HEALTH ASSESSMENT HESI 2026 |
COMPREHENSIVE PHYSICAL
ASSESSMENT NURSING STUDY GUIDE |
GRADED A+ | GUARANTEED SUCCESS
Updated 2026 Questions and Answers | 100% Verified
Exam Prep and Comprehensive Rationales Included
,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 Oral
temperature
What methods of assessing temperature reflects core 1) Oral
temperature 2) Rectal
3) Tympanic
4) Temporal Artery
What is the least accurate method of assessing axillary
temperature
Which patients are contraindicated for rectal temperature Patients with increased HR
readings
Preferred method of taking infants and small children's Rectal
temperatures
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 1) Apical
assessment? 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 Someone with anxiety and right after exercise
over 100 bpm
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 1) courtesy
depend on 2) comfort
3) connection
4) confirmation
5) confidentiality
What questions should you begin with for a health history Open ended questions
interview
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
COMPREHENSIVE PHYSICAL
ASSESSMENT NURSING STUDY GUIDE |
GRADED A+ | GUARANTEED SUCCESS
Updated 2026 Questions and Answers | 100% Verified
Exam Prep and Comprehensive Rationales Included
,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 Oral
temperature
What methods of assessing temperature reflects core 1) Oral
temperature 2) Rectal
3) Tympanic
4) Temporal Artery
What is the least accurate method of assessing axillary
temperature
Which patients are contraindicated for rectal temperature Patients with increased HR
readings
Preferred method of taking infants and small children's Rectal
temperatures
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 1) Apical
assessment? 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 Someone with anxiety and right after exercise
over 100 bpm
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 1) courtesy
depend on 2) comfort
3) connection
4) confirmation
5) confidentiality
What questions should you begin with for a health history Open ended questions
interview
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
