A newly licensed nurse is assessing a client who had a cardiac catheterization with a right femoral insertion site. Which of the following pulses should the nurse palpate?

Brachial pulse in the right upper extremity

Pedal pulses in the right lower extremity

Popliteal pulse in the left lower extremity

Radial pulse in the right upper extremity

Answer and Explanation

The Correct Answer is B

Choice A reason: Palpating the brachial pulse in the right upper extremity is irrelevant for a right femoral catheterization. The brachial pulse assesses arm circulation, not the lower extremity, where the procedure occurred. Monitoring distal pulses in the affected leg is critical to detect vascular complications like arterial occlusion.

Choice B reason: Pedal pulses (dorsalis pedis and posterior tibial) in the right lower extremity must be palpated post-right femoral catheterization. These distal pulses indicate adequate blood flow to the limb, detecting complications like thrombosis or arterial occlusion at the puncture site, ensuring no compromise to leg perfusion.

Choice C reason: Palpating the popliteal pulse in the left lower extremity is incorrect, as the catheterization was performed on the right side. Assessing the unaffected leg does not provide information about potential vascular complications, such as occlusion or bleeding, specific to the right femoral insertion site.

Choice D reason: The radial pulse in the right upper extremity assesses arm circulation, not relevant to a right femoral catheterization. Monitoring pulses in the affected leg (right pedal pulses) is essential to evaluate for vascular complications like reduced perfusion or thrombosis at the femoral site.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is C

Explanation

Choice A reason: Wearing a sequential compression device is recommended post-surgery to prevent venous thromboembolism. It promotes venous blood flow in the legs, reducing stasis, a key risk factor for clot formation. This action supports VTE prevention by enhancing circulation, making it appropriate and not to be avoided.

Choice B reason: Elevating the feet post-surgery aids venous return, reducing blood pooling in the legs, a risk factor for venous thromboembolism. This action decreases stasis and supports circulation, making it a beneficial practice for VTE prevention, not one to avoid in postoperative recovery.

Choice C reason: Massaging the legs should be avoided post-surgery, as it risks dislodging a formed clot, potentially causing a pulmonary embolism. In clients at risk for VTE, massage can mobilize thrombi from deep veins, leading to life-threatening complications, making this a critical action to avoid.

Choice D reason: Ambulating soon after surgery is encouraged to prevent venous thromboembolism. Early mobility promotes venous blood flow, reducing stasis, a major risk factor for clot formation. This action supports circulation and VTE prevention, making it appropriate and not something to avoid in postoperative care.

A. The P wave appears before the QRS complex B. The QRS duration is 0.35 seconds C. The P wave appears after the QRS complex D. The P-R interval measures 0.40 seconds

Correct Answer is A

Explanation

Choice A reason: In normal sinus rhythm, the P wave precedes the QRS complex, indicating atrial depolarization followed by ventricular depolarization. This reflects proper electrical conduction from the sinoatrial node through the atria to the ventricles, with a P-R interval of 0.12–0.20 seconds, a hallmark of normal heart rhythm.

Choice B reason: A QRS duration of 0.35 seconds is abnormal, indicating delayed ventricular depolarization (normal is 0.06–0.12 seconds). This could suggest bundle branch block or other conduction abnormalities, not consistent with normal sinus rhythm, which requires a narrow QRS and proper P wave-QRS sequence.

Choice C reason: A P wave appearing after the QRS complex is not normal sinus rhythm. This may indicate retrograde conduction, as in junctional rhythms, where ventricular depolarization precedes atrial activity. Normal sinus rhythm requires the P wave to precede the QRS, reflecting proper atrial-to-ventricular conduction.

Choice D reason: A P-R interval of 0.40 seconds is prolonged (normal is 0.12–0.20 seconds), suggesting first-degree heart block, not normal sinus rhythm. This delay in conduction from atria to ventricles disrupts the normal timing of electrical impulses, disqualifying it as a characteristic of normal sinus rhythm.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A newly licensed nurse is assessing a client who had a cardiac catheterization with a right femoral insertion site. Which of the following pulses should the nurse palpate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is recovering a client who is postoperative. In an effort to educate the client about being at risk for developing a venous thromboembolism (VTE), which of the following actions should the client avoid?

Correct Answer is C

Explanation

A nurse is monitoring a client who is on telemetry. Which of the following findings on the ECG strip should the nurse recognize as normal sinus rhythm?

Correct Answer is A

Explanation

A nurse is caring for a client who recently had surgery for insertion of a permanent pacemaker. Which of the following orders should the nurse clarify with the provider?

A nurse is monitoring a client who is on telemetry. Which of the following findings on the ECG strip should the nurse recognize as normal sinus rhythm?

A nurse is admitting a young adult client who has suspected bacterial meningitis. The nurse should closely monitor the client for increased intracranial pressure (ICP) as indicated by which of the following findings?

A nurse in the emergency department is caring for a client who presents with non-ST elevation myocardial infarction (NSTEMI). Which of the following actions should the nurse take first?

A nurse is caring for a client who has atrial fibrillation and is receiving heparin. Which of the following findings is the nurse’s priority?

A nurse is planning care for a client who had a traumatic brain injury and is waking up restlessly from a coma. Which of the following interventions should the nurse include in the plan?

A nurse is teaching a client who is postoperative following the insertion of a permanent pacemaker. Which of the following instructions should the nurse include? (Select all that apply)