HEALTH ASSESSMENT HESI EXAM REVIEW
NCLEX WITH ACTUAL CORRECT QUESTIONS
AND VERIFIED DETAILED ANSWERS|
CURRENTLY TESTING VERSION | ALREADY
GRADED A+|EXPERT VERIFIED FOR
GUARANTEED PASS 2026
SOAP modified format
Subjective
Objective
Assessment
Plan
What color ink should be used when documenting on paper
Permanent black ink
What is the correct order for vital signs
T, P, RR, BP, extremity, pt position, SPO2
What should be at the top of every page of documentation
Patient initials and date and time of entry
What should be at the end of every documentation entry
Interviewers signature
How do you correct a mistake in documentation
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
1) Avoid complete sentences
2) Do not use A, an, the
1|Page
,3) Do not put opinion in notes
4) Avoid use of normal or within normal limits
Normal oral temp range
96.4 - 99.1 F
Febrile
With fever
Afebrile
Without fever
Hyperthermia symptoms
1) Cessation of shivering
2) Bradycardia
3) Decrease in respiratory minute volume
Most common and easy method of assessing temperature
Oral
What methods of assessing temperature reflects core temperature
1) Oral
2) Rectal
3) Tympanic
4) Temporal Artery
What is the least accurate method of assessing temperature
axillary
Which patients are contraindicated for rectal temperature readings
Patients with increased HR
Preferred method of taking infants and small children's temperatures
Rectal
Pulse deficit
- Difference between apical peripheral pulse
Pulse amplitude scale
2|Page
,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?
1) Apical
2) Radial
3) Dorsalis pedis
4) Posterior tibialis
Normal heart rate in resting adult
60 to 100 bpm
Well trained athletes heart rate
Heart rate less than 60 bpm
When is it normal for someone to have a rapid heart rate over 100 bpm
Someone with anxiety and right after exercise
Eupnea
Normal RR, rhythm and depth
Normal SPO2 value
95-100%
What level is poor oxygenation
below 90%
Systolic BP
Maximum pressure on the artery during ventricular contraction
Diastolic BP
Resting pressure during ventricular filling
Pulse pressure
Difference between systolic and diastolic
3|Page
, Stroke volume
Amount of blood ejected with each beat
How does age affect BP
BP increases with age
What BP is pre hypertensive?
Sustained BP over 120/80
What extremities should you avoid taking a BP in
Extremities with IV lines, invasive lines, history of mastectomy/lymph node issues
Orthostatic hypertension
- 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
- change positions slowly
- falls risk
- assist back to bed if symptomatic
What is the main objective of the health history
- To gather accurate information to provide immediate care
- Establish rapport with the client
What does establishing a positive patient relationship depend on
1) courtesy
2) comfort
4|Page
NCLEX WITH ACTUAL CORRECT QUESTIONS
AND VERIFIED DETAILED ANSWERS|
CURRENTLY TESTING VERSION | ALREADY
GRADED A+|EXPERT VERIFIED FOR
GUARANTEED PASS 2026
SOAP modified format
Subjective
Objective
Assessment
Plan
What color ink should be used when documenting on paper
Permanent black ink
What is the correct order for vital signs
T, P, RR, BP, extremity, pt position, SPO2
What should be at the top of every page of documentation
Patient initials and date and time of entry
What should be at the end of every documentation entry
Interviewers signature
How do you correct a mistake in documentation
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
1) Avoid complete sentences
2) Do not use A, an, the
1|Page
,3) Do not put opinion in notes
4) Avoid use of normal or within normal limits
Normal oral temp range
96.4 - 99.1 F
Febrile
With fever
Afebrile
Without fever
Hyperthermia symptoms
1) Cessation of shivering
2) Bradycardia
3) Decrease in respiratory minute volume
Most common and easy method of assessing temperature
Oral
What methods of assessing temperature reflects core temperature
1) Oral
2) Rectal
3) Tympanic
4) Temporal Artery
What is the least accurate method of assessing temperature
axillary
Which patients are contraindicated for rectal temperature readings
Patients with increased HR
Preferred method of taking infants and small children's temperatures
Rectal
Pulse deficit
- Difference between apical peripheral pulse
Pulse amplitude scale
2|Page
,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?
1) Apical
2) Radial
3) Dorsalis pedis
4) Posterior tibialis
Normal heart rate in resting adult
60 to 100 bpm
Well trained athletes heart rate
Heart rate less than 60 bpm
When is it normal for someone to have a rapid heart rate over 100 bpm
Someone with anxiety and right after exercise
Eupnea
Normal RR, rhythm and depth
Normal SPO2 value
95-100%
What level is poor oxygenation
below 90%
Systolic BP
Maximum pressure on the artery during ventricular contraction
Diastolic BP
Resting pressure during ventricular filling
Pulse pressure
Difference between systolic and diastolic
3|Page
, Stroke volume
Amount of blood ejected with each beat
How does age affect BP
BP increases with age
What BP is pre hypertensive?
Sustained BP over 120/80
What extremities should you avoid taking a BP in
Extremities with IV lines, invasive lines, history of mastectomy/lymph node issues
Orthostatic hypertension
- 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
- change positions slowly
- falls risk
- assist back to bed if symptomatic
What is the main objective of the health history
- To gather accurate information to provide immediate care
- Establish rapport with the client
What does establishing a positive patient relationship depend on
1) courtesy
2) comfort
4|Page
