MSN 572 Quiz 5 Questions & Answers

MSN 572 Quiz 5 Questions & Answers Quiz Question 1 (1 point) Saved While assessing the jugular venous pressure of a patient the NP finds that the pressure is elevated. Which observation is consistent with this conclusion? Question 1 options: The level of pulsation is 2 cm above the sternal angle while at 30 degrees The level of pulsation is 4 cm above the sternal angle while at 30 degrees The level of pulsation is 2 cm above the sternal angle while at 45 degrees Question 2 (1 point) Saved Match the answer that is closest to the definition: Produced by closure of the aortic valve Question 2 options: S2 S3 S4 Question 3 (1 point) Saved While assessing a patient with cyanosis the NP hears a loud murmur that lasts throughout systole. A thrill is also palpable. Which classification best describes the murmur? Question 3 options: Grade I crescendo Grade III holodiastolic Grade VI decrescendo Question 4 (1 point) Saved While auscultating the chest the NP asks the patient to phonate a long ee-ee-ee-ee sound. Through the stethoscope the NP hears a long aaaaa sound. What should be charted as positive? Question 4 options: Egophony Bronchophony Sonorous wheezing Whispered pectoriloquy Question 5 (1 point) Saved A 22-year-old waitress presents to your clinic for evaluation of pain in her chest. She appears to be anxious. The pain is worse with physical exertion such as climbing stairs. She does not smoke use alcohol or illicit drugs or consume excessive amounts of caffeine. You auscultate her heart and diagnose mitral valve prolapse. What did you hear to make this diagnosis? Question 5 options: An opening snap A midsystolic click A diastolic rumble A holosystolic murmur Question 6 (1 point) Saved Which statement describes a thrill? Question 6 options: A thrill is vibration felt upon palpation of the chest. A thrill is an impulse seen over the chest. A thrill is associated with a venous hum with the stethoscope. A thrill is a sustained thrust of the ventricle of the heart. Question 7 (1 point) Saved An 80-year-old woman presents to your clinic for evaluation of palpitations and shortness of breath. You obtain an electrocardiogram which reveals an irregularly irregular rhythm without discrete P waves. You diagnose her with atrial fibrillation. The most likely physical finding upon auscultation of her heart is: Question 7 options: An irregularly irregular rhythm A rapid regular rhythm A midsystolic click Bigeminy Question 8 (1 point) Saved The NP observes bilateral pitting edema loud P2 and abnormal distention of the jugular veins in a patient. Which condition is the patient likely to have? Question 8 options: Hyperthyroidism Diabetes mellitus Cervical malignancy Pulmonary hypertension Question 9 (1 point) Saved The NP is determining diaphragmatic excursion in a patient. Which action should the NP perform? Question 9 options: Observe the chest during the respiratory cycle Palpate the diaphragm during the process of expiration Percuss up and down to locate the diaphragm on inspiration and expiration Auscultate the lung bases during the process of inspiration and expiration Question 10 (1 point) Saved The NP is caring for a patient who has an incompetent tricuspid valve. Where should the NP observe the palpable thrill in this patient? Question 10 options: Patient's fifth interspace at around the left midclavicular line Patient's second left interspace Patient's second right interspace Patient's left lower sternal border Question 11 (1 point) Saved A patient who has undergone radiation therapy for breast cancer has edema and unilateral swelling. The patient tells the NP I feel tired all the time. My arms become so heavy and my jewelry does not fit anymore. Which condition is the patient likely to have? Question 11 options: Early lymphedema Chronic hypotension Superficial varicose veins Deep vein thrombosis Question 12 (1 point) Saved A 19-year-old college student presents to the emergency room for sudden onset of dyspnea. The general survey reveals that she is 6 feet 2 inches tall and weighs 135 pounds. She denies fever chills cough and sore throat. She is a nonsmoker. You suspect that she has a pneumothorax. What findings would you expect with percussion of the thorax? Question 12 options: Decreased resonance on the affected side Increased resonance (hyperresonance) on the affected side Increased resonance on the nonaffected side Dullness Question 13 (1 point) Saved The NP is caring for a child with acute epiglottitis . The child has a high-pitched monophonic inspiratory crowing sound. What term should the NP use to document this finding? Question 13 options: Crackles Coarse rales Sonorous rhonchi Question 14 (1 point) Saved While assessing the tactile fremitus of the patient the NP learns that the fremitus is decreased. Which disorder may be diagnosed in the patient? Question 14 options: Bronchitis or asthma Pleural effusion COPD Pulmonary infarction Question 15 (1 point) Saved How would the NP describe an innocent murmur? Question 15 options: Grade II diastolic rumbling Grade IV pansystolic low-pitched Grade III holodiastolic high-pitched Question 16 (1 point) Saved A newborn baby has an embryologic defect affecting the aortic valve. What other cardiac valve is most likely to be affected? Question 16 options: