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

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

The nurse is preparing to assess a patient's abdomen by palpation. How should the nurse proceed?

A. Palpation of reportedly tender areas is avoided because palpation in these areas may cause pain.

B. Palpating a tender area is quickly performed to avoid any discomfort that the patient may experience.

C. The assessment begins with deep palpation, while encouraging the patient to relax and to take deep breaths.

D. The assessment begins with light palpation to detect surface characteristics and to accustom the patient to being touched.

Expert Explanatory Rationale

Correct Answer: The assessment begins with light palpation to detect surface characteristics and to accustom the patient to being touched.

Question 2 of 5

During an assessment, the nurse notices that a patient's left arm is swollen from the shoulder down to the fingers, with nonpitting brawny edema. The right arm is normal. The patient had a left-sided mastectomy 1 year ago. The nurse suspects which problem?

A. Venous stasis

B. Lymphedema

C. Arteriosclerosis

D. Deep-vein thrombosis

Expert Explanatory Rationale

Correct Answer: Lymphedema

Question 3 of 5

The technique that uses ultrasound to deliver medications through the skin is which of the following?

A. Phonophoresis

B. Diathermy

C. Iontophoresis

D. None of the above

Expert Explanatory Rationale

Correct Answer: Phonophoresis

Question 4 of 5

Which of the following patients should have their vital signs monitored at least every 4 hours?

A. a patient in a critical care unit

B. a patient hospitalized for high blood pressure

C. a resident in a long-term care facility

D. a long-term care resident on Medicare A

Expert Explanatory Rationale

Correct Answer: a patient hospitalized for high blood pressure

Question 5 of 5

Which of the following occurs in respiratory distress?

A. Speaking in sentences of 10-20 words

B. Skin between the ribs moves inward with inspiration

C. Neck muscles are relaxed

D. Patient torso leans posteriorly

Expert Explanatory Rationale

Correct Answer: Skin between the ribs moves inward with inspiration

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