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Exam IV studyguide Fill In The Blanks

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In each blank, try to type in the word that is missing. If you've typed in the correct word, the blank will turn green.

If your not sure what answer should be entered, press the space bar and the next missing letter will be displayed.

When you are all done, you should look back over all your answers and review the ones in red. These ones in red are the ones which you needed help on.
Question: Before you begin auscultating sounds, inform the patient:Answer: "I always listen to the heart in a number of places on the ."
Question: To assess the pedis artery, you would palpate:Answer: lateral to the extensor tendon of the toe.
Question: In auscultation of heart sounds, which sequence would you use?Answer: area - pulmonic area - Erb's point - tricuspid area - mitral area
Question: During an assessment, the nurse notes that a patient's left arm is swollen from the shoulder down to the fingers, with nonpitting edema. The arm is normal. The patient had a mastectomy one year ago. The nurse suspects which problem:Answer:
Question: to drawing blood for an arterial blood gas (ABG), the lab tech will perform which assessment?Answer: Modified 's test
Question: While counting the apical pulse on a young adult patient, you notice an rhythm. His rate speeds up on inspiration and slows on expiration. What would be your response?Answer: No further response is , as this is normal.
Question: Select the best description of the valve:Answer: left valve.
Question: During assessment, your patient tells you that her fingers often change color when she goes outside in cold. She details these episodes as her first turning white, then blue, then red w/burning, throbbing pain. U suspect that she's experiencing?Answer: Raynaud's .
Question: A 35-year-old male is seen in the clinic for an "infected cut on my left thigh." Which of the following would you expect to find during your of this patient?Answer: Enlarged and tender inguinal
Question: During the examination of the extremities, you are unable to palpate the popliteal pulse. You should:Answer: proceed with the exam. It is impossible to palpate this pulse.
Question: In cardiovascular a "thrill" is:Answer: a murmur that is .
Question: The tough, fibrous, double-walled sac that surrounds and the heart is:Answer:
Question: The examiner to listen in the pulmonic valve area. To do this, the stethoscope would be placed at the:Answer: second left intercostal
Question: Which of the following statements best describes the mechanism(s) by which venous returns to the heart? Question 14 answersAnswer: Intraluminal ensure unidirectional flow toward the heart.
Question: Which of the following statements is true the apical impulse?Answer: Its may be indicative of heart size.
Question: The nurse wishes to listen in the aortic valve area. To do this, the would be placed at the:Answer: second right space
Question: In your assessment of a 68-year-old male with recent onset of right-sided weakness, you hear a , swishing sound with the bell of the stethoscope over the left carotid artery. This woud indicate:Answer: flow turbulence.
Question: Which of the following best describes what is by atrial kick:Answer: the contract toward the end of diastole and push the remaining blood into the ventricles
Question: The most site for an aneurysm to form is:Answer: the
Question: The wall of the heart is called the:Answer:
Question: When listening to heart sounds, the nurse knows that the valve closures that can be heard best at the base of the are:Answer: , pulmonic
Question: The electrical of the cardiac cycle follows which sequence:Answer: SA node - AV node - bundle of His - bundle
Question: The findings from your assessment of a 70-year-old male with edema in both ankles include jugular vein distention when the head of the bed is elevated 45 degrees. This would indicate:Answer: failure.
Question: The of the conduction system referred to as the pacemaker of the heart is the:Answer: (SA) node
Question: The nurse would palpate around the medial malleolus to assess which :Answer: tibial
Question: The of blood flow through the heart is best described by which of the following?Answer: Right - right ventricle - pulmonary artery - lungs - pulmonary vein - left atrium - left ventricle
Question: A patient has been diagnosed with venous stasis. Which of the following would the most likely observe:Answer: a brownish discoloration to the skin of the leg
Question: When listening to sounds, the nurse knows that which of the following statements concerning S1 is true:Answer: S1 w/carotid artery pulse
Question: The is:Answer: the area on the anterior chest overlying the heart and vessels
Question: 67 yr old patient that he recently began to develop cramp-like pain in calves when climbing 10 stairs to apartment. This pain is relieved by sitting for a few minutes; then he's able to resume activities. This patient is most likely experiencing:Answer: claudication
Question: an adult, a sustained elevated heart rate of greater than 120 beats per minute can lead to: Answer: decreased cardiac .
Question: patient's capillary refill in the fingertips is found to be greater than 3 seconds. The student nurse understands this to mean:Answer: cardiac output is .
Question: A patient has a positive Homan's sign. You know that a Homan's sign:Answer: is indicative of possible deep vein .
Question: The RN is auscultating the heart sounds of a patient with severe chronic obstructive pulmonary (COPD). The heart sounds seem "far away." This should be documented as:Answer:
Question: The thin layer of that lines the inner surface of the heart chambers and valves is called:Answer: the
Question: A 75-year-old male is here for "a routine physical." During the history the patient states he's been having in sleeping. "I have to get up several times a night to urinate." You should document this as:Answer: Nocturia
Question: A 70-year-old patient is for open-heart surgery. The physician plans to use the great saphenous vein for the coronary bypass grafts. The patient asks, "What happens to my circulation when the veins are removed?" The nurse should reply:Answer: "Because the deeper veins in your leg are in good , this vein can be removed without harming your circulation."
Question: In assessing the carotid arteries of an older patient with disease, you would:Answer: with the bell of the stethoscope to assess for bruits.
Question: How would you document mild slight present at the ankles of a patient?Answer: 1+/4+
Question: The wishes to listen for a pericaridal friction rub. Select the best method of listening:Answer: with the diaphragm, sitting up and leaning forward
Question: The second heart sound (S2) is the of:Answer: closing of the aortic and pulmonic .
Question: In your assessment of a adult, where would you expect to palpate the apical impulse?Answer: Fifth left intercostal space at the line
Question: When performing a peripheral vascular assessment on a patient, you are unable to palpate the ulnar pulses. The patient's skin is warm and capillary refill time is . You would:Answer: this a normal finding and proceed with the peripheral vascular evaluation.
Question: When performing an of a patient, you note the presence of an enlarged epitrochlear lymph node. You would carefully examine which of the following areas?Answer: Examine the patient's lower arm and hand, checking for the of infection or lesions.
Question: You note that a patient has a murmur and describe it as III/VI. This signifies that the murmur is:Answer: loud, easy to hear.
Question: Select the best description of the tricuspid :Answer: right atrioventricular
Question: The nurse is reviewing an assessment of a patient's peripheral pulses and notes that the documentation states that the radial pulses are 2+. The recognizes that this reading indicates what type of pulse:Answer:
Question: Which of the following is a normal physiologic associated with the aging process?Answer: Peripheral blood vessels growing more rigid with age, producing a rise in systolic blood
Question: The nurse is performing a peripheral vascular assessment on a bedridden patient, & notes following findings in right leg: increased warmth, swelling, , tenderness to palpation, & positive Homan's sign. The nurse would:Answer: seek referral b/c of risk of pulmonary embolism.
 
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