lOMoARcPSD|26582732
Hesi nsg121 nsg 121 2025
Update health assessment review with
Questions and verified answers 100%
Correct graded a herzing
Question
lesion assessment & primary vs. Secondary lesion
Answer:
Primary lesion: arise from previously normal skin
Secondary lesion: follow primary lesions (scare tissue)
If observed, note the shape and measure the length, width, and depth with a ruler. If a wound is
deep or tunneled, insert a cotton applicator to measure depth.
Question
goiter assessment
Answer:
Palpation of thyroid, unilateral bulging
Question
fall assessment after a fall
Answer:
Falls or sudden jerking of the head and neck (whiplash) are particularly likely to result in
dislocation of the cervical vertebrae. Fractures may also occur with headfirst falls. Any history of
falls or sudden jerks of the neck requires careful investigation.
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Question
snellen test
Answer:
Tests for far vision & visual acuity.
Snellen test, measure and place a mark or piece of masking tape on the floor 6 m (about 20 ft)
from the chart
Question
tinnitus
Answer:
Tinnitus: buzzing or ringing in one or both ears that does not correspond with external sound
Question
conductive hearing loss
Answer:
Bc that is longer than or the same as ac is evidence of conductive hearing loss. Conductive
hearing loss on one side may indicate external or middle ear disease. Patients with conductive
hearing loss should have an assessment of the auricle and external auditory canal to look for
blockage
Question
assessment of mouth/tongue
Answer:
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Holding a light in the nondominant hand and a tongue blade in the dominant one, gently separate
areas to fully inspect the buccal mucosa, noting color and pigmentation
Small, isolated, white or yellow papules (fordyce granules) may be noted on the cheeks, tongue,
and lips. These sebaceous cysts or salivary tissues are insignificant
Question
newborn temperature
Answer:
97.7 f to 98.6 f (36.5 c to 37 c)
Question
newborn flaring nares
Answer:
Nasal flaring is a sign of respiratory distress
Question
adls
Answer:
Mobility impairments affecting activities of daily living (adls) and instrumental activities of
daily living (iadls)
Question
carotene rich foods
Downloaded by NELSON KIIRU ()
Hesi nsg121 nsg 121 2025
Update health assessment review with
Questions and verified answers 100%
Correct graded a herzing
Question
lesion assessment & primary vs. Secondary lesion
Answer:
Primary lesion: arise from previously normal skin
Secondary lesion: follow primary lesions (scare tissue)
If observed, note the shape and measure the length, width, and depth with a ruler. If a wound is
deep or tunneled, insert a cotton applicator to measure depth.
Question
goiter assessment
Answer:
Palpation of thyroid, unilateral bulging
Question
fall assessment after a fall
Answer:
Falls or sudden jerking of the head and neck (whiplash) are particularly likely to result in
dislocation of the cervical vertebrae. Fractures may also occur with headfirst falls. Any history of
falls or sudden jerks of the neck requires careful investigation.
Downloaded by NELSON KIIRU ()
, lOMoARcPSD|26582732
Question
snellen test
Answer:
Tests for far vision & visual acuity.
Snellen test, measure and place a mark or piece of masking tape on the floor 6 m (about 20 ft)
from the chart
Question
tinnitus
Answer:
Tinnitus: buzzing or ringing in one or both ears that does not correspond with external sound
Question
conductive hearing loss
Answer:
Bc that is longer than or the same as ac is evidence of conductive hearing loss. Conductive
hearing loss on one side may indicate external or middle ear disease. Patients with conductive
hearing loss should have an assessment of the auricle and external auditory canal to look for
blockage
Question
assessment of mouth/tongue
Answer:
Downloaded by NELSON KIIRU ()
, lOMoARcPSD|26582732
Holding a light in the nondominant hand and a tongue blade in the dominant one, gently separate
areas to fully inspect the buccal mucosa, noting color and pigmentation
Small, isolated, white or yellow papules (fordyce granules) may be noted on the cheeks, tongue,
and lips. These sebaceous cysts or salivary tissues are insignificant
Question
newborn temperature
Answer:
97.7 f to 98.6 f (36.5 c to 37 c)
Question
newborn flaring nares
Answer:
Nasal flaring is a sign of respiratory distress
Question
adls
Answer:
Mobility impairments affecting activities of daily living (adls) and instrumental activities of
daily living (iadls)
Question
carotene rich foods
Downloaded by NELSON KIIRU ()
