The nurse taking an apical pulse would place the stethoscope at:

directly below the sternum.

the left of the sternum at the third intercostal space.

the left midclavicular line at the fifth intercostal space

tightly above the left nipple.

Answer and Explanation

The Correct Answer is C

A.   The area directly below the sternum is not the location for the apical pulse.
B.   The third intercostal space is too high for the apical pulse, which is best heard at the fifth intercostal space.
C.   The left midclavicular line at the fifth intercostal space is the proper location for auscultating the apical pulse.
D.   Placing the stethoscope above the left nipple does not ensure accurate assessment of the apical pulse.

Nursing Test Bank

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is D

Explanation

Rationale
A. Pumping the cuff until no sound is heard may cause inaccurate readings and is not a proper technique.
B. Stopping midway can result in missing sounds or causing an inaccurate measurement.

C. The bell of the stethoscope should be used for low-pitched sounds, but the key is to continue listening to identify the full Korotkoff sound range, especially in the presence of an auscultatory gap.
D. It is important to continue listening until the cuff is deflated to ensure the accurate measurement of both systolic and diastolic pressures, particularly in patients with an auscultatory gap.

A. become muffled. B. decrease. C. remain the same. D. Increase

Correct Answer is B

Explanation

A. Dehydration causes a drop in circulating blood volume, which can lead to lower blood pressure, not muffled sounds.
B. When a person is dehydrated, there is less fluid in the bloodstream, which typically causes a decrease in blood pressure.
C. Blood pressure is likely to decrease in dehydration due to reduced circulating volume, rather than remain unchanged.
D. Dehydration will not increase blood pressure; it typically causes a compensatory decrease in blood pressure.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

The nurse taking an apical pulse would place the stethoscope at:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Older adult patients with hypertension may have an auscultatory gap in their Korotkoff sounds. It is important when taking their blood pressure measurement to:

Correct Answer is D

Explanation

If dehydration occurs, the blood pressure will

Correct Answer is B

Explanation

A nurse is instructing a nursing student on performing pupillary checks on a patient with a possible head injury. Which statement indicates that the nursing student understands the concept?

The nurse explains to a patient that the pulse oximeter can measure the arterial oxygen by:

A nurse is caring for a patient with a cardiac disease history. When measuring vital signs, the nurse finds that the radial pulse is 102 beats/min and irregular. The nurse correctly:

The nurse anticipates that if the stroke volume of a patient is reduced, the pulse will be:

The nurse taking an apical pulse would place the stethoscope at:

The nurse would record a pulse as bradycardic if the rate were:

The nurse who is assessing the patient with the Glasgow Coma Scale finds a patient who can open his eyes spontaneously, obeys all commands, and is oriented. The nurse documents a score of

The nurse assesses that the 86-year-old patient is experiencing orthostatic hypotension when assessments indicate: (Select all that apply.)