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HESI RN · HESI Fundamentals of Nursing · Health Assessment Vital Signs Quizlet

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

During a respiratory assessment, the nurse notes dullness on percussion over the right lower lung field. What does this finding suggest?

A. Normal lung tissue.

B. Pneumothorax.

C. Consolidation or pleural effusion.

D. Hyperinflation of the lung.

Expert Explanatory Rationale

Correct Answer: Consolidation or pleural effusion.

Question 2 of 5

The nurse is assessing a patient's skin during an office visit. What part of the hand and technique should be used to best assess the patient's skin temperature?

A. Fingertips; they are more sensitive to small changes in temperature.

B. Dorsal surface of the hand; the skin is thinner on this surface than on the palms.

C. Ulnar portion of the hand; increased blood supply in this area enhances temperature sensitivity.

D. Palmar surface of the hand; this surface is the most sensitive to temperature variations because of its increased nerve supply in this area.

Expert Explanatory Rationale

Correct Answer: Dorsal surface of the hand; the skin is thinner on this surface than on the palms.

Question 3 of 5

What two tendons comprise the first dorsal compartment of the wrist?

A. Extensor pollicis brevis (EPB) and abductor pollicis longus (APL)

B. Extensor pollicis longus (EPL) and abductor pollicis brevis (APB)

C. Extensor carpi radialis longus and APL

D. Extensor carpi radialis brevis and APB

Expert Explanatory Rationale

Correct Answer: Extensor pollicis brevis (EPB) and abductor pollicis longus (APL)

Question 4 of 5

A patient is concerned about a dark skin lesion on her anterolateral abdomen. It has not changed, and there is no discharge or bleeding. On examination there is a medium brown circular lesion on the anterolateral wall of the abdomen. It is soft, has regular borders, is evenly pigmented, and is about 7 mm in diameter. What is this lesion?

A. Melanoma

B. Dysplastic nevus

C. Supernumerary nipple

D. Dermatofibroma

Expert Explanatory Rationale

Correct Answer: Supernumerary nipple

Question 5 of 5

During a neurological assessment, the nurse observes that the patient has difficulty with heel-to-toe walking. What does this finding suggest?

A. Cranial nerve deficit.

B. Cerebellar dysfunction.

C. Vestibular impairment.

D. Spinal cord injury.

Expert Explanatory Rationale

Correct Answer: Cerebellar dysfunction.

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