Health Assessment
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
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| Before you begin auscultating heart sounds, inform the patient: | show 🗑
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| show | lateral to the extensor tendon of the great toe.
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| show | Aortic area - pulmonic area - Erb's point - tricuspid area - mitral area
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| show | lymphedema
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| Prior to drawing blood for an arterial blood gas (ABG), the lab tech will perform which assessment? | show 🗑
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| While counting the apical pulse on a young adult patient, you notice an irregular rhythm. His rate speeds up on inspiration and slows on expiration. What would be your response? | show 🗑
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| Select the best description of the mitral valve: | show 🗑
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| During assessment, your patient tells you that her fingers often change color when she goes outside in cold. She details these episodes as her fingers first turning white, then blue, then red w/burning, throbbing pain. U suspect that she's experiencing? | show 🗑
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| show | Enlarged and tender inguinal nodes
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| During the examination of the lower extremities, you are unable to palpate the popliteal pulse. You should: | show 🗑
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| show | a murmur that is palpable.
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| The tough, fibrous, double-walled sac that surrounds and protects the heart is: | show 🗑
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| The examiner wishes to listen in the pulmonic valve area. To do this, the stethoscope would be placed at the: | show 🗑
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| Which of the following statements best describes the mechanism(s) by which venous blood returns to the heart? Question 14 answers | show 🗑
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| Which of the following statements is true regarding the apical impulse? | show 🗑
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| The nurse wishes to listen in the aortic valve area. To do this, the stethoscope would be placed at the: | show 🗑
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| show | blood flow turbulence.
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| show | the atria contract toward the end of diastole and push the remaining blood into the ventricles
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| show | the aorta
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| show | myocardium
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| When listening to heart sounds, the nurse knows that the valve closures that can be heard best at the base of the heart are: | show 🗑
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| The electrical stimulus of the cardiac cycle follows which sequence: | show 🗑
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| show | heart failure.
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| The component of the conduction system referred to as the pacemaker of the heart is the: | show 🗑
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| The nurse would palpate around the medial malleolus to assess which pulse: | show 🗑
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| The direction of blood flow through the heart is best described by which of the following? | show 🗑
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| A patient has been diagnosed with venous stasis. Which of the following would the nurse most likely observe: | show 🗑
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| show | S1 coincides w/carotid artery pulse
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| show | the area on the anterior chest overlying the heart and great vessels
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| show | claudication
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| In an adult, a sustained elevated heart rate of greater than 120 beats per minute can lead to: | show 🗑
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| A patient's capillary refill in the fingertips is found to be greater than 3 seconds. The student nurse understands this to mean: | show 🗑
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| show | is indicative of possible deep vein thrombosis.
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| show | distant
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| The thin layer of tissue that lines the inner surface of the heart chambers and valves is called: | show 🗑
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| A 75-year-old male is here for "a routine physical." During the history the patient states he's been having difficulty in sleeping. "I have to get up several times a night to urinate." You should document this as: | show 🗑
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| A 70-year-old patient is scheduled 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: | show 🗑
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| show | listen with the bell of the stethoscope to assess for bruits.
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| show | 1+/4+
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| The nurse wishes to listen for a pericaridal friction rub. Select the best method of listening: | show 🗑
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| The second heart sound (S2) is the result of: | show 🗑
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| In your assessment of a normal adult, where would you expect to palpate the apical impulse? | show 🗑
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| show | consider this a normal finding and proceed with the peripheral vascular evaluation.
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| When performing an assessment of a patient, you note the presence of an enlarged epitrochlear lymph node. You would carefully examine which of the following areas? | show 🗑
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| You note that a patient has a murmur and describe it as Grade III/VI. This signifies that the murmur is: | show 🗑
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| show | right atrioventricular valve
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| show | normal
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| show | Peripheral blood vessels growing more rigid with age, producing a rise in systolic blood pressure
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| The nurse is performing a peripheral vascular assessment on a bedridden patient, & notes following findings in right leg: increased warmth, swelling, redness, tenderness to palpation, & positive Homan's sign. The nurse would: | show 🗑
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Created by:
chaptravelman
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