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

Which of the following is the most appropriate action when the nurse encounters an area of tenderness during abdominal palpation?

A 70-year-old man with a history of hypertension presents with shortness of breath and orthopnea. His physical examination reveals bilateral pedal edema, crackles at the lung bases, and jugular venous distention. What is the most likely diagnosis?

Mr. Kruger is an 84-year-old who presents with a smooth lower abdominal mass in the midline which is minimally tender. There is dullness to percussion up to 6 centimeters above the symphysis pubis. What does this most likely represent?

During an eye assessment, the nurse uses the Snellen chart to test the patient's visual acuity. Which result is considered normal?

The nurse is preparing to measure the length, weight, chest, and head circumference of a 6-month-old infant. Which measurement technique is correct?