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

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

A young patient presents with a left-sided mass in her abdomen. You confirm that it is present in the left upper quadrant. Which of the following would support that this represents an enlarged kidney rather than her spleen?

A. A palpable 'notch' along its edge

B. The inability to push your fingers between the mass and the costal margin

C. The presence of normal tympany over this area

D. The ability to push your fingers medial and deep to the mass

Expert Explanatory Rationale

Correct Answer: The presence of normal tympany over this area

Question 2 of 5

A nurse is assessing a client's pain and determines that the pain is neuropathic in nature. Which medication would be most appropriate for the nurse to administer?

A. Acetaminophen (Tylenol)

B. Ibuprofen (Advil)

C. Morphine sulfate

D. Gabapentin (Neurontin)

Expert Explanatory Rationale

Correct Answer: Gabapentin (Neurontin)

Question 3 of 5

When checking for proper blood pressure cuff size, which guideline is correct?

A. The standard cuff size is appropriate for all sizes.

B. The length of the rubber bladder should equal 80% of the arm circumference.

C. The width of the rubber bladder should equal 80% of the arm circumference.

D. The width of the rubber bladder should equal 40% of the arm circumference.

Expert Explanatory Rationale

Correct Answer: The width of the rubber bladder should equal 40% of the arm circumference.

Question 4 of 5

When reviewing the concepts of health, the nurse recalls that the components of holistic health include which of these?

A. Disease originates from the external environment.

B. The individual human is a closed system.

C. Nurses are responsible for a patient's health state.

D. Holistic health views the mind, body, and spirit as interdependent.

Expert Explanatory Rationale

Correct Answer: Holistic health views the mind, body, and spirit as interdependent.

Question 5 of 5

The nurse is assessing a patient's abdomen and detects a mass. What is the next step in the assessment?

A. Percuss the area for tenderness.

B. Auscultate for bowel sounds.

C. Palpate the mass for size and consistency.

D. Refer the patient for imaging.

Expert Explanatory Rationale

Correct Answer: Palpate the mass for size and consistency.

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