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

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

A nurse is assessing a client's oxygen saturation and obtains a reading of 92%. What action should the nurse take?

A. Document the oxygen saturation as normal.

B. Recheck the oxygen saturation in 30 minutes.

C. Initiate supplemental oxygen therapy.

D. Instruct the client to perform deep breathing exercises.

Expert Explanatory Rationale

Correct Answer: Initiate supplemental oxygen therapy.

Question 2 of 5

Which of the following symptoms is most likely to be documented under the musculoskeletal system in the review of systems?

A. Back pain

B. Nausea

C. Shortness of breath

D. Frequent urination

Expert Explanatory Rationale

Correct Answer: Back pain

Question 3 of 5

A 65-year-old patient with a history of heart failure comes to the clinic with complaints of 'being awakened from sleep with shortness of breath.' Which action by the nurse is most appropriate?

A. Obtaining a detailed health history of the patient's allergies and a history of asthma.

B. Telling the patient to sleep on his or her right side to facilitate ease of respirations.

C. Assessing for other signs and symptoms of paroxysmal nocturnal dyspnea.

D. Assuring the patient that paroxysmal nocturnal dyspnea is normal and will probably resolve within the next week.

Expert Explanatory Rationale

Correct Answer: Assessing for other signs and symptoms of paroxysmal nocturnal dyspnea.

Question 4 of 5

What step of the nursing process includes data collection by health history, physical examination, and interview?

A. Planning.

B. Diagnosis.

C. Evaluation.

D. Assessment.

Expert Explanatory Rationale

Correct Answer: Assessment.

Question 5 of 5

The nurse is auscultating lung sounds and hears a fine crackling sound during inspiration. What condition is this most likely associated with?

A. Bronchitis.

B. Pneumonia.

C. Pulmonary fibrosis.

D. Asthma.

Expert Explanatory Rationale

Correct Answer: Pulmonary fibrosis.

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