Health Assessment HESI Exam Review 2026 |
NCLEX Prep Questions, Answers & Rationales
SOAP modified format - ANS✔✔-Subjective
Objective
Assessment
Plan
What color ink should be used when documenting on paper - ANS✔✔-Permanent black
ink
What is the correct order for vital signs - ANS✔✔-T, P, RR, BP, extremity, pt position,
SPO2
What should be at the top of every page of documentation - ANS✔✔-Patient initials and
date and time of entry
What should be at the end of every documentation entry - ANS✔✔-Interviewers
signature
How do you correct a mistake in documentation - ANS✔✔-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 - ANS✔✔-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 - ANS✔✔-96.4 - 99.1 F
Febrile - ANS✔✔-With fever
Afebrile - ANS✔✔-Without fever
Hyperthermia symptoms - ANS✔✔-1) Cessation of shivering
2) Bradycardia
3) Decrease in respiratory minute volume
Most common and easy method of assessing temperature - ANS✔✔-Oral
What methods of assessing temperature reflects core temperature - ANS✔✔-1) Oral
2) Rectal
3) Tympanic
4) Temporal Artery
What is the least accurate method of assessing temperature - ANS✔✔-axillary
Which patients are contraindicated for rectal temperature readings - ANS✔✔-Patients
with increased HR
Preferred method of taking infants and small children's temperatures - ANS✔✔-Rectal
Pulse deficit - ANS✔✔-- Difference between apical peripheral pulse
Pulse amplitude scale - ANS✔✔-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? - ANS✔✔-1) Apical
, Health Assessment HESI Exam Review 2026 |
NCLEX Prep Questions, Answers & Rationales
2) Radial
3) Dorsalis pedis
4) Posterior tibialis
Normal heart rate in resting adult - ANS✔✔-60 to 100 bpm
Well trained athletes heart rate - ANS✔✔-Heart rate less than 60 bpm
When is it normal for someone to have a rapid heart rate over 100 bpm - ANS✔✔-
Someone with anxiety and right after exercise
Eupnea - ANS✔✔-Normal RR, rhythm and depth
Normal SPO2 value - ANS✔✔-95-100%
What level is poor oxygenation - ANS✔✔-below 90%
Systolic BP - ANS✔✔-Maximum pressure on the artery during ventricular contraction
Diastolic BP - ANS✔✔-Resting pressure during ventricular filling
Pulse pressure - ANS✔✔-Difference between systolic and diastolic
Stroke volume - ANS✔✔-Amount of blood ejected with each beat
How does age affect BP - ANS✔✔-BP increases with age
What BP is pre hypertensive? - ANS✔✔-Sustained BP over 120/80
What extremities should you avoid taking a BP in - ANS✔✔-Extremities with IV lines,
invasive lines, history of mastectomy/lymph node issues
Orthostatic hypertension - ANS✔✔-- Decreased BP with change in position
- Drop in SBP of 25 mmHg or DBP of 10 mmHG
- Symptoms
1) Dizziness
2) Weakness
3) Blurred vision
4) Syncope
5) Changes in BP/HR
- Causes
1) Hypovolemia
2) Impaired vasoconstriction
3) Medications
Precautions in someone with orthostatic hypertension - ANS✔✔-- change positions
slowly
- falls risk
- assist back to bed if symptomatic
What is the main objective of the health history - ANS✔✔-- To gather accurate
information to provide immediate care
- Establish rapport with the client
What does establishing a positive patient relationship depend on - ANS✔✔-1) courtesy
2) comfort
3) connection
4) confirmation
5) confidentiality
, Health Assessment HESI Exam Review 2026 |
NCLEX Prep Questions, Answers & Rationales
What questions should you begin with for a health history interview - ANS✔✔-Open
ended questions
Approaching Sensitive Issues - ANS✔✔-- Use language that is understandable.
- Do not apologize for broaching the issue.
- Ensure privacy.
- Be direct and firm.
- Do not preach.
- Do not push too hard.
CAGE questionnaire - ANS✔✔-Cutting down
Annoyance
Guilty feeling
Eye-openers
- Helps diagnose alcoholism
TACE questionnaire - ANS✔✔-T - how many drinks does it TAKE to make you feel right
A - Have people ANNOYED you by criticizing your drinking
C - Have you felt you out to cut down on your drinking
E - Have you had an EYE -OPENER first thing in the morning
CRAFFT questionnaire - ANS✔✔-- Screening tool for alcohol and substance abuse in
adolescents
Car
Relax
Alone
Forget
Friends
Trouble
What is the goal of a screening tool? - ANS✔✔-To find out if the problem exists
Three questions to detect partner violence - ANS✔✔-- Have you ever been hit, kicked,
punched, or otherwise hurt by someone within the past year?
- Do you feel safe in your current relationship?
- Is there a partner from a previous relationship who is making you feel unsafe now?
HITS questionnaire - ANS✔✔-The wording of the question is "In the last year how often
did your partner:
1) Hurt you physically?"
2) Insult or talk down to you?"
3) Threaten you with physical harm?"
4) Scream or curse at you?"
FICA - ANS✔✔-Faith
Importance and Influence
Community
Address/action in care
Format of interview - ANS✔✔-CC
HPI
PMH
PSH
NCLEX Prep Questions, Answers & Rationales
SOAP modified format - ANS✔✔-Subjective
Objective
Assessment
Plan
What color ink should be used when documenting on paper - ANS✔✔-Permanent black
ink
What is the correct order for vital signs - ANS✔✔-T, P, RR, BP, extremity, pt position,
SPO2
What should be at the top of every page of documentation - ANS✔✔-Patient initials and
date and time of entry
What should be at the end of every documentation entry - ANS✔✔-Interviewers
signature
How do you correct a mistake in documentation - ANS✔✔-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 - ANS✔✔-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 - ANS✔✔-96.4 - 99.1 F
Febrile - ANS✔✔-With fever
Afebrile - ANS✔✔-Without fever
Hyperthermia symptoms - ANS✔✔-1) Cessation of shivering
2) Bradycardia
3) Decrease in respiratory minute volume
Most common and easy method of assessing temperature - ANS✔✔-Oral
What methods of assessing temperature reflects core temperature - ANS✔✔-1) Oral
2) Rectal
3) Tympanic
4) Temporal Artery
What is the least accurate method of assessing temperature - ANS✔✔-axillary
Which patients are contraindicated for rectal temperature readings - ANS✔✔-Patients
with increased HR
Preferred method of taking infants and small children's temperatures - ANS✔✔-Rectal
Pulse deficit - ANS✔✔-- Difference between apical peripheral pulse
Pulse amplitude scale - ANS✔✔-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? - ANS✔✔-1) Apical
, Health Assessment HESI Exam Review 2026 |
NCLEX Prep Questions, Answers & Rationales
2) Radial
3) Dorsalis pedis
4) Posterior tibialis
Normal heart rate in resting adult - ANS✔✔-60 to 100 bpm
Well trained athletes heart rate - ANS✔✔-Heart rate less than 60 bpm
When is it normal for someone to have a rapid heart rate over 100 bpm - ANS✔✔-
Someone with anxiety and right after exercise
Eupnea - ANS✔✔-Normal RR, rhythm and depth
Normal SPO2 value - ANS✔✔-95-100%
What level is poor oxygenation - ANS✔✔-below 90%
Systolic BP - ANS✔✔-Maximum pressure on the artery during ventricular contraction
Diastolic BP - ANS✔✔-Resting pressure during ventricular filling
Pulse pressure - ANS✔✔-Difference between systolic and diastolic
Stroke volume - ANS✔✔-Amount of blood ejected with each beat
How does age affect BP - ANS✔✔-BP increases with age
What BP is pre hypertensive? - ANS✔✔-Sustained BP over 120/80
What extremities should you avoid taking a BP in - ANS✔✔-Extremities with IV lines,
invasive lines, history of mastectomy/lymph node issues
Orthostatic hypertension - ANS✔✔-- Decreased BP with change in position
- Drop in SBP of 25 mmHg or DBP of 10 mmHG
- Symptoms
1) Dizziness
2) Weakness
3) Blurred vision
4) Syncope
5) Changes in BP/HR
- Causes
1) Hypovolemia
2) Impaired vasoconstriction
3) Medications
Precautions in someone with orthostatic hypertension - ANS✔✔-- change positions
slowly
- falls risk
- assist back to bed if symptomatic
What is the main objective of the health history - ANS✔✔-- To gather accurate
information to provide immediate care
- Establish rapport with the client
What does establishing a positive patient relationship depend on - ANS✔✔-1) courtesy
2) comfort
3) connection
4) confirmation
5) confidentiality
, Health Assessment HESI Exam Review 2026 |
NCLEX Prep Questions, Answers & Rationales
What questions should you begin with for a health history interview - ANS✔✔-Open
ended questions
Approaching Sensitive Issues - ANS✔✔-- Use language that is understandable.
- Do not apologize for broaching the issue.
- Ensure privacy.
- Be direct and firm.
- Do not preach.
- Do not push too hard.
CAGE questionnaire - ANS✔✔-Cutting down
Annoyance
Guilty feeling
Eye-openers
- Helps diagnose alcoholism
TACE questionnaire - ANS✔✔-T - how many drinks does it TAKE to make you feel right
A - Have people ANNOYED you by criticizing your drinking
C - Have you felt you out to cut down on your drinking
E - Have you had an EYE -OPENER first thing in the morning
CRAFFT questionnaire - ANS✔✔-- Screening tool for alcohol and substance abuse in
adolescents
Car
Relax
Alone
Forget
Friends
Trouble
What is the goal of a screening tool? - ANS✔✔-To find out if the problem exists
Three questions to detect partner violence - ANS✔✔-- Have you ever been hit, kicked,
punched, or otherwise hurt by someone within the past year?
- Do you feel safe in your current relationship?
- Is there a partner from a previous relationship who is making you feel unsafe now?
HITS questionnaire - ANS✔✔-The wording of the question is "In the last year how often
did your partner:
1) Hurt you physically?"
2) Insult or talk down to you?"
3) Threaten you with physical harm?"
4) Scream or curse at you?"
FICA - ANS✔✔-Faith
Importance and Influence
Community
Address/action in care
Format of interview - ANS✔✔-CC
HPI
PMH
PSH
