NGN HESI HEALTH ASSESSMENT NURSING RN 2023/2024/2025 100 Questions with answers GRADED A+ PASS

SOAP modified format - correct answer Subjective Objective Assessment Plan What color ink should be used when documenting on paper - correct answer Permanent black ink What is the correct order for vital signs - correct answer T, P, RR, BP, extremity, pt position, SPO2 What should be at the top of every page of documentation - correct answer Patient initials and date and time of entry What should be at the end of every documentation entry - correct answer Interviewers signature How do you correct a mistake in documentation - correct 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 - correct answer 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 - correct answer 96.4 - 99.1 F Febrile - correct answer With fever Afebrile - correct answer Without fever Hyperthermia symptoms - correct answer 1) Cessation of shivering 2) Bradycardia 3) Decrease in respiratory minute volume Most common and easy method of assessing temperature - correct answer Oral What methods of assessing temperature reflects core temperature - correct answer 1) Oral 2) Rectal 3) Tympanic 4) Temporal Artery What is the least accurate method of assessing temperature - correct answer axillary Which patients are contraindicated for rectal temperature readings - correct answer Patients with increased HR Preferred method of taking infants and small children's temperatures - correct answer Rectal Pulse deficit - correct answer - Difference between apical peripheral pulse Pulse amplitude scale - correct 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? - correct answer 1) Apical 2) Radial 3) Dorsalis pedis 4) Posterior tibialis Normal heart rate in resting adult - correct answer 60 to 100 bpm Well trained athletes heart rate - correct answer Heart rate less than 60 bpm When is it normal for someone to have a rapid heart rate over 100 bpm - correct answer Someone with anxiety and right after exercise Eupnea - correct answer Normal RR, rhythm and depth Normal SPO2 value - correct answer 95-100% What level is poor oxygenation - correct answer below 90% Systolic BP - correct answer Maximum pressure on the artery during ventricular contraction Diastolic BP - correct answer Resting pressure during ventricular filling Pulse pressure - correct answer Difference between systolic and diastolic Stroke volume - correct answer Amount of blood ejected with each beat How does age affect BP - correct answer BP increases with age What BP is pre hypertensive? - correct answer Sustained BP over 120/80 What extremities should you avoid taking a BP in - correct answer Extremities with IV lines, invasive lines, history of mastectomy/lymph node issues Orthostatic hypertension - correct 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 - correct answer - change positions slowly - falls risk - assist back to bed if symptomatic What is the main objective of the health history - correct answer - To gather accurate information to provide immediate care - Establish rapport with the client What does establishing a positive patient relationship depend on - correct answer 1) courtesy 2) comfort 3) connection 4) confirmation 5) confidentiality What questions should you begin with for a health history interview - correct answer Open ended questions Approaching Sensitive Issues - correct answer - Use language that is understandable. - Do not apologize for broaching the issue. - Ensure privacy.