HESI LPN · HESI LPN Fundamentals of Nursing · LPN Assessing Vital Signs

The nurse is auscultating the abdomen and hears high-pitched, tinkling sounds. What does this finding most likely indicate?

During the precordial assessment on an patient who is 8 months pregnant, the nurse palpates the apical impulse at the fourth left intercostal space lateral to the midclavicular line. This finding would indicate:

The patient is being admitted to the emergency department following a motor vehicle accident. His jaw is broken, and he has several broken teeth. He is ashen, and his skin is cool and diaphoretic. To obtain an accurate temperature, the nurse uses which of the following routes?

Which of the following findings is most concerning during a skin assessment?

A patient comes to the clinic and states that he has noticed that his skin is redder than normal. The nurse understands that this condition is due to hyperemia and knows that it can be caused by: