Name: Score:
197 Multiple choice questions
Term 1 of 197
When assessing a patients pulse, the nurse notes that the amplitude is weaker during inspiration
and stronger during expiration. When the nurse measures the blood pressure, the reading
decreases 20 mm Hg during inspiration and increases with expiration. This patient is experiencing
pulsus:
Alternans.
Bisferiens.
Bigeminus.
Paradoxus.
Term 2 of 197
Which vein(s) is(are) responsible for most of the venous return in the arm?
Deep
Ulnar
Subclavian
Superficial
Term 3 of 197
The electrical stimulus of the cardiac cycle follows which sequence?
AV node SA node bundle of His
Bundle of His AV node SA node
SA node AV node bundle of His bundle branches
AV node SA node bundle of His bundle branches
,Term 4 of 197
The nurse is reviewing statistics regarding breast cancer. Which woman, aged 40 years in the
United States, has the highest risk for developing breast cancer?
Black
White
Asian
American Indian
Term 5 of 197
During an assessment, the nurse has elevated a patients legs 12 inches off the table and has had
him wag his feet to drain off venous blood. After helping him sit up and dangle his legs over the
side of the table, the nurse should expect that a normal finding at this point would be:
Significant elevational pallor.
Venous filling within 15 seconds.
No change in the coloration of the skin.
Color returning to the feet within 20 seconds of assuming a sitting position.
Term 6 of 197
A 35-year-old man is seen in the clinic for an infection in his left foot. Which of these findings
should the nurse expect to see during an assessment of this patient?
Hard and fixed cervical nodes
Enlarged and tender inguinal nodes
Bilateral enlargement of the popliteal nodes
Pelletlike nodes in the supraclavicular region
,Term 7 of 197
During an assessment of a healthy adult, where would the nurse expect to palpate the apical
impulse?
Third left intercostal space at the midclavicular line
Fourth left intercostal space at the sternal border
Fourth left intercostal space at the anterior axillary line
Fifth left intercostal space at the midclavicular line
Term 8 of 197
In teaching a patient how to determine total body fat at home, the nurse includes instructions to
obtain measurements of:
Height and weight.
Frame size and weight.
Waist and hip circumferences.
Mid-upper arm circumference and arm span.
Term 9 of 197
The nurse has palpated a lump in a female patients right breast. The nurse documents this as a
small, round, firm, distinct, lump located at 2 oclock, 2 cm from the nipple. It is nontender and
fixed. No associated retraction of the skin or nipple, no erythema, and no axillary
lymphadenopathy are observed. What information is missing from the documentation?
Shape of the lump
Consistency of the lump
Size of the lump
Whether the lump is solitary or multiple
, Term 10 of 197
The nurse is preparing to auscultate for heart sounds. Which technique is correct?
Listening to the sounds at the aortic, tricuspid, pulmonic, and mitral areas
Listening by inching the stethoscope in a rough Z pattern, from the base of the heart across
and down, then over to the apex
Listening to the sounds only at the site where the apical pulse is felt to be the strongest
Listening for all possible sounds at a time at each specified area
Term 11 of 197
Which of these findings would the nurse expect to notice during a cardiac assessment on a 4-
year-old child?
S3 when sitting up
Persistent tachycardia above 150 beats per minute
Murmur at the second left intercostal space when supine
Palpable apical impulse in the fifth left intercostal space lateral to midclavicular line
Term 12 of 197
A patient is complaining of a sharp pain along the costovertebral angles. The nurse is aware that
this symptom is most often indicative of:
Ovary infection.
Liver enlargement.
Kidney inflammation.
Spleen enlargement.
197 Multiple choice questions
Term 1 of 197
When assessing a patients pulse, the nurse notes that the amplitude is weaker during inspiration
and stronger during expiration. When the nurse measures the blood pressure, the reading
decreases 20 mm Hg during inspiration and increases with expiration. This patient is experiencing
pulsus:
Alternans.
Bisferiens.
Bigeminus.
Paradoxus.
Term 2 of 197
Which vein(s) is(are) responsible for most of the venous return in the arm?
Deep
Ulnar
Subclavian
Superficial
Term 3 of 197
The electrical stimulus of the cardiac cycle follows which sequence?
AV node SA node bundle of His
Bundle of His AV node SA node
SA node AV node bundle of His bundle branches
AV node SA node bundle of His bundle branches
,Term 4 of 197
The nurse is reviewing statistics regarding breast cancer. Which woman, aged 40 years in the
United States, has the highest risk for developing breast cancer?
Black
White
Asian
American Indian
Term 5 of 197
During an assessment, the nurse has elevated a patients legs 12 inches off the table and has had
him wag his feet to drain off venous blood. After helping him sit up and dangle his legs over the
side of the table, the nurse should expect that a normal finding at this point would be:
Significant elevational pallor.
Venous filling within 15 seconds.
No change in the coloration of the skin.
Color returning to the feet within 20 seconds of assuming a sitting position.
Term 6 of 197
A 35-year-old man is seen in the clinic for an infection in his left foot. Which of these findings
should the nurse expect to see during an assessment of this patient?
Hard and fixed cervical nodes
Enlarged and tender inguinal nodes
Bilateral enlargement of the popliteal nodes
Pelletlike nodes in the supraclavicular region
,Term 7 of 197
During an assessment of a healthy adult, where would the nurse expect to palpate the apical
impulse?
Third left intercostal space at the midclavicular line
Fourth left intercostal space at the sternal border
Fourth left intercostal space at the anterior axillary line
Fifth left intercostal space at the midclavicular line
Term 8 of 197
In teaching a patient how to determine total body fat at home, the nurse includes instructions to
obtain measurements of:
Height and weight.
Frame size and weight.
Waist and hip circumferences.
Mid-upper arm circumference and arm span.
Term 9 of 197
The nurse has palpated a lump in a female patients right breast. The nurse documents this as a
small, round, firm, distinct, lump located at 2 oclock, 2 cm from the nipple. It is nontender and
fixed. No associated retraction of the skin or nipple, no erythema, and no axillary
lymphadenopathy are observed. What information is missing from the documentation?
Shape of the lump
Consistency of the lump
Size of the lump
Whether the lump is solitary or multiple
, Term 10 of 197
The nurse is preparing to auscultate for heart sounds. Which technique is correct?
Listening to the sounds at the aortic, tricuspid, pulmonic, and mitral areas
Listening by inching the stethoscope in a rough Z pattern, from the base of the heart across
and down, then over to the apex
Listening to the sounds only at the site where the apical pulse is felt to be the strongest
Listening for all possible sounds at a time at each specified area
Term 11 of 197
Which of these findings would the nurse expect to notice during a cardiac assessment on a 4-
year-old child?
S3 when sitting up
Persistent tachycardia above 150 beats per minute
Murmur at the second left intercostal space when supine
Palpable apical impulse in the fifth left intercostal space lateral to midclavicular line
Term 12 of 197
A patient is complaining of a sharp pain along the costovertebral angles. The nurse is aware that
this symptom is most often indicative of:
Ovary infection.
Liver enlargement.
Kidney inflammation.
Spleen enlargement.
