GCU NUR 634 Midterm Exam – Advanced Nursing Leadership & Management Practice Test
Posterior Tibial pulse - (ANSWER)Palpate on inner aspect on ankle below & slightly behind the medial
malleolus
Dorsalis Pedis pulse - (ANSWER)Palpate lightly over dorsum of foot between the extension tendons of
the first and second toes to assess for perfusion
Brachial Pulse - (ANSWER)Palpate in the groove between the biceps & triceps muscle just medial to the
biceps tendon to the antecubital fossa
Temporal Pulse - (ANSWER)Palpate over temporal bone on each side of head lateral to each eyebrow.
CAROTID PULSE - (ANSWER)o To assess amplitude & contour, patient should be supine with HOB about
30 degrees.
o Inspect the neck for carotid pulsations, often visible just medial to the SCM muscles.
o Then place index & middle fingers or left thumb on right carotid artery in lower third of neck & palpate
pulsations.
o Press just inside the medial border of relaxed SCM muscle, roughly at level of cricoid cartilage.
Femoral pulse - (ANSWER)press deeply, below inguinal ligament & about midway between anterior
superior iliac spine & symphysis pubis.
Radial Pulse - (ANSWER)Palpate at radial or thumb sides of forearm at the wrist
Popliteal pulse - (ANSWER)Patient's knee somewhat flexed, with leg relaxed.
Placed fingertips of both hands so they just meet in the middle behind the knee, press them deeply into
popliteal fossa
, GCU NUR 634 Midterm Exam – Advanced Nursing Leadership & Management Practice Test
Pre-hypertension - (ANSWER)o Systolic BP: 120-139
o Diastolic BP: 80-89
Stage I Hypertension - (ANSWER)o Age ≥ 18 to < 60 years
Systolic BP: 140-159 Diastolic BP: 90-99
o Age ≥ 60 years
Systolic BP: 150-159
Diastolic BP: 90-99
Stage 2 Hypertension - (ANSWER)Systolic BP: ≥ 160
Diastolic BP: ≥ 100
o If DM or renal disease (including age ≥ 60 yrs)
§ Systolic BP: < 140
§ Diastolic BP: < 90
Dissecting Aortic Aneurysm - (ANSWER)severe tearing knifelike pain, radiating from
chest through to back,
-unequal pulses/BP
-pulsating abdominal mass
Percussion sounds: Abdomen - (ANSWER)Tympany due to gas of GI tract
Scattered areas of dullness from fluid or feces
On right: dullness of liver
Posterior Tibial pulse - (ANSWER)Palpate on inner aspect on ankle below & slightly behind the medial
malleolus
Dorsalis Pedis pulse - (ANSWER)Palpate lightly over dorsum of foot between the extension tendons of
the first and second toes to assess for perfusion
Brachial Pulse - (ANSWER)Palpate in the groove between the biceps & triceps muscle just medial to the
biceps tendon to the antecubital fossa
Temporal Pulse - (ANSWER)Palpate over temporal bone on each side of head lateral to each eyebrow.
CAROTID PULSE - (ANSWER)o To assess amplitude & contour, patient should be supine with HOB about
30 degrees.
o Inspect the neck for carotid pulsations, often visible just medial to the SCM muscles.
o Then place index & middle fingers or left thumb on right carotid artery in lower third of neck & palpate
pulsations.
o Press just inside the medial border of relaxed SCM muscle, roughly at level of cricoid cartilage.
Femoral pulse - (ANSWER)press deeply, below inguinal ligament & about midway between anterior
superior iliac spine & symphysis pubis.
Radial Pulse - (ANSWER)Palpate at radial or thumb sides of forearm at the wrist
Popliteal pulse - (ANSWER)Patient's knee somewhat flexed, with leg relaxed.
Placed fingertips of both hands so they just meet in the middle behind the knee, press them deeply into
popliteal fossa
, GCU NUR 634 Midterm Exam – Advanced Nursing Leadership & Management Practice Test
Pre-hypertension - (ANSWER)o Systolic BP: 120-139
o Diastolic BP: 80-89
Stage I Hypertension - (ANSWER)o Age ≥ 18 to < 60 years
Systolic BP: 140-159 Diastolic BP: 90-99
o Age ≥ 60 years
Systolic BP: 150-159
Diastolic BP: 90-99
Stage 2 Hypertension - (ANSWER)Systolic BP: ≥ 160
Diastolic BP: ≥ 100
o If DM or renal disease (including age ≥ 60 yrs)
§ Systolic BP: < 140
§ Diastolic BP: < 90
Dissecting Aortic Aneurysm - (ANSWER)severe tearing knifelike pain, radiating from
chest through to back,
-unequal pulses/BP
-pulsating abdominal mass
Percussion sounds: Abdomen - (ANSWER)Tympany due to gas of GI tract
Scattered areas of dullness from fluid or feces
On right: dullness of liver
