HESI RN · HESI Fundamentals of Nursing · Assessing Vital Signs
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Showing all 5 practice questions with expert explanatory rationales.
The nurse is performing a neurological assessment and notes that the patient has a positive Romberg sign. What does this finding indicate?
Expert Explanatory Rationale
Correct Answer: Proprioceptive dysfunction.
The nurse is performing a physical assessment and observes that the patient has a barrel-shaped chest. This finding is most commonly associated with which condition?
Expert Explanatory Rationale
Correct Answer: Chronic obstructive pulmonary disease (COPD).
The nurse is auscultating the abdomen and hears high-pitched, tinkling sounds. What does this finding most likely indicate?
Expert Explanatory Rationale
Correct Answer: Bowel obstruction.
The nurse needs to increase heat conservation in a newborn. Which action will the nurse take?
Expert Explanatory Rationale
Correct Answer: Place a cap on their heads.
The nurse is performing an assessment on an adult. The adult's vital signs are normal, and capillary refill time is 5 seconds. What should the nurse do next?
Expert Explanatory Rationale
Correct Answer: Consider this a delayed capillary refill time, and investigate further.
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