HEALTH ATI ASSESSMENT FINAL II EXAM QUESTIONS WITH COMPLETE
SOLUTIONS GUARANTEED PASS
A 65-year-old patient is experiencing pain in his left calf when he
exercises that disappears after resting for a few minutes. The
nurse recognizes that this description is most consistent with the
left leg.
Select one:
a. venous obstruction of lower extremities
b. claudication due to venous abnormalities
c. ischemia caused by partial blockage of an artery supplying
d. ischemia caused by complete blockage of an artery supplying -
ANSWER ->c. ischemia caused by partial blockage of an artery
supplying
A 67-year-old patient states that he recently began to have pain in
his left calf when climbing the 10 stairs to his apartment. This pain
is relieved by sitting for about 2 minutes; then he is able to
resume his activities. The nurse interprets that this patient is most
likely experiencing:
Select one:
,a. claudication.
b. sore muscles.
c. muscle cramps.
d. venous insufficiency. - ANSWER ->a. claudication.
A 70-year-old patient is being seen in the clinic for severe
exacerbation of his heart failure. Which of these findings is the
nurse most likely to observe in this situation?
Select one:
a. Shortness of breath, orthopnea, paroxysmal nocturnal dyspnea,
ankle edema
b. Rasping cough, thick mucoid sputum, wheezing, bronchitis
c. Productive cough, dyspnea, weight loss, anorexia, tuberculosis
d. Fever,dry nonproductive cough, diminished breath sounds -
ANSWER ->a.
Shortness of breath, orthopnea, paroxysmal nocturnal dyspnea,
ankle edema A 70-year-old patient with a history of hypertension
has a blood pressure of 180/100 mm Hg and a heart rate of 90
beats per minute. The nurse hears an extra heart sound at the
apex immediately before S1. The sound is heard only with the
bell of the stethoscope and the cadence is "A-Stiff-Wall" or
"Tennessee". With these findings and the patient's history, the
nurse knows that this extra heart sound is most likely a(n):
,Select
one: a.
split S1.
b. atrial gallop S4.
c. diastolic murmur.
d. summation sound. - ANSWER ->b. atrial gallop S4.
A patient complains of leg pain that wakes him at night. He states
that he "has been having problems" with his legs. He has pain in
his legs when they are elevated that disappears when he dangles
them. He recently noticed "a sore" on the inner aspect of the right
ankle. On the basis of this history information, the nurse interprets
that the patient is most likely experiencing:
Select one:
a. pain related to lymphatic abnormalities.
b. problems related to arterial insufficiency.
c. problems related to venous insufficiency.
d. pain related to musculoskeletal abnormalities. - ANSWER ->b.
problems related to arterial insufficiency.
A patient has been admitted to the emergency department with a
possible medical diagnosis of pulmonary embolism. The nurse
expects to see which assessment findings related to this
condition?
Select one:
, a. Absent or decreased breath sounds
b. Productive cough with thin, frothy sputum
c. Chest pain that is worse on deep inspiration, dyspnea
d. Diffuse infiltrates with areas of dullness upon percussion -
ANSWER ->c. Chest pain that is worse on deep inspiration,
dyspnea
A patient has been diagnosed with venous stasis. Which of these
findings would the nurse most likely observe?
Select one:
a. A unilateral cool foot
b. Thin, shiny, atrophic skin
c. Pallor of the toes and cyanosis of the nail beds
d. A brownish discoloration to the skin of the lower leg - ANSWER
->d. A brownish discoloration to the skin of the lower leg
During a cardiovascular assessment, the nurse knows that a
"thrill" is:
Select one:
a. a vibration that is palpable.
b. palpated in the right epigastric area.
c. associated with ventricular hypertrophy.
d. a murmur auscultated at the third intercostal space. - ANSWER
->a. a vibration that is palpable.
SOLUTIONS GUARANTEED PASS
A 65-year-old patient is experiencing pain in his left calf when he
exercises that disappears after resting for a few minutes. The
nurse recognizes that this description is most consistent with the
left leg.
Select one:
a. venous obstruction of lower extremities
b. claudication due to venous abnormalities
c. ischemia caused by partial blockage of an artery supplying
d. ischemia caused by complete blockage of an artery supplying -
ANSWER ->c. ischemia caused by partial blockage of an artery
supplying
A 67-year-old patient states that he recently began to have pain in
his left calf when climbing the 10 stairs to his apartment. This pain
is relieved by sitting for about 2 minutes; then he is able to
resume his activities. The nurse interprets that this patient is most
likely experiencing:
Select one:
,a. claudication.
b. sore muscles.
c. muscle cramps.
d. venous insufficiency. - ANSWER ->a. claudication.
A 70-year-old patient is being seen in the clinic for severe
exacerbation of his heart failure. Which of these findings is the
nurse most likely to observe in this situation?
Select one:
a. Shortness of breath, orthopnea, paroxysmal nocturnal dyspnea,
ankle edema
b. Rasping cough, thick mucoid sputum, wheezing, bronchitis
c. Productive cough, dyspnea, weight loss, anorexia, tuberculosis
d. Fever,dry nonproductive cough, diminished breath sounds -
ANSWER ->a.
Shortness of breath, orthopnea, paroxysmal nocturnal dyspnea,
ankle edema A 70-year-old patient with a history of hypertension
has a blood pressure of 180/100 mm Hg and a heart rate of 90
beats per minute. The nurse hears an extra heart sound at the
apex immediately before S1. The sound is heard only with the
bell of the stethoscope and the cadence is "A-Stiff-Wall" or
"Tennessee". With these findings and the patient's history, the
nurse knows that this extra heart sound is most likely a(n):
,Select
one: a.
split S1.
b. atrial gallop S4.
c. diastolic murmur.
d. summation sound. - ANSWER ->b. atrial gallop S4.
A patient complains of leg pain that wakes him at night. He states
that he "has been having problems" with his legs. He has pain in
his legs when they are elevated that disappears when he dangles
them. He recently noticed "a sore" on the inner aspect of the right
ankle. On the basis of this history information, the nurse interprets
that the patient is most likely experiencing:
Select one:
a. pain related to lymphatic abnormalities.
b. problems related to arterial insufficiency.
c. problems related to venous insufficiency.
d. pain related to musculoskeletal abnormalities. - ANSWER ->b.
problems related to arterial insufficiency.
A patient has been admitted to the emergency department with a
possible medical diagnosis of pulmonary embolism. The nurse
expects to see which assessment findings related to this
condition?
Select one:
, a. Absent or decreased breath sounds
b. Productive cough with thin, frothy sputum
c. Chest pain that is worse on deep inspiration, dyspnea
d. Diffuse infiltrates with areas of dullness upon percussion -
ANSWER ->c. Chest pain that is worse on deep inspiration,
dyspnea
A patient has been diagnosed with venous stasis. Which of these
findings would the nurse most likely observe?
Select one:
a. A unilateral cool foot
b. Thin, shiny, atrophic skin
c. Pallor of the toes and cyanosis of the nail beds
d. A brownish discoloration to the skin of the lower leg - ANSWER
->d. A brownish discoloration to the skin of the lower leg
During a cardiovascular assessment, the nurse knows that a
"thrill" is:
Select one:
a. a vibration that is palpable.
b. palpated in the right epigastric area.
c. associated with ventricular hypertrophy.
d. a murmur auscultated at the third intercostal space. - ANSWER
->a. a vibration that is palpable.