HESI RN · HESI Fundamentals of Nursing · Neurological Vital Signs Assessment
Full Question & Rationale Repository
Showing all 5 practice questions with expert explanatory rationales.
A 30-year-old man notices a firm, 2-cm mass under his areola. He has no other symptoms and no diagnosis of breast cancer in his first-degree relatives. What is the most likely diagnosis?
Expert Explanatory Rationale
Correct Answer: Breast tissue
A patient demonstrates limited active range of motion in shoulder abduction but has normal passive range of motion. The MOST likely cause of this limitation is:
Expert Explanatory Rationale
Correct Answer: Rotator cuff tear
During a visit to the clinic, a woman in her seventh month of pregnancy complains that her legs feel 'heavy in the calf' and that she often has foot cramps at night. The nurse notices that the patient has dilated, tortuous veins apparent in her lower legs. Which condition is reflected by these findings?
Expert Explanatory Rationale
Correct Answer: Varicose veins
A nurse is taking a patients temperature and wants the most accurate measurement, based on core body temperature. What site should be used?
Expert Explanatory Rationale
Correct Answer: rectal
A client has a neurological deficit involving the limbic system. Specific to this type of deficit, the nurse would document which of the following information related to the client's behavior?
Expert Explanatory Rationale
Correct Answer: Affect is flat, with periods of emotional lability.
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