NURS 6101 BATES TEST BANK QUESTIONS WITH
COMPLETE SOLUTIONS
mitral
You are performing a cardiac examination on a patient with
shortness of breath and palpitations. You listen to the heart with
the patient sitting upright, then have him change to a supine
position, and finally have him turn onto his left side in the left
lateral decubitus position. What valvular defect is best heard in
this position?
Upright, but leaning forward
You are concerned that a patient has an aortic regurgitation
murmur. Which is the best position to accentuate the murmur?
Second-degree A-V block
A 68-year-old retired waiter comes to your clinic for evaluation
of fatigue. You perform a cardiac examination and find that his
pulse rate is less than 60. Which of the following conditions
could be responsible for this heart rate?
A) Second-degree A-V block
B) Atrial flutter
C) Sinus arrhythmia
D) Atrial fibrillation
In the left 5th intercostal space, 7 to 9 cm lateral to the sternum
Where is the point of maximal impulse (PMI) normally located?
Closure of the aortic valve
,Which of the following events occurs at the start of diastole?
A) Closure of the tricuspid valve
B) Opening of the pulmonic valve
C) Closure of the aortic valve
D) Production of the first heart sound (S1)
It is caused by rapid deceleration of blood against the ventricular
wall.
Which is true of a third heart sound (S3)?
A) It marks atrial contraction.
B) It reflects normal compliance of the left ventricle.
C) It is caused by rapid deceleration of blood against the
ventricular wall.
D) It is not heard in atrial fibrillation.
It is best heard over the pulmonic area with the bell of the
stethoscope.
Which is true of splitting of the second heart sound?
A) It is best heard over the pulmonic area with the bell of the
stethoscope.
B) It normally increases with exhalation.
C) It is best heard over the apex.
D) It does not vary with respiration.
The vertical height of the blood column in centimeters, plus 5
cm, is the JVP.
Which of the following is true of jugular venous pressure (JVP)
measurement?
A) It is measured with the patient at a 45-degree angle.
,B) The vertical height of the blood column in centimeters, plus 5
cm, is the JVP.
C) A JVP below 9 cm is abnormal.
D) It is measured above the sternal notch.
The "x" descent
Which of the following regarding jugular venous pulsations is a
systolic phenomenon?
A) The "y" descent
B) The "x" descent
C) The upstroke of the "a" wave
D) The downstroke of the "v" wave
100%
How much does cardiovascular risk increase for each increment
of 20 mm Hg systolic and 10 mm Hg diastolic in blood
pressure?
A) 25%
B) 50%
C) 75%
D) 100%
every 2 years
In healthy adults over 20, how often should blood pressure, body
mass index, waist circumference, and pulse be assessed,
according to American Heart Association guidelines?
BP of 134/88 for a male
Which of the following is a clinical identifier of metabolic
syndrome?
, A) Waist circumference of 38 inches for a male
B) Waist circumference of 34 inches for a female
C) BP of 134/88 for a male
D) BP of 128/84 for a female
100
Mrs. Adams would like to begin an exercise program and was
told to exercise as intensely as necessary to obtain a heart rate
60% or greater of her maximum heart rate. She is 52. What heart
rate should she achieve?
Measure the highest visible pressure, usually at end expiration.
In measuring the jugular venous pressure (JVP), which of the
following is important?
A) Keep the patient's torso at a 45-degree angle.
B) Measure the highest visible pressure, usually at end
expiration.
C) Add the vertical height over the sternal notch to a 5-cm
constant.
D) Realize that a total value of over 12 cm is abnormal.
Aortic insufficiency
You find a bounding carotid pulse on a 62-year-old patient.
Which murmur should you search out?
all the above
To hear a soft murmur or bruit, which of the following may be
necessary?
A) Asking the patient to hold her breath
B) Asking the patient in the next bed to turn down the TV
COMPLETE SOLUTIONS
mitral
You are performing a cardiac examination on a patient with
shortness of breath and palpitations. You listen to the heart with
the patient sitting upright, then have him change to a supine
position, and finally have him turn onto his left side in the left
lateral decubitus position. What valvular defect is best heard in
this position?
Upright, but leaning forward
You are concerned that a patient has an aortic regurgitation
murmur. Which is the best position to accentuate the murmur?
Second-degree A-V block
A 68-year-old retired waiter comes to your clinic for evaluation
of fatigue. You perform a cardiac examination and find that his
pulse rate is less than 60. Which of the following conditions
could be responsible for this heart rate?
A) Second-degree A-V block
B) Atrial flutter
C) Sinus arrhythmia
D) Atrial fibrillation
In the left 5th intercostal space, 7 to 9 cm lateral to the sternum
Where is the point of maximal impulse (PMI) normally located?
Closure of the aortic valve
,Which of the following events occurs at the start of diastole?
A) Closure of the tricuspid valve
B) Opening of the pulmonic valve
C) Closure of the aortic valve
D) Production of the first heart sound (S1)
It is caused by rapid deceleration of blood against the ventricular
wall.
Which is true of a third heart sound (S3)?
A) It marks atrial contraction.
B) It reflects normal compliance of the left ventricle.
C) It is caused by rapid deceleration of blood against the
ventricular wall.
D) It is not heard in atrial fibrillation.
It is best heard over the pulmonic area with the bell of the
stethoscope.
Which is true of splitting of the second heart sound?
A) It is best heard over the pulmonic area with the bell of the
stethoscope.
B) It normally increases with exhalation.
C) It is best heard over the apex.
D) It does not vary with respiration.
The vertical height of the blood column in centimeters, plus 5
cm, is the JVP.
Which of the following is true of jugular venous pressure (JVP)
measurement?
A) It is measured with the patient at a 45-degree angle.
,B) The vertical height of the blood column in centimeters, plus 5
cm, is the JVP.
C) A JVP below 9 cm is abnormal.
D) It is measured above the sternal notch.
The "x" descent
Which of the following regarding jugular venous pulsations is a
systolic phenomenon?
A) The "y" descent
B) The "x" descent
C) The upstroke of the "a" wave
D) The downstroke of the "v" wave
100%
How much does cardiovascular risk increase for each increment
of 20 mm Hg systolic and 10 mm Hg diastolic in blood
pressure?
A) 25%
B) 50%
C) 75%
D) 100%
every 2 years
In healthy adults over 20, how often should blood pressure, body
mass index, waist circumference, and pulse be assessed,
according to American Heart Association guidelines?
BP of 134/88 for a male
Which of the following is a clinical identifier of metabolic
syndrome?
, A) Waist circumference of 38 inches for a male
B) Waist circumference of 34 inches for a female
C) BP of 134/88 for a male
D) BP of 128/84 for a female
100
Mrs. Adams would like to begin an exercise program and was
told to exercise as intensely as necessary to obtain a heart rate
60% or greater of her maximum heart rate. She is 52. What heart
rate should she achieve?
Measure the highest visible pressure, usually at end expiration.
In measuring the jugular venous pressure (JVP), which of the
following is important?
A) Keep the patient's torso at a 45-degree angle.
B) Measure the highest visible pressure, usually at end
expiration.
C) Add the vertical height over the sternal notch to a 5-cm
constant.
D) Realize that a total value of over 12 cm is abnormal.
Aortic insufficiency
You find a bounding carotid pulse on a 62-year-old patient.
Which murmur should you search out?
all the above
To hear a soft murmur or bruit, which of the following may be
necessary?
A) Asking the patient to hold her breath
B) Asking the patient in the next bed to turn down the TV
