What should the nurse do when assessing the carotid arteries of an older patient with cardiovascular disease?

Simultaneously palpate both arteries to compare amplitude.

Instruct the patient to take slow deep breaths during auscultation.

Compress the artery in the upper one-third of the neck while listening with the diaphragm of a stethoscope.

Listen with the bell of the stethoscope to assess for bruits.

Answer and Explanation

The Correct Answer is D

Choice A reason: Simultaneously palpating both carotid arteries is dangerous, risking reduced cerebral blood flow, especially in cardiovascular patients. Using the bell to listen for bruits is safer, so this is incorrect.

Choice B reason: Deep breaths are for lung auscultation, not carotid, where patients hold breath to reduce noise. The bell detects low-pitched bruits, so instructing deep breaths is incorrect for carotid assessment.

Choice C reason: Compressing the carotid artery risks reducing blood flow or dislodging plaques, which is unsafe. Listening with the bell for bruits is the standard method, so this is incorrect.

Choice D reason: Listening with the bell of the stethoscope detects low-frequency bruits, indicating carotid artery narrowing, which is critical in cardiovascular disease. This is the correct technique for safe assessment.

Nursing Test Bank

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

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

Explanation

Choice A reason: Cranial Nerve VII (facial nerve) controls facial expression muscles. Asking the patient to smile tests the nerve’s motor function, specifically the zygomaticus muscles, which elevate the mouth corners, making this a correct assessment task for this nerve.

Choice B reason: Closing eyes tightly assesses Cranial Nerve VII’s motor function, specifically the orbicularis oculi muscle, which closes the eyelids. Weakness or asymmetry indicates potential facial nerve dysfunction, making this a correct task for evaluating this nerve.

Choice C reason: Shrugging shoulders tests Cranial Nerve XI (spinal accessory nerve), which innervates the trapezius and sternocleidomastoid muscles. This action is unrelated to Cranial Nerve VII’s facial motor functions, making it an incorrect choice for this assessment.

Choice D reason: Frowning assesses Cranial Nerve VII’s control over the corrugator supercilii and procerus muscles, which wrinkle the brow and depress the mouth. This task evaluates facial nerve function, making it a correct choice for the assessment.

Choice E reason: Smelling a flower tests Cranial Nerve I (olfactory nerve), responsible for smell sensation. This is unrelated to Cranial Nerve VII’s motor functions for facial expressions, making it an incorrect task for assessing this nerve.

A. A social group that shares similar traits like geographic location or language B. A process of being raised in a group and acquiring norms and beliefs C. A pattern of shared attitudes, values, self-definitions, and roles D. A group of people that share similar physical characteristics

Correct Answer is D

Explanation

Choice A reason: A social group sharing traits like location or language describes ethnicity or community, not race. Race is primarily based on physical characteristics, not geographic or linguistic ties, making this an incorrect definition.

Choice B reason: The process of acquiring norms and beliefs refers to socialization or culture, not race. Race is defined by physical traits, not learned behaviors or cultural practices, making this an incorrect description.

Choice C reason: Shared attitudes, values, and roles define culture or ethnicity, not race. Race focuses on inherited physical characteristics, like skin color or facial features, not behavioral or social patterns, making this incorrect.

Choice D reason: Race is defined as a group sharing similar physical characteristics, such as skin color, facial features, or other genetic traits. This aligns with biological and anthropological definitions, making it the correct description of race.

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

What should the nurse do when assessing the carotid arteries of an older patient with cardiovascular disease?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

When the nurse assesses the Cranial Nerve VII, which would the nurse ask the patient to perform? (Select all that apply)

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

Explanation

A nurse understands that a patient’s race is most related to which of the following?

Correct Answer is D

Explanation

The provider has ordered 180 mg of Dilantin PO every 8 hours. The label of the drug reads 250 mg per 5 ml. How many milliliters will the nurse administer per dose?

What should the nurse do when assessing the carotid arteries of an older patient with cardiovascular disease?

The nurse is preparing to assess the visual acuity of a 16-year-old patient. How should the nurse proceed?

When the nurse asks an older patient to stand with feet together and arms at his side with his eyes closed, he starts to sway and moves his feet farther apart. How should the nurse document this finding?

A patient is being assessed for range-of-joint movement. The nurse asks him to move his arm in toward the center of his body. What is this movement called?

The nurse notices that a patient has a solid, elevated, circumscribed lesion that is less than 1 cm in diameter. How should the nurse document this finding?

A nurse examines a patient’s tympanic membranes with an otoscope. The nurse understands the normal tympanic membrane exhibits which normal characteristic?

A nurse is teaching a patient to perform self-breast examination and tells the patient to pay particular attention to examining the upper outer quadrant of the breast. When asked why, “why,” how should the nurse respond to the patient?