HESI RN · HESI Fundamentals of Nursing · Assess Vital Signs
Full Question & Rationale Repository
Showing all 5 practice questions with expert explanatory rationales.
The nurse is auscultating the lungs and hears a high-pitched, musical sound on expiration. What does this sound indicate?
Expert Explanatory Rationale
Correct Answer: Wheezing.
The nurse is assessing a patient for jaundice. Which area is the most reliable for detecting this condition?
Expert Explanatory Rationale
Correct Answer: Sclera.
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?
Expert Explanatory Rationale
Correct Answer: Esophageal cancer
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?
Expert Explanatory Rationale
Correct Answer: Right sternocleidomastoid
The nurse needs to obtain a radial pulse from a patient. To obtain the correct measure, what must the nurse do?
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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