Practice Question
A nurse is assessing a client. Which of the following actions should the nurse take to assess the posterior tibial pulse? (Select all that apply.)
Answer Choices:
Correct Answer:
Palpate the area behind the ankle bone.
Rationale:
🟨 The posterior tibial pulse is located behind the medial malleolus (ankle bone).
🟨 Always use the pads of your index and middle fingers, not the thumb, for pulse detection.
🟨 Always compare bilaterally to assess for asymmetry in perfusion.
🟨 Swelling or tenderness could indicate vascular or musculoskeletal compromise.
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This question is from RN Capstone Exam which contains 49 questions.
More Questions from This Exam
A nurse is providing teaching to a client about preventing skin cancer. Which of the following client statements indicates a need for further teaching?
Answer Choices:
A. “Eating a high fiber diet will reduce my risk for developing skin cancer.”.
B. “I should check my skin monthly for any changes.”.
C. “I should avoid the use of tanning booths.”.
D. “I should use sunscreen even on cloudy days.”.
A nurse is teaching a class about preventive care to clients who are at risk for acquiring viral hepatitis. Which of the following information should the nurse include in the presentation?
Answer Choices:
A. Avoid handwashing after eating.
B. Avoid foods prepared with tap water.
C. Avoid eating meat.
D. Avoid covering sores with bandages.
The nurse reviews a primary health care provider’s prescriptions and notes that a topical nitrate is prescribed. The nurse notes that acetaminophen is prescribed to be administered before the nitrate. The nurse implements the prescription with which understanding about why acetaminophen is prescribed?
Answer Choices:
A. Fever usually accompanies myocardial infarction.
B. Acetaminophen does not interfere with platelet action as acetylsalicylic acid (aspirin) does.
C. Headache is a common side effect of nitrates.
D. Acetaminophen potentiates the therapeutic effect of nitrates.
A nurse is caring for a client who has heart failure and is experiencing atrial fibrillation. Which of the following findings should the nurse plan to monitor for and report to the provider immediately?
Answer Choices:
A. Irregular pulse.
B. Persistent fatigue.
C. Dependent edema.
D. Slurred speech.
A nurse is assessing a client who has cirrhosis. Which of the following is an expected finding for this client?
Answer Choices:
A. Moist skin.
B. Blood in the urine.
C. Spider angiomas.
D. Tarry stools.
Question Details
- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: RN ATI Capstone Exam(s)
- Answer Choices: 4