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