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

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

A 65-year-old patient remarks that she just cannot believe that her breasts "sag so much." She states it must be from a lack of exercise. What explanation should the nurse offer her? After menopause:

A. Only women with large breasts experience sagging.

B. Sagging is usually due to decreased muscle mass within the breast.

C. A diet that is high in protein will help maintain muscle mass, which keeps the breasts from sagging.

D. The glandular and fat tissue atrophies, causing breast size and elasticity to diminish, resulting in breasts that sag.

Expert Explanatory Rationale

Correct Answer: The glandular and fat tissue atrophies, causing breast size and elasticity to diminish, resulting in breasts that sag.

Question 2 of 5

How often, according to American Cancer Society recommendations, should a woman undergo a screening breast examination by a skilled clinician?

A. Every year

B. Every 2 years

C. Every 3 years

D. Every 4 years

Expert Explanatory Rationale

Correct Answer: Every 3 years

Question 3 of 5

A physical therapist uses an incentive spirometer with a patient post-thoracic surgery. The PRIMARY purpose of this intervention is to:

A. Promote relaxation.

B. Improve inspiratory muscle strength.

C. Reduce pain during breathing.

D. Prevent pulmonary complications.

Expert Explanatory Rationale

Correct Answer: Prevent pulmonary complications.

Question 4 of 5

Some of the signs of respiratory distress are...

A. Grunting and nasal flaring.

B. Raspy breathing.

C. A panicked look and sweating.

D. All of the above

Expert Explanatory Rationale

Correct Answer: All of the above

Question 5 of 5

Which of the following conditions would produce a hyperresonant percussion note?

A. Large pneumothorax

B. Lobar pneumonia

C. Pleural effusion

D. Empyema

Expert Explanatory Rationale

Correct Answer: Large pneumothorax

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