When taking a radial pulse for half a minute, the nurse finds it to be irregular. Which of the following would be best for the nurse to do next?

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LPN Fundamentals Final Exam Questions

Question 1 of 5

When taking a radial pulse for half a minute, the nurse finds it to be irregular. Which of the following would be best for the nurse to do next?

Correct Answer: C

Rationale: An irregular radial pulse requires apical assessment for accuracy, as chest auscultation better detects rhythm issues. Longer radial or carotid checks are less precise. Nurses confirm this for cardiac evaluation.

Question 2 of 5

Which nursing intervention is appropriate for preventing falls in a hospitalized patient with impaired mobility?

Correct Answer: A

Rationale: A clutter-free environment with clear pathways prevents falls in mobility-impaired patients by removing obstacles, ensuring safe movement. Bed rails risk entrapment, sedatives increase fall likelihood, and unattended ambulation is unsafe. Nurses create this setting to support navigation, reducing injury risk, a foundational approach to safety in hospital care for vulnerable patients.

Question 3 of 5

A nurse is providing oxygen therapy to a client using a face mask. What is an important nursing consideration for this client?

Correct Answer: D

Rationale: Assessing for skin breakdown (D) is vital with face masks, as prolonged pressure on the nose and cheeks can cause ulcers. Removing during meals (A) disrupts therapy. Mouth-only coverage (B) reduces efficacy. Q4h SpO2 checks (C) are too infrequent. Skin checks prevent complications, per nursing care, ensuring mask safety.

Question 4 of 5

The nurse is teaching a group of parents about gross motor development of the toddler. Which behavior is an example of the normal gross motor skill of a toddler?

Correct Answer: A

Rationale: Toddlers (1-3 years) typically develop gross motor skills like pulling a toy behind them, reflecting coordination and strength in walking, a milestone by 18-24 months. Copying lines or building tall towers involves fine motor skills, while broad-jumping emerges later, around 3-4 years. Nurses educate parents on these norms to track development, reassuring them that pulling toys aligns with expected physical progress, distinguishing it from more advanced or precise tasks.

Question 5 of 5

The nurse should observe for side effects associated with the use of bronchodilators. A common side effect of bronchodilators is:

Correct Answer: B

Rationale: Nausea is a common side effect of bronchodilators like albuterol, stemming from systemic absorption stimulating the gastrointestinal tract or central nervous system, a frequent complaint in respiratory therapy. Tinnitus relates more to ototoxic drugs, ataxia to neurological issues, and hypotension isn't typical tachycardia is more likely. Nurses monitor for nausea to adjust administration (e.g., with food) or report persistent issues, ensuring client comfort while maintaining airway dilation. This vigilance balances therapeutic benefits against manageable side effects, critical for clients with chronic respiratory conditions.

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