NRP 531 ADVANCED HEALTH ASSESSMENT FINAL EXAM
2023-2024 ACTUAL EXAM TEST BANK 250 QUESTIONS
AND COTRRECT DETAILED ANSWERS|ALREADY
GTRADED A+
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 communicatingchanges 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 thebathroom.”
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?
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 apicalpulse.
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
Answer: B
5
Question 5.
Which of the following is an early manifestation of decreased cardiac
output?
Your
Answer: A
Fatigue
Question 1.