ATI RN
ATI RN Pediatric Assessment 2022 Questions
Extract:
An infant
Question 1 of 5
A nurse is preparing to measure an infant's vital signs. The nurse should use which of the following sites to assess a heart rate?
Correct Answer: D
Rationale: The correct answer is D: Apex of the heart.
To measure an infant's heart rate accurately, the nurse should use the apex of the heart. This site allows for the most accurate assessment of the heart rate in infants due to their small size and the location of the heart in their chest. By placing the stethoscope over the apex of the heart, the nurse can directly listen to the sounds of the heart, including the clear and distinct lub-dub sounds of each heartbeat. This method provides a more precise measurement compared to using peripheral arteries like the brachial, radial, or carotid arteries, which may not provide as accurate or direct a measurement of the heart rate. The apex of the heart is the preferred site for assessing heart rate in infants due to its proximity to the heart and the clear sounds that can be heard from this location.
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Question 2 of 5
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Question 3 of 5
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Question 4 of 5
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Question 5 of 5
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