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HESI LPN · HESI LPN Fundamentals of Nursing · LPN Assess Vital Signs Rationale

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

The patient's blood pressure is 140/60. The nurse realizes that this equates to a pulse pressure of

A. 140
B. 60
C. 80
D. 200

Expert Explanatory Rationale

Correct Answer: 80

Question 2 of 5

In an interview, the nurse may find it necessary to take notes to aid his or her memory later. Which statement is true regarding note-taking?

A. Note-taking may impede the nurse's observation of the patient's nonverbal behaviors.
B. Note-taking allows the patient to continue at his or her own pace as the nurse records what is said.
C. Note-taking allows the nurse to shift attention away from the patient, resulting in an increased comfort level.
D. Note-taking allows the nurse to break eye contact with the patient, which may increase his or her level of comfort.

Expert Explanatory Rationale

Correct Answer: Note-taking may impede the nurse's observation of the patient's nonverbal behaviors.

Question 3 of 5

Which of the following patients is most at risk for tachycardia?

A. A healthy professional tennis player
B. A patient admitted with hypothermia
C. A patient with a fever of 39.4°C (103°F)
D. A 90-year-old male taking beta blockers

Expert Explanatory Rationale

Correct Answer: A patient with a fever of 39.4°C (103°F)

Question 4 of 5

A 65-year-old patient is experiencing pain in his left calf when he exercises that disappears after resting for a few minutes. The nurse recognizes that this description is most consistent with _____ the left leg.

A. Venous obstruction of
B. Claudication due to venous abnormalities in
C. Ischemia caused by a partial blockage of an artery supplying
D. Ischemia caused by the complete blockage of an artery supplying

Expert Explanatory Rationale

Correct Answer: Ischemia caused by a partial blockage of an artery supplying

Question 5 of 5

A fall or blow on a hyperextended (dorsiflexed) wrist can cause osteonecrosis of which bone?

A. Scaphoid
B. Lunate
C. Triquetrum
D. Pisiform

Expert Explanatory Rationale

Correct Answer: Scaphoid

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