Health Assessment HESI/330 Questions and Answers/A+
Rated
SOAP modified format - Correct Answer -Subjective
Objective
Assessment
Plan
What color ink should be used when documenting on paper - Correct Answer
-Permanent black ink
What is the correct order for vital signs - Correct Answer -T, P, RR, BP,
extremity, pt position, SPO2
What should be at the top of every page of documentation - Correct Answer
-Patient initials and date and time of entry
What should be at the end of every documentation entry - Correct Answer
-Interviewers signature
How do you correct a mistake in documentation - Correct 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 - Correct 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 - Correct Answer -96.4 - 99.1 F
Febrile - Correct Answer -With fever
Afebrile - Correct Answer -Without fever
Hyperthermia symptoms - Correct Answer -1) Cessation of shivering
2) Bradycardia
3) Decrease in respiratory minute volume
Most common and easy method of assessing temperature - Correct Answer
-Oral
What methods of assessing temperature reflects core temperature - Correct
Answer -1) Oral
2) Rectal
,3) Tympanic
4) Temporal Artery
What is the least accurate method of assessing temperature - Correct
Answer -axillary
Which patients are contraindicated for rectal temperature readings - Correct
Answer -Patients with increased HR
Preferred method of taking infants and small children's temperatures -
Correct Answer -Rectal
Pulse deficit - Correct Answer -- Difference between apical peripheral pulse
Pulse amplitude scale - Correct 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? - Correct
Answer -1) Apical
2) Radial
3) Dorsalis pedis
4) Posterior tibialis
Normal heart rate in resting adult - Correct Answer -60 to 100 bpm
Well trained athletes heart rate - Correct Answer -Heart rate less than 60
bpm
When is it normal for someone to have a rapid heart rate over 100 bpm -
Correct Answer -Someone with anxiety and right after exercise
Eupnea - Correct Answer -Normal RR, rhythm and depth
Normal SPO2 value - Correct Answer -95-100%
What level is poor oxygenation - Correct Answer -below 90%
Systolic BP - Correct Answer -Maximum pressure on the artery during
ventricular contraction
Diastolic BP - Correct Answer -Resting pressure during ventricular filling
Pulse pressure - Correct Answer -Difference between systolic and diastolic
,Stroke volume - Correct Answer -Amount of blood ejected with each beat
How does age affect BP - Correct Answer -BP increases with age
What BP is pre hypertensive? - Correct Answer -Sustained BP over 120/80
What extremities should you avoid taking a BP in - Correct Answer
-Extremities with IV lines, invasive lines, history of mastectomy/lymph node
issues
Orthostatic hypertension - Correct 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 - Correct Answer --
change positions slowly
- falls risk
- assist back to bed if symptomatic
What is the main objective of the health history - Correct Answer -- To gather
accurate information to provide immediate care
- Establish rapport with the client
What does establishing a positive patient relationship depend on - Correct
Answer -1) courtesy
2) comfort
3) connection
4) confirmation
5) confidentiality
What questions should you begin with for a health history interview - Correct
Answer -Open ended questions
Approaching Sensitive Issues - Correct 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 - Correct Answer -Cutting down
Annoyance
Guilty feeling
Eye-openers
- Helps diagnose alcoholism
TACE questionnaire - Correct 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 - Correct Answer -- Screening tool for alcohol and
substance abuse in adolescents
Car
Relax
Alone
Forget
Friends
Trouble
What is the goal of a screening tool? - Correct Answer -To find out if the
problem exists
Three questions to detect partner violence - Correct 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 - Correct 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 - Correct Answer -Faith
Importance and Influence
Rated
SOAP modified format - Correct Answer -Subjective
Objective
Assessment
Plan
What color ink should be used when documenting on paper - Correct Answer
-Permanent black ink
What is the correct order for vital signs - Correct Answer -T, P, RR, BP,
extremity, pt position, SPO2
What should be at the top of every page of documentation - Correct Answer
-Patient initials and date and time of entry
What should be at the end of every documentation entry - Correct Answer
-Interviewers signature
How do you correct a mistake in documentation - Correct 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 - Correct 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 - Correct Answer -96.4 - 99.1 F
Febrile - Correct Answer -With fever
Afebrile - Correct Answer -Without fever
Hyperthermia symptoms - Correct Answer -1) Cessation of shivering
2) Bradycardia
3) Decrease in respiratory minute volume
Most common and easy method of assessing temperature - Correct Answer
-Oral
What methods of assessing temperature reflects core temperature - Correct
Answer -1) Oral
2) Rectal
,3) Tympanic
4) Temporal Artery
What is the least accurate method of assessing temperature - Correct
Answer -axillary
Which patients are contraindicated for rectal temperature readings - Correct
Answer -Patients with increased HR
Preferred method of taking infants and small children's temperatures -
Correct Answer -Rectal
Pulse deficit - Correct Answer -- Difference between apical peripheral pulse
Pulse amplitude scale - Correct 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? - Correct
Answer -1) Apical
2) Radial
3) Dorsalis pedis
4) Posterior tibialis
Normal heart rate in resting adult - Correct Answer -60 to 100 bpm
Well trained athletes heart rate - Correct Answer -Heart rate less than 60
bpm
When is it normal for someone to have a rapid heart rate over 100 bpm -
Correct Answer -Someone with anxiety and right after exercise
Eupnea - Correct Answer -Normal RR, rhythm and depth
Normal SPO2 value - Correct Answer -95-100%
What level is poor oxygenation - Correct Answer -below 90%
Systolic BP - Correct Answer -Maximum pressure on the artery during
ventricular contraction
Diastolic BP - Correct Answer -Resting pressure during ventricular filling
Pulse pressure - Correct Answer -Difference between systolic and diastolic
,Stroke volume - Correct Answer -Amount of blood ejected with each beat
How does age affect BP - Correct Answer -BP increases with age
What BP is pre hypertensive? - Correct Answer -Sustained BP over 120/80
What extremities should you avoid taking a BP in - Correct Answer
-Extremities with IV lines, invasive lines, history of mastectomy/lymph node
issues
Orthostatic hypertension - Correct 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 - Correct Answer --
change positions slowly
- falls risk
- assist back to bed if symptomatic
What is the main objective of the health history - Correct Answer -- To gather
accurate information to provide immediate care
- Establish rapport with the client
What does establishing a positive patient relationship depend on - Correct
Answer -1) courtesy
2) comfort
3) connection
4) confirmation
5) confidentiality
What questions should you begin with for a health history interview - Correct
Answer -Open ended questions
Approaching Sensitive Issues - Correct 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 - Correct Answer -Cutting down
Annoyance
Guilty feeling
Eye-openers
- Helps diagnose alcoholism
TACE questionnaire - Correct 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 - Correct Answer -- Screening tool for alcohol and
substance abuse in adolescents
Car
Relax
Alone
Forget
Friends
Trouble
What is the goal of a screening tool? - Correct Answer -To find out if the
problem exists
Three questions to detect partner violence - Correct 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 - Correct 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 - Correct Answer -Faith
Importance and Influence
