NSG 3100 Exam 2 Practice Questions with Answers-1. A nurse is assessing a client’s bilateral pulses for symmetry. Which pulse site should not be assessed on both sides of the body at the same time?
a. Radial
b. Carotid
...
NSG 3100 Exam 2 Practice Questions with Answers-1. A nurse is assessing a client’s bilateral pulses for symmetry. Which pulse site should not be assessed on both sides of the body at the same time?
a. Radial
b. Carotid
c. Femoral
d. Brachial
B: It is unsafe to palpate both carotid arteries at the same time. Slight compression of both carotid arteries can interfere with blood flow to the brain. In the addition, excessive compression of the carotid arteries can stimulate the carotid sinuses causing a reflex drop in the heart rate.
2. Which patient requires the nurse to assess further?
a. 18-year-old woman with pulse rate of 140 after riding two miles on an exercise bike
b. 50-year-old man with a BP 112/60 mm Hg on awakening in the morning
c. 65-year-old man with a respiratory rate of 10
d. 40-year-old woman with a pulse of 88
C: A respiratory rate of 10 is below the expected respiratory rate for an adult and should be assessed further. The expected respiratory rate is 12-20 breaths per minute.
3. Which vital sign will change first when a postoperative client has an internal bleed?
a. Body temperature
b. Blood pressure
c. Pulse pressure
d. Heart rate
D: The initial stage of shock begins baroreceptors in the aortic arch and the carotid sinuses detect drop in the arterial pressure. The sympathetic nervous system responds by constricting the peripheral vessels increasing the pulse rate and the respiratory rate.
4. A nurse obtains the blood pressure of several adults. Which blood pressure results should cause the most concern?
a. 102/70 mm Hg
b. 140/92 mm Hg
c. 125/78 mm Hg
d. 135/85 mm Hg
B: A BP of 140/92 mm Hg is considered high-stage II hypertension and is the BP that should cause the most concern. A systolic more than 129 mmHg or a diastolic more than 89 mm Hg is high-stage II hypertension
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