HESI LPN · HESI LPN Fundamentals of Nursing · LPN Vital Signs Health Assessment
Full Question & Rationale Repository
Showing all 5 practice questions with expert explanatory rationales.
What step of the nursing process includes data collection by health history, physical examination, and interview?
Expert Explanatory Rationale
Correct Answer: Assessment.
The nurse is performing a neurological assessment and asks the patient to squeeze their hands. Which aspect of neurological function is being tested?
Expert Explanatory Rationale
Correct Answer: Muscle strength and motor function.
Which of the following is an average normal temperature in Centigrade for a healthy adult?
Expert Explanatory Rationale
Correct Answer: oral: 37.0 C
The patient was found unresponsive in her apartment and is being brought to the emergency department. She has arm, hand, and leg edema, her temperature is 95.6°F, and her hands are cold secondary to her history of peripheral vascular disease. It is reported that she has a latex allergy. To quickly measure the patient's oxygen saturation, what should the nurse do?
Expert Explanatory Rationale
Correct Answer: Place a nonadhesive sensor on the patient's ear lobe.
The nurse is assessing a patient's abdomen and observes abdominal distension. Which additional assessment finding would most likely indicate a bowel obstruction?
Expert Explanatory Rationale
Correct Answer: Hyperactive bowel sounds.
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