Regarding the blood pressure in children, the diastolic pressure is assessed by the auscultation of a:

murmur or swishing sound that increases with depression of the cuff.

clear tapping that gradually grows louder

louder knocking sound that occurs with each heartbeat.

sudden change or muffling of the sound.

Answer and Explanation

The Correct Answer is D

A.   A murmur or swishing sound does not correspond to the diastolic pressure; it is more indicative of turbulent blood flow.
B.   Clear tapping sounds are heard at systolic pressure but do not indicate diastolic pressure.
C.   Knocking sounds are associated with systolic pressure, not diastolic.
D.   The muffling sound heard after the first Korotkoff sounds indicates the diastolic pressure in children and some adults, which is the correct method for assessing the diastolic reading.

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Correct Answer is D

Explanation

A. The dilation reflex refers to pupils dilating in response to dim light, not constricting.
B. A brisk reflex is an expected response, but it does not describe the bilateral pupil constriction when light is shone in one eye.
C. Accommodation refers to the process of the eyes adjusting focus for near vision, not pupil constriction in response to light.

D. Consensual reflex is when both pupils constrict in response to light shined in either one of the eyes, indicating normal neurological function.

A. the state of consciousness. B. if the shape is regular. C. whether one pupil is larger than the other. D. if they have become smaller.

Correct Answer is C

Explanation

A. While pupil response can be an indicator of consciousness, the primary concern when assessing pupils is to check for signs of increased intracranial pressure, such as unequal pupil size.
B. The shape of the pupil is important to assess, but the concern here is typically more about the size and response to light, which can indicate a neurological issue.
C. Unequal pupil sizes (anisocoria) can indicate neurological problems, such as increased intracranial pressure or brain injury, and requires further evaluation.
D. Pupil size changes could indicate a variety of issues, but the focus should be on detecting unequal pupils, which can be a critical sign in head injury patients.

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Regarding the blood pressure in children, the diastolic pressure is assessed by the auscultation of a:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

When examining a patient's pupils with a light, the nurse notes that both pupils constrict, regardless of which eye is stimulated by the light. The nurse should document that the pupils exhibit:

Correct Answer is D

Explanation

A 16-year-old patient sustained a head injury while playing soccer. When performing a neurologic check, the nurse looks at each pupil to determine

Correct Answer is C

Explanation

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