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HESI LPN · HESI LPN Fundamentals of Nursing · LPN Health Assessment Vital Signs Quizlet

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

For the following situations, state the type of data collection you would perform (i.e., complete database, focused or problem-centered database, follow-up database, emergency database). a. OxyContin overdose

A. Complete database

B. Focused or problem-centered database

C. Follow-up database

D. Emergency database

Expert Explanatory Rationale

Correct Answer: Emergency database

Question 2 of 5

A nurse is assessing a client's blood pressure using a manual sphygmomanometer and a stethoscope. What action should the nurse take to obtain an accurate blood pressure reading?

A. Inflate the cuff to 20 mmHg above the estimated systolic pressure.

B. Deflate the cuff at a rate of 10-20 mmHg per second.

C. Place the bell of the stethoscope over the brachial artery.

D. Palpate the radial artery while auscultating for Korotkoff sounds.

Expert Explanatory Rationale

Correct Answer: Place the bell of the stethoscope over the brachial artery.

Question 3 of 5

A 65-year-old man presents with chest pain and dyspnea. He has a history of coronary artery disease and diabetes mellitus. His ECG shows ST-segment elevation in leads II, III, and aVF. What is the most likely diagnosis?

A. Myocardial infarction

B. Angina

C. Pulmonary embolism

D. Aortic dissection

Expert Explanatory Rationale

Correct Answer: Myocardial infarction

Question 4 of 5

The nurse is performing a neurological assessment and notes that the patient has a positive Babinski sign. What does this finding indicate?

A. Normal finding in adults.

B. Upper motor neuron dysfunction.

C. Peripheral neuropathy.

D. Cerebellar dysfunction.

Expert Explanatory Rationale

Correct Answer: Upper motor neuron dysfunction.

Question 5 of 5

During a respiratory assessment, the nurse notes dullness on percussion over the right lower lung field. What does this finding suggest?

A. Normal lung tissue.

B. Pneumothorax.

C. Consolidation or pleural effusion.

D. Hyperinflation of the lung.

Expert Explanatory Rationale

Correct Answer: Consolidation or pleural effusion.

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