NCLEX Practice Test PN Related

Review NCLEX Practice Test PN related questions and content

The nurse is documenting the assessment of a client's peripheral pulses. The nurse palpates the top portion of the client's feet and notes that the right pulse is full and strong, and the left pulse is diminished but still palpable. Which of the following would be correct documentation to include in the client's medical record?

  • A. Bilateral dorsalis pedis pulses palpable. Right pulse 3+, left pulse 1+.
  • B. Bilateral dorsalis pedis pulses palpable. Right pulse 4+, left pulse 2+.
  • C. Bilateral popliteal pulses palpable. Right foot > left foot.
  • D. Bilateral posterior tibial pulses palpable. Right pulse 3+, left pulse 1+.
Correct Answer: A

Rationale: The dorsalis pedis pulse is palpated on the top of the foot. A 3+ pulse is full and strong, and 1+ is diminished but palpable, accurately reflecting the findings.