NSG 121 HEALTH ASSESSMENT HESI FINAL NEWEST ACTUAL
2025/2026 EXAM WITH COMPLETE QUESTIONS AND ANSWERS
/VERIFED/GRADED A+/LATEST TOP SCORE.
Nail Ridges in Geriatric Patients
Longitudinal ridging is common in aging patients
Skin Turger Assessment
Assess skin turgor. Gently grasp a fold of the patient's skin
between your fingers and pull up, then release. Below clavicle
Tenting indicates dehydration, poor skin turgor is also
associated with aging
Clubbing Oxygen Saturation
Clubbing of the nails indicates chronic hypoxia. Clubbing is
identified when the angle of the nail to the finger is more than
160º
Emphysema or congestive heart failure
Pallor Dark Skin
Normal skin color is pink, noting the usual undertones present
with even dark skin. The tongue, lips, nail beds, and buccal
,mucosa are less pigmented areas and may be the best
indicators of pallor or cyanosis. Patients with darker skin may
normally have hypopigmented skin on the palms and soles
Lesion Assessment & Primary vs. Secondary Lesion
Primary Lesion: arise from previously normal skin
Secondary Lesion: follow primary lesions (scare tissue)
If observed, note the shape and measure the length, width, and
depth with a ruler. If a wound is deep or tunneled, insert a
cotton applicator to measure depth.
Goiter Assessment
Palpation of Thyroid, Unilateral Bulging
Fall Assessment After a Fall
Falls or sudden jerking of the head and neck (whiplash) are
particularly likely to result in dislocation of the cervical
vertebrae. Fractures may also occur with headfirst falls. Any
history of falls or sudden jerks of the neck requires careful
investigation.
Snellen Test
, Tests for far vision & visual acuity.
Snellen test, measure and place a mark or piece of masking
tape on the floor 6 m (about 20 ft) from the chart
Tinnitus
Tinnitus: buzzing or ringing in one or both ears that does not
correspond with external sound
Open Ended Question
When obtaining a nursing history, use the open-ended
question technique to allow the patient a wide range of
possible responses.
Interpreter
Person who can translate between languages.
For patients who do not speak English, use an interpreter
whenever possible
Interrupting Client
Do not interrupt clients, in health care settings, it is better to
listen than to talk and to ask good questions rather than have
all of the right answers.
2025/2026 EXAM WITH COMPLETE QUESTIONS AND ANSWERS
/VERIFED/GRADED A+/LATEST TOP SCORE.
Nail Ridges in Geriatric Patients
Longitudinal ridging is common in aging patients
Skin Turger Assessment
Assess skin turgor. Gently grasp a fold of the patient's skin
between your fingers and pull up, then release. Below clavicle
Tenting indicates dehydration, poor skin turgor is also
associated with aging
Clubbing Oxygen Saturation
Clubbing of the nails indicates chronic hypoxia. Clubbing is
identified when the angle of the nail to the finger is more than
160º
Emphysema or congestive heart failure
Pallor Dark Skin
Normal skin color is pink, noting the usual undertones present
with even dark skin. The tongue, lips, nail beds, and buccal
,mucosa are less pigmented areas and may be the best
indicators of pallor or cyanosis. Patients with darker skin may
normally have hypopigmented skin on the palms and soles
Lesion Assessment & Primary vs. Secondary Lesion
Primary Lesion: arise from previously normal skin
Secondary Lesion: follow primary lesions (scare tissue)
If observed, note the shape and measure the length, width, and
depth with a ruler. If a wound is deep or tunneled, insert a
cotton applicator to measure depth.
Goiter Assessment
Palpation of Thyroid, Unilateral Bulging
Fall Assessment After a Fall
Falls or sudden jerking of the head and neck (whiplash) are
particularly likely to result in dislocation of the cervical
vertebrae. Fractures may also occur with headfirst falls. Any
history of falls or sudden jerks of the neck requires careful
investigation.
Snellen Test
, Tests for far vision & visual acuity.
Snellen test, measure and place a mark or piece of masking
tape on the floor 6 m (about 20 ft) from the chart
Tinnitus
Tinnitus: buzzing or ringing in one or both ears that does not
correspond with external sound
Open Ended Question
When obtaining a nursing history, use the open-ended
question technique to allow the patient a wide range of
possible responses.
Interpreter
Person who can translate between languages.
For patients who do not speak English, use an interpreter
whenever possible
Interrupting Client
Do not interrupt clients, in health care settings, it is better to
listen than to talk and to ask good questions rather than have
all of the right answers.
