NURS 5050- Vitals/PPE/Restraints/Fall Risk MCQ
Questions with Correct Answers
The nurse palpates a client's pulse and notes that the rate is 71 beats per
minute, with an irregular rhythm. How should the nurse follow up this
assessment finding?
A. Auscultate the client's apical pulse.
B. Palpate the client's ulnar pulse.
C. Administer a dose of nitroglycerin.
D. Reposition the client in a side-lying position. Correct Answer-A
The nurse should perform auscultation of the apical pulse if the client
exhibits irregular intervals between beats.
The nurse palpates a client's pulse and notes that the rate is 61 beats per
minute, with an amplitude that is weak and thready. What would the
nurse do next?
A. Call a code blue from the bedside and prepare for resuscitation.
B. Assess the client's jugular venous pressure.
C. Assess the client's pulse at the carotid site.
D. Palpate the client's femoral pulse. Correct Answer-C
The nurse should follow up on abnormal amplitude and contour findings
by palpating the carotid arteries, which provides the best assessment of
amplitude and contour.
, A nurse is assessing the blood pressure on an obese woman. What error
might occur if the cuff used is too narrow?
A. Reading is erroneously high.
B. Reading is erroneously low.
C. Pressure on the cuff would be painful.
D. It will be difficult to pump up the bladder. Correct Answer-A
The bladder of the cuff should enclose at least two-thirds of the adult
limb. If the cuff is too narrow, the reading could be erroneously high
because the pressure is not being transmitted evenly to the artery.
The nurse is working on a pediatric unit caring for a 4-year-old who is
recovering from the surgical repair of the pelvis. When assessing the
client's pain, what is the most appropriate pain assessment tool for the
nurse to use?
A. Face, Legs, Activity, Cry, Consolability Scale
B. Visual Analog Scale
C. FACES Pain Scale
D. Numeric Pain Intensity Scale Correct Answer-C
Children 2 years and older can identify pain and point to its location.
You can use a facial expression scale for children starting at
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