Week 4 BSN 445 Questions and Answers
| 2026 Update | 100% Correct.
1. Which question would a nurse ask when taking a history for a patient in acute
distress from chest pain?
“Do you have a family history of diabetes mellitus?”
“Do you take any medications?”
“What type of diet do you typically eat?”
“Have you had cardiac studies completed in the past?”
“Do you take any medications?”
2. The nurse reviews a 12-lead electrocardiogram from a patient with crushing
chest pain and identifies that which element is, most important to assess?
PR interval
QRS complex
ST segment
P wave
ST segment
Myocardial infarction causes changes to the ST segment; therefore, the nurse would
closely assess for any ST segment changes.
3. Which question would the nurse use to assess the chronology of chest pain?
“Where is the pain?”
,“How has the pain progressed?”
“How long does the pain last?”
“What does the pain feel like?”
“How has the pain progressed?”
4. Which area of the body would the nurse observe to assess for central cyanosis?
Nail beds
Wrists
Legs
Tongue
Tongue
5. Which patient statement about clubbing indicates understanding of the
education?
“I have clubbing because of the peripheral cyanosis.”
“My nails are wide and bulging due to the clubbing.”
“Clubbing is what causes my leg edema.”
“I have an angle between the root of the nail bed and my finger.”
“My nails are wide and bulging due to the clubbing.”
6. Which finding would indicate right-sided heart failure?
Ascites
Abdominal adiposity
,Lower extremity wounds
Loss of hair on legs
Ascites
7. Which finding would the nurse expect to find in a patient with peripheral
arterial disease?
Hard and fibrotic skin texture
Varicose veins
Nail thinning
Cold extremities
Cold extremities
A patient with peripheral arterial disease would have extremities that are cold when
compared to the rest of their body.
8. Which position would relieve pain for a patient who has pericarditis?
Supine
Prone
Leaning forward
Standing
Leaning forward
9. Which skin change would the nurse expect to see in the lower extremities of a
patient with peripheral arterial disease?
Fibrotic skin
, Dermatitis
Brown patches
Shiny appearance
Shiny appearance
10. Which location would the nurse use to assess for jugular vein distention?
Right side of the neck
Left groin
Right groin
Left side of the neck
Right side of the neck
11. In which position would the nurse place a patient when assessing for jugular
vein distension?
Supine and flat
Seated at a 15-degree angle
Seated at a 30-degree angle
High-Fowler’s position
Seated at a 30-degree angle
12. During an abdominojugular reflex assessment, how many times would the
nurse assess for jugular vein distention?
One
| 2026 Update | 100% Correct.
1. Which question would a nurse ask when taking a history for a patient in acute
distress from chest pain?
“Do you have a family history of diabetes mellitus?”
“Do you take any medications?”
“What type of diet do you typically eat?”
“Have you had cardiac studies completed in the past?”
“Do you take any medications?”
2. The nurse reviews a 12-lead electrocardiogram from a patient with crushing
chest pain and identifies that which element is, most important to assess?
PR interval
QRS complex
ST segment
P wave
ST segment
Myocardial infarction causes changes to the ST segment; therefore, the nurse would
closely assess for any ST segment changes.
3. Which question would the nurse use to assess the chronology of chest pain?
“Where is the pain?”
,“How has the pain progressed?”
“How long does the pain last?”
“What does the pain feel like?”
“How has the pain progressed?”
4. Which area of the body would the nurse observe to assess for central cyanosis?
Nail beds
Wrists
Legs
Tongue
Tongue
5. Which patient statement about clubbing indicates understanding of the
education?
“I have clubbing because of the peripheral cyanosis.”
“My nails are wide and bulging due to the clubbing.”
“Clubbing is what causes my leg edema.”
“I have an angle between the root of the nail bed and my finger.”
“My nails are wide and bulging due to the clubbing.”
6. Which finding would indicate right-sided heart failure?
Ascites
Abdominal adiposity
,Lower extremity wounds
Loss of hair on legs
Ascites
7. Which finding would the nurse expect to find in a patient with peripheral
arterial disease?
Hard and fibrotic skin texture
Varicose veins
Nail thinning
Cold extremities
Cold extremities
A patient with peripheral arterial disease would have extremities that are cold when
compared to the rest of their body.
8. Which position would relieve pain for a patient who has pericarditis?
Supine
Prone
Leaning forward
Standing
Leaning forward
9. Which skin change would the nurse expect to see in the lower extremities of a
patient with peripheral arterial disease?
Fibrotic skin
, Dermatitis
Brown patches
Shiny appearance
Shiny appearance
10. Which location would the nurse use to assess for jugular vein distention?
Right side of the neck
Left groin
Right groin
Left side of the neck
Right side of the neck
11. In which position would the nurse place a patient when assessing for jugular
vein distension?
Supine and flat
Seated at a 15-degree angle
Seated at a 30-degree angle
High-Fowler’s position
Seated at a 30-degree angle
12. During an abdominojugular reflex assessment, how many times would the
nurse assess for jugular vein distention?
One
