HESI RN · HESI Fundamentals of Nursing · CNS Vital Signs Assessment
Full Question & Rationale Repository
Showing all 5 practice questions with expert explanatory rationales.
The nurse is assessing a patient's mental status. Which question best evaluates the patient's recent memory?
Expert Explanatory Rationale
Correct Answer: Can you tell me what you had for breakfast this morning?
A 60-year-old woman with a history of breast cancer presents with a complaint of a new mass in her left breast. On examination, the mass is firm, non-tender, and fixed to the underlying tissue. What is the most likely diagnosis?
Expert Explanatory Rationale
Correct Answer: Breast cancer recurrence
A 25-year-old woman presents with a complaint of fatigue and muscle weakness. On examination, she has ptosis and weakness of the proximal muscles of the upper limbs. Her vital signs are stable, and laboratory tests reveal a positive anti-acetylcholine receptor antibody test. Which of the following is the most likely diagnosis?
Expert Explanatory Rationale
Correct Answer: Myasthenia gravis
A blood pressure reading consists of a top number, or , and bottom number, or
Expert Explanatory Rationale
Correct Answer: Systolic & Diastolic
The nurse is reviewing the structures of the ear. Which of these statements concerning the eustachian tube is true?
Expert Explanatory Rationale
Correct Answer: It helps equalize air pressure on both sides of the tympanic membrane.
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