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Exam IV studyguide Test

Enter the letter for the matching Answer
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1.
The nurse wishes to listen in the aortic valve area. To do this, the stethoscope would be placed at the:
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2.
The RN is auscultating the heart sounds of a patient with severe chronic obstructive pulmonary disease (COPD). The heart sounds seem "far away." This should be documented as:
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3.
Select the best description of the tricuspid valve:
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4.
Which of the following best describes what is meant by atrial kick:
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5.
The nurse wishes to listen for a pericaridal friction rub. Select the best method of listening:
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6.
How would you document mild slight edema present at the ankles of a patient?
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7.
The most common site for an aneurysm to form is:
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8.
A patient has been diagnosed with venous stasis. Which of the following would the nurse most likely observe:
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9.
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?
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10.
When listening to heart sounds, the nurse knows that the valve closures that can be heard best at the base of the heart are:
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11.
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?
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12.
In assessing the carotid arteries of an older patient with cardiovascular disease, you would:
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13.
The second heart sound (S2) is the result of:
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14.
In an adult, a sustained elevated heart rate of greater than 120 beats per minute can lead to:
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15.
The tough, fibrous, double-walled sac that surrounds and protects the heart is:
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16.
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 assessment of this patient?
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17.
The nurse would palpate around the medial malleolus to assess which pulse:
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18.
Which of the following statements best describes the mechanism(s) by which venous blood returns to the heart? Question 14 answers
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19.
Which of the following is a normal physiologic change associated with the aging process?
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20.
The electrical stimulus of the cardiac cycle follows which sequence:
A.
1+/4+
B.
Intraluminal valves ensure unidirectional flow toward the heart.
C.
SA node - AV node - bundle of His - bundle branches
D.
distant
E.
aortic, pulmonic
F.
the atria contract toward the end of diastole and push the remaining blood into the ventricles
G.
posterior tibial
H.
closing of the aortic and pulmonic valves.
I.
with the diaphragm, patient sitting up and leaning forward
J.
a brownish discoloration to the skin of the lower leg
K.
Raynaud's syndrome.
L.
listen with the bell of the stethoscope to assess for bruits.
M.
second right intercostal space
N.
decreased cardiac output.
O.
the aorta
P.
right atrioventricular valve
Q.
pericardium
R.
Enlarged and tender inguinal nodes
S.
Peripheral blood vessels growing more rigid with age, producing a rise in systolic blood pressure
T.
No further response is needed, as this is normal.
Type the Answer that corresponds to the displayed Question.
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21.
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 right arm is normal. The patient had a mastectomy one year ago. The nurse suspects which problem:
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22.
The muscular wall of the heart is called the:
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23.
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 nurse recognizes that this reading indicates what type of pulse:
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24.
67 yr old patient states 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:
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25.
The findings from your assessment of a 70-year-old male with pitting edema in both ankles include jugular vein distention when the head of the bed is elevated 45 degrees. This would indicate:
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26.
The thin layer of tissue that lines the inner surface of the heart chambers and valves is called:
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27.
In your assessment of a 68-year-old male with recent onset of right-sided weakness, you hear a blowing, swishing sound with the bell of the stethoscope over the left carotid artery. This woud indicate:
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28.
Prior to drawing blood for an arterial blood gas (ABG), the lab tech will perform which assessment?
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29.
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:
Type the Question that corresponds to the displayed Answer.
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30.
the area on the anterior chest overlying the heart and great vessels

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