NR 302 Final HESI Questions And ALL CORRECT
Answers((complete solution) 2022 latest update
When assessing a patients medical history the nurse should use what type of questioning
technique? Correct Answer: open ended questions
When dealing with an angry patient the nurse should.... Correct Answer: not ask about anger,
but allow them to express their feelings AND explain what is happening and time frames
If the patient seems they might become violent what should the nurse be sure to do? Correct
Answer: position him/herself between the patient and the door.
When assessing a patients pain it's important to remember that whatever the circumstance...
Correct Answer: the client is the authority on their pain
Notetaking is.... Correct Answer: distracting and doesn't allow good eye contact
Pain survey uses what acronym? Correct Answer: COLDSPA
What does COLDSPA stand for? Correct Answer: character, onset, location, duration, severity,
precipitating factors and associated factors
What is character of pain? and give examples Correct Answer: quality (ex. sharp, dull, stinging,
aching, gnawing)
How does one document the severity of pain? Correct Answer: 0-10 numbers scale or Wong
Baker face scale
What are some precipitating factors for pain? What would you ask? Correct Answer: What
makes your pain worse? What makes your pain better?
Modifiable vs. non modifiable risk factors Correct Answer: modifiable- smoking, drinking,
control of disease, medication complaince
non modifiable- gender, age, race, family history
How do you find a PTs BMI? Correct Answer: weight (kg)/ height (meters) squared
What is normal BMI? Correct Answer: 18-25
What is malnourished BMI? Correct Answer: under 18
What is overweight BMI? Correct Answer: 25-30
What is obese BMI? Correct Answer: 30-40
, What is morbidly obese BMI? Correct Answer: 40+
How does smoking affect sleep? Correct Answer: interrupts sleep cycles resulting in decreased
quality of sleep, decreased REM sleep and more hours required to feel rested
What are some signs of sleep deprivation? Correct Answer: Lethargy, flat affect, trouble
concentrating
How should you document something a patient says in their chart? Correct Answer: Add a
comment and document "pt states..."
What chart is used to measure visual acuity? Correct Answer: Snellen chart
What is myopia? Correct Answer: near sightedness- can see close up but not far
what is hyperopia? Correct Answer: far sightedness- can see far but not up close
what is presbyopia? Correct Answer: normal vision loss due to aging and loss of lens elasticity
Why do elderly patients have decreased vision? Correct Answer: loss of lens elasticity
What is legally blind? Correct Answer: 20/200 WITH corrections
What does 20/20 stand for? Correct Answer: you can see what the average person sees at 20 ft
from 20 ft away.
What does PERRLA stand for? Correct Answer: pupils equal, round, reactive to light and
accomodation
What is pupilary accommodation? How do you test it? Correct Answer: ability to focus on
distant and near objects- look at pupils while talking to pt, ask them to focus on your finger
infront of their face, watch to see if pupils constrict
What does the cardinal fields of gaze test for? Correct Answer: extraocular movement
What is nystagmus? Correct Answer: rapid, uncontrolled eye movement
What is strabismus? Correct Answer: eyes don't look in the exact same direction
What is a cataract? Correct Answer: progressive cloudy vision due to lensopacification
If a young patient presents with cataract what should the nurse assess? Correct Answer: blood
sugar for onset of diabetes mellitus
What is glaucoma? Correct Answer: loss of peripheral vision
Answers((complete solution) 2022 latest update
When assessing a patients medical history the nurse should use what type of questioning
technique? Correct Answer: open ended questions
When dealing with an angry patient the nurse should.... Correct Answer: not ask about anger,
but allow them to express their feelings AND explain what is happening and time frames
If the patient seems they might become violent what should the nurse be sure to do? Correct
Answer: position him/herself between the patient and the door.
When assessing a patients pain it's important to remember that whatever the circumstance...
Correct Answer: the client is the authority on their pain
Notetaking is.... Correct Answer: distracting and doesn't allow good eye contact
Pain survey uses what acronym? Correct Answer: COLDSPA
What does COLDSPA stand for? Correct Answer: character, onset, location, duration, severity,
precipitating factors and associated factors
What is character of pain? and give examples Correct Answer: quality (ex. sharp, dull, stinging,
aching, gnawing)
How does one document the severity of pain? Correct Answer: 0-10 numbers scale or Wong
Baker face scale
What are some precipitating factors for pain? What would you ask? Correct Answer: What
makes your pain worse? What makes your pain better?
Modifiable vs. non modifiable risk factors Correct Answer: modifiable- smoking, drinking,
control of disease, medication complaince
non modifiable- gender, age, race, family history
How do you find a PTs BMI? Correct Answer: weight (kg)/ height (meters) squared
What is normal BMI? Correct Answer: 18-25
What is malnourished BMI? Correct Answer: under 18
What is overweight BMI? Correct Answer: 25-30
What is obese BMI? Correct Answer: 30-40
, What is morbidly obese BMI? Correct Answer: 40+
How does smoking affect sleep? Correct Answer: interrupts sleep cycles resulting in decreased
quality of sleep, decreased REM sleep and more hours required to feel rested
What are some signs of sleep deprivation? Correct Answer: Lethargy, flat affect, trouble
concentrating
How should you document something a patient says in their chart? Correct Answer: Add a
comment and document "pt states..."
What chart is used to measure visual acuity? Correct Answer: Snellen chart
What is myopia? Correct Answer: near sightedness- can see close up but not far
what is hyperopia? Correct Answer: far sightedness- can see far but not up close
what is presbyopia? Correct Answer: normal vision loss due to aging and loss of lens elasticity
Why do elderly patients have decreased vision? Correct Answer: loss of lens elasticity
What is legally blind? Correct Answer: 20/200 WITH corrections
What does 20/20 stand for? Correct Answer: you can see what the average person sees at 20 ft
from 20 ft away.
What does PERRLA stand for? Correct Answer: pupils equal, round, reactive to light and
accomodation
What is pupilary accommodation? How do you test it? Correct Answer: ability to focus on
distant and near objects- look at pupils while talking to pt, ask them to focus on your finger
infront of their face, watch to see if pupils constrict
What does the cardinal fields of gaze test for? Correct Answer: extraocular movement
What is nystagmus? Correct Answer: rapid, uncontrolled eye movement
What is strabismus? Correct Answer: eyes don't look in the exact same direction
What is a cataract? Correct Answer: progressive cloudy vision due to lensopacification
If a young patient presents with cataract what should the nurse assess? Correct Answer: blood
sugar for onset of diabetes mellitus
What is glaucoma? Correct Answer: loss of peripheral vision
