Nurse 202: PrepU Quiz 1 NCLEX
Questions
The nurse is teaching the parents of an infant with an irregular heartbeat how to check
the pulse rate. The infant's pulse is very high and irregular. What will the nurse have to
do in order to teach these parents how to monitor their infant's pulse rate? - CORRECT
ANSWER-a) The parents should be encouraged to get a neighbor or family member to
help them check their infant's pulse.
b) The parents will have to be taught how to use a stethoscope so that they can listen
to and count the infant's apical pulse.
c) This infant will need a home cardiac monitor set up.
d) The parents will not be able to check the pulse accurately, the nurse will need to
have home health check on this infant on a periodic basis.
--> B
A nurse is calculating the cardiac output of an adult with a stroke volume of 75 mL and a
pulse of 78 beats/min. What number would the nurse document for this assessment? -
CORRECT ANSWER-a) 5,000 mL
b) 6,000 mL
c) 5,550 mL
d) 5,850 mL
--> D
A nurse is taking a blood pressure measurement to assess for orthostatic hypotension
in a client. Which signs and symptoms might occur related to this condition? Select all
that apply. - CORRECT ANSWER-a) Dizziness
b) Pallor
c) Fever
d) Erythema
e) Palpitations
f) Lightheadedness
--> A, E, F
Which condition will lead to an increase in cardiac output? - CORRECT ANSWER-a)
Dehydration
b) Decrease in blood pressure
c) Sleep
d) Exercise
--> D
, A nurse is assessing the blood pressure of a team of healthy athletes at the heath care
facility. Which observation can be made by the nurse and athletes by measuring the
blood pressure? - CORRECT ANSWER-a) the thickness of circulating blood
b) the ability of the arteries to stretch
c) the volume of air entering the lungs
d) the oxygen levels in the blood
--> B
A nurse needs to measure the blood pressure of a client who has just undergone a
bilateral mastectomy. How should the nurse measure the blood pressure? - CORRECT
ANSWER-a) Brachial artery
b) Over the client's thigh
c) Radial artery
d) Over the lower arm
--> B
Which peripheral pulse site is generally used in emergency situations? - CORRECT
ANSWER-a) Apical
b) Radial
c) Temporal
d) Carotid
--> D
A nurse is assessing a newborn at the health care facility when the mother of the child
asks the nurse why the body temperature of her baby is unstable. Which response by
the nurse would be most appropriate? - CORRECT ANSWER-a) "It is because of the
immature ability to regulate temperature in general."
b) "It is because of the closely woven, dark fabric wrapped around the baby"
c) "The baby is showing how it is adapting to the environmental temperature.
d) "It is common for newborns to have body temperatures less than 36.4°C (97.6°F)"
--> A
The nurse is assessing the apical pulse of a client using auscultation. What action
would the nurse perform after placing the diaphragm over the apex of the heart? -
CORRECT ANSWER-a) Count each "lub-dub" as two beats.
b) Palpate the space between the fifth and sixth ribs.
c) Count the heartbeat for 2 minutes.
d) Listen for heart sounds.
--> D
A nurse is filling out an incident report after an older adult client fell while attempting to
transfer from her bed to a commode. Which health problem should the nurse consider
when client falls occur? - CORRECT ANSWER-a) Dyspnea
b) Primary hypertension
c) Orthostatic hypotension
d) Secondary hypertension
Questions
The nurse is teaching the parents of an infant with an irregular heartbeat how to check
the pulse rate. The infant's pulse is very high and irregular. What will the nurse have to
do in order to teach these parents how to monitor their infant's pulse rate? - CORRECT
ANSWER-a) The parents should be encouraged to get a neighbor or family member to
help them check their infant's pulse.
b) The parents will have to be taught how to use a stethoscope so that they can listen
to and count the infant's apical pulse.
c) This infant will need a home cardiac monitor set up.
d) The parents will not be able to check the pulse accurately, the nurse will need to
have home health check on this infant on a periodic basis.
--> B
A nurse is calculating the cardiac output of an adult with a stroke volume of 75 mL and a
pulse of 78 beats/min. What number would the nurse document for this assessment? -
CORRECT ANSWER-a) 5,000 mL
b) 6,000 mL
c) 5,550 mL
d) 5,850 mL
--> D
A nurse is taking a blood pressure measurement to assess for orthostatic hypotension
in a client. Which signs and symptoms might occur related to this condition? Select all
that apply. - CORRECT ANSWER-a) Dizziness
b) Pallor
c) Fever
d) Erythema
e) Palpitations
f) Lightheadedness
--> A, E, F
Which condition will lead to an increase in cardiac output? - CORRECT ANSWER-a)
Dehydration
b) Decrease in blood pressure
c) Sleep
d) Exercise
--> D
, A nurse is assessing the blood pressure of a team of healthy athletes at the heath care
facility. Which observation can be made by the nurse and athletes by measuring the
blood pressure? - CORRECT ANSWER-a) the thickness of circulating blood
b) the ability of the arteries to stretch
c) the volume of air entering the lungs
d) the oxygen levels in the blood
--> B
A nurse needs to measure the blood pressure of a client who has just undergone a
bilateral mastectomy. How should the nurse measure the blood pressure? - CORRECT
ANSWER-a) Brachial artery
b) Over the client's thigh
c) Radial artery
d) Over the lower arm
--> B
Which peripheral pulse site is generally used in emergency situations? - CORRECT
ANSWER-a) Apical
b) Radial
c) Temporal
d) Carotid
--> D
A nurse is assessing a newborn at the health care facility when the mother of the child
asks the nurse why the body temperature of her baby is unstable. Which response by
the nurse would be most appropriate? - CORRECT ANSWER-a) "It is because of the
immature ability to regulate temperature in general."
b) "It is because of the closely woven, dark fabric wrapped around the baby"
c) "The baby is showing how it is adapting to the environmental temperature.
d) "It is common for newborns to have body temperatures less than 36.4°C (97.6°F)"
--> A
The nurse is assessing the apical pulse of a client using auscultation. What action
would the nurse perform after placing the diaphragm over the apex of the heart? -
CORRECT ANSWER-a) Count each "lub-dub" as two beats.
b) Palpate the space between the fifth and sixth ribs.
c) Count the heartbeat for 2 minutes.
d) Listen for heart sounds.
--> D
A nurse is filling out an incident report after an older adult client fell while attempting to
transfer from her bed to a commode. Which health problem should the nurse consider
when client falls occur? - CORRECT ANSWER-a) Dyspnea
b) Primary hypertension
c) Orthostatic hypotension
d) Secondary hypertension
