An abnormally rapid heart rate above 100 beats per minute is called:

bradycardia

tachycardia

dyspnea

Tachypnea

Answer and Explanation

The Correct Answer is B

A. Bradycardia – Bradycardia is a slow heart rate below 60 beats per minute.

B. Tachycardia – Tachycardia is defined as a heart rate exceeding 100 beats per minute, which can result from fever, stress, dehydration, or cardiac conditions.

C. Dyspnea – Dyspnea refers to difficulty breathing, not an increased heart rate.

D. Tachypnea – Tachypnea is an abnormally rapid respiratory rate, not a rapid heart rate.

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Correct Answer is B

Explanation

A. Percussion – Percussion helps assess the size, location, and density of organs but is not the primary technique for identifying tenderness.

B. Palpation – Palpation involves using the hands to assess for tenderness, swelling, temperature changes, and masses. It is the most effective method for detecting areas of tenderness.

C. Auscultation – Auscultation involves listening to internal body sounds, such as heart, lung, and bowel sounds, and does not assess tenderness.

D. Inspection – Inspection is visual observation of the body for abnormalities but does not involve physically assessing for tenderness.

A. Press the skin over the client's ankle bone B. Lightly palpate the skin using the fingertips C. Grasp a fold of skin on the client's forearm or near the sternum D. Observe for non blanching, pinpoint-size, red or purple spots on the skin of the abdomen

Correct Answer is C

Explanation

A. Press the skin over the client's ankle bone. – The skin over bony prominences does not provide an accurate assessment of turgor due to reduced subcutaneous tissue in elderly clients.

B. Lightly palpate the skin using the fingertips. – Light palpation assesses texture and moisture but does not evaluate skin turgor.

C. Grasp a fold of skin on the client’s forearm or near the sternum. – Skin turgor is best assessed by gently pinching the skin on the forearm or sternum. Delayed return to normal indicates dehydration or decreased skin elasticity due to aging.

D. Observe for non-blanching, pinpoint-size, red or purple spots on the skin of the abdomen. – This describes petechiae, which indicate capillary fragility or bleeding disorders, not skin turgor.

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An abnormally rapid heart rate above 100 beats per minute is called:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

When performing a physical examination of the patient, the nurse uses a technique that is particularly useful in identifying areas of tenderness. This technique is:

Correct Answer is B

Explanation

The elderly patient is being assessed for skin turgor. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

The term used to describe a disease where there has been a partial or complete disappearance of clinical and subjective characteristics of the disease is:

There are four categories of factors that increase the individual's vulnerability to developing a disease. These categories are genetic, physiological, age and lifestyle. These factors are called:

When a disease results in a structural change in an organ that interferes with its functioning, this is a/an:

The protective response of body tissues to irritation, injury or pathogens is:

A nurse is collecting data from a 70-year-old man who has coronary artery disease (CAD) and hypertension (HTN) Which of the following findings will the nurse report as "signs?" (select all that apply)

While conducting an assessment of the patient, the nurse recognizes that after verifying biographical data, the initial step is:

The study of all factors involved in the development of the disease or the cause of the disease is termed:

The most frequently used skill in the physical nursing assessment is: