QUESTIONS AND SOLUTIONS 2026 100%
CORRECT.
⫸ The nurse is assessing a 20-year-old client and notes the presence
of bilateral ear lobes creases the nurse would choose which of the
following actions. Ans: Document findings and alert physician
⫸ The nurse is listening to the adult heart sounds expects to hear
blank beats per minute when normal sinus rhythm is present. Ans: 60
to 90
⫸ The nurse is caring for a client that is using cocaine which initial
cardiovascular effects takes place. Ans: Coronary artery spasms
⫸ A client presents with an enlargement of several cervical lymph
nodes and asked the nurse about the function of the structures what's
the best response. Ans: Your lymph nodes help to remove infectious
organisms
⫸ Which of the following waves represent ventricular repolarization
in the electro cardiogram. Ans: T wave
⫸ The nurse is caring for a client who may have an arterial
obstruction in her right on her artery which of the following test
, maybe used to help determine the patency of this artery. Ans: Allen's
test
⫸ The nurse is caring for a client complaining of a painful hot area
in the leg the area is red and swollen which of the following action
should the nurse perform next. Ans: Notify the position
⫸ The nurse is assessing a clients blood pressure the client asked the
nurse why it is important to feel for the brachial pulse prior to taking
blood pressure what is the response. Ans: I am more likely to get an
accurate reading if I do it this way
⫸ The nurse is documenting in ulcer on the lateral aspect of the
clients right great toe the nurse notes that the ulcer is pale with well
defined edges and there is no evidence of bleeding which other
assessment that it would be useful to determine the origin of the client
ulcer. Ans: Peripheral pulses
⫸ Which of the following best describes the action of a murmur
within the heart. Ans: Impeded/blocked blood flow to the heart
⫸ The nurse is teaching a client what they can expect during the
peripheral vascular assessment of the lower extremities which
statement by the nurse are appropriate to include in the teaching. Ans:
I am going to touch your legs and feet to see how warm they are
I will be assessing your legs for hair loss
I am going to test your ability to feel sensations