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2024 HESI HEALTH ASSESSMENT EXAM VERSION 1
COMPLETE EXAM 220 QUESTIONS AND CORRECT
ANSWERS WITH RATIONALES
SOAP modified format - Answer✔️✔️-Subjective
Objective
Assessment
Plan
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
,TITLE: EMILLYCHARLOTTE 2024/2025 ACADEMIC PERIOD
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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
,TITLE: EMILLYCHARLOTTE 2024/2025 ACADEMIC PERIOD
OWNER: EMILLYCHARLOTTE
COPYRIGHT STATEMENT: ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED
FIRST PUBLISHED: SEPTEMBER 2024
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
, TITLE: EMILLYCHARLOTTE 2024/2025 ACADEMIC PERIOD
OWNER: EMILLYCHARLOTTE
COPYRIGHT STATEMENT: ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED
FIRST PUBLISHED: SEPTEMBER 2024
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
What extremities should you avoid taking a BP in - Answer✔️✔️-Extremities with IV lines,
invasive lines, history of mastectomy/lymph node issues
Orthostatic hypertension - Answer✔️✔️-- 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 - Answer✔️✔️-- change positions
slowly
- falls risk
- assist back to bed if symptomatic