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

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

A patient recently admitted to an acute care hospital is referred to physical therapy. The physical therapist documents the following clinical signs: pallor, cyanosis, and cool skin. These clinical signs are MOST consistent with:

A. cor pulmonale
B. anemia
C. hypertension
D. diaphoresis

Expert Explanatory Rationale

Correct Answer: anemia

Question 2 of 5

The nurse is examining the lymphatic system of a healthy 3-year-old child. Which finding should the nurse expect?

A. Excessive swelling of the lymph nodes
B. Presence of palpable lymph nodes
C. No palpable nodes because of the immature immune system of a child
D. Fewer numbers and a smaller size of lymph nodes compared with those of an adult

Expert Explanatory Rationale

Correct Answer: Presence of palpable lymph nodes

Question 3 of 5

The blood pressure is...

A. Pressure pushing against the artery walls
B. How much blood is in the body
C. How many times the heart beats
D. All of the above

Expert Explanatory Rationale

Correct Answer: Pressure pushing against the artery walls

Question 4 of 5

When using a Doppler ultrasonic stethoscope, the nurse recognizes venous flow when which sound is heard?

A. Low humming sound
B. Regular 'lub, dub' pattern
C. Swishing, whooshing sound
D. Steady, even, flowing sound

Expert Explanatory Rationale

Correct Answer: Swishing, whooshing sound

Question 5 of 5

What equipment is needed to take an apical pulse?

A. sphygmomanometer
B. electronic thermometer
C. stethoscope
D. no specific equipment

Expert Explanatory Rationale

Correct Answer: stethoscope

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