NBCSN Nationally Certified School Nurse Practice Exam

Question: 1 / 400

What is the anatomical location for determining apical pulse?

Left subclavian

Mid-clavicular line

The anatomical location for determining the apical pulse is the mid-clavicular line. This is found at the intersection of the left mid-clavicular line and the fifth intercostal space, which is typically located just below the left nipple in adults. The apical pulse is felt from the apex of the heart and provides valuable information about heart rate and rhythm.

The mid-clavicular line serves as an important reference point in clinical practice, notably in auscultation of the heart, as this is where the heart's apex is closest to the chest wall. It allows for the most accurate assessment of the apical pulse, which is particularly vital in settings like schools, where timely detection of potential cardiac irregularities in students can prompt further evaluation or intervention.

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Right midline

Below the xiphoid process

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