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HESI RN · HESI Fundamentals of Nursing · CNS Vital Signs Assessment

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

The nurse is assessing a patient's mental status. Which question best evaluates the patient's recent memory?

A. What is your date of birth?
B. Can you tell me what you had for breakfast this morning?
C. Can you repeat these three words: apple, ball, cat?
D. Do you remember where you were born?

Expert Explanatory Rationale

Correct Answer: Can you tell me what you had for breakfast this morning?

Question 2 of 5

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?

A. Fibrocystic changes
B. Breast abscess
C. Breast cancer recurrence
D. Fat necrosis

Expert Explanatory Rationale

Correct Answer: Breast cancer recurrence

Question 3 of 5

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?

A. Multiple sclerosis
B. Myasthenia gravis
C. Guillain-Barré syndrome
D. Lambert-Eaton syndrome

Expert Explanatory Rationale

Correct Answer: Myasthenia gravis

Question 4 of 5

A blood pressure reading consists of a top number, or , and bottom number, or

A. Oxygen Saturation & Pulse
B. Diastolic & Systolic
C. Systolic & Diastolic
D. Millimeters & Mercury

Expert Explanatory Rationale

Correct Answer: Systolic & Diastolic

Question 5 of 5

The nurse is reviewing the structures of the ear. Which of these statements concerning the eustachian tube is true?

A. The eustachian tube is responsible for the production of cerumen.
B. It remains open except when swallowing or yawning.
C. The eustachian tube allows passage of air between the middle and outer ear.
D. It helps equalize air pressure on both sides of the tympanic membrane.

Expert Explanatory Rationale

Correct Answer: It helps equalize air pressure on both sides of the tympanic membrane.

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