NRP 531 ADVANCED HEALTH ASSESSMENT FINAL EXAM

NRP 531 ADVANCED HEALTH ASSESSMENT FINAL EXAM

-50 QUESTIONS

AND COTRRECT DETAILED ANSWERS| ALREADY

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Question 1.What is the primary purpose of initially assessing an apical pulse?

Your Answer: B

Establishment of a baseline as part of the patient’s vital signs

Question 2.What instruction should the nurse give nursing assistive personnel (NAP) regarding the appropriate technique when measuring the adult patient’s apical pulse?

Your Answer: D

Place your stethoscope at the fifth intercostal space over the left midclavicular line.

Question 3.Which action would take priority if a patient’s apical pulse has an irregular rhythm?

Your Answer: A

Reassess the pulse for 1 full minute.

Question 4.Which statement demonstrates an understanding of the importance of communicating changes in the patient’s apical pulse rate?

Your Answer: D

“The apical pulse increased from 78 to 110, but the patient had just returned from the bathroom.”

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Question 5.The nurse can best determine the effect of crying on a patient’s apical pulse by doing what?

Your Answer: C

Comparing the patient’s post-crying apical pulse rate with her baseline or previous rate.

Question 1.What is the major health problem resulting from a pulse deficit? 2 / 4

Your Answer: C

Decreased cardiac output

Question 2.What should the nurse do when a pulse deficit is suspected?

Your Answer: D

Ask another health care provider to count the radial pulse while the nurse counts the apical pulse.

Question 3.Which action should the nurse perform after identifying a pulse deficit?

Your Answer: B

Assess the patient for signs of decreased cardiac output.

Question 4.

You have the following information:

Oral temperature– 36.8°C. Radial Pulse– 112 weak, thready Apical pulse–117 regular Respirations– 24 regular Blood Pressure–104/56 right arm –102/50 left arm

What is the pulse deficit?

Your 3 / 4

Answer: B

5

Question 5.Which of the following is an early manifestation of decreased cardiac output?

Your

Answer: A

Fatigue

Question 1.

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