HEALTH ASSESSMENT HESI STUDY GUIDE | COMPLETE HESI HEALTH
ASSESSMENT EXAM REVIEW QUESTIONS AND ANSWERS 2026/2027
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
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 - ✔✔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
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
3) connection
4) confirmation
5) confidentiality
What questions should you begin with for a health history interview - ✔✔Open ended questions
Approaching Sensitive Issues - ✔✔- 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 - ✔✔Cutting down
Annoyance
Guilty feeling
Eye-openers
- Helps diagnose alcoholism
TACE questionnaire - ✔✔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 - ✔✔- Screening tool for alcohol and substance abuse in adolescents
Car
Relax
Alone
ASSESSMENT EXAM REVIEW QUESTIONS AND ANSWERS 2026/2027
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
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 - ✔✔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
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
3) connection
4) confirmation
5) confidentiality
What questions should you begin with for a health history interview - ✔✔Open ended questions
Approaching Sensitive Issues - ✔✔- 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 - ✔✔Cutting down
Annoyance
Guilty feeling
Eye-openers
- Helps diagnose alcoholism
TACE questionnaire - ✔✔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 - ✔✔- Screening tool for alcohol and substance abuse in adolescents
Car
Relax
Alone
