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NSG 121 Health Assessment HESI Final Exam QUESTIONS WITH CORRECT ANSWERS
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NSG 121 Health Assessment HESI Final Exam QUESTIONS WITH CORRECT ANSWERS
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NSG 121 Health Assessment HESI FinalExam QUESTIONS WITH CORRECT
ANSWERS
Open Ended Question - ANSWER -When obtaining a nursing history, use the open-
ended question technique to allow the patient a wide range of possible responses.
Interpreter - ANSWER -Person who can translate between languages.
For patients who do not speak English, use an interpreter whenever possible
Interrupting Client - ANSWER -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.
BMI Risk Assessment - ANSWER -An assessment of risk factors includes questions
about past medical and surgical histories, medication and supplement use, family
history, food and fluid intake patterns, and the patient's psychosocial profile
Low BMI - ANSWER -Below 18.5
Normal BMI - ANSWER -18.5-24.9
Nutritional Assessment - ANSWER -Risk factors to review in a nutritional assessment
include medical history, abnormal weight history, appetite or taste changes,
gastrointestinal symptoms, food allergies or intolerances, changes in eating or fluid
patterns, poor food habits, inability to cook, social isolation, multiple medications,
inappropriate supplements or lack of supplements, and alcohol or drug use.
Consider a board range of influences on patient's food choices
Mental Orientation - ANSWER -Person, Place, Time, Situation
NSG 121 Health Assessment HESI Final
Exam QUESTIONS WITH CORRECT
ANSWERS
, CAGE - ANSWER -CAGE is a self report questionnaire used as an assessment tool for
drugs and alcohol. Yes to two or more of the questions indicate a potential problem
Cutdown,Annoyed,Guilty,Eye Opener
Abstract Thinking - ANSWER -Assessment of thought processes:
Patient's thoughts are easy to follow, logical, coherent, relevant, goal directed,
consistent, and abstract
Abstract Thinking: Ability to understand concepts that are real
Referred Pain Appendicitis - ANSWER -Referred pain originates from a specific site,
but the person experiencing it feels the pain at another site along the innervating
spinal nerve
It will "refer" pain often to the mid upper abdomen, the epigastrum. Because the
appendix is a piece of intestine, it follows a similar referral pattern.
Nail Ridges in Geriatric Patients - ANSWER -Longitudinal ridging is common in aging
patients
Skin Turger Assessment - ANSWER -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 - ANSWER -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 - ANSWER -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
NSG 121 Health Assessment HESI Final
Exam QUESTIONS WITH CORRECT
ANSWERS
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