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Introduction
Welcome to this comprehensive Health Assessment HESI question bank. This
resource contains 300 multiple-choice questions designed to help nursing students
prepare for the HESI exam. The questions cover all major content areas including
documentation, vital signs, pain assessment, skin assessment, HEENT, breast and
genital assessment, abdominal assessment, cardiac and respiratory assessment, and
neurological assessment. Each question includes the correct answer and a detailed
rationale to enhance your understanding of key concepts. Use this question bank to
test your knowledge, identify areas for improvement, and build confidence for
exam day. Good luck with your studies!
Chapter 1: Documentation and Charting
Question 1
When documenting in a paper medical record, what color ink should be used?
A) Blue ink
B) Black ink
C) Red ink
D) Any color ink
Answer: B) Black ink
Rationale: Permanent black ink is the standard for paper medical records because
it is permanent, cannot be easily altered or erased, and photocopies clearly. This
ensures the integrity and legal validity of the medical record.
,Question 2
What should be at the top of every page of documentation in a patient's medical
record?
A) Patient's full name
B) Patient initials and date/time of entry
C) Diagnoses
D) Attending physician's name
Answer: B) Patient initials and date/time of entry
Rationale: Patient initials and the date and time of each entry should appear at the
top of every page of documentation. This ensures proper identification and
chronological organization of the medical record.
Question 3
What should be included at the end of every documentation entry?
A) The patient's room number
B) The interviewer's signature
C) The diagnosis
D) The time of the next assessment
Answer: B) The interviewer's signature
Rationale: Every documentation entry should end with the interviewer's signature.
This provides accountability and identifies who performed the assessment or
intervention.
Question 4
Which of the following is NOT a recommended practice for documentation?
A) Using complete sentences
B) Avoiding opinions in notes
,C) Avoiding the use of "A," "an," and "the"
D) Avoiding the term "normal"
Answer: A) Using complete sentences
Rationale: Documentation should avoid complete sentences and use concise,
factual statements. The use of "A," "an," "the," opinions, and terms like "normal"
or "within normal limits" should be avoided to maintain objective, clear, and
precise documentation.
Question 5
How should a documentation error be corrected?
A) Erase the error and write over it
B) Use white-out to cover the error
C) Draw a single line through the error, write "error" above it, and initial/date it
D) Rewrite the entire page
Answer: C) Draw a single line through the error, write "error" above it, and
initial/date it
Rationale: The correct method to correct a documentation error is to draw a single
line through the incorrect documentation, write "error" above the entry, and initial
and date the crossed-out entry. This maintains the integrity of the record while
correcting mistakes.
Chapter 2: Vital Signs
Question 6
What is the correct order for assessing vital signs?
A) BP, T, P, RR, SPO2
B) T, P, RR, BP, extremity, patient position, SPO2
C) RR, BP, T, P, SPO2
D) SPO2, T, P, RR, BP
Answer: B) T, P, RR, BP, extremity, patient position, SPO2
, Rationale: The correct order for vital signs is Temperature, Pulse, Respiratory
Rate, Blood Pressure, assessment of the extremity used for BP, patient position,
and SPO2. This sequence minimizes the effect of the assessment process on
subsequent measurements.
Question 7
What is the normal oral temperature range?
A) 94.0 - 98.6°F
B) 96.4 - 99.1°F
C) 97.6 - 100.4°F
D) 98.6 - 101.2°F
Answer: B) 96.4 - 99.1°F
Rationale: The normal oral temperature range is 96.4°F to 99.1°F. Individual
variations exist, and factors such as time of day, activity level, and age can
influence temperature readings.
Question 8
The term "afebrile" means:
A) With fever
B) Without fever
C) With chills
D) Without chills
Answer: B) Without fever
Rationale: "Afebrile" means without fever. This term is used to describe a patient
who does not have an elevated body temperature.
Question 9
Which temperature assessment method is considered the least accurate?
A) Oral