1.
While taking an adult patients pulse, a nurse
finds the rate to be 140 beats/min. What
should the nurse do next?
A. Check the pulse again in 2 hours.
B. Check the blood pressure.
C. Record the information.
D. Report the rate.
2. A patient complains of severe abdominal
pain. When assessing the vital signs, the nurse
would not be surprised to find what
assessment?
A. An increase in the pulse rate
B. A decrease in body temperature
C. A decrease in blood pressure
D. An increase in respiratory depth
3. The nurse is taking an apical pulse. What
equipment will he take into the patients
room?
A. Sphygmomanometer
B. Electronic thermometer
C. Stethoscope
D. Doppler apparatus
4. Two nurses are taking an apical-radial pulse
and note a difference in pulse rate of 8 beats
per minute. The nurse would document this
difference as which of the following?
A. Pulse deficit
B. Pulse amplitude
C. Ventricular rhythm
D. Heart arrhythmia
5. The clients pulse is 72/minute, easily palpated.
In addition, the pedal pulses are equal in strength
in both feet. To best assess for an irregularity in
the pulses, the nurse should:
A. Determine the rate of the pedal pulses
B. Auscultate for the strength of the apical pulse
C. Examine the electrocardiogram's reading
D. Ask the client if there is a pulsation that is
abnormal
6. Which of the following is an appropriate site
for taking the pulse of a 2-year-old?
A. Radial
B. Apical
C. Femoral
D. Pedal
7. The nurse decides to take an apical pulse
instead of a radial pulse. Which of the
following client conditions influenced the
nurse's decision?
A) The client is in shock.
B) The client has an arrhythmia.
C) The client underwent surgery 18 hours
earlier.
D) The client showed a response to orthostatic
changes.
8. The nurse's documentation indicates that a client has a
pulse deficit of 14 beats. The pulse deficit is measured
by:
A) Subtracting 60 (bradycardia) from the client's pulse
rate and reporting the difference
B) Subtracting the client's pulse rate from 100
(tachycardia) and reporting the difference
C) Assessing the apical pulse and the radial pulse for
the same minute and subtracting the difference
D) Assessing the apical pulse and 30 minutes later
assessing the carotid pulse and subtracting the
difference
9. Pulse is regulated by which of the following:
A. autonomic control of the sinoatrial
node(SA) the pacemaker.
B. Parasympathetic stimulation of the SA node
via the vagus nerve decreases HR.
C. Sympathetic stimulation of the SA node
increases HR and force of contraction
D. All of the above
10. Normal adult pulse rate ________
11. The effect of the drug in the body is known
as:
A. Pharmacodynamics
B. Pharmacokinetics
12. Membrane permeability is one of the
elements of which of the ff:
A. Absorption
B. Distribution
C. Metabolism
D. Excretion
13. Unpredictable adverse reactions that do
not occur in most patients:
A. Idiosyncratic reactions
B. Allergic reactions
C. Interactions
D. Medication dose responses
14. After reaching site of action, med becomes
inactive or less active- easier to excrete
A. Absorption
B. Distribution
C. Metabolism
D. Excretion
15. The catheter pierces the wall of the vein and
the IV solution seeps into the surrounding
tissue:
A. IV infiltration
B. IV extravasation
16. Medication or IV fluid that causes blisters or
tissue sloughing
A. IV infiltration
B. IV extravasation
17. Most rapid means of med administration
A. ID
B. SC
C. IM
D. IV
18. Intramuscular technique for administering
medication that requires the pulling back or
displacement of tissue using the injection to
prevent discoloration of the skin
A. Airlock
B. Z track
C. Both
D. None of the above
19. Reduces pain caused by irritating drugs that
leak or escape along the track into the
subcutaneous tissue when the needle is
withdrawn
A. Airlock
B. Z track
C. Both
D. None of the above
20. Pull overlying skin and SQ tissue 1.5 inches
to the side. Inject needle deeply, aspirate,
inject medication, wait 10 seconds, release
skin after withdrawing needle.
A. Airlock
B. Z track
C. Both
D. None of the above
21. Complications such as fibrosis, nerve
damage, abscesses, tissue necrosis, muscle
contraction, gangrene and pain are associated
with all IM sites except
A. Deltoid
B. Vastus lateralis
C. Ventrogluteal
D. None of the above
22. Heparin is given
A. ID
B. SC
C. IM
D. IV
23. Large fluid volume route
A. ID
B. SC
C. IM
D. IV
24. Used to determine allergies
A. ID
B. SC
C. IM
D. IV
25. Enumerate 6 RIGHTS
