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HESI RN · HESI Fundamentals of Nursing · Vital Signs Assessment for Nurses

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

A nurse is conducting a physical examination and is percussing the gastric area of a patient. What percussion tone is normally heard in this area?

A. flat
B. dull
C. resonant
D. tympany

Expert Explanatory Rationale

Correct Answer: tympany

Question 2 of 5

If a patient presents with a burn with damage to the epidermis but only partial damage to the dermis and has blistering, how is the burn classified?

A. First degree or superficial
B. Second degree or partial thickness
C. Third degree or full thickness
D. Unstageable

Expert Explanatory Rationale

Correct Answer: Second degree or partial thickness

Question 3 of 5

The nurse is teaching a pregnant woman about breast milk. Which statement by the nurse is correct?

A. "Your breast milk is immediately present after the delivery of your baby."
B. "Breast milk is rich in protein and sugars (lactose) but has very little fat."
C. "The colostrum, which is present right after birth, does not contain the same nutrients as breast milk."
D. "You may notice a thick, yellow fluid expressed from your breasts as early as the fourth month of pregnancy."

Expert Explanatory Rationale

Correct Answer: "You may notice a thick, yellow fluid expressed from your breasts as early as the fourth month of pregnancy."

Question 4 of 5

Hypothermia is defined as ...

A. An increase in body temperature over 96.8°
B. A drop in body temperature below 96.8°
C. Cyanosis
D. None of the above

Expert Explanatory Rationale

Correct Answer: A drop in body temperature below 96.8°

Question 5 of 5

In trying to communicate with a client with cerebral vascular accident (stroke) and aphasia, which of the following actions by the nurse would be least helpful to the client?

A. Speaking to the client at a slower rate.
B. Allowing plenty of time for the client to respond.
C. Completing the sentences that the client cannot finish.
D. Looking directly at the client during attempts at speech.

Expert Explanatory Rationale

Correct Answer: Completing the sentences that the client cannot finish.

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