HESI Health Assessment Exam | Practice Questions & Answers
SOAP modified format Subjective
Objective
Assessment
Plan
What color ink should be used when documenting on Permanent black ink
paper
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 1) Oral
temperature 2) Rectal
3) Tympanic
4) Temporal Artery
What is the least accurate method of assessing axillary
temperature
Grade A+ | Updated
, HESI Health Assessment Exam | Practice Questions & Answers
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
Grade A+ | Updated
, HESI Health Assessment Exam | Practice Questions & Answers
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
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
Grade A+ | Updated
SOAP modified format Subjective
Objective
Assessment
Plan
What color ink should be used when documenting on Permanent black ink
paper
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 1) Oral
temperature 2) Rectal
3) Tympanic
4) Temporal Artery
What is the least accurate method of assessing axillary
temperature
Grade A+ | Updated
, HESI Health Assessment Exam | Practice Questions & Answers
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
Grade A+ | Updated
, HESI Health Assessment Exam | Practice Questions & Answers
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
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
Grade A+ | Updated
