NSG-121 Health Assessment- HESI
STUDY GUIDE 158 Correct Actual
Answers.
NSG-121 Health Assessment- HESI
STUDY GUIDE 158 Correct Actual
Answers.
The patient is the ____________ source of his/her medical history. - ANSWER primary
The ___________ health history involves questions that relate to the current situation. - ANSWER
Focused
Comprehensive health history - ANSWER It includes demographic data, a full description of the reason
for seeking care, individual health history, family history, functional status, and a history in all physical
and psychosocial areas.
- Sport
- Annual physical
- Sports physical
What type of care focuses on gathering information so that interventions can resolve the immediate
problem? The assessments and interventions are concurrent. - ANSWER Emergency
Secondary sources for patient medical information - ANSWER Charts
friends
family members
Components of the Health History - ANSWER Demographic data, reason for seeking care, present health
or history of present illness, past history, family history, review of systems, functional assessment or
activities of daily living
,NSG-121 Health Assessment- HESI
STUDY GUIDE 158 Correct Actual
Answers.
What systems should be reviewed for history documentation? - ANSWER General health state
Nutrition and hydration
Skin, hair, and nails.
Head and neck
Eyes, Ears,
Nose, mouth, and throat
Thorax and lungs
Heart and neck vessels
Peripheral vascular.
Breasts
Abdominal-gastrointestinal
Abdominal-urinary
Musculoskeletal
Neurological
Male genitalia
Female genitalia
Anus, rectum, and prostate, Endocrine and hematological system
After the patient has a fall, the nurse should: - ANSWER Complete a post fall assessment which include
checking the patient's BREATHING, PULSE and BLOOD PRESSURE.
True or False:
If a patient is confused, shaking, dizzy, weak, and experiencing pain after a fall the nurse should stay
with the patient and provide the patient with a blanket for comfort until the medical team arrives. -
ANSWER True
,NSG-121 Health Assessment- HESI
STUDY GUIDE 158 Correct Actual
Answers.
The nurse arrives in the patient's room after receiving word that he fell from the CNA, the nurse knows
that the CNA needs more training if she said? - ANSWER A) "Alright, Mr. Jenkins the nurse and I will stay
with until the medical staff arrives".
B) "Once the medical staff arrives and notify us that it is safe to move you we will."
C) " Mr. Jenkins, I know you stated that your neck and back hurt, but I am going to raise your head to
place a pillow underneath, for comfort"
Answer: C - Medical staff must check the patient for spinal injury before the nurse or CNA can move the
patient's head.
True or False: If the patient is not hurt/injured nor appears ill after a fall, the nurse can ask another staff
member for help lifting the patient. - ANSWER TRUE
The nurse and staff member should help the patient into a __________ or into the _________________.
Do NOT help the patient on your own. - ANSWER 1) Wheelchair
2) Bed
What can be used if the patient cannot support most of their own body weight? - ANSWER 1) Backboard
or 2) Lift
You may need to check the patient's alertness, blood pressure and pulse and possible blood sugar.
_____________ the fall according to your hospital's policies. - ANSWER Document
ADLs - Activities the patient performs when the patient get up in the morning and get ready to leave
home. - ANSWER - Get into/ out of bed or chair
- Toilet hygiene
, NSG-121 Health Assessment- HESI
STUDY GUIDE 158 Correct Actual
Answers.
- Bathing or Showering
- Getting Dressed
- Personal hygiene
- Eating
- Walking/ Climbing stairs
- Safety/ emergency responses
True or False:
Hemorrhoids are swollen veins in your anus and lower rectum. Like varicose veins, they are only
internal. - ANSWER FALSE:
Hemorrhoids can be internal (inside the rectum) or external (under the skin around the anus).
Signs of external hemorrhoids: - ANSWER - Itching or Irritation
- Pain or discomfort
- Swelling around your anus
- Bleeding
Signs of Internal hemorrhoids: - ANSWER - Painless bleeding during bowel movement
- Anal prolapse
The professor is reviewing the Realize It material from last week on Hemorrhoids. The professor states
the students should know that hemorrhoids are caused by: - ANSWER - Straining for a bowel movement
- Pregnancy
- Chronic constipation or diarrhea
- Being obese
STUDY GUIDE 158 Correct Actual
Answers.
NSG-121 Health Assessment- HESI
STUDY GUIDE 158 Correct Actual
Answers.
The patient is the ____________ source of his/her medical history. - ANSWER primary
The ___________ health history involves questions that relate to the current situation. - ANSWER
Focused
Comprehensive health history - ANSWER It includes demographic data, a full description of the reason
for seeking care, individual health history, family history, functional status, and a history in all physical
and psychosocial areas.
- Sport
- Annual physical
- Sports physical
What type of care focuses on gathering information so that interventions can resolve the immediate
problem? The assessments and interventions are concurrent. - ANSWER Emergency
Secondary sources for patient medical information - ANSWER Charts
friends
family members
Components of the Health History - ANSWER Demographic data, reason for seeking care, present health
or history of present illness, past history, family history, review of systems, functional assessment or
activities of daily living
,NSG-121 Health Assessment- HESI
STUDY GUIDE 158 Correct Actual
Answers.
What systems should be reviewed for history documentation? - ANSWER General health state
Nutrition and hydration
Skin, hair, and nails.
Head and neck
Eyes, Ears,
Nose, mouth, and throat
Thorax and lungs
Heart and neck vessels
Peripheral vascular.
Breasts
Abdominal-gastrointestinal
Abdominal-urinary
Musculoskeletal
Neurological
Male genitalia
Female genitalia
Anus, rectum, and prostate, Endocrine and hematological system
After the patient has a fall, the nurse should: - ANSWER Complete a post fall assessment which include
checking the patient's BREATHING, PULSE and BLOOD PRESSURE.
True or False:
If a patient is confused, shaking, dizzy, weak, and experiencing pain after a fall the nurse should stay
with the patient and provide the patient with a blanket for comfort until the medical team arrives. -
ANSWER True
,NSG-121 Health Assessment- HESI
STUDY GUIDE 158 Correct Actual
Answers.
The nurse arrives in the patient's room after receiving word that he fell from the CNA, the nurse knows
that the CNA needs more training if she said? - ANSWER A) "Alright, Mr. Jenkins the nurse and I will stay
with until the medical staff arrives".
B) "Once the medical staff arrives and notify us that it is safe to move you we will."
C) " Mr. Jenkins, I know you stated that your neck and back hurt, but I am going to raise your head to
place a pillow underneath, for comfort"
Answer: C - Medical staff must check the patient for spinal injury before the nurse or CNA can move the
patient's head.
True or False: If the patient is not hurt/injured nor appears ill after a fall, the nurse can ask another staff
member for help lifting the patient. - ANSWER TRUE
The nurse and staff member should help the patient into a __________ or into the _________________.
Do NOT help the patient on your own. - ANSWER 1) Wheelchair
2) Bed
What can be used if the patient cannot support most of their own body weight? - ANSWER 1) Backboard
or 2) Lift
You may need to check the patient's alertness, blood pressure and pulse and possible blood sugar.
_____________ the fall according to your hospital's policies. - ANSWER Document
ADLs - Activities the patient performs when the patient get up in the morning and get ready to leave
home. - ANSWER - Get into/ out of bed or chair
- Toilet hygiene
, NSG-121 Health Assessment- HESI
STUDY GUIDE 158 Correct Actual
Answers.
- Bathing or Showering
- Getting Dressed
- Personal hygiene
- Eating
- Walking/ Climbing stairs
- Safety/ emergency responses
True or False:
Hemorrhoids are swollen veins in your anus and lower rectum. Like varicose veins, they are only
internal. - ANSWER FALSE:
Hemorrhoids can be internal (inside the rectum) or external (under the skin around the anus).
Signs of external hemorrhoids: - ANSWER - Itching or Irritation
- Pain or discomfort
- Swelling around your anus
- Bleeding
Signs of Internal hemorrhoids: - ANSWER - Painless bleeding during bowel movement
- Anal prolapse
The professor is reviewing the Realize It material from last week on Hemorrhoids. The professor states
the students should know that hemorrhoids are caused by: - ANSWER - Straining for a bowel movement
- Pregnancy
- Chronic constipation or diarrhea
- Being obese
