you are taking mr ds blood pressure the first sound that you hear is at 162 and the second sound that you hear is at 86 you should document and report

NCLEX-RN

Saunders NCLEX RN Practice Questions

1. When taking Mr. D's blood pressure, the first sound you hear is at 162, and the second sound you hear is at 86. You should document and report that the blood pressure is _____________.

A. 86/162
B. irregular and high
C. 162/86
D. normal for people of all ages

Correct answer: C

Rationale: You should document and report that the blood pressure measurement for Mr. D is 162/86. The first sound heard corresponds to the systolic reading (top number), and the second sound corresponds to the diastolic reading (bottom number). Blood pressure readings are not irregular; irregularities are typically associated with pulses. The blood pressure recorded is not normal for individuals of all ages; it is considered high.