BSN 246/ BSN 246 - Sherpath
Week 5 & 6 (Glucose Regulation)
HESI Health Assessment Exam V2
(Latest 2025/ 2026 Update
SOAP modified format - <<<<ANSWERS>>>Subjective
Objective
Assessment
Plan
What color ink should be used when documenting on paper -
<<<<ANSWERS>>>Permanent black ink
What is the correct order for vital signs - <<<<ANSWERS>>>T, P, RR, BP, extremity, pt
position, SPO2
What should be at the top of every page of documentation - <<<<ANSWERS>>>Patient
initials and date and time of entry
What should be at the end of every documentation entry -
<<<<ANSWERS>>>Interviewers signature
How do you correct a mistake in documentation - <<<<ANSWERS>>>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 - <<<<ANSWERS>>>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 - <<<<ANSWERS>>>96.4 - 99.1 F
Febrile - <<<<ANSWERS>>>With fever
Afebrile - <<<<ANSWERS>>>Without fever
Hyperthermia symptoms - <<<<ANSWERS>>>1) Cessation of shivering
2) Bradycardia
,3) Decrease in respiratory minute volume
Most common and easy method of assessing temperature - <<<<ANSWERS>>>Oral
What methods of assessing temperature reflects core temperature -
<<<<ANSWERS>>>1) Oral
2) Rectal
3) Tympanic
4) Temporal Artery
What is the least accurate method of assessing temperature -
<<<<ANSWERS>>>axillary
Which patients are contraindicated for rectal temperature readings -
<<<<ANSWERS>>>Patients with increased HR
Preferred method of taking infants and small children's temperatures -
<<<<ANSWERS>>>Rectal
Pulse deficit - <<<<ANSWERS>>>- Difference between apical peripheral pulse
Pulse amplitude scale - <<<<ANSWERS>>>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? -
<<<<ANSWERS>>>1) Apical
2) Radial
3) Dorsalis pedis
4) Posterior tibialis
Normal heart rate in resting adult - <<<<ANSWERS>>>60 to 100 bpm
Well trained athletes heart rate - <<<<ANSWERS>>>Heart rate less than 60 bpm
When is it normal for someone to have a rapid heart rate over 100 bpm -
<<<<ANSWERS>>>Someone with anxiety and right after exercise
Eupnea - <<<<ANSWERS>>>Normal RR, rhythm and depth
Normal SPO2 value - <<<<ANSWERS>>>95-100%
What level is poor oxygenation - <<<<ANSWERS>>>below 90%
,Systolic BP - <<<<ANSWERS>>>Maximum pressure on the artery during ventricular
contraction
Diastolic BP - <<<<ANSWERS>>>Resting pressure during ventricular filling
Pulse pressure - <<<<ANSWERS>>>Difference between systolic and diastolic
Stroke volume - <<<<ANSWERS>>>Amount of blood ejected with each beat
How does age affect BP - <<<<ANSWERS>>>BP increases with age
What BP is pre hypertensive? - <<<<ANSWERS>>>Sustained BP over 120/80
What extremities should you avoid taking a BP in - <<<<ANSWERS>>>Extremities with
IV lines, invasive lines, history of mastectomy/lymph node issues
Orthostatic hypertension - <<<<ANSWERS>>>- 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 - <<<<ANSWERS>>>- change
positions slowly
- falls risk
- assist back to bed if symptomatic
What is the main objective of the health history - <<<<ANSWERS>>>- To gather
accurate information to provide immediate care
- Establish rapport with the client
What does establishing a positive patient relationship depend on -
<<<<ANSWERS>>>1) courtesy
2) comfort
3) connection
4) confirmation
5) confidentiality
, What questions should you begin with for a health history interview -
<<<<ANSWERS>>>Open ended questions
Approaching Sensitive Issues - <<<<ANSWERS>>>- 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 - <<<<ANSWERS>>>Cutting down
Annoyance
Guilty feeling
Eye-openers
- Helps diagnose alcoholism
TACE questionnaire - <<<<ANSWERS>>>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 - <<<<ANSWERS>>>- Screening tool for alcohol and substance
abuse in adolescents
Car
Relax
Alone
Forget
Friends
Trouble
What is the goal of a screening tool? - <<<<ANSWERS>>>To find out if the problem
exists
Three questions to detect partner violence - <<<<ANSWERS>>>- Have you ever been
hit, kicked, punched, or otherwise hurt by someone within the past year?
- Do you feel safe in your current relationship?
- Is there a partner from a previous relationship who is making you feel unsafe now?
HITS questionnaire - <<<<ANSWERS>>>The wording of the question is "In the last
year how often did your partner:
1) Hurt you physically?"
2) Insult or talk down to you?"
3) Threaten you with physical harm?"
4) Scream or curse at you?"
Week 5 & 6 (Glucose Regulation)
HESI Health Assessment Exam V2
(Latest 2025/ 2026 Update
SOAP modified format - <<<<ANSWERS>>>Subjective
Objective
Assessment
Plan
What color ink should be used when documenting on paper -
<<<<ANSWERS>>>Permanent black ink
What is the correct order for vital signs - <<<<ANSWERS>>>T, P, RR, BP, extremity, pt
position, SPO2
What should be at the top of every page of documentation - <<<<ANSWERS>>>Patient
initials and date and time of entry
What should be at the end of every documentation entry -
<<<<ANSWERS>>>Interviewers signature
How do you correct a mistake in documentation - <<<<ANSWERS>>>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 - <<<<ANSWERS>>>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 - <<<<ANSWERS>>>96.4 - 99.1 F
Febrile - <<<<ANSWERS>>>With fever
Afebrile - <<<<ANSWERS>>>Without fever
Hyperthermia symptoms - <<<<ANSWERS>>>1) Cessation of shivering
2) Bradycardia
,3) Decrease in respiratory minute volume
Most common and easy method of assessing temperature - <<<<ANSWERS>>>Oral
What methods of assessing temperature reflects core temperature -
<<<<ANSWERS>>>1) Oral
2) Rectal
3) Tympanic
4) Temporal Artery
What is the least accurate method of assessing temperature -
<<<<ANSWERS>>>axillary
Which patients are contraindicated for rectal temperature readings -
<<<<ANSWERS>>>Patients with increased HR
Preferred method of taking infants and small children's temperatures -
<<<<ANSWERS>>>Rectal
Pulse deficit - <<<<ANSWERS>>>- Difference between apical peripheral pulse
Pulse amplitude scale - <<<<ANSWERS>>>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? -
<<<<ANSWERS>>>1) Apical
2) Radial
3) Dorsalis pedis
4) Posterior tibialis
Normal heart rate in resting adult - <<<<ANSWERS>>>60 to 100 bpm
Well trained athletes heart rate - <<<<ANSWERS>>>Heart rate less than 60 bpm
When is it normal for someone to have a rapid heart rate over 100 bpm -
<<<<ANSWERS>>>Someone with anxiety and right after exercise
Eupnea - <<<<ANSWERS>>>Normal RR, rhythm and depth
Normal SPO2 value - <<<<ANSWERS>>>95-100%
What level is poor oxygenation - <<<<ANSWERS>>>below 90%
,Systolic BP - <<<<ANSWERS>>>Maximum pressure on the artery during ventricular
contraction
Diastolic BP - <<<<ANSWERS>>>Resting pressure during ventricular filling
Pulse pressure - <<<<ANSWERS>>>Difference between systolic and diastolic
Stroke volume - <<<<ANSWERS>>>Amount of blood ejected with each beat
How does age affect BP - <<<<ANSWERS>>>BP increases with age
What BP is pre hypertensive? - <<<<ANSWERS>>>Sustained BP over 120/80
What extremities should you avoid taking a BP in - <<<<ANSWERS>>>Extremities with
IV lines, invasive lines, history of mastectomy/lymph node issues
Orthostatic hypertension - <<<<ANSWERS>>>- 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 - <<<<ANSWERS>>>- change
positions slowly
- falls risk
- assist back to bed if symptomatic
What is the main objective of the health history - <<<<ANSWERS>>>- To gather
accurate information to provide immediate care
- Establish rapport with the client
What does establishing a positive patient relationship depend on -
<<<<ANSWERS>>>1) courtesy
2) comfort
3) connection
4) confirmation
5) confidentiality
, What questions should you begin with for a health history interview -
<<<<ANSWERS>>>Open ended questions
Approaching Sensitive Issues - <<<<ANSWERS>>>- 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 - <<<<ANSWERS>>>Cutting down
Annoyance
Guilty feeling
Eye-openers
- Helps diagnose alcoholism
TACE questionnaire - <<<<ANSWERS>>>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 - <<<<ANSWERS>>>- Screening tool for alcohol and substance
abuse in adolescents
Car
Relax
Alone
Forget
Friends
Trouble
What is the goal of a screening tool? - <<<<ANSWERS>>>To find out if the problem
exists
Three questions to detect partner violence - <<<<ANSWERS>>>- Have you ever been
hit, kicked, punched, or otherwise hurt by someone within the past year?
- Do you feel safe in your current relationship?
- Is there a partner from a previous relationship who is making you feel unsafe now?
HITS questionnaire - <<<<ANSWERS>>>The wording of the question is "In the last
year how often did your partner:
1) Hurt you physically?"
2) Insult or talk down to you?"
3) Threaten you with physical harm?"
4) Scream or curse at you?"
