The nurse assesses the client as shown. What pulse is the nurse assessing?
Posterior tibial
Femoral
Popliteal
Dorsalis pedis
The Correct Answer is A
A. Posterior tibial: The posterior tibial pulse is palpated just behind the medial malleolus of the ankle, near the Achilles tendon.
B. Femoral: The femoral pulse is located in the groin area, where the femoral artery passes.
C. Popliteal: The popliteal pulse is palpated behind the knee in the popliteal fossa.
D. Dorsalis pedis: The dorsalis pedis pulse is located on the top of the foot, near the first metatarsal.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Rationale:
A. Second or third intercostal space at the left sternal border: Erb's point is located here, and it's a key area for listening to heart sounds, particularly the aortic and pulmonic valves.
B. The second intercostal space at the right sternal border: This area is typically used to auscultate the aortic valve.
C. Fifth intercostal space near the left midclavicular line: This area is used to auscultate the mitral valve, not Erb's point.
D. Third intercostal space at the left sternal border: This is the location for listening to the pulmonic valve, not Erb's point.
Correct Answer is C
Explanation
C. Ventricles: After blood is received by the atria, it flows through the atrioventricular (AV) valves into the ventricles.
A. Chordae tendineae: These are the tendinous cords that anchor the AV valves but are not the structures where blood flows.
B. Precordium: This term refers to the area of the chest wall over the heart, not a chamber of the heart where blood flows.
D. Semilunar valves: These valves are located between the ventricles and the arteries (pulmonary and aortic) and are not the immediate next location for blood after the atria.
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