HESI RN · HESI Fundamentals of Nursing · Chapter 12 Vital Signs Assessment
Full Question & Rationale Repository
Showing all 5 practice questions with expert explanatory rationales.
The nurse is assessing a patient's pupillary response and observes that both pupils constrict when light is directed into one eye. What does this finding indicate?
Expert Explanatory Rationale
Correct Answer: Consensual light reflex.
The differential diagnosis of trigger finger includes which of the following?
Expert Explanatory Rationale
Correct Answer: All of the above
A patient reports severe abdominal pain. The nurse begins with:
Expert Explanatory Rationale
Correct Answer: Inspection to note visible abnormalities.
You observe a nursing student taking a blood pressure (BP) on a patient. The patient's BP range over the past 24 hours is 132/64 to 126/72 mm Hg. The student used a BP cuff that was too narrow for the patient. Which of the following BP readings made by the student is most likely caused by the incorrect choice of BP cuff?
Expert Explanatory Rationale
Correct Answer: 156/82 mm Hg
A nurse is assessing a client's respiratory rate and finds it to be 8 breaths per minute. What action should the nurse take first?
Expert Explanatory Rationale
Correct Answer: Perform a thorough respiratory assessment.
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