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Chapter 19: Heart and Neck Vessels
Chapter 19: Heart and Neck Vessels
Jarvis: Physical Examination & Health Assessment, 7th Edition
MULTIPLE CHOICE
1. The sac that surrounds and protects the heart is called the:
a. Pericardium.
b. Myocardium.
c. Endocardium.
d. Pleural space.
ANS: A
,The pericardium is a tough, fibrous double-walled sac that surrounds and
protects the heart. It has two layers that contain a few milliliters of serous
pericardial fluid.
DIF: Cognitive Level: Remembering (Knowledge) REF: p. 460
MSC: Client Needs: General
2. The direction of blood flow through the heart is best described by which of
these?
a. Vena cava right atrium right ventricle lungs pulmonary artery left
atrium left ventricle
b. Right atrium right ventricle pulmonary artery lungs pulmonary vein left
atrium left ventricle
c. Aorta right atrium right ventricle lungs pulmonary vein left atrium left
ventricle vena cava
d. Right atrium right ventricle pulmonary vein lungs pulmonary artery left
atrium left ventricle
ANS: B
,Returning blood from the body empties into the right atrium and flows into the
right ventricle and then goes to the lungs through the pulmonary artery. The
lungs oxygenate the blood, and it is then returned to the left atrium through the
pulmonary vein. The blood goes from there to the left ventricle and then out to
the body through the aorta.
DIF: Cognitive Level: Remembering (Knowledge) REF: p. 461|p. 463
MSC: Client Needs: General
3. The nurse is reviewing the anatomy and physiologic functioning of the heart.
Which statement best describes what is meant by atrial kick?
a. The atria contract during systole and attempt to push against closed valves.
b. Contraction of the atria at the beginning of diastole can be felt as a
palpitation.
c. Atrial kick is the pressure exerted against the atria as the ventricles
contract during systole.
d. The atria contract toward the end of diastole and push the remaining blood
into the ventricles.
ANS: D
, Toward the end of diastole, the atria contract and push the last amount of blood
(approximately 25% of stroke volume) into the ventricles. This active filling
phase is called presystole, or atrial systole, or sometimes theatrial kick.
DIF: Cognitive Level: Remembering (Knowledge) REF: p. 463
MSC: Client Needs: General
4. When listening to heart sounds, the nurse knows the valve closures that can
be heard best at the base of the heart are:
a. Mitral and tricuspid.
b. Tricuspid and aortic.
c. Aortic and pulmonic.
d. Mitral and pulmonic.
ANS: C
The second heart sound (S2) occurs with the closure of the semilunar (aortic
and pulmonic) valves and signals the end of systole. Although it is heard over
all the precordium, the S2 is loudest at the base of the heart.
DIF: Cognitive Level: Understanding (Comprehension) REF: p. 464
One Account Get all Test Banks
Chapter 19: Heart and Neck Vessels
Chapter 19: Heart and Neck Vessels
Jarvis: Physical Examination & Health Assessment, 7th Edition
MULTIPLE CHOICE
1. The sac that surrounds and protects the heart is called the:
a. Pericardium.
b. Myocardium.
c. Endocardium.
d. Pleural space.
ANS: A
,The pericardium is a tough, fibrous double-walled sac that surrounds and
protects the heart. It has two layers that contain a few milliliters of serous
pericardial fluid.
DIF: Cognitive Level: Remembering (Knowledge) REF: p. 460
MSC: Client Needs: General
2. The direction of blood flow through the heart is best described by which of
these?
a. Vena cava right atrium right ventricle lungs pulmonary artery left
atrium left ventricle
b. Right atrium right ventricle pulmonary artery lungs pulmonary vein left
atrium left ventricle
c. Aorta right atrium right ventricle lungs pulmonary vein left atrium left
ventricle vena cava
d. Right atrium right ventricle pulmonary vein lungs pulmonary artery left
atrium left ventricle
ANS: B
,Returning blood from the body empties into the right atrium and flows into the
right ventricle and then goes to the lungs through the pulmonary artery. The
lungs oxygenate the blood, and it is then returned to the left atrium through the
pulmonary vein. The blood goes from there to the left ventricle and then out to
the body through the aorta.
DIF: Cognitive Level: Remembering (Knowledge) REF: p. 461|p. 463
MSC: Client Needs: General
3. The nurse is reviewing the anatomy and physiologic functioning of the heart.
Which statement best describes what is meant by atrial kick?
a. The atria contract during systole and attempt to push against closed valves.
b. Contraction of the atria at the beginning of diastole can be felt as a
palpitation.
c. Atrial kick is the pressure exerted against the atria as the ventricles
contract during systole.
d. The atria contract toward the end of diastole and push the remaining blood
into the ventricles.
ANS: D
, Toward the end of diastole, the atria contract and push the last amount of blood
(approximately 25% of stroke volume) into the ventricles. This active filling
phase is called presystole, or atrial systole, or sometimes theatrial kick.
DIF: Cognitive Level: Remembering (Knowledge) REF: p. 463
MSC: Client Needs: General
4. When listening to heart sounds, the nurse knows the valve closures that can
be heard best at the base of the heart are:
a. Mitral and tricuspid.
b. Tricuspid and aortic.
c. Aortic and pulmonic.
d. Mitral and pulmonic.
ANS: C
The second heart sound (S2) occurs with the closure of the semilunar (aortic
and pulmonic) valves and signals the end of systole. Although it is heard over
all the precordium, the S2 is loudest at the base of the heart.
DIF: Cognitive Level: Understanding (Comprehension) REF: p. 464
