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

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

A patient has just returned from a liver biopsy and is ordered to lie on her right side for 1 hour. An IV is in the left basilic vein. What site do you instruct the nursing assistive personnel (NAP) to use to obtain a blood pressure reading?

A. Right arm
B. Left arm
C. Right leg
D. Left leg

Expert Explanatory Rationale

Correct Answer: Left leg

Question 2 of 5

Tachycardia when an individual is at rest could indicate...

A. Infection
B. Dehydration
C. Fever
D. All of the above

Expert Explanatory Rationale

Correct Answer: All of the above

Question 3 of 5

The nurse is assessing a patient's mental status and asks the patient to remember three words and repeat them after five minutes. Which aspect of memory is being tested?

A. Recent memory.
B. Long-term memory.
C. Immediate memory.
D. Remote memory.

Expert Explanatory Rationale

Correct Answer: Recent memory.

Question 4 of 5

Which of the following examples best represents information gathered during the 'history of present illness'?

A. The patient's mother has type 2 diabetes.
B. The patient was treated for strep throat two years ago.
C. The patient states that her abdominal pain is worse after eating.
D. The patient's blood pressure is 140/86.

Expert Explanatory Rationale

Correct Answer: The patient states that her abdominal pain is worse after eating.

Question 5 of 5

A man has been admitted to the observation unit for observation after being treated for a large cut on his forehead. As the nurse works through the interview, one of the standard questions has to do with alcohol, tobacco, and drug use. When the nurse asks him about tobacco use, he states, 'I quit smoking after my wife died 7 years ago.' However, the nurse notices an open pack of cigarettes in his shirt pocket. Using confrontation, the nurse could say:

A. Mr. K., I know that you are lying.'
B. Mr. K., come on, tell me how much you smoke.'
C. Mr. K., I didn't realize your wife had died. It must be difficult for you at this time. Please tell me more about that.'
D. Mr. K., you have said that you don't smoke, but I see that you have an open pack of cigarettes in your pocket.'

Expert Explanatory Rationale

Correct Answer: Mr. K., you have said that you don't smoke, but I see that you have an open pack of cigarettes in your pocket.'

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