The nurse would refrain from applying a blood pressure cuff on the affected arm of a patient who has a(n): (Select all that apply)

dialysis shunt.

2-year-old hand amputation.

previous mastectomy.

patent IV line.

Answer and Explanation

Correct Answer : A,C

A.   A dialysis shunt requires careful monitoring to avoid damaging the shunt, and blood pressure cuffs should not be applied to the arm with a shunt.
B.   A hand amputation does not affect the use of the blood pressure cuff, but care should be taken with the affected area.
C.   A previous mastectomy increases the risk of lymphedema, and using a blood pressure cuff on the affected arm could exacerbate this.
D.   A patent IV line is not a contraindication for blood pressure measurement, but the nurse should take care not to interfere with the IV.

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

A. The area directly below the sternum is not the location for the apical pulse.
B. The third intercostal space is too high for the apical pulse, which is best heard at the fifth intercostal space.
C. The left midclavicular line at the fifth intercostal space is the proper location for auscultating the apical pulse.
D. Placing the stethoscope above the left nipple does not ensure accurate assessment of the apical pulse.

A. When did these symptoms start?" B. What is your occupation?" C. Do you have a headache?" D. Do you have any abdominal pain?"

Correct Answer is B

Explanation

A. While understanding the onset of symptoms is important, the patient's occupation might provide more insight into potential environmental or work-related exposures that could explain the symptoms, such as chronic exposure to irritants or pollutants.

B. The occupation is highly relevant, as it may help identify occupational hazards, such as exposure to chemicals, dust, or other respiratory irritants, which could be contributing to the symptoms.
C. Although a headache could be related to fatigue or other symptoms, it is not the most relevant question in this case.
D. Abdominal pain is less likely to be the focus when the primary symptoms are chest congestion and a cough, which suggest respiratory involvement.

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

The nurse would refrain from applying a blood pressure cuff on the affected arm of a patient who has a(n): (Select all that apply)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse taking an apical pulse would place the stethoscope at:

Correct Answer is C

Explanation

A 52-year-old patient presents with malaise, fatigue, chest congestion, and a chronic cough. While collecting assessment data, an important question to ask is

Correct Answer is B

Explanation

A nurse is instructing a nursing student on performing pupillary checks on a patient with a possible head injury. Which statement indicates that the nursing student understands the concept?

When checking extraocular movements, the nurse asks the patient to follow an object as it is moved into different positions and watch to see if

A patient who is terminally ill is described during shift report as having Cheyne-Stokes breathing. On assessment, the nurse anticipates finding:

To ensure an accurate reading when using a glass oral thermometer, it is necessary to

To correctly determine the strength of a patient's lower extremities during a neurological examination, the nurse asks the patient to:

The nurse taking a blood pressure should:

The home health nurse is instructing a caregiver about caring for a patient with hypothermia. The nurse recognizes that further instruction when the caregiver states, "I will

The nurse would record a pulse as bradycardic if the rate were: