NSG 121 Health Assessment HESI Final Exam|| Most Recent
Exam 2026 | Actual Complete Real Exam Questions With
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Skin Turger Assessment
ANSWERS: Assess skin turgor. Gently grasp a fold of the patient's skin
between your fingers and pull up, then release. Below clavicle
Tenting indicates dehydration, poor skin turgor is also associated with
aging
Clubbing Oxygen Saturation
ANSWERS: Clubbing of the nails indicates chronic hypoxia. Clubbing is
identified when the angle of the nail to the finger is more than 160º
Emphysema or congestive heart failure
Pallor Dark Skin
ANSWERS: Normal skin color is pink, noting the usual undertones
present with even dark skin. The tongue, lips, nail beds, and buccal
mucosa are less pigmented areas and may be the best indicators of
pallor or cyanosis. Patients with darker skin may normally have
hypopigmented skin on the palms and soles
,Lesion Assessment & Primary vs. Secondary Lesion
ANSWERS: Primary Lesion: arise from previously normal skin
Secondary Lesion: follow primary lesions (scare tissue)
If observed, note the shape and measure the length, width, and depth
with a ruler. If a wound is deep or tunneled, insert a cotton applicator
to measure depth.
Goiter Assessment
ANSWERS: Palpation of Thyroid, Unilateral Bulging
Fall Assessment After a Fall
ANSWERS: Falls or sudden jerking of the head and neck (whiplash) are
particularly likely to result in dislocation of the cervical vertebrae.
Fractures may also occur with
headfirst falls. Any history of falls or sudden jerks of the neck requires
careful investigation.
Snellen Test
ANSWERS: Tests for far vision & visual acuity.
Snellen test, measure and place a mark or piece of masking tape on the
floor 6 m (about 20 ft) from the chart
Tinnitus
ANSWERS: Tinnitus: buzzing or ringing in one or both ears that does not
correspond with external sound
, Conductive Hearing Loss
ANSWERS: BC that is longer than or the same as AC is evidence of
conductive hearing loss. Conductive hearing loss on one side may
indicate external or middle ear disease. Patients with conductive
hearing loss should have an assessment of the auricle and external
auditory canal to look for blockage
Assessment of Mouth/Tongue
ANSWERS: Holding a light in the nondominant hand and a tongue blade
in the dominant one, gently separate areas to fully inspect the buccal
mucosa, noting color and pigmentation
Small, isolated, white or yellow papules (Fordyce granules) may be noted
on the cheeks, tongue, and lips. These sebaceous cysts or salivary tissues
are
insignificant
Newborn Temperature
ANSWERS: 97.7 F to 98.6 F (36.5 C to 37 C)
Newborn Flaring Nares
ANSWERS: Nasal flaring is a sign of respiratory distress
ADLs
ANSWERS: Mobility impairments affecting activities of daily living (ADLs)
and instrumental activities of daily living (IADLs)
Exam 2026 | Actual Complete Real Exam Questions With
100% Correct Answers | Verified Answers | Already Graded
A+ | Guaranteed Success!! | Newest Exam | Just
Released!!Herzing University-Minneapolis
Skin Turger Assessment
ANSWERS: Assess skin turgor. Gently grasp a fold of the patient's skin
between your fingers and pull up, then release. Below clavicle
Tenting indicates dehydration, poor skin turgor is also associated with
aging
Clubbing Oxygen Saturation
ANSWERS: Clubbing of the nails indicates chronic hypoxia. Clubbing is
identified when the angle of the nail to the finger is more than 160º
Emphysema or congestive heart failure
Pallor Dark Skin
ANSWERS: Normal skin color is pink, noting the usual undertones
present with even dark skin. The tongue, lips, nail beds, and buccal
mucosa are less pigmented areas and may be the best indicators of
pallor or cyanosis. Patients with darker skin may normally have
hypopigmented skin on the palms and soles
,Lesion Assessment & Primary vs. Secondary Lesion
ANSWERS: Primary Lesion: arise from previously normal skin
Secondary Lesion: follow primary lesions (scare tissue)
If observed, note the shape and measure the length, width, and depth
with a ruler. If a wound is deep or tunneled, insert a cotton applicator
to measure depth.
Goiter Assessment
ANSWERS: Palpation of Thyroid, Unilateral Bulging
Fall Assessment After a Fall
ANSWERS: Falls or sudden jerking of the head and neck (whiplash) are
particularly likely to result in dislocation of the cervical vertebrae.
Fractures may also occur with
headfirst falls. Any history of falls or sudden jerks of the neck requires
careful investigation.
Snellen Test
ANSWERS: Tests for far vision & visual acuity.
Snellen test, measure and place a mark or piece of masking tape on the
floor 6 m (about 20 ft) from the chart
Tinnitus
ANSWERS: Tinnitus: buzzing or ringing in one or both ears that does not
correspond with external sound
, Conductive Hearing Loss
ANSWERS: BC that is longer than or the same as AC is evidence of
conductive hearing loss. Conductive hearing loss on one side may
indicate external or middle ear disease. Patients with conductive
hearing loss should have an assessment of the auricle and external
auditory canal to look for blockage
Assessment of Mouth/Tongue
ANSWERS: Holding a light in the nondominant hand and a tongue blade
in the dominant one, gently separate areas to fully inspect the buccal
mucosa, noting color and pigmentation
Small, isolated, white or yellow papules (Fordyce granules) may be noted
on the cheeks, tongue, and lips. These sebaceous cysts or salivary tissues
are
insignificant
Newborn Temperature
ANSWERS: 97.7 F to 98.6 F (36.5 C to 37 C)
Newborn Flaring Nares
ANSWERS: Nasal flaring is a sign of respiratory distress
ADLs
ANSWERS: Mobility impairments affecting activities of daily living (ADLs)
and instrumental activities of daily living (IADLs)
