NUR 2090 TEST EXAM QUESTIONS AND ANSWERS
WITH COMPLETE SOLUTIONS VERIFIED
The nurse is taking the apical pulse of a 6-month-old infant. Upon completion, the
nurse tells the parent the baby's pulse is 140 beats per minute. The parent is
concerned, stating, "That seems kind of high!" The nurse responds:
c) "I know it seems fast, but normal infant heart rates are 100-160 beats per minute."
The average pulse rate of an infant ranges from 100 to 160 beats per minute.
A patient has had a left-side mastectomy. How does this affect the blood pressure
assessment?
c) Assessment of blood pressure is impeded
If the patient has had a mastectomy, blood-pressure monitoring on the same side can
further impede circulation, contributing to lymphedema.
A patient has smoked most of his life and has labored respirations. He is
experiencing
a) Dyspnea
Dyspnea describes respirations that require excessive effort.
Patients demonstrating apnea have
, a) Usually have a temporary cessation of breathing
Apnea, the absence of respirations, is often described by the length of time in which
respirations do not occur.
A pulse deficit is the difference between
d) The apical pulse and the radial pulse rate
When a pulse deficit is present, the radial pulse is always lower than the apical pulse
rate.
An adult pulse greater than 100 beats per minute is
c) Tachycardia
Adult pulse rates above 100 beats per minute are termed tachycardia.
An ultrasonic Doppler is used for
a) Auscultating a pulse that is difficult to palpate
A Doppler device can be used to detect a pulse that is not easily palpable.
A nurse can most accurately assess a patient's heart rate and rhythm by which of
the following methods?
a) Listen with the stethoscope at the fifth intercostals space left mid-clavicular line
To assess the apical pulse, the nurse places the stethoscope over the left ventricle. The
stethoscope is placed at the level of the fifth intercostal's space left mid-clavicular line.
WITH COMPLETE SOLUTIONS VERIFIED
The nurse is taking the apical pulse of a 6-month-old infant. Upon completion, the
nurse tells the parent the baby's pulse is 140 beats per minute. The parent is
concerned, stating, "That seems kind of high!" The nurse responds:
c) "I know it seems fast, but normal infant heart rates are 100-160 beats per minute."
The average pulse rate of an infant ranges from 100 to 160 beats per minute.
A patient has had a left-side mastectomy. How does this affect the blood pressure
assessment?
c) Assessment of blood pressure is impeded
If the patient has had a mastectomy, blood-pressure monitoring on the same side can
further impede circulation, contributing to lymphedema.
A patient has smoked most of his life and has labored respirations. He is
experiencing
a) Dyspnea
Dyspnea describes respirations that require excessive effort.
Patients demonstrating apnea have
, a) Usually have a temporary cessation of breathing
Apnea, the absence of respirations, is often described by the length of time in which
respirations do not occur.
A pulse deficit is the difference between
d) The apical pulse and the radial pulse rate
When a pulse deficit is present, the radial pulse is always lower than the apical pulse
rate.
An adult pulse greater than 100 beats per minute is
c) Tachycardia
Adult pulse rates above 100 beats per minute are termed tachycardia.
An ultrasonic Doppler is used for
a) Auscultating a pulse that is difficult to palpate
A Doppler device can be used to detect a pulse that is not easily palpable.
A nurse can most accurately assess a patient's heart rate and rhythm by which of
the following methods?
a) Listen with the stethoscope at the fifth intercostals space left mid-clavicular line
To assess the apical pulse, the nurse places the stethoscope over the left ventricle. The
stethoscope is placed at the level of the fifth intercostal's space left mid-clavicular line.
