Nursing 112 Exam 3 video questions
WITH COMPLETE SOLUTIONS
What is the primary purpose of initially assessing an apical pulse?
j j j j j j j j j j
A. Assessment of the patient's cardiac function
j j j j j j
B. Establishment of a baseline as part of the patient's vital signs
j j j j j j j j j j j
C. Assessment of the patient's risk for cardiovascular disease
j j j j j j j j
D. Determination of oxygen saturation - CORRECT ANSWER✔✔B. Establishment of a baseline as part of the
j j j j j j j j j j j j j j j
patient's vital signs
j j j
What instruction should the nurse give nursing assistive personnel (NAP) regarding the appropriate
j j j j j j j j j j j j
technique when measuring the adult patient's apical pulse?
j j j j j j j j
, A. Document the patient's pulse rate and rhythm.
j j j j j j j
B. Place the patient in the right lateral position before measuring the apical pulse.
j j j j j j j j j j j j j
C. Review the patient's previous apical pulse measurements.
j j j j j j j
D. Place your stethoscope at the fifth intercostal space over the left midclavicular line. - CORRECT ANSWER
j j j j j j j j j j j j j j j j
✔✔D. Place your stethoscope at the fifth intercostal space over the left midclavicular line.
j j j j j j j j j j j j j
Which action would take priority if a patient's apical pulse has an irregular rhythm?
j j j j j j j j j j j j j
A. Reassess the pulse for 1 full minute.
j j j j j j j
B. Assess the patient's peripheral pulses.
j j j j j
C. Wait 5 minutes, and then reassess the apical pulse.
j j j j j j j j j
D. Review documentation regarding an irregular rhythm. - CORRECT ANSWER✔✔A. Reassess the pulse for
j j j j j j j j j j j j j
1 full minute.
j j j
Which statement demonstrates an understanding of the importance of communicating changes in the
j j j j j j j j j j j j
patient's apical pulse rate?
j j j j
A. "The patient's apical pulse is recorded as you asked."
j j j j j j j j j
B. "The apical pulse is more difficult to hear when the patient is sitting up."
j j j j j j j j j j j j j j
WITH COMPLETE SOLUTIONS
What is the primary purpose of initially assessing an apical pulse?
j j j j j j j j j j
A. Assessment of the patient's cardiac function
j j j j j j
B. Establishment of a baseline as part of the patient's vital signs
j j j j j j j j j j j
C. Assessment of the patient's risk for cardiovascular disease
j j j j j j j j
D. Determination of oxygen saturation - CORRECT ANSWER✔✔B. Establishment of a baseline as part of the
j j j j j j j j j j j j j j j
patient's vital signs
j j j
What instruction should the nurse give nursing assistive personnel (NAP) regarding the appropriate
j j j j j j j j j j j j
technique when measuring the adult patient's apical pulse?
j j j j j j j j
, A. Document the patient's pulse rate and rhythm.
j j j j j j j
B. Place the patient in the right lateral position before measuring the apical pulse.
j j j j j j j j j j j j j
C. Review the patient's previous apical pulse measurements.
j j j j j j j
D. Place your stethoscope at the fifth intercostal space over the left midclavicular line. - CORRECT ANSWER
j j j j j j j j j j j j j j j j
✔✔D. Place your stethoscope at the fifth intercostal space over the left midclavicular line.
j j j j j j j j j j j j j
Which action would take priority if a patient's apical pulse has an irregular rhythm?
j j j j j j j j j j j j j
A. Reassess the pulse for 1 full minute.
j j j j j j j
B. Assess the patient's peripheral pulses.
j j j j j
C. Wait 5 minutes, and then reassess the apical pulse.
j j j j j j j j j
D. Review documentation regarding an irregular rhythm. - CORRECT ANSWER✔✔A. Reassess the pulse for
j j j j j j j j j j j j j
1 full minute.
j j j
Which statement demonstrates an understanding of the importance of communicating changes in the
j j j j j j j j j j j j
patient's apical pulse rate?
j j j j
A. "The patient's apical pulse is recorded as you asked."
j j j j j j j j j
B. "The apical pulse is more difficult to hear when the patient is sitting up."
j j j j j j j j j j j j j j
