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HESI RN · HESI Fundamentals of Nursing · Assess Vital Signs

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

The nurse is auscultating the lungs and hears a high-pitched, musical sound on expiration. What does this sound indicate?

A. Wheezing.
B. Crackles.
C. Pleural friction rub.
D. Stridor.

Expert Explanatory Rationale

Correct Answer: Wheezing.

Question 2 of 5

The nurse is assessing a patient for jaundice. Which area is the most reliable for detecting this condition?

A. Sclera.
B. Palms of the hands.
C. Nail beds.
D. Dorsum of the feet.

Expert Explanatory Rationale

Correct Answer: Sclera.

Question 3 of 5

A 45-year-old man presents with difficulty swallowing. He reports that the difficulty has been getting worse over the past few months. He also has a history of smoking and heavy alcohol use. What is the most likely diagnosis?

A. Esophageal cancer
B. Achalasia
C. Gastroesophageal reflux disease
D. Peptic ulcer disease

Expert Explanatory Rationale

Correct Answer: Esophageal cancer

Question 4 of 5

A newborn is holding his head with his chin rotated toward the left and the ear approximating the right shoulder. Which muscle is primarily implicated?

A. Left cervical paraspinal
B. Right cervical paraspinal
C. Left sternocleidomastoid
D. Right sternocleidomastoid

Expert Explanatory Rationale

Correct Answer: Right sternocleidomastoid

Question 5 of 5

The nurse needs to obtain a radial pulse from a patient. To obtain the correct measure, what must the nurse do?

A. Place the tips of the first two fingers over the groove along the thumb side of the patient's wrist.
B. Place the thumb over the groove along the thumb side of the patient's wrist.
C. Apply a very light touch so that the pulse is not obliterated.
D. Apply very strong pressure to detect the pulse.

Expert Explanatory Rationale

Correct Answer: Place the tips of the first two fingers over the groove along the thumb side of the patient's wrist.

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