2
nursing 251 exam 3 with precise detailed answers || || || || || || ||
During a head to toe assessment of a patient the nurse discovers a vascular ulcer at the
|| || || || || || || || || || || || || || || || ||
distal right great toe. This is most likely caused by which of the following conditions? -
|| || || || || || || || || || || || || || || ||
✔✔Arterial insufficiency ||
A patient is diagnosed with hypertrophic cardiomyopathy - -a disease leading to an enlarged
|| || || || || || || || || || || || ||
heart. While palpating the apical pulse or point of maximal impulse (PMI) for this patient,
|| || || || || || || || || || || || || || || ||
the nurse may note which of the following findings? The PMI is located at the . . . -
|| || || || || || || || || || || || || || || || || || ||
✔✔Sixth ICS, just medial to the AAL || || || || || ||
A nurse is having difficulty separating the first heart sound, S1, from other adventitious
|| || || || || || || || || || || || || ||
sounds while auscultating a patient's heart sounds. What can the nurse do to assist in
|| || || || || || || || || || || || || || ||
determining S1? - ✔✔Palpate the carotid pulse while listening for S1 || || || || || || || || || ||
How would you characterize a Grade VI cardiac murmur? - ✔✔Very loud, audible with
|| || || || || || || || || || || || || ||
stethoscope not in direct contact with chest || || || || || ||
Edema of the lower leg which creates an indentation which persists 30 seconds or more
|| || || || || || || || || || || || || || ||
when prodded by your finger may be classified as which of the following? - ✔✔+4 pitting
|| || || || || || || || || || || || || || || ||
edema
Where does the nurse palpate to assess a patient's posterior tibial pulse? - ✔✔Medial ankle
|| || || || || || || || || || || || || ||
When palpating for the apical pulse of a patient, where should the "normal" location be? -
|| || || || || || || || || || || || || || || ||
✔✔5th ICS, MCL || ||
, 2
Which of the following are indicative of a left Deep Vein Thrombosis (DVT) in a patient? -
|| || || || || || || || || || || || || || || || ||
✔✔Edema, redness, and warmth of the left leg || || || || || || ||
May be an early sign of heart failure in an older adult patient - ✔✔s3
|| || || || || || || || || || || || || ||
Located in the 5th ICS, MCL - ✔✔mitral area
|| || || || || || || ||
Corresponds with the carotid pulse - ✔✔s1 || || || || || ||
Located in the 2nd ICS, right of the sternum - ✔✔aortic area
|| || || || || || || || || || ||
Located in the 3rd ICS, just left of the sternum - ✔✔erb's point
|| || || || || || || || || || || ||
Located in the 2nd ICS, left of the sternum - ✔✔pulmonic area
|| || || || || || || || || || ||
Located in the 5th ICS, left of the sternum - ✔✔tricuspid area
|| || || || || || || || || || ||
Caused by the closure of the semilunar valves - ✔✔s2
|| || || || || || || || ||
Warm, pink right foot with pedal pulse of +2 - ✔✔normal
|| || || || || || || || || ||
PMI located at the 6th ICS, AAL - ✔✔abnormal
|| || || || || || || ||
Muffled, indistinct S1 and S2 auscultated - ✔✔abnormal
|| || || || || || ||
Pedal pulses +1 bilaterally in a diabetic patient - ✔✔abnormal
|| || || || || || || || ||
nursing 251 exam 3 with precise detailed answers || || || || || || ||
During a head to toe assessment of a patient the nurse discovers a vascular ulcer at the
|| || || || || || || || || || || || || || || || ||
distal right great toe. This is most likely caused by which of the following conditions? -
|| || || || || || || || || || || || || || || ||
✔✔Arterial insufficiency ||
A patient is diagnosed with hypertrophic cardiomyopathy - -a disease leading to an enlarged
|| || || || || || || || || || || || ||
heart. While palpating the apical pulse or point of maximal impulse (PMI) for this patient,
|| || || || || || || || || || || || || || || ||
the nurse may note which of the following findings? The PMI is located at the . . . -
|| || || || || || || || || || || || || || || || || || ||
✔✔Sixth ICS, just medial to the AAL || || || || || ||
A nurse is having difficulty separating the first heart sound, S1, from other adventitious
|| || || || || || || || || || || || || ||
sounds while auscultating a patient's heart sounds. What can the nurse do to assist in
|| || || || || || || || || || || || || || ||
determining S1? - ✔✔Palpate the carotid pulse while listening for S1 || || || || || || || || || ||
How would you characterize a Grade VI cardiac murmur? - ✔✔Very loud, audible with
|| || || || || || || || || || || || || ||
stethoscope not in direct contact with chest || || || || || ||
Edema of the lower leg which creates an indentation which persists 30 seconds or more
|| || || || || || || || || || || || || || ||
when prodded by your finger may be classified as which of the following? - ✔✔+4 pitting
|| || || || || || || || || || || || || || || ||
edema
Where does the nurse palpate to assess a patient's posterior tibial pulse? - ✔✔Medial ankle
|| || || || || || || || || || || || || ||
When palpating for the apical pulse of a patient, where should the "normal" location be? -
|| || || || || || || || || || || || || || || ||
✔✔5th ICS, MCL || ||
, 2
Which of the following are indicative of a left Deep Vein Thrombosis (DVT) in a patient? -
|| || || || || || || || || || || || || || || || ||
✔✔Edema, redness, and warmth of the left leg || || || || || || ||
May be an early sign of heart failure in an older adult patient - ✔✔s3
|| || || || || || || || || || || || || ||
Located in the 5th ICS, MCL - ✔✔mitral area
|| || || || || || || ||
Corresponds with the carotid pulse - ✔✔s1 || || || || || ||
Located in the 2nd ICS, right of the sternum - ✔✔aortic area
|| || || || || || || || || || ||
Located in the 3rd ICS, just left of the sternum - ✔✔erb's point
|| || || || || || || || || || || ||
Located in the 2nd ICS, left of the sternum - ✔✔pulmonic area
|| || || || || || || || || || ||
Located in the 5th ICS, left of the sternum - ✔✔tricuspid area
|| || || || || || || || || || ||
Caused by the closure of the semilunar valves - ✔✔s2
|| || || || || || || || ||
Warm, pink right foot with pedal pulse of +2 - ✔✔normal
|| || || || || || || || || ||
PMI located at the 6th ICS, AAL - ✔✔abnormal
|| || || || || || || ||
Muffled, indistinct S1 and S2 auscultated - ✔✔abnormal
|| || || || || || ||
Pedal pulses +1 bilaterally in a diabetic patient - ✔✔abnormal
|| || || || || || || || ||
