The nurse is informed that a patient had abnormal heart sounds during the night shift. When auscultating abnormal heart sounds, the nurse knows to listen to heart sounds with the:

bell of the stethoscope on top of the patient's gown.

diaphragm of the stethoscope directly on the patient's skin.

diaphragm of the stethoscope on top of the patient's gown.

bell of the stethoscope directly on the patient's skin.

Answer and Explanation

The Correct Answer is B

A.   The bell is used to detect low-pitched sounds, but abnormal heart sounds are often high-pitched, requiring the diaphragm.
B.   The diaphragm of the stethoscope is best for detecting high-pitched heart sounds, such as murmurs or abnormal rhythms.
C.   The diaphragm on top of the gown would create interference and prevent proper auscultation of heart sounds.
D.   The bell is used for lower-pitched sounds and is not the best choice for auscultating abnormal heart sounds.

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Correct Answer is A

Explanation

A. The newborn’s head is a major source of heat loss due to the large surface area and insufficient
insulation. Covering the head helps maintain body temperature.
B. While the head can be reshaped, the primary reason for covering it is to prevent heat loss, not reshaping.
C. The head is not necessarily wet and doesn't require drying in all cases, making this less relevant.
D. Although the head has large fontanels, this is not the reason it is covered with a cap; preventing heat loss is the priority.

A. a drop of 15 to 20 mm Hg from baseline when changing position. B. dizziness upon rising to a standing position. C. blurred vision. D. syncope.

Correct Answer is ["A","B","C","D"]

Explanation

A. A significant drop in blood pressure when standing (typically greater than 20 mm Hg systolic or 10 mm Hg diastolic) is a hallmark of orthostatic hypotension.
B. Dizziness upon standing is a classic symptom of orthostatic hypotension due to decreased blood flow to the brain.
C. Blurred vision can also result from decreased blood flow and is a common symptom of orthostatic hypotension.
D. Syncope (fainting) can occur as a result of orthostatic hypotension when the brain does not receive enough oxygenated blood due to the drop in blood pressure.

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The nurse is informed that a patient had abnormal heart sounds during the night shift. When auscultating abnormal heart sounds, the nurse knows to listen to heart sounds with the:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse covers a newborn baby's head with a cap. because the head:

Correct Answer is A

Explanation

The nurse assesses that the 86-year-old patient is experiencing orthostatic hypotension when assessments indicate: (Select all that apply.)

Correct Answer is ["A","B","C","D"]

Explanation

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