ Pulse amplitude scale Answer: 0 = no pulse
1 = diminished, weak
2 = normal and expected
3 = full or strong
4 = bounding
⫸ Which pulses are assessed during a routine physical assessment?
Answer: 1) Apical
2) Radial
3) Dorsalis pedis
4) Posterior tibialis
⫸ Normal heart rate in resting adult Answer: 60 to 100 bpm
⫸ Well trained athletes heart rate Answer: Heart rate less than 60 bpm
, ⫸ When is it normal for someone to have a rapid heart rate over 100
bpm Answer: Someone with anxiety and right after exercise
⫸ Eupnea Answer: Normal RR, rhythm and depth
⫸ Normal SPO2 value Answer: 95-100%
⫸ What level is poor oxygenation Answer: below 90%
⫸ Systolic BP Answer: Maximum pressure on the artery during
ventricular contraction
⫸ Diastolic BP Answer: Resting pressure during ventricular filling
⫸ Pulse pressure Answer: Difference between systolic and diastolic
⫸ Stroke volume Answer: Amount of blood ejected with each beat
⫸ How does age affect BP Answer: BP increases with age
⫸ What BP is pre hypertensive? Answer: Sustained BP over 120/80
TEST BANK 2026 COMPLETE ANSWERS
ACCURATE
⫸ What color ink should be used when documenting on paper Answer:
Permanent black ink
⫸ What is the correct order for vital signs Answer: T, P, RR, BP,
extremity, pt position, SPO2
⫸ What should be at the top of every page of documentation Answer:
Patient initials and date and time of entry
⫸ What should be at the end of every documentation entry Answer:
Interviewers signature
⫸ How do you correct a mistake in documentation Answer: 1) Draw a
single line through the incorrect documentation
2) Write error above the entry
3) Initial and date the crossed out entry
⫸ Documentation tips Answer: 1) Avoid complete sentences
2) Do not use A, an, the
3) Do not put opinion in notes
,4) Avoid use of normal or within normal limits
⫸ Normal oral temp range Answer: 96.4 - 99.1 F
⫸ Febrile Answer: With fever
⫸ Afebrile Answer: Without fever
⫸ Hyperthermia symptoms Answer: 1) Cessation of shivering
2) Bradycardia
3) Decrease in respiratory minute volume
⫸ Most common and easy method of assessing temperature Answer:
Oral
⫸ What methods of assessing temperature reflects core temperature
Answer: 1) Oral
2) Rectal
3) Tympanic
4) Temporal Artery
⫸ What is the least accurate method of assessing temperature Answer:
axillary
,⫸ Which patients are contraindicated for rectal temperature readings
Answer: Patients with increased HR
⫸ Preferred method of taking infants and small children's temperatures
Answer: Rectal
⫸ Pulse deficit Answer: - Difference between apical peripheral pulse
⫸ Pulse amplitude scale Answer: 0 = no pulse
1 = diminished, weak
2 = normal and expected
3 = full or strong
4 = bounding
⫸ Which pulses are assessed during a routine physical assessment?
Answer: 1) Apical
2) Radial
3) Dorsalis pedis
4) Posterior tibialis
⫸ Normal heart rate in resting adult Answer: 60 to 100 bpm
⫸ Well trained athletes heart rate Answer: Heart rate less than 60 bpm
, ⫸ When is it normal for someone to have a rapid heart rate over 100
bpm Answer: Someone with anxiety and right after exercise
⫸ Eupnea Answer: Normal RR, rhythm and depth
⫸ Normal SPO2 value Answer: 95-100%
⫸ What level is poor oxygenation Answer: below 90%
⫸ Systolic BP Answer: Maximum pressure on the artery during
ventricular contraction
⫸ Diastolic BP Answer: Resting pressure during ventricular filling
⫸ Pulse pressure Answer: Difference between systolic and diastolic
⫸ Stroke volume Answer: Amount of blood ejected with each beat
⫸ How does age affect BP Answer: BP increases with age
⫸ What BP is pre hypertensive? Answer: Sustained BP over 120/80
