Health Assessment HESI Questions and Answers | Full Test Bank with Verified Solutions | A+ Pass Guaranteed

Health Assessment HESI Questions
and Answers | Full Test Bank with
Verified Solutions | A+ Pass
Guaranteed
• 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

• 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

• 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
- 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
Alone
Forget
Friends
Trouble

• What is the goal of a screening tool? . Answer: To find out if the problem exists

• Three questions to detect partner violence . Answer: - 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 . Answer: 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?"

• FICA . Answer: Faith
Importance and Influence
Community
Address/action in care

• Format of interview . Answer: CC
HPI
PMH
PSH
FH
SH
ROS

• Is pain subjective or objective . Answer: Subjective