Question 1

Which is the correct procedure for obtaining a dorsalis pedis pulse?

Accepted Answer

A)  Use the tip of 2 to 3 fingers to palpate the medial aspect of the client's malleolus. 
B)  Use the fingertips in the popliteal fossa to compress the artery to the bone. 
C)  Using gloves, palpate midway between the anterior iliac spine and the symphysis pubis. 
D)  Use 2 to 3 finger pads to palpate the groove midway or just distal to the arch of the foot. 
A)  Use the tip of 2 to 3 fingers to palpate the medial aspect of the client's malleolus. 
B)  Use the fingertips in the popliteal fossa to compress the artery to the bone. 
C)  Using gloves, palpate midway between the anterior iliac spine and the symphysis pubis. 
D)  Use 2 to 3 finger pads to palpate the groove midway or just distal to the arch of the foot.

Question 2

The student learns that which of these factors make newborns so vulnerable to hypothermia? (Select all that apply.)

Accepted Answer

A)  They have fewer fat reserves. 
B)  They have more stored glycogen. 
C)  They shiver too readily. 
D)  They have a higher surface area to body mass. 
E)  They have underdeveloped muscles. 
A)  They have fewer fat reserves. 
B)  They have more stored glycogen. 
C)  They shiver too readily. 
D)  They have a higher surface area to body mass. 
E)  They have underdeveloped muscles.

Question 3

Which action by the nurse shows understanding of age-related differences in obtaining vital signs?

Accepted Answer

A)  The brachial pulse is used for heart rate in children under 2. 
B)  Rectal temperatures are appropriate up to age 3. 
C)  Older adults may need the cuff placed over their clothes. 
D)  Temporal artery thermometers are not reliable in the older adult. 
A)  The brachial pulse is used for heart rate in children under 2. 
B)  Rectal temperatures are appropriate up to age 3. 
C)  Older adults may need the cuff placed over their clothes. 
D)  Temporal artery thermometers are not reliable in the older adult.

Question 4

A client's pulse oximeter reading is 97%; however the client is reporting shortness of breath. What action does the nurse take first?

Accepted Answer

A)  Review today's laboratory values 
B)  Reassure the client he/she is fine 
C)  Replace the probe with a new one 
D)  Move the probe to another location 
A)  Review today's laboratory values 
B)  Reassure the client he/she is fine 
C)  Replace the probe with a new one 
D)  Move the probe to another location

Question 5

Two nurses are counting the older client's pulse. The nurse taking the radial pulse obtains 102 beat/minute. The nurse counting the apical pulse obtains 86 beats/minute. What do the nurses surmise about this discrepancy?

Accepted Answer

A)  This is a normal finding in the older population. 
B)  The pulse deficit of 16 warrants further assessment. 
C)  The client has decreased perfusion to the brain. 
D)  A pulse deficit of   20 warrants more assessment. 
A)  This is a normal finding in the older population. 
B)  The pulse deficit of 16 warrants further assessment. 
C)  The client has decreased perfusion to the brain. 
D)  A pulse deficit of   20 warrants more assessment.

Which is the correct procedure for obtaining a dorsalis pedis pulse?

The student learns that which of these factors make newborns so vulnerable to hypothermia? (Select all that apply.)

Which action by the nurse shows understanding of age-related differences in obtaining vital signs?

A client's pulse oximeter reading is 97%; however the client is reporting shortness of breath. What action does the nurse take first?

Two nurses are counting the older client's pulse. The nurse taking the radial pulse obtains 102 beat/minute. The nurse counting the apical pulse obtains 86 beats/minute. What do the nurses surmise about this discrepancy?

Foundations of Safe Client Care

Personal Care and Hygiene

Performing an Assessment

Nutrition and Gastrointestinal Tube Therapy

Supporting Mobility and Immobilization

Comfort Care

End-Of-Life Care

Airway and Breathing

Sterile Technique

Medication Administration

Venous Access

Central Venous Access

Bowel Management

Urinary Elimination

Wound Care

Perioperative Care

Advanced Respiratory Management

Advanced Cardiovascular Care

Advanced Neurologic Care

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Exam 3: Vital Signs and Vital Measurements

Which is the correct procedure for obtaining a dorsalis pedis pulse?

The student learns that which of these factors make newborns so vulnerable to hypothermia? (Select all that apply.)

Which action by the nurse shows understanding of age-related differences in obtaining vital signs?

A client's pulse oximeter reading is 97%; however the client is reporting shortness of breath. What action does the nurse take first?

Two nurses are counting the older client's pulse. The nurse taking the radial pulse obtains 102 beat/minute. The nurse counting the apical pulse obtains 86 beats/minute. What do the nurses surmise about this discrepancy?

Foundations of Safe Client Care

Personal Care and Hygiene

Performing an Assessment

Nutrition and Gastrointestinal Tube Therapy

Supporting Mobility and Immobilization

Comfort Care

End-Of-Life Care

Airway and Breathing

Sterile Technique

Medication Administration

Venous Access

Central Venous Access

Bowel Management

Urinary Elimination

Wound Care

Perioperative Care

Advanced Respiratory Management

Advanced Cardiovascular Care

Advanced Neurologic Care

Filters