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HESI LPN · HESI LPN Fundamentals of Nursing · LPN Vital Signs Assessment for Nurses

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

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?

A. First degree or superficial
B. Second degree or partial thickness
C. Third degree or full thickness
D. Unstageable

Expert Explanatory Rationale

Correct Answer: Second degree or partial thickness

Question 2 of 5

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?

A. Intensity.
B. Quality.
C. Location.
D. Duration.

Expert Explanatory Rationale

Correct Answer: Location.

Question 3 of 5

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.

A. Normal skin turgor
B. Normal S1, S2 heart sounds
C. Glowing skin
D. Tachypnea (rapid breathing)

Expert Explanatory Rationale

Correct Answer: Tachypnea (rapid breathing)

Question 4 of 5

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:

A. Go on, I'm listening.'
B. Fits? Tell me what you mean by this.'
C. Yes, it can be upsetting when a child has a fit.'
D. Don't be upset when he has a fit; every 2 year old has fits.'

Expert Explanatory Rationale

Correct Answer: Fits? Tell me what you mean by this.'

Question 5 of 5

The respiratory rate is...

A. How many times an individual breaths in
B. How many times an individual breaths out
C. The number of breaths an individual takes in a minute
D. The oxygen saturation level

Expert Explanatory Rationale

Correct Answer: The number of breaths an individual takes in a minute

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