University of Phoenix - NRP 531 Lab Quizzes. Questions With Answers. Graded A.Question 1. What is the primary purpose of
initially assessing an apical
... [Show More] pulse?
Your Answer: B
Establishment of a baseline as part of the
patient’s vital signs
Question 2. What instruction should the nurse
give nursing assistive personnel
(NAP) regarding the appropriate
technique when measuring the adult
patient’s apical pulse?
Your Answer: D
Place your stethoscope at the fifth
intercostal space over the left
midclavicular line.
Question 3.
Which action would take priority if a
patient’s apical pulse has an
irregular rhythm?
Your Answer: A
Reassess the pulse for 1 full minute.
Question 4.
Which statement demonstrates an
understanding of the importance of
communicating changes in the
patient’s apical pulse rate?
Your Answer: D
“The apical pulse increased from 78
to 110, but the patient had just
returned from the bathroom.”
Question 5.
The nurse can best determine the
effect of crying on a patient’s apical
pulse by doing what?
Your Answer: C
Comparing the patient’s post-crying
apical pulse rate with her baseline or
previous rate.
What is the major health problem resulting from a
pulse deficit?
Your Answer: C
Decreased cardiac output
Question 2.
What should the nurse do when
a pulse deficit is suspected?
Your Answer: D
Ask another health care
provider to count the radial
pulse while the nurse counts the
apical pulse.
Question 3.
Which action should the nurse
perform after identifying a pulse
deficit?
Your Answer: B
Assess the patient for signs of
decreased cardiac output.
Question 4.
Which of the following is an
early manifestation of
decreased cardiac output?
Your Answer: A
Fatigue
Question 5.
You have the following information:
Oral temperature–36.8°C. Radial Pulse–112 weak, thread, Apical pulse–117 regular, Respirations–24 regular
Blood Pressure–104/56 right arm –102/50 left arm
What is the pulse deficit?
Your Answer: B- 5
Question 1.
A nurse is caring for a patient who has just had major abdominal surgery to resect a portion of his
colon. What is the most reliable sign that the patient has significant postoperative pain?
Your Answer: A
The patient rates his pain a 7 on a scale of 0 to 10.
Question 2.
What will the nurse instruct nursing assistive personnel (NAP) to do regarding the management of a
patient’s pain?
Your Answer: A
“Let me know at least 30 minutes before you transport her so I can administer her analgesics.”
Question 3.
Which observation indicates that a patient’s analgesic has been effective in managing pain that she
rated a 6 out of 10 on a pain rating scale before the intervention?
Your Answer: B
The patient rates her current pain as 3 out of 10 on the pain rating scale.
Question 4.
A patient with a herniated disk is scheduled for surgery to fuse two vertebrae in her cervical spine.
Which activity is most likely to be a palliative factor for this patient?
Your Answer: C
Performing neck, back, and shoulder exercises prescribed by a physical therapist
Question 5.
The nurse notices that his patient has none of the signs and symptoms normally associated with
pain, such as diaphoresis, tachycardia, and hypertension. The patient does, however, seem moody
and a bit uncooperative. What conclusion does the nurse draw?
Your Answer: C
The absence of physiological signs and symptoms is associated with chronic pain. [Show Less]