NCLEX-RN
NCLEX RN Simulated Exam Test Bank Questions
Extract:
Question 1 of 5
What is a common error when taking a pulse?
Correct Answer: C
Rationale: The correct answer is counting the pulse for 15 seconds and multiplying the number by four.
To accurately assess a patient's heart rate or pulse, it is crucial to count the pulse for a full minute. Counting for only 15 seconds and then multiplying by four may result in an inaccurate heart rate calculation. This approach could miss arrhythmias or intermittent pulsations that could be vital indicators of the patient's condition. Placing the index finger on the radial artery, which is located on the thumb side of the patient's wrist, is the correct technique for taking a pulse. Noting a pulse as 'weak' when the pulsation disappears upon adding pressure is a valid observation and not an error in itself.
Therefore, the most common error in this scenario is incorrectly calculating the pulse rate by multiplying a 15-second count by four.
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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