NSE 103 – MIDTERM EXAM
QUESTIONS WITH CORRECT
DETAILED ANSWERS
what should you do before applying the cuff? - Answer-- palpate the branchial artery
using three fingers
where is the branchial artery located? - Answer-above the antecubital fossa
how to locate the branchial artery - Answer-palpate the bicep tendon at antevubital
fossa, move 2 cm medially from the tendon and 2-3 cm above antecubital fossa
- press firmly to feel the pulse
how should you position the cuff when you are taking bp - Answer-- bare arm
- aligned with brachial artery
- 3 cm above antecubital fossa
Blood pressure methods; manual bp - Answer-- taken using bp cuff, with
sphygmomanometer and stethoscope
automatic bp cuffs - Answer-- digital way to measure bp
- after positioning client and bp cuff on arm pressure button on monitor
- automatically inflated and deflates at rate of 2 mm Hg per seconds
If the healthcare provider is concerned about an initial high blood pressure reading on a
client, the accuracy of the blood pressure is verified with the following actions: - Answer-
- have client sit in room by themselves
- quiet the room
- dim lights
- then take three measurements a few mins apart, with automatic cuff
- bp is an average of 3 readings
arterial catheter - Answer-invasive way to measure bp and only used in critical care
situations when continuous bp monitoring is required or arterial blood gas draws
- involves insertion of catheter into artery
cellular phone application - Answer-- developed to measure bp but accuracy of
technology is still being investigated
,why should u avoid using automatic bp cuff if the systolic pressure is less than 90 mm
Hg, pulse is rapid, irregular and client is experiencing shivers or tremor - Answer-best to
use manual to validate accuracy of the automatic bp
Manual Blood Pressure Measurement - Answer-- uses stethoscope and bp cuff with
sphygmomanometer to measure bp
the stethoscope is used to listen to bp sounds which is also called - Answer-korotkoff
sounds
should the stethoscope be used on clothing or bare skin - Answer-bare skin
how does the stethoscope work - Answer-blocks out extraneous sounds so korotkoff
sound is more clear
note it is not used to make sounds loud
These sounds are heard through a stethoscope applied over the brachial artery when
the blood pressure cuff is - Answer-deflating
why can't you hear the stethoscope over the brachial artery when you first place it -
Answer-unobstructed blood flow is slient
when does the korotkoff sound appear - Answer-after you inflate the cuff
which compresses the artery
the korotkoff sounds are the result of - Answer-the turbulent blood caused by inflated
cuff compressing artery and oscillation of arterial wall when heart beats during delfation
Determining Maximum Inflation Pressure - Answer-- before taking bp
number on the sphygmomanometer that cuff is inflated to
- if not determined bp could be underestimated
what is auscultatory gapa - Answer-silent interval when korotkoff sound go absent and
reappears while deflating the cuff
is auscultatory gap normal or abnormal - Answer-abnormal
cause of auscultatory gap - Answer-due to arterial stiffness and arteriosclerotic disease
- typically in people who have history of hypertension
what to do if you observed a auscultatory gap - Answer-document first systolic sound
and diastolic sound only
Blood Pressure Measurement Techniques - Answer-for novice good idea to start with
two step technique and move to one step technique
, two step technique involves - Answer-- determining maximum pressure inflation
- measure bp
two step technique- first step - Answer-- palpate radial or brachial artery
- inflate bp cuff until pulse obliterated and add 30 mm Hg
- this is known as max pressure inflation
- deflate cuff quickly
two step technique - second step - Answer-- place cleansed stethoscope over brachial
artery
- inflate cuff to max pressure inflation #
- open valve slightly
- deflate cuff slowly and evenly at 2 mm Hg/second
first appearance of korotkoff sound is - Answer-systolic
the point at which korotkoff sound go slient is - Answer-diastolic
One-step technique: Determining maximum pressure inflation and taking blood pressure
- Answer-- palpate radial or brachial artery
- inflate bp cuff until obliterated and add 30 mm Hg
- place cleansed stethoscope over brachial artery
- deflate cuff slowly and evenly (2 mm Hg / second)
- note the bp number
difference between two step tech. and one step tech. - Answer-- one step tech. is all in
one go
can korotkoff sounds be heard when the cuff is deflated? - Answer-no
should manual bp be reported in odd or even number - Answer-- even
healthcare providers always measure bp with ______, because these vital signs are
needed to make a accurate clinical decision - Answer-pulse
what to do if you can't feel the brachial pulse - Answer-- locate pulse; palpate bicep
tendon, move medially 2 cm and move 2-3 cm up
- three fingers
- press fairly firmly
- reposition fingers
- place arm with palm up and elbow extended (flex)
- cup opposite hand under client's elbow
what happens if you press too hard when you palpate brachial pulse - Answer-you will
obliterate pulse
QUESTIONS WITH CORRECT
DETAILED ANSWERS
what should you do before applying the cuff? - Answer-- palpate the branchial artery
using three fingers
where is the branchial artery located? - Answer-above the antecubital fossa
how to locate the branchial artery - Answer-palpate the bicep tendon at antevubital
fossa, move 2 cm medially from the tendon and 2-3 cm above antecubital fossa
- press firmly to feel the pulse
how should you position the cuff when you are taking bp - Answer-- bare arm
- aligned with brachial artery
- 3 cm above antecubital fossa
Blood pressure methods; manual bp - Answer-- taken using bp cuff, with
sphygmomanometer and stethoscope
automatic bp cuffs - Answer-- digital way to measure bp
- after positioning client and bp cuff on arm pressure button on monitor
- automatically inflated and deflates at rate of 2 mm Hg per seconds
If the healthcare provider is concerned about an initial high blood pressure reading on a
client, the accuracy of the blood pressure is verified with the following actions: - Answer-
- have client sit in room by themselves
- quiet the room
- dim lights
- then take three measurements a few mins apart, with automatic cuff
- bp is an average of 3 readings
arterial catheter - Answer-invasive way to measure bp and only used in critical care
situations when continuous bp monitoring is required or arterial blood gas draws
- involves insertion of catheter into artery
cellular phone application - Answer-- developed to measure bp but accuracy of
technology is still being investigated
,why should u avoid using automatic bp cuff if the systolic pressure is less than 90 mm
Hg, pulse is rapid, irregular and client is experiencing shivers or tremor - Answer-best to
use manual to validate accuracy of the automatic bp
Manual Blood Pressure Measurement - Answer-- uses stethoscope and bp cuff with
sphygmomanometer to measure bp
the stethoscope is used to listen to bp sounds which is also called - Answer-korotkoff
sounds
should the stethoscope be used on clothing or bare skin - Answer-bare skin
how does the stethoscope work - Answer-blocks out extraneous sounds so korotkoff
sound is more clear
note it is not used to make sounds loud
These sounds are heard through a stethoscope applied over the brachial artery when
the blood pressure cuff is - Answer-deflating
why can't you hear the stethoscope over the brachial artery when you first place it -
Answer-unobstructed blood flow is slient
when does the korotkoff sound appear - Answer-after you inflate the cuff
which compresses the artery
the korotkoff sounds are the result of - Answer-the turbulent blood caused by inflated
cuff compressing artery and oscillation of arterial wall when heart beats during delfation
Determining Maximum Inflation Pressure - Answer-- before taking bp
number on the sphygmomanometer that cuff is inflated to
- if not determined bp could be underestimated
what is auscultatory gapa - Answer-silent interval when korotkoff sound go absent and
reappears while deflating the cuff
is auscultatory gap normal or abnormal - Answer-abnormal
cause of auscultatory gap - Answer-due to arterial stiffness and arteriosclerotic disease
- typically in people who have history of hypertension
what to do if you observed a auscultatory gap - Answer-document first systolic sound
and diastolic sound only
Blood Pressure Measurement Techniques - Answer-for novice good idea to start with
two step technique and move to one step technique
, two step technique involves - Answer-- determining maximum pressure inflation
- measure bp
two step technique- first step - Answer-- palpate radial or brachial artery
- inflate bp cuff until pulse obliterated and add 30 mm Hg
- this is known as max pressure inflation
- deflate cuff quickly
two step technique - second step - Answer-- place cleansed stethoscope over brachial
artery
- inflate cuff to max pressure inflation #
- open valve slightly
- deflate cuff slowly and evenly at 2 mm Hg/second
first appearance of korotkoff sound is - Answer-systolic
the point at which korotkoff sound go slient is - Answer-diastolic
One-step technique: Determining maximum pressure inflation and taking blood pressure
- Answer-- palpate radial or brachial artery
- inflate bp cuff until obliterated and add 30 mm Hg
- place cleansed stethoscope over brachial artery
- deflate cuff slowly and evenly (2 mm Hg / second)
- note the bp number
difference between two step tech. and one step tech. - Answer-- one step tech. is all in
one go
can korotkoff sounds be heard when the cuff is deflated? - Answer-no
should manual bp be reported in odd or even number - Answer-- even
healthcare providers always measure bp with ______, because these vital signs are
needed to make a accurate clinical decision - Answer-pulse
what to do if you can't feel the brachial pulse - Answer-- locate pulse; palpate bicep
tendon, move medially 2 cm and move 2-3 cm up
- three fingers
- press fairly firmly
- reposition fingers
- place arm with palm up and elbow extended (flex)
- cup opposite hand under client's elbow
what happens if you press too hard when you palpate brachial pulse - Answer-you will
obliterate pulse
