AND ANSWERS
What is the normal range in mmHG for an adult's systolic BP reading?
A.90-120
B.90-130
C.60-80
D.90-140 - ANS A
What is the normal range in mmHG for an adult's diastolic reading?
A.40-60
B.60-80
C.70-90
D.90-100
E.100-120 - ANS B
Errors in the ausculatory readings may affect:
A.the diastolic readings
B.the systolic readings
C.both systolic and diastolic readings - ANS C
Bladder is 40% of the circumference of the upper arm (Length or Width?) - ANS Width
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, Bladder is 80% of the circumference of the upper arm (Length or Width?) - ANS Length
Which of the following indicates that the nurse inflated the cuff sufficiently to obtain the
correct BP reading? Select all the apply:
A. The nurse inflates the cuff to the mmHG where he/she stopped feeling the brachial pulse
B. The nurse inflates the BP cuff 30 mmHG higher than the palpated brachial pulse reading.
C. The nurse inflates the cuff to 200mm the first time the client's BP is measured.
D. After palpating the brachial pulse, the nurse deflates the bladder and waiting 30-60 seconds.
E. The nurse auscultates the brachial pulse while inflating the cuff - ANS B and D
What Korotkoff sound signals the systolic pressure?
A.Phase I
B.Phase II
C.Phase III
D.Phase IV
E.Phase V - ANS A
When a regular adult BP cuff is used on an obese arm, the pressure obtained was higher than
the true arterial systolic and diastolic blood pressures. What conclusions can be made about
the transmission of pressure from the cuff to the artery?
A.Cuff pressure is fully transmitted to the artery.
B.Cuff pressure is dissipated or wasted in transmission.
C.Cuff pressure is concentrated or amplified in transmission. - ANS C
What sound usually signals the diastolic pressure in adults?
A.Phase I
B.Phase II
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, C.Phase III
D.Phase IV
E.Phase V - ANS E
When the external BP cuff pressure reaches the point where it is equal to the diastolic blood
pressure, the artery becomes completely open and the flow of blood becomes smooth and
unperturbed. At this points, the Korotkoff sounds: A.disappear
B.become muffled
C.begin - ANS A
Orthostatic hypotension, a drop in systolic pressure of more then 20 mmHG, occurs with a
quick change to the standing position without a compensatory increase in cardiac output. This
change is due to:
A.decreased pulse rate
B.neurovascular stimulation
C.peripheral vasoconstriction
D.peripheral vasodilation - ANS D
As the external BP cuff pressure reaches the point where it is equal to the systolic blood
pressure, the artery opens in systole and then closes in diastole. This pattern is repeated with
each heartbeat. At this point, the Korotkoff sounds:
A.begin
B.disappear
C.become muffled - ANS A
The nurse should suspect orthostatic hypotension may occur in which of the following patients?
Select all that apply:
A. A client over 85 years
B. A child under 5 years of age
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, C. Athletes with low heart rates
D. A client who has decreased blood volume
E. A patient who has been on prolonged bedrest - ANS A, D, E
The greatest pressure exerted by the circulating blood on the arterial walls describes which of
the following?
A.systolic pressure
B.mean arterial pressure
C.none of the above
D.diastolic pressure - ANS A
Failure to perform palpation of a client's BP before auscultating the BP may cause an erroneous
reading due to:
A.missing an auscultory gap
B.hypertension
C.hypotension
D.tachycardia - ANS A
The lowest pressure exerted by the circulating blood on the arterial walls describes which of the
following?
A.mean arterial pressure
B.diastolic pressure
C.none of the above
D.systolic pressure - ANS B
Which of the following constant factors may influence a blood pressure reading? Check all that
apply:
A. age
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