Difficulty: Medium
Average Score: 82%
Simulated
Passage / Scenario
A group of clientsA nurse is caring for a group of clients. Which of the following findings should the nurse report to the provider?
Correct answer
B
Rationale
The correct answer is B because an 18-month-old toddler with a heart rate of 68/min is outside the normal range for that age group (normal range is 80-130/min). This finding may indicate bradycardia, which can be a sign of a potential health issue and should be reported to the provider for further evaluation.
A: A rectal body temperature of 37.3 C in a school-age child is within the normal range (36.1-37.8 C).
C: A BP of 132/82 mm Hg in an adolescent is within the normal range for that age group (<120/<80 mm Hg).
D: A respiratory rate of 36/min in a 3-month-old infant is within the normal range (30-60/min).
A: A rectal body temperature of 37.3 C in a school-age child is within the normal range (36.1-37.8 C).
C: A BP of 132/82 mm Hg in an adolescent is within the normal range for that age group (<120/<80 mm Hg).
D: A respiratory rate of 36/min in a 3-month-old infant is within the normal range (30-60/min).