Health Assessment HESI/330 Questions and Answers/A+
Rated
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
2) Write error above the entry
3) Initial and date the crossed out entry
Documentation tips - Correct 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 - 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
2) Bradycardia
3) 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
2) Rectal
,3) Tympanic
4) 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 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
2) Radial
3) Dorsalis pedis
4) 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
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 - 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
2) comfort
3) connection
4) confirmation
5) 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:
1) Hurt you physically?"
2) Insult or talk down to you?"
3) Threaten you with physical harm?"
4) Scream or curse at you?"
FICA - Correct Answer -Faith
Importance and Influence
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller VEVA2K. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $19.99. You're not tied to anything after your purchase.
