Practice Question
A nurse is unable to palpate a client's dorsalis pedis pulse. The nurse will next attempt to palpate the
Answer Choices:
Correct Answer:
Posterior tibialis
Rationale:
✅If the dorsalis pedis pulse is weak or absent, the next appropriate pulse to assess is the posterior tibial pulse, located behind the medial malleolus.
✅It provides additional data about lower extremity circulation. Assessing both distal pulses ensures a more accurate evaluation of peripheral arterial perfusion, which is essential in clients with diabetes, peripheral artery disease (PAD), or suspected circulatory compromise.
✅If both distal pulses are absent, the nurse should then move proximally (e.g., femoral pulse).
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This question is from RN Fundamentals Vital Assessment Quiz Final which contains 20 questions.
More Questions from This Exam
A nurse performing an assessment would correctly note that an absent pulse in one or more of the extremities indicates
Answer Choices:
A. Decreased plasma volume.
B. Problems with the heart's electrical conduction system.
C. Shock.
D. A blockage of blood flow.
While performing an admission history on a confused patient, a licensed practical nurse (LPN) assists the registered nurse (RN) by collecting secondary information about the patient. An example of secondary information would be that
Answer Choices:
A. The patient's spouse reports experiencing marital issues.
B. The patient reports a history of chest pain.
C. The patient complains of chronic constipation.
D. The patient verbalizes anxiety about hospitalization.
A nurse is assisting with teaching a class about documenting blood pressure. The nurse should include to document which of the following information?
Answer Choices:
A. The site where the blood pressure was obtained.
B. Interventions implemented in response to a client's blood pressure.
C. A client's position when the blood pressure was obtained
D. The frequency in which a blood pressure is taken.
E. A client's response to interventions implemented.
During the physical assessment, the nurse asks an elderly female patient if she experiences constipation. The nurse knows that
Answer Choices:
A. It is common for intestinal peristalsis to slow down as a person ages, causing problems with constipation.
B. Aging patients always have difficulty having a bowel movement while hospitalized
C. Elderly patients almost always abuse laxatives, which creates problems with constipation.
D. In elderly patients, the rectal sphincter has lost elasticity, which decreases the sensation of urgency.
A nurse is caring for a client who has an oral temperature of 39.50C (103.10F). Which of the following actions should the nurse take?
Answer Choices:
A. Remove excess clothing from the client.
B. Restrict the client's fluid intake.
C. Place a warming blanket over the client.
D. increase the temperature in the client's room
Question Details
- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: RN ATI Fundamentals of Nursing
- Answer Choices: 4
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