HESI HEALTH ASSESSMENT LATEST 2024
SOAP modified format - ANSWERSSubjective
Objective
Assessment
Plan
What color ink should be used when documenting
... [Show More] on paper - ANSWERSPermanent
black ink
What is the correct order for vital signs - ANSWERST, P, RR, BP, extremity, pt
position, SPO2
What should be at the top of every page of documentation - ANSWERSPatient
initials and date and time of entry
What should be at the end of every documentation entry - ANSWERSInterviewers
signature
How do you correct a mistake in documentation - ANSWERS1) Draw a single line
through the incorrect documentation
2) Write error above the entry
3) Initial and date the crossed out entry
Documentation tips - ANSWERS1) 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 - ANSWERS96.4 - 99.1 F
Febrile - ANSWERSWith fever
Afebrile - ANSWERSWithout fever
Hyperthermia symptoms - ANSWERS1) Cessation of shivering
2) Bradycardia
3) Decrease in respiratory minute volume
Most common and easy method of assessing temperature - ANSWERSOral
What methods of assessing temperature reflects core temperature - ANSWERS1)
Oral
2) Rectal
3) Tympanic
4) Temporal Artery
What is the least accurate method of assessing temperature - ANSWERSaxillary
Which patients are contraindicated for rectal temperature readings -
ANSWERSPatients with increased HR
HESI HEALTH ASSESSMENT LATEST 2024
Preferred method of taking infants and small children's temperatures -
ANSWERSRectal
Pulse deficit - ANSWERS- Difference between apical peripheral pulse
Pulse amplitude scale - ANSWERS0 = no pulse
1 = diminished, weak
2 = normal and expected
3 = full or strong
4 = bounding
Which pulses are assessed during a routine physical assessment? - ANSWERS1)
Apical
2) Radial
3) Dorsalis pedis
4) Posterior tibialis
Normal heart rate in resting adult - ANSWERS60 to 100 bpm
Well trained athletes heart rate - ANSWERSHeart rate less than 60 bpm
When is it normal for someone to have a rapid heart rate over 100 bpm -
ANSWERSSomeone with anxiety and right after exercise
Eupnea - ANSWERSNormal RR, rhythm and depth
Normal SPO2 value - ANSWERS95-100%
What level is poor oxygenation - ANSWERSbelow 90%
Systolic BP - ANSWERSMaximum pressure on the artery during ventricular
contraction
Diastolic BP - ANSWERSResting pressure during ventricular filling
Pulse pressure - ANSWERSDifference between systolic and diastolic
Stroke volume - ANSWERSAmount of blood ejected with each beat
How does age affect BP - ANSWERSBP increases with age
What BP is pre hypertensive? - ANSWERSSustained BP over 120/80
What extremities should you avoid taking a BP in - ANSWERSExtremities with IV
lines, invasive lines, history of mastectomy/lymph node issues
Orthostatic hypertension - ANSWERS- Decreased BP with change in position
- Drop in SBP of 25 mmHg or DBP of 10 mmHG
HESI HEALTH ASSESSMENT LATEST 2024
- 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 - ANSWERS- change
positions slowly
- falls risk
- assist back to bed if symptomatic
What is the main objective of the health history - ANSWERS- To gather accurate
information to provide immediate care
- Establish rapport with the client
What does establishing a positive patient relationship depend on - ANSWERS1)
courtesy
2) comfort
3) connection
4) confirmation
5) confidentiality
What questions should you begin with for a health history interview -
ANSWERSOpen ended questions
Approaching Sensitive Issues - ANSWERS- 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 - ANSWERSCutting down
Annoyance
Guilty feeling
Eye-openers
- Helps diagnose alcoholism
TACE questionnaire - ANSWERST - 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 [Show Less]