NSG6020- CARDIOVASCULAR QUESTIONS AND
ANSWERS
A widened pulse pressure greater than or equal to 60 in an older patient is a risk factor
for cardiovascular disease, stroke, and: - Answers - Renal disease
When screening a patient for peripheral arterial disease (PAD), one risk factor would
include a history of: - Answers - Smoking
When assessing the heart rate of a healthy 13- month-old child, which one of the
following sites is the most appropriate for this child? - Answers - Apical pulse between
the 3rd and 4th intercostal space in the left midclavicular line
In order to assess for varicosities in the lower extremities, position the patient: -
Answers - Standing
A three-week-old infant presents with a generalized lacy, reticulated blue discoloration
of the skin. This is suggestive of: - Answers - cutis marmorata
Pain with walking or prolonged standing, radiating from the spinal area into the buttocks,
thighs, lower legs, or feet, may be seen with: - Answers - neurogenic claudication
A patient complains of increased pain in the calf muscles and buttocks especially after
walking or riding his bicycle. He states that the pain stops after he sits still for 2-3
minutes. This condition may be associated with: - Answers - Interemittent claudication
When assessing a 3-year-old African American child, the most likely cause of black,
dusky mucous membranes is related to: - Answers - cyanosis
A characteristic finding in the elderly population is: - Answers - the development of heart
rhythm changes leading to syncope.
A third hear sound (S3) is audible in a forty-five year old. This S3 sound may be: -
Answers - a sign of valvular heart disease
A patient complaints of sharp, knifelike pain that begins in the chest and radiates to the
tip of the shoulder and to the neck. This type of chest pain is suggestive of: - Answers -
Pericardititis
A heart rate of 100-180 beats per minute in an adult is considered: - Answers - sinus
tachycardia
, Symptoms of orthostatic hypotension include all of the following except: - Answers -
respiratory rate greater than 30
A sudden, tearing, sharp pain that begins in the chest and radiates to the back or into
the neck is usually associated with: - Answers - angina pectoris
A disease that may present as indigestion, but is precipitated by exertion and relieved
by rest is most likely: - Answers - angina
By placing the ball of the examiner's hand firmly on the chest, the examiner would be
checking for: - Answers - thrills
When percussing the chest in a patient who has left sided heart failure, the sound
emanated would be: - Answers - resonant
A disparity between the brachial and femoral pulses in a 4-month-old could indicate: -
Answers - coarctation of the aorta (COA)
A patient complains of pain in the arch of the foot sometimes relieved by rest.
Occasionally, he experiences intermittent pain in the toes, especially at rest. Exercise
aggravates the pain in the arch. History reveals he smokes approximately a half pack of
cigarettes per day. These symptoms may be consistent with: - Answers -
thromboangiitis obliterans
The great saphenous vein enters the deep venous system by way of the: - Answers -
femoral vein
To assess the murmur of aortic insufficiency, position the patient: - Answers - sitting
leaning forward
To auscultate the heart sounds arising from the pulmonic valve in an adult patient, place
the stethoscope: - Answers - Between the 2nd and 3rd intercostal spaces at the left
sternal border
In older adults, the presence of heart sounds S4 suggests: - Answers - Hypertension
When performing a cardiovascular assessment on healthy 2-year-old child: - Answers -
Auscultate the heart sounds in all four cardiac areas
A bruit heard in the epigastric area with both systolic and diastolic components is
suggestive of: - Answers - renal artery stenosis
The ankle-brachial index is a screening test used to assess a person's risk for: -
Answers - peripheral artery disease
In older adults, the presence of heart sound S3 suggests: - Answers - heart failure
ANSWERS
A widened pulse pressure greater than or equal to 60 in an older patient is a risk factor
for cardiovascular disease, stroke, and: - Answers - Renal disease
When screening a patient for peripheral arterial disease (PAD), one risk factor would
include a history of: - Answers - Smoking
When assessing the heart rate of a healthy 13- month-old child, which one of the
following sites is the most appropriate for this child? - Answers - Apical pulse between
the 3rd and 4th intercostal space in the left midclavicular line
In order to assess for varicosities in the lower extremities, position the patient: -
Answers - Standing
A three-week-old infant presents with a generalized lacy, reticulated blue discoloration
of the skin. This is suggestive of: - Answers - cutis marmorata
Pain with walking or prolonged standing, radiating from the spinal area into the buttocks,
thighs, lower legs, or feet, may be seen with: - Answers - neurogenic claudication
A patient complains of increased pain in the calf muscles and buttocks especially after
walking or riding his bicycle. He states that the pain stops after he sits still for 2-3
minutes. This condition may be associated with: - Answers - Interemittent claudication
When assessing a 3-year-old African American child, the most likely cause of black,
dusky mucous membranes is related to: - Answers - cyanosis
A characteristic finding in the elderly population is: - Answers - the development of heart
rhythm changes leading to syncope.
A third hear sound (S3) is audible in a forty-five year old. This S3 sound may be: -
Answers - a sign of valvular heart disease
A patient complaints of sharp, knifelike pain that begins in the chest and radiates to the
tip of the shoulder and to the neck. This type of chest pain is suggestive of: - Answers -
Pericardititis
A heart rate of 100-180 beats per minute in an adult is considered: - Answers - sinus
tachycardia
, Symptoms of orthostatic hypotension include all of the following except: - Answers -
respiratory rate greater than 30
A sudden, tearing, sharp pain that begins in the chest and radiates to the back or into
the neck is usually associated with: - Answers - angina pectoris
A disease that may present as indigestion, but is precipitated by exertion and relieved
by rest is most likely: - Answers - angina
By placing the ball of the examiner's hand firmly on the chest, the examiner would be
checking for: - Answers - thrills
When percussing the chest in a patient who has left sided heart failure, the sound
emanated would be: - Answers - resonant
A disparity between the brachial and femoral pulses in a 4-month-old could indicate: -
Answers - coarctation of the aorta (COA)
A patient complains of pain in the arch of the foot sometimes relieved by rest.
Occasionally, he experiences intermittent pain in the toes, especially at rest. Exercise
aggravates the pain in the arch. History reveals he smokes approximately a half pack of
cigarettes per day. These symptoms may be consistent with: - Answers -
thromboangiitis obliterans
The great saphenous vein enters the deep venous system by way of the: - Answers -
femoral vein
To assess the murmur of aortic insufficiency, position the patient: - Answers - sitting
leaning forward
To auscultate the heart sounds arising from the pulmonic valve in an adult patient, place
the stethoscope: - Answers - Between the 2nd and 3rd intercostal spaces at the left
sternal border
In older adults, the presence of heart sounds S4 suggests: - Answers - Hypertension
When performing a cardiovascular assessment on healthy 2-year-old child: - Answers -
Auscultate the heart sounds in all four cardiac areas
A bruit heard in the epigastric area with both systolic and diastolic components is
suggestive of: - Answers - renal artery stenosis
The ankle-brachial index is a screening test used to assess a person's risk for: -
Answers - peripheral artery disease
In older adults, the presence of heart sound S3 suggests: - Answers - heart failure
