An abnormally slow heart rate, below 60 beats per minute is called:

tachycardia

tachypnea

Bradycardia

Apnea

Answer and Explanation

The Correct Answer is C

A. Tachycardia. – Tachycardia refers to a heart rate above 100 beats per minute, not a slow heart rate.

B. Tachypnea. – Tachypnea describes rapid breathing, not a slow heart rate.

C. Bradycardia. – Bradycardia is a heart rate below 60 beats per minute. It may be normal in athletes but can indicate conduction abnormalities or medication effects in other individuals.

D. Apnea. – Apnea is the absence of breathing, not a slow heart rate.

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Correct Answer is D

Explanation

A. 2-20 – This range is too low to be considered normal.

B. 4-32 – This range is broader than the commonly accepted normal range.

C. 2-10 – This range is too low and may indicate hypomotility.

D. 5-30 – The normal rate of bowel sounds is typically 5 to 30 sounds per minute, with variations depending on individual digestion and activity.

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 slow heart rate, below 60 beats per minute is called:

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Naxlex Comprehensive Predictor Exams

Listening for bowel sounds is done over all four quadrants of the abdomen using the diaphragm of the stethoscope. The normal rate of bowel sounds per minute is:

Correct Answer is D

Explanation

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

Correct Answer is C

Explanation

As the assessment continues the nurse notes an abnormal swishing sound with auscultation of the carotid artery. The term for this sound is:

The patient has been found to have edema of the lower extremities. The nurse is assessing whether or not it is pitting and to what degree. After pressing the skin against a bony prominence for 5 seconds, the nurse identifies 4+ pitting edema because the rebound time is:

An abnormal rapid rate of breathing seen in many disease conditions is called:

Although the signs and symptoms of both infection and inflammation include erythema, edema, and pain, the major difference is that inflammation:

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

Which would be included in an assessment of the peripheral vascular system? (select all that apply)

Fluid, cells or other substances that have been slowly discharged from body cells or blood vessels, through small pores or breaks in the cell membrane are called:

You answer Ms. B's call light just after lunch. She complains of severe abdominal pain. What type of assessment should you perform?