HESI LPN · HESI LPN Fundamentals of Nursing · LPN Vital Signs Assessment for Nurses
Full Question & Rationale Repository
Showing all 5 practice questions with expert explanatory rationales.
If a patient presents with a burn with damage to the epidermis but only partial damage to the dermis and has blistering, how is the burn classified?
Expert Explanatory Rationale
Correct Answer: Second degree or partial thickness
The nurse is performing a pain assessment and asks the patient to describe the location of their pain. Which dimension of pain is being assessed?
Expert Explanatory Rationale
Correct Answer: Location.
You are reviewing assessment data of a 45-year-old male patient who had recent surgery and rates his pain at 8 on a 10-point scale. As you review the electronic health record, you note which of the following cues related to the patient's pain? Select all that apply.
Expert Explanatory Rationale
Correct Answer: Tachypnea (rapid breathing)
A woman is discussing the problems she is having with her 2-year-old son. She says, 'He won't go to sleep at night, and during the day he has several fits. I get so upset when that happens.' The nurse's best verbal response would be:
Expert Explanatory Rationale
Correct Answer: Fits? Tell me what you mean by this.'
The respiratory rate is...
Expert Explanatory Rationale
Correct Answer: The number of breaths an individual takes in a minute
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