ANCC FNP 3 FULL EXAMS PRACTICE
QUESTIONS AND DETAILED SOLUTIONS
◉ The nurse has completed assessing for orthostatic hypotension
and documents the results. What results would indicate to the nurse
the client is experiencing orthostatic hypotension?
Answer: A decrease in systolic pressure >20 mm Hg
◉ The nurse estimates a client's systolic pressure to be 150 mm Hg.
When obtaining the client's blood pressure measurement with a
sphygmomanometer, the nurse would inflate the cuff to which
pressure?
Answer: 180 mm Hg
◉ A client's blood pressure is very low and the nurse needs to asses
it using a Doppler. To get an accurate reading the nurse would inflate
the cuff to what level on the manometer?
Answer: Where the pulse disappears
◉ The nurse will assess the client for orthostatic hypotension. What
symptoms would alert the nurse that the client is experiencing
hypotension? Select all that apply.
Answer: Pallor, Dizziness, Diaphoresis
,◉ A nurse is measuring a client's blood pressure in the right arm
and is having difficulty auscultating the sounds. Which would be
least appropriate for the nurse to do?
Answer: Apply less pressure with the stethoscope.
◉ The nurse is providing care to a client who has had a left modified
radical mastectomy 2 days ago. The woman also has an intravenous
line inserted in the right antecubital space. Which would be most
appropriate when assessing this client's blood pressure?
Answer: Use either the client's right or left thigh to obtain the blood
pressure.
◉ The nurse is obtaining serial blood pressure measurements on a
client having hypertension medication adjustment. What
assessment is most important for the nurse to perform frequently?
Answer: Determine if there is compromised circulation in the limb.
◉ What is most important for the nurse to do when using an
automatic electronic device to obtain serial blood pressure
readings?
Answer: Check that the cuff is deflated completely after the reading.
◉ When preparing to measure orthostatic hypotension, the nurse
should place the bed in which position?
Answer: The lowest position
,◉ the nurse is teaching a class on vital signs to a group of new
unlicensed assistive personnel (UAP). What should the nurse teach
the UAP about the proper use of an electronic blood pressure
machine when taking vital signs on an adult client? Select all that
apply.
Answer: Select an adult setting on the machine
,
Wrap the cuff around the arm snugly
,
Line up the artery mark with limb artery
◉ A nurse is measuring a client's blood pressure using an electronic
device. What is important for the nurse to do to ensure accurate
results?
Answer: Ensure that the cuff is completely deflated before
attempting another reading.
◉ When using a Doppler to obtain a client's blood pressure, which
action does the nurse take?
Answer: Inflate the cuff until the pulse disappears.
◉ The nurse is giving instructions to the client about the procedure
for measuring orthostatic hypotension. The nurse explains that for
, each measurement, the client will have to remain in the position for
approximately how long?
Answer: 3 minutes
◉ The nurse is preparing to measure an adult's orthostatic blood
pressure. Place the following steps of the procedure in the correct
order. Use all options.
Answer: Assist the client into a supine position.
2)Wait 3 to 10 minutes, then measure the client's blood pressure.
3)Assist the client to the sitting position with legs dangling.
4)Wait 1 to 3 minutes, then measure the client's blood pressure.
5)Assist the client to a standing position.
6)Wait 2 to 3 minutes, then measure the client's blood pressure.
◉ The nurse obtains a blood pressure on a client using a Doppler
ultrasound device but is unsure if the results are accurate. The nurse
plans to repeat the measurement. What step would the nurse take to
ensure a correct reading
Answer: Check to make sure the client's heart rate is regular.
◉ The nurse must assess a client's systolic blood pressure using a
Doppler ultrasound. Place the following steps to this procedure in
the correct order. Use all options.
QUESTIONS AND DETAILED SOLUTIONS
◉ The nurse has completed assessing for orthostatic hypotension
and documents the results. What results would indicate to the nurse
the client is experiencing orthostatic hypotension?
Answer: A decrease in systolic pressure >20 mm Hg
◉ The nurse estimates a client's systolic pressure to be 150 mm Hg.
When obtaining the client's blood pressure measurement with a
sphygmomanometer, the nurse would inflate the cuff to which
pressure?
Answer: 180 mm Hg
◉ A client's blood pressure is very low and the nurse needs to asses
it using a Doppler. To get an accurate reading the nurse would inflate
the cuff to what level on the manometer?
Answer: Where the pulse disappears
◉ The nurse will assess the client for orthostatic hypotension. What
symptoms would alert the nurse that the client is experiencing
hypotension? Select all that apply.
Answer: Pallor, Dizziness, Diaphoresis
,◉ A nurse is measuring a client's blood pressure in the right arm
and is having difficulty auscultating the sounds. Which would be
least appropriate for the nurse to do?
Answer: Apply less pressure with the stethoscope.
◉ The nurse is providing care to a client who has had a left modified
radical mastectomy 2 days ago. The woman also has an intravenous
line inserted in the right antecubital space. Which would be most
appropriate when assessing this client's blood pressure?
Answer: Use either the client's right or left thigh to obtain the blood
pressure.
◉ The nurse is obtaining serial blood pressure measurements on a
client having hypertension medication adjustment. What
assessment is most important for the nurse to perform frequently?
Answer: Determine if there is compromised circulation in the limb.
◉ What is most important for the nurse to do when using an
automatic electronic device to obtain serial blood pressure
readings?
Answer: Check that the cuff is deflated completely after the reading.
◉ When preparing to measure orthostatic hypotension, the nurse
should place the bed in which position?
Answer: The lowest position
,◉ the nurse is teaching a class on vital signs to a group of new
unlicensed assistive personnel (UAP). What should the nurse teach
the UAP about the proper use of an electronic blood pressure
machine when taking vital signs on an adult client? Select all that
apply.
Answer: Select an adult setting on the machine
,
Wrap the cuff around the arm snugly
,
Line up the artery mark with limb artery
◉ A nurse is measuring a client's blood pressure using an electronic
device. What is important for the nurse to do to ensure accurate
results?
Answer: Ensure that the cuff is completely deflated before
attempting another reading.
◉ When using a Doppler to obtain a client's blood pressure, which
action does the nurse take?
Answer: Inflate the cuff until the pulse disappears.
◉ The nurse is giving instructions to the client about the procedure
for measuring orthostatic hypotension. The nurse explains that for
, each measurement, the client will have to remain in the position for
approximately how long?
Answer: 3 minutes
◉ The nurse is preparing to measure an adult's orthostatic blood
pressure. Place the following steps of the procedure in the correct
order. Use all options.
Answer: Assist the client into a supine position.
2)Wait 3 to 10 minutes, then measure the client's blood pressure.
3)Assist the client to the sitting position with legs dangling.
4)Wait 1 to 3 minutes, then measure the client's blood pressure.
5)Assist the client to a standing position.
6)Wait 2 to 3 minutes, then measure the client's blood pressure.
◉ The nurse obtains a blood pressure on a client using a Doppler
ultrasound device but is unsure if the results are accurate. The nurse
plans to repeat the measurement. What step would the nurse take to
ensure a correct reading
Answer: Check to make sure the client's heart rate is regular.
◉ The nurse must assess a client's systolic blood pressure using a
Doppler ultrasound. Place the following steps to this procedure in
the correct order. Use all options.
