Nur 2090 test Questions with 100%
Correct Answers
The nurse is taking the apical pulse of a 6-month-old infant. Upon completion,
the nurse tells the parent the baby's pulse is 140 beats per minute. The parent is
concerned, stating, "That seems kind of high!" The nurse responds: Correct
Answer: c) "I know it seems fast, but normal infant heart rates are 100-160 beats
per minute."
The average pulse rate of an infant ranges from 100 to 160 beats per minute.
A patient has had a left-side mastectomy. How does this affect the blood
pressure assessment? Correct Answer: c) Assessment of blood pressure is
impeded
If the patient has had a mastectomy, blood-pressure monitoring on the same
side can further impede circulation, contributing to lymphedema.
A patient has smoked most of his life and has labored respirations. He is
experiencing Correct Answer: a) Dyspnea
Dyspnea describes respirations that require excessive effort.
Patients demonstrating apnea have Correct Answer: a) Usually have a
temporary cessation of breathing
, Apnea, the absence of respirations, is often described by the length of time in
which respirations do not occur.
A pulse deficit is the difference between Correct Answer: d) The apical pulse
and the radial pulse rate
When a pulse deficit is present, the radial pulse is always lower than the apical
pulse rate.
An adult pulse greater than 100 beats per minute is Correct Answer: c)
Tachycardia
Adult pulse rates above 100 beats per minute are termed tachycardia.
An ultrasonic Doppler is used for Correct Answer: a) Auscultating a pulse that is
difficult to palpate
A Doppler device can be used to detect a pulse that is not easily palpable.
A nurse can most accurately assess a patient's heart rate and rhythm by which
of the following methods? Correct Answer: a) Listen with the stethoscope at the
fifth intercostals space left mid-clavicular line
To assess the apical pulse, the nurse places the stethoscope over the left
ventricle. The stethoscope is placed at the level of the fifth intercostal's space
left mid-clavicular line.
Correct Answers
The nurse is taking the apical pulse of a 6-month-old infant. Upon completion,
the nurse tells the parent the baby's pulse is 140 beats per minute. The parent is
concerned, stating, "That seems kind of high!" The nurse responds: Correct
Answer: c) "I know it seems fast, but normal infant heart rates are 100-160 beats
per minute."
The average pulse rate of an infant ranges from 100 to 160 beats per minute.
A patient has had a left-side mastectomy. How does this affect the blood
pressure assessment? Correct Answer: c) Assessment of blood pressure is
impeded
If the patient has had a mastectomy, blood-pressure monitoring on the same
side can further impede circulation, contributing to lymphedema.
A patient has smoked most of his life and has labored respirations. He is
experiencing Correct Answer: a) Dyspnea
Dyspnea describes respirations that require excessive effort.
Patients demonstrating apnea have Correct Answer: a) Usually have a
temporary cessation of breathing
, Apnea, the absence of respirations, is often described by the length of time in
which respirations do not occur.
A pulse deficit is the difference between Correct Answer: d) The apical pulse
and the radial pulse rate
When a pulse deficit is present, the radial pulse is always lower than the apical
pulse rate.
An adult pulse greater than 100 beats per minute is Correct Answer: c)
Tachycardia
Adult pulse rates above 100 beats per minute are termed tachycardia.
An ultrasonic Doppler is used for Correct Answer: a) Auscultating a pulse that is
difficult to palpate
A Doppler device can be used to detect a pulse that is not easily palpable.
A nurse can most accurately assess a patient's heart rate and rhythm by which
of the following methods? Correct Answer: a) Listen with the stethoscope at the
fifth intercostals space left mid-clavicular line
To assess the apical pulse, the nurse places the stethoscope over the left
ventricle. The stethoscope is placed at the level of the fifth intercostal's space
left mid-clavicular line.
