2024 Health Assessment HESI Exam Questions And All Correct Detailed Answers

SOAP modified format - ANSWER- Subjective Objective Assessment Plan 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 pulses 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) Hypovolemic 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.