Difficulty: Medium
Average Score: 78%
Simulated
Passage / Scenario
A nursery nurse is admitting a neonate and is performing the neonatal assessment. The apical pulse is auscultated with a rate of 124 bpm, after one full minute of listening.What is the next appropriate action should the nurse take?
Correct answer
D
Rationale
Documenting the expected finding is the appropriate action. An apical pulse rate of 124 bpm is within the normal range for a neonate (110-160 bpm), and no further action is needed.