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HESI LPN · HESI LPN Fundamentals of Nursing · LPN CNS Vital Signs Assessment

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

During a skin assessment, the nurse observes a patient's mole and notes that it has an irregular border, varied colors, and a diameter of 8 mm. What is the appropriate action?

A. Document the findings as normal.

B. Apply a topical antibiotic and reassess in 2 weeks.

C. Refer the patient for further evaluation.

D. Educate the patient about sun protection and monitor yearly.

Expert Explanatory Rationale

Correct Answer: Refer the patient for further evaluation.

Question 2 of 5

A 60-year-old woman with a history of breast cancer presents with a complaint of a new mass in her left breast. On examination, the mass is firm, non-tender, and fixed to the underlying tissue. What is the most likely diagnosis?

A. Fibrocystic changes

B. Breast abscess

C. Breast cancer recurrence

D. Fat necrosis

Expert Explanatory Rationale

Correct Answer: Breast cancer recurrence

Question 3 of 5

A 23-year-old graduate student comes to your clinic for evaluation of a urethral discharge. As the provider, you need to get a sexual history. Which one of the following questions is inappropriate for eliciting the information?

A. Are you sexually active?

B. When was the last time you had intimate physical contact with someone, and did that contact include sexual intercourse?

C. Do you have sex with men, women, or both?

D. How many sexual partners have you had in the last 6 months?

Expert Explanatory Rationale

Correct Answer: How many sexual partners have you had in the last 6 months?

Question 4 of 5

The nurse is reviewing the structures of the ear. Which of these statements concerning the eustachian tube is true?

A. The eustachian tube is responsible for the production of cerumen.

B. It remains open except when swallowing or yawning.

C. The eustachian tube allows passage of air between the middle and outer ear.

D. It helps equalize air pressure on both sides of the tympanic membrane.

Expert Explanatory Rationale

Correct Answer: It helps equalize air pressure on both sides of the tympanic membrane.

Question 5 of 5

A 9-year-old girl is in the clinic for a sport physical examination. After some initial shyness she finally asks, "Am I normal? I don't seem to need a bra yet, but I have some friends who do. What if I never get breasts?" The nurse's best response would be:

A. "Don't worry, you still have plenty of time to develop."

B. "I know just how you feel, I was a late bloomer myself. Just be patient, and they will grow."

C. "You will probably get your periods before you notice any significant growth in your breasts."

D. "I understand that it is hard to feel different from your friends. Breasts usually develop between 8 and 10 years of age."

Expert Explanatory Rationale

Correct Answer: "I understand that it is hard to feel different from your friends. Breasts usually develop between 8 and 10 years of age."

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