Certified EkG technician (CET) Practice Exam

What is the location for obtaining an apical pulse?

1. At the right clavicle

2. Between the fifth and sixth ribs, at the left midclavicular line

3. At the wrist, near the radial artery

4. On the back between the shoulder blades

The correct answer is: Between the fifth and sixth ribs, at the left midclavicular line

The apical pulse is obtained by placing the stethoscope at the apex of the heart, which is situated between the fifth and sixth ribs, specifically at the left midclavicular line. This location is crucial because it allows for direct auscultation of the heart's sounds, providing an accurate reading of heart rate and rhythm. The apex of the heart is the point where the heart's contractions are strongest, making it the best site for listening to the heartbeat compared to other locations. Understanding the anatomy involved is essential; the left midclavicular line serves as a vertical reference point that runs down from the midpoint of the clavicle. This precise positioning ensures that health professionals can effectively assess the heart function of patients. The other locations mentioned do not provide the same accuracy or appropriateness for measuring the apical pulse. The right clavicle's location is not aligned with the heart’s apex and therefore would not yield reliable cardiac sounds. Similarly, the wrist near the radial artery provides a radial pulse, not an apical pulse, and the back between the shoulder blades is not relevant for listening to heart sounds.