Health Assessment HESI | Questions with 100% Accurate Answers | Updated 2024.

Health Assessment HESI | Questions with 100% Accurate Answers | Updated 2024. 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 2 | P a g e 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 3 | P a g e 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 4 | P a g e 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 5 | P a g e 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