HESI HEALTH ASSESSMENT. ACTUAL 2024/2025 REAL EXAM UPDATES.
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Course
HESI HEALTH ASSESSMENT
Institution
HESI HEALTH ASSESSMENT
HESI HEALTH ASSESSMENT. ACTUAL 2024/2025 REAL EXAM UPDATES.
SOAP modified format - Correct Answer: Subjective Objective
Assessment Plan
What color ink should be used when documenting on paper - Correct...
HESI HEALTH ASSESSMENT. ACTUAL
2024/2025 REAL EXAM UPDATES.
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
Write error above the entry
Initial and date the crossed out entry
Documentation tips - Correct Answer: 1) Avoid complete sentences
Do not use A, an, the
Do not put opinion in notes
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
Bradycardia
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
Rectal
,Tympanic
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
Radial
Dorsalis pedis
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
Dizziness
Weakness
Blurred vision
Syncope
Changes in BP/HR
- Causes
Hypovolemia
Impaired vasoconstriction
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
comfort
connection
confirmation
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.
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:
Hurt you physically?"
Insult or talk down to you?"
Threaten you with physical harm?"
Scream or curse at you?"
FICA - Correct Answer: Faith Importance and Influence
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