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

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

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?

A. Breast tissue
B. Fibrocystic disease
C. Breast cancer
D. Lymph node

Expert Explanatory Rationale

Correct Answer: Breast tissue

Question 2 of 5

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:

A. Adhesive capsulitis
B. Rotator cuff tear
C. Glenohumeral arthritis
D. Shoulder impingement

Expert Explanatory Rationale

Correct Answer: Rotator cuff tear

Question 3 of 5

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?

A. Deep-vein thrombophlebitis
B. Varicose veins
C. Lymphedema
D. Raynaud phenomenon

Expert Explanatory Rationale

Correct Answer: Varicose veins

Question 4 of 5

A nurse is taking a patients temperature and wants the most accurate measurement, based on core body temperature. What site should be used?

A. rectal
B. oral
C. axillary
D. forehead

Expert Explanatory Rationale

Correct Answer: rectal

Question 5 of 5

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?

A. Is disoriented to person, place, and time.
B. Affect is flat, with periods of emotional lability.
C. Cannot recall what was eaten for breakfast today.
D. Demonstrates inability to add and subtract; does not know who is president.

Expert Explanatory Rationale

Correct Answer: Affect is flat, with periods of emotional lability.

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