Test Bank For Seidels Guide to Physical Examination An
Interprofessional Approach 10th Edition by Jane W. Ball, Joyce
E. Dains Chapter 1-26 | 9780323761833 | All Chapters with
Answers and Rationals
A nurse in a provider's office is preparing to perform a breast examination for an older adult client
who is postmenopausal. Which of the following findings should the nurse expect? - ANSWER: Smaller
nipples
More pendulous
Nipple Inversion
A nurse in a provider's office is preparing to auscultate and percuss a client's thorax as part of a
comprehensive physical examination. Which of the following findings should the nurse expect? -
ANSWER: Resonance
Bronchovesicular sounds
During an abdominal examination, a nurse in a provider's office determines that a client has
abdominal distention. The protrusion is at midline, the skin over the area is taut, and the nurse notes
no involvement of the flanks. Which of the following possible causes of distention should the nurse
expect? - ANSWER: FLatus
During a cardiovascular examination, a nurse in a provider's office places the diaphragm of the
stethoscope on the left midclavicular line of the fifth intercostal space. Which of the following hear
sounds is the nurse attempting to auscultate? - ANSWER: Closure of the mitral valve
Closure of the pulmonic valve
Closure of the tricuspid valve
A nurse in a provider's office is preparing to auscultate and percuss a client's abdomen as part of a
comprehensive physical examination. Which of the following findings should the nurse expect? -
ANSWER: Tympany
High-pitched clicks
Select the correct description of S2, the second heart sound. - ANSWER: Corresponds to the "dubb"
sound
A patient has a holosystolic murmur. Which statement is correct about this murmur? - ANSWER: The
sound is heard with mitral regurgitation.
A ventricular heave is detected by which assessment technique? - ANSWER: Palpation
What effect on the radial pulse is a usual finding for a client with atrial fibrillation? - ANSWER: There is
a fluctuation in strength and quality of the pulse.
The nurse hears a pericardial friction rub while listening to heart sounds. Which characteristic is
correct about this sound? - ANSWER: Just before S1
Where is the point of maximum impact heard in most normal adult patients? - ANSWER: Fifth
intercostal space midclavicular line
The nurse auscultates heart sounds of a client with a heart rate of 110 beats/min. What should the
nurse do to identify which sound is S1? - ANSWER: Determine which sound is louder with inspiration.
, During which segment of the electrical conduction of a heartbeat does ventricular systole occur? -
ANSWER: QRS
The nurse listens to the heart sound at the apex with the patient in the left lateral position. Identify
the sound. - ANSWER: S3
Heart sounds are created by which structure of the heart? - ANSWER: valves
The S1 (lubb) sound is created by: - ANSWER: AV valves
The S2 (dubb) sound is created by: - ANSWER: semilunar valves
In a split S2 sound, which valve closes first creating the split sound? - ANSWER: Aortic (A2)
How many contractions per minute does the SA node make? - ANSWER: 6200
How many contractions per minute does the AV node make? - ANSWER: 40-60
A patient presents with chest pain. List three questions you would ask the patient: - ANSWER: Is it
relieved with rest?
Does it change with position?
Does it feel like an elephant is on your chest?
List three cardiac risk factors: - ANSWER: Tobacco use
Alcohol consumption
Genetics
Where is the apical pulse assessed for? - ANSWER: Point of maximal impulse (PMI)
If an apical pulse is palpable(vibration) it is termed a: - ANSWER: thrill
If an apical pulse is visible when supine it is termed a: - ANSWER: heave/lift
If a heart rate is irregular, you would also asses ________ to determine if a ________ is present. -
ANSWER: pattern
sinus arrhythmia
The term for heart rate changes with the respiratory cycle is: - ANSWER: cyclic variation
Rubbing or grating sound with each heart beat - ANSWER: Friction Rub
Blowing, swooshing, or musical sound - ANSWER: Murmur
Short, clicking sound - ANSWER: Mechanical Heart Valve
second right intercostal space at the right sternal border - ANSWER: aortic valve area
second left intercostal space at the left sternal border - ANSWER: pulmonic valve area
third left intercostal space at the left sternal border - ANSWER: second pulmonic area
fourth left intercostal space along the lower left sternal border - ANSWER: tricuspid area
at the apex of the heart in the fifth left intercostal space at the midclavicular line - ANSWER: mitral (or
apical) area
what structural layer of the heart is responsible for for pumping? - ANSWER: myocardium
Interprofessional Approach 10th Edition by Jane W. Ball, Joyce
E. Dains Chapter 1-26 | 9780323761833 | All Chapters with
Answers and Rationals
A nurse in a provider's office is preparing to perform a breast examination for an older adult client
who is postmenopausal. Which of the following findings should the nurse expect? - ANSWER: Smaller
nipples
More pendulous
Nipple Inversion
A nurse in a provider's office is preparing to auscultate and percuss a client's thorax as part of a
comprehensive physical examination. Which of the following findings should the nurse expect? -
ANSWER: Resonance
Bronchovesicular sounds
During an abdominal examination, a nurse in a provider's office determines that a client has
abdominal distention. The protrusion is at midline, the skin over the area is taut, and the nurse notes
no involvement of the flanks. Which of the following possible causes of distention should the nurse
expect? - ANSWER: FLatus
During a cardiovascular examination, a nurse in a provider's office places the diaphragm of the
stethoscope on the left midclavicular line of the fifth intercostal space. Which of the following hear
sounds is the nurse attempting to auscultate? - ANSWER: Closure of the mitral valve
Closure of the pulmonic valve
Closure of the tricuspid valve
A nurse in a provider's office is preparing to auscultate and percuss a client's abdomen as part of a
comprehensive physical examination. Which of the following findings should the nurse expect? -
ANSWER: Tympany
High-pitched clicks
Select the correct description of S2, the second heart sound. - ANSWER: Corresponds to the "dubb"
sound
A patient has a holosystolic murmur. Which statement is correct about this murmur? - ANSWER: The
sound is heard with mitral regurgitation.
A ventricular heave is detected by which assessment technique? - ANSWER: Palpation
What effect on the radial pulse is a usual finding for a client with atrial fibrillation? - ANSWER: There is
a fluctuation in strength and quality of the pulse.
The nurse hears a pericardial friction rub while listening to heart sounds. Which characteristic is
correct about this sound? - ANSWER: Just before S1
Where is the point of maximum impact heard in most normal adult patients? - ANSWER: Fifth
intercostal space midclavicular line
The nurse auscultates heart sounds of a client with a heart rate of 110 beats/min. What should the
nurse do to identify which sound is S1? - ANSWER: Determine which sound is louder with inspiration.
, During which segment of the electrical conduction of a heartbeat does ventricular systole occur? -
ANSWER: QRS
The nurse listens to the heart sound at the apex with the patient in the left lateral position. Identify
the sound. - ANSWER: S3
Heart sounds are created by which structure of the heart? - ANSWER: valves
The S1 (lubb) sound is created by: - ANSWER: AV valves
The S2 (dubb) sound is created by: - ANSWER: semilunar valves
In a split S2 sound, which valve closes first creating the split sound? - ANSWER: Aortic (A2)
How many contractions per minute does the SA node make? - ANSWER: 6200
How many contractions per minute does the AV node make? - ANSWER: 40-60
A patient presents with chest pain. List three questions you would ask the patient: - ANSWER: Is it
relieved with rest?
Does it change with position?
Does it feel like an elephant is on your chest?
List three cardiac risk factors: - ANSWER: Tobacco use
Alcohol consumption
Genetics
Where is the apical pulse assessed for? - ANSWER: Point of maximal impulse (PMI)
If an apical pulse is palpable(vibration) it is termed a: - ANSWER: thrill
If an apical pulse is visible when supine it is termed a: - ANSWER: heave/lift
If a heart rate is irregular, you would also asses ________ to determine if a ________ is present. -
ANSWER: pattern
sinus arrhythmia
The term for heart rate changes with the respiratory cycle is: - ANSWER: cyclic variation
Rubbing or grating sound with each heart beat - ANSWER: Friction Rub
Blowing, swooshing, or musical sound - ANSWER: Murmur
Short, clicking sound - ANSWER: Mechanical Heart Valve
second right intercostal space at the right sternal border - ANSWER: aortic valve area
second left intercostal space at the left sternal border - ANSWER: pulmonic valve area
third left intercostal space at the left sternal border - ANSWER: second pulmonic area
fourth left intercostal space along the lower left sternal border - ANSWER: tricuspid area
at the apex of the heart in the fifth left intercostal space at the midclavicular line - ANSWER: mitral (or
apical) area
what structural layer of the heart is responsible for for pumping? - ANSWER: myocardium
