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HESI RN · HESI Fundamentals of Nursing · Vital Signs Assessment

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

The nurse is conducting a pain assessment. Which question best evaluates the quality of the patient's pain?

A. When did the pain start?

B. What does the pain feel like?

C. What makes the pain better or worse?

D. Where is the pain located?

Expert Explanatory Rationale

Correct Answer: What does the pain feel like?

Question 2 of 5

A patient with a head injury opens the eyes to painful stimulation, mumbles incoherently when stimulated, and does not respond to a verbal command to move but localizes to painful stimulus. The nurse records the patient's Glasgow Coma Scale score as:

A. 9

B. 11

C. 13

D. 15

Expert Explanatory Rationale

Correct Answer: 11

Question 3 of 5

The nurse is performing a neurological assessment and observes that the patient has difficulty with rapid alternating movements. What condition does this finding suggest?

A. Cerebellar dysfunction.

B. Peripheral neuropathy.

C. Motor weakness.

D. Upper motor neuron lesion.

Expert Explanatory Rationale

Correct Answer: Cerebellar dysfunction.

Question 4 of 5

What is the expected moisture and texture of the skin of a patient with hypothyroidism?

A. Moist and smooth

B. Moist and rough

C. Dry and smooth

D. Dry and rough

Expert Explanatory Rationale

Correct Answer: Dry and rough

Question 5 of 5

A patient is at the clinic to have her blood pressure checked. She has been coming to the clinic weekly since she changed medications 2 months ago. The nurse should:

A. Collect a follow-up data base and then check her blood pressure.

B. Ask her to read her health record and indicate any changes since her last visit.

C. Check only her blood pressure because her complete health history was documented 2 months ago.

D. Obtain a complete health history before checking her blood pressure because much of her history information may have changed.

Expert Explanatory Rationale

Correct Answer: Collect a follow-up data base and then check her blood pressure.

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