2024 UPDATED HESI Health Assessment Exam Questions With Answers

What to check for in a general review - ANSWER- -Fever -chills -night sweats -fatigue -unexplained weight loss -weight gain Skin review - ANSWER- -pruritus -rash -hair loss -worrisome lesion -pigment change -moles -sweating -dry skin -nail change HEENT review - ANSWER- headache, dizziness, earache, hearing loss, tinnitus, vision change, eye pain/sensitivity, excessive tearing, eyeglasses/contact use, glaucoma, rhinorrhea, nasal congestion, postnasal drip, sinus pain, nosebleeds, hay fever, sore throat, mouth sores, hoarseness toothaches, bleeding gums, dentures breast review - ANSWER- pain, lumps, discharge, history of breast disease implants pulmonary review - ANSWER- cough, sputum, hemoptysis, SOB, pain with respiration, wheezing, cyanosis cardio vascular:review - ANSWER- chest pain, palpitations, DOE, orthopnea, PND, diaphoresis, syncope, heart murmur, leg edema PVD: peripheral vascular disease review - ANSWER- claudication, varicose veins, phlebitis, coldness of hands/feet, leg ulcers GI review - ANSWER- dysphagia, heartburn, change in appetite, food intol, nausea, vomiting, hematemesis, abdominal pain, bloating, flatulence, diarrhea, constipation, melena, jaundice, dark urine, change in B, BRBPR, hemorrhoids, hernia GU review - ANSWER- dysuria, urgency, frequency, hematuria nocturia, polyuria, suprapubic pain, flank pain, incontinence, lesions, hesitancy, dribbling, decreased force stream endocrine review - ANSWER- polyuria, polydipsia, polyphagia, heat/cold intol, tremor, lump throat, unexplained wt change, hair changes Heme review - ANSWER- anemia, easy bruising swollen glands, bleeding of skin/mucous membranes, frequency infections, allergies, delayed healing MSK review - ANSWER- joint pain, stiffness, restriction of motion, swelling, erythema, bony deformity, myalgia, muscle cramps, weakness, antalgic gait, back pain Neuro review - ANSWER- focal weakness, paralysis, numbness, tremor, seizure, syncope, gait disturbance, memory loss, aphasias psych review - ANSWER- anxiety, panic attacks, depression, mood changes, irritability, nervousness, decreased libido, eating disorder, sleep disturbance, suicidal thoughts, impaired judgment, hallucinations, confusion assessment - ANSWER- collection of subjective and objective data about a patient's health subjective data - ANSWER- information provided by the affected individual objective data - ANSWER- information obtained by the health care provider through observation and inspection, percussing, palpating, and auscultating during the physical examination database - ANSWER- totality of information available about the patient, subjective, objective and medical history purpose of assessment - ANSWER- judgement and diagnosis nursing process: six phases - ANSWER- assessment, diagnosis, outcome identification, planning, implementation, evaluation first level priority problems - ANSWER- emergent, life-threatening, and immediate such as establishing an airway or supporting breathing second level priority problems - ANSWER- require prompt intervention to prevent further deterioration and may include a mental status change, acute pain, or abnormal laboratory values third level priority problems - ANSWER- important to the patient's health but can be addressed after more urgent problems collaborative problems - ANSWER- certain physiologic conditions in which the approach to treatment involves multiple disciplines novice nurse - ANSWER- no experience with specific patient populations and uses rules to guide performance proficient nurse - ANSWER- understands a patient situation as a whole rather than as a list of tasks, attends to an assessment data pattern, and acts without consciously labeling it expert nurse - ANSWER- intuitive grasp of a clinical situation and zeros in on the accurate solution holistic health model - ANSWER- assesses the whole person because it views the mind, body, and spirit as interdependent and functioning as a whole within the environment religion - ANSWER- belief in a divine or superhuman power or powers to be obeyed and worshipped as the creator or ruler of the universe spirituality - ANSWER- borne out of each person's unique life experience and his or her personal effort to find purpose and meaning in life socialization - ANSWER- process of being raised within a culture and acquiring the characteristics of the group. education is a form of socialization The charge nurse is observing a nurse assess a patient who has acquired the human immunodeficiency virus (HIV). Which action, if performed by the nurse, would require the charge nurse to intervene? a. The nurse evaluates the support system of the patient b.The nurse determines the coping abilities of the patient c.The nurse checks whether the patient is feeling low or is in despair d.The nurse assumes that the patient will not adhere to the treatment - ANSWER- d While assessing a child in a health care facility, the nurse establishes an emergency database and submits it to the health care provider. What is the reason behind this intervention? a. The child has a congenital disorder b.The child has consumed a disinfectant c.The child has a lower limb fracture d. The child has a metabolic disorder - ANSWER- b a patient with BMI 29 is - ANSWER- overweight a patient with BMI less than 18.5 - ANSWER- underweight a patient with BMI 29.9 or above is - ANSWER- obese what is the normal range for BMI - ANSWER- 18.5 to 24.9