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HESI RN · HESI Fundamentals of Nursing · Assessing Vital Signs ATI

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

While discussing the history of a 6-month-old infant, the mother tells the nurse that she took a significant amount of aspirin while she was pregnant. What question would the nurse want to include in the history?

A. Does your baby seem to startle with loud noises?'
B. Has your baby had any surgeries on her ears?'
C. Have you noticed any drainage from her ears?'
D. How many ear infections has your baby had since birth?'

Expert Explanatory Rationale

Correct Answer: Does your baby seem to startle with loud noises?'

Question 2 of 5

Vital signs are based on....

A. How well food is processed in the gut
B. The individual's weight & height
C. The individual's homeostasis
D. None of the above

Expert Explanatory Rationale

Correct Answer: The individual's homeostasis

Question 3 of 5

Shoulder ROM involves 180° of flexion, 180° of abduction, 60° of extension, and 60° of adduction. How many degrees of scapulothoracic motion is involved in shoulder abduction?

A. 30°
B. 60°
C. 90°
D. 120°

Expert Explanatory Rationale

Correct Answer: 60°

Question 4 of 5

Structures passing through the carpal tunnel into the hand include which of the following?

A. Five finger flexor tendons
B. The ulnar nerve
C. The median nerve
D. The radial nerve

Expert Explanatory Rationale

Correct Answer: The median nerve

Question 5 of 5

A patient describes feeling an unreasonable, irrational fear of snakes. His fear is so persistent that he can no longer comfortably look at even pictures of snakes and has made an effort to identify all the places he might encounter a snake and avoids them. The nurse recognizes that he:

A. Has a snake phobia
B. Is a hypochondriac; snakes are usually harmless
C. Has an obsession with snakes
D. Has a delusion that snakes are harmful, which must stem from an early traumatic incident involving snakes

Expert Explanatory Rationale

Correct Answer: Has a snake phobia

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