ATI Fundamentals Review questions with correct answers

Diaphragm of stethoscope? Correct Answer - Used for high-pitched sounds (heart sounds, bowel sounds, breath sounds)---placed firmly on the body Bell of stethoscope? Correct Answer - Used for low-pitched sounds (abnormal heart sounds, bruits)---placed lightly on the body Tympanic temperature--adults? children? Correct Answer - Adult--pull ear up and back; Children younger than 3 pull down and back Rectal temperature? Correct Answer - Sims position---inserted 3.5cm or 11/2 in for adults Pulse strength scale? Correct Answer - 0-4+---0=absent- 4+= full or bounding how to take apical pulse? Correct Answer - 5th intercostal space at left midclavicular line--place stethoscope on chest and always count for 1 minute----used to assess HR of infant, rapid rates > 100, irregular rhythms, and prior to cardiac meds s/s of tachycardia? Correct Answer - pain, anxiety, restlessness, fatigue, low BP, and low O2 sat s/s of bradycardia? Correct Answer - hypotension, chest pain, syncope, diaphoresis, dyspnea, altered mental status