Holistic Health Assessment Exam 3 Practice Questions and Answers

Holistic Health Assessment Exam 3 Practice Questions and Answers D. Closure of the atrioventricular valves - Answer-What heart action creates the first heart sound? A. Contraction of the heart B. Closure of semilunar valves C. Beginning of diastole D. Closure of the atrioventricular valves C. Lower left ventricle - Answer-The apex of the heart is located at the: A. Right sternal border B. Left sternal border C. Lower left ventricle D. Top of the right atrium A. Closing of the aortic and pulmonic valves - Answer-The S2 sound is caused by the: A. Closing of the aortic and pulmonic valves GRACEAMELIA 2024/2025 ACADEMIC YEAR ©2024. ALL RIGHTS RESERVED. FIRST PUBLISH OCTOBER, 2024 Page 2/18 B. Opening of the mitral and tricuspid valves C. Opening of the aortic and pulmonic valves D. Closing of the mitral and tricuspid valves B. " My chest feels really tight and heavy." - Answer-Which report by a client would suggest chest pain is cardiac in origin? A. "My chest hurts when I cough." B. " My chest feels really tight and heavy." C. "I have sharp pains in my chest when I eat raw vegetables." D. "I fell on some ice yesterday. Today my chest hurts when I breathe." C. Pale, cool legs with diminished to absent dorsalis pedis pulses - Answer-While inspecting the legs of a male client, the nurse notes the skin is shiny and taut with little hair growth. What additional data would the nurse find to indicate that this client has peripheral arterial disease? A. Pitting edema of one or both feet or legs B. Increased circumference of thighs bilaterally C. Pale, cool legs with diminished to absent dorsalis pedis pulses D. Pain when legs are dependent that is relieved when legs are elevated GRACEAMELIA 2024/2025 ACADEMIC YEAR ©2024. ALL RIGHTS RESERVED. FIRST PUBLISH OCTOBER, 2024 Page 3/18 B. The client has excess fluid in the interstitial space - Answer-A client has 3+ pitting edema in her feet and ankles. What does this finding mean? A. The client has a heart murmur B. The client has excess fluid in the interstitial space C. The client is having a myocardial infarction D. The client has an elevated cholesterol C. Venous stasis - Answer-A client reports bilateral lower extremity pain when standing but it is relieved when the legs are elevated. On exam, the lower extremities are edematous, with rough appearing, discolored skin. The nurse suspects: A. Arterial insufficiency B. Leg edema C. Venous stasis D. Hypertension A. Perfusion to the foot - Answer-The primary reason to palpate the dorsalis pedis pulse is to evaluate: A. Perfusion to the foot B. The client's heart rate GRACEAMELIA 2024/2025 ACADEMIC YEAR ©2024. ALL RIGHTS RESERVED. FIRST PUBLISH OCTOBER, 2024 Page 4/18 C. Sensation to the foot D. Reflexes within the foot A. Compare measurements of both extremities - Answer-During an assessment the nurse notes unilateral edema of the lower extremity. Which assessment technique can the nurse utilize to evaluate this finding? A. Compare measurements of both extremities B. Assess for epitrochlear nodes C. Check for varicosities D. Palpate the popliteal pulse B. Extends the arm - Answer-Tricep muscle strength is tested by applying resistance as the client: A. Flexes the arm B. Extends the arm C. Adducts the arm D. Abducts the arm GRACEAMELIA 2024/2025 ACADEMIC YEAR ©2024. ALL RIGHTS RESERVED. FIRST PUBLISH OCTOBER, 2024 Page 5/18 D. Flexion, extension, pronation, and supination - Answer-While assessing the range of motion of the clients elbow, the nurse expects the client to be able to perform which movements? A. Flexion, extension, and hyperextension B. Circumduction, internal rotation, and external rotation C. Adduction, abduction, and rotation D. Flexion, extension, pronation, and supination respiratory system - Answer-supplies oxygen to cells and removes carbon dioxide using processes of ventilation and diffusion cardiovascular system - Answer-provides transportation of oxygen and carbon dioxide between alveoli and cells mediastinum - Answer-positioned in middle of chest; within it lie heart, arch of aorta, superior vena cava, lower esophagus, and lower part of trachea pleural cavities - Answer-contain the lungs; li