An abnormally rapid heart rate above 100 beats per minute is called:

bradycardia

tachycardia

dyspnea

Tachypnea

Answer and Explanation

The Correct Answer is B

A. Bradycardia – Bradycardia is a slow heart rate below 60 beats per minute.

B. Tachycardia – Tachycardia is defined as a heart rate exceeding 100 beats per minute, which can result from fever, stress, dehydration, or cardiac conditions.

C. Dyspnea – Dyspnea refers to difficulty breathing, not an increased heart rate.

D. Tachypnea – Tachypnea is an abnormally rapid respiratory rate, not a rapid heart rate.

Nursing Test Bank

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Correct Answer is B

Explanation

A. Skin assessment. – While skin assessment is important, it is not the first step in a head-to-toe physical examination.

B. Neurological assessment. – The neurological assessment is performed first because it establishes baseline cognitive function, level of consciousness, and cranial nerve responses, which are essential for assessing overall patient status.

C. Respiratory assessment. – The respiratory system is assessed after neurological status has been established.

D. Circulatory assessment. – While circulation is vital, it is typically evaluated after neurological and respiratory assessments.

A. opening of the AV valves B. closing of the semilunar valves C. closing of the AV valves D. opening of the semilunar valves

Correct Answer is C

Explanation

A. Opening of the AV valves – The AV (atrioventricular) valves open silently during diastole; they do not create the "lub" sound.

B. Closing of the semilunar valves – The closing of the semilunar valves (aortic and pulmonary) produces the "dupp" sound, not the "lub."

C. Closing of the AV valves – The first heart sound (S1), or "lub," occurs when the mitral and tricuspid (AV) valves close at the beginning of systole.

D. Opening of the semilunar valves – The semilunar valves open silently during ventricular contraction; they do not produce the "lub" sound.

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An abnormally rapid heart rate above 100 beats per minute is called:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

When performing the nursing physical assessment, the nurse uses head-to-toe organization. When using this method, the nurse begins with a:

Correct Answer is B

Explanation

Auscultation of the heart sounds will result in a lubb-dupp sound when using the bell and the diaphragm of the stethoscope. The lub part of the sound is caused by the:

Correct Answer is C

Explanation

The nurse is obtaining a history of the patient's present illness. The PQRST system is being used for the interview. In this system the R is:

The most frequently used skill in the physical nursing assessment is:

Any disturbance of the structure or function of the body is a pathological condition. This condition is termed a/an:

When the color of the sclera is yellow due to bilirubin that infiltrates all tissues of the body it is called:

The term used to describe a disease where there has been a partial or complete disappearance of clinical and subjective characteristics of the disease is:

Listening for bowel sounds is done over all four quadrants of the abdomen using the diaphragm of the stethoscope. The normal rate of bowel sounds per minute is:

The study of all factors involved in the development of the disease or the cause of the disease is termed:

During the nursing interview, several histories are taken. The history that involves data concerning habits and lifestyle patterns is called: