N224 Exam 2 QUESTIONS WITH |\ |\ |\ |\ |\
ANSWERS
The second heart sound is the result of: - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
✔✔closing of the aortic and pulmonic valves. |\ |\ |\ |\ |\ |\
The nurse is performing an assessment on an adult. the adult's
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
vital signs are normal and capillary refill is 5 seconds. What
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
should the nurse do next? - CORRECT ANSWERS ✔✔consider this
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
a delayed capillary refill time and investigate further
|\ |\ |\ |\ |\ |\ |\
a pulse amplitude (or force) that is diminished to the point of
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
being barely palpable would be graded as: - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
✔✔1+ (weak) |\
the nurse is preparing to assess the dorsalis pedis pulse. Where
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
is the correct location for palpation? - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\ |\
✔✔lateral to the extensor tendon of the great toe |\ |\ |\ |\ |\ |\ |\ |\
You are assessing the patient's pretibial edema. You note that the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
patient has deep pitting at about 6mm, indention remains for a
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
short time, leg looks swollen. You assign the pitting edema a
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
grade of: - CORRECT ANSWERS ✔✔3+ (deep pitting, indention
|\ |\ |\ |\ |\ |\ |\ |\ |\
remains for a short time, leg looks swollen) |\ |\ |\ |\ |\ |\ |\
to assess for a pulse deficit you would assess which sites? -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔apical & radial pulse |\ |\ |\ |\ |\
, If you are unable to palpate a peripheral pulse, then the next
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
step would be to: - CORRECT ANSWERS ✔✔use Doppler Device
|\ |\ |\ |\ |\ |\ |\ |\ |\
During assessment of the precordium of an adult patient, the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
nurse palpates the apical impulse at the 6th intercostal space
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
and outside the midclavicular line. This finding most likely
|\ |\ |\ |\ |\ |\ |\ |\ |\
suggests: - CORRECT ANSWERS ✔✔explanation: left ventricular
|\ |\ |\ |\ |\ |\ |\
dilation (volume over-load) displaces impulse down and to left
|\ |\ |\ |\ |\ |\ |\ |\ |\
and increases size more than one space.
|\ |\ |\ |\ |\ |\
after detecting an irregular rhythm of a patient's heart beat, the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
nurse calculates the apical pulse at 92 beats per minute and the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
radial pulse at 80 beats per minute. The pulse deficit of 12 is
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
caused by a weak contraction of the ventricles. The most likely
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
cause is: - CORRECT ANSWERS ✔✔Heart failure, premature heart
|\ |\ |\ |\ |\ |\ |\ |\ |\
contractions, atrial fibrillation (all choices are possible causes) |\ |\ |\ |\ |\ |\ |\
Which of these is not a modifiable risk factor for cardiovascular
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
disease? - CORRECT ANSWERS ✔✔menopause |\ |\ |\ |\
Which of these statements is true regarding the vertebra
|\ |\ |\ |\ |\ |\ |\ |\ |\
prominens? - CORRECT ANSWERS ✔✔it is the spinous process of |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
C7 (most prominent bony spur, posterior side at base of neck)
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
Which statement about the anterior apices of the lungs is true? -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔extend 3 to 4cm above the inner third of
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
the clavicles
|\
ANSWERS
The second heart sound is the result of: - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
✔✔closing of the aortic and pulmonic valves. |\ |\ |\ |\ |\ |\
The nurse is performing an assessment on an adult. the adult's
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
vital signs are normal and capillary refill is 5 seconds. What
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
should the nurse do next? - CORRECT ANSWERS ✔✔consider this
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
a delayed capillary refill time and investigate further
|\ |\ |\ |\ |\ |\ |\
a pulse amplitude (or force) that is diminished to the point of
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
being barely palpable would be graded as: - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
✔✔1+ (weak) |\
the nurse is preparing to assess the dorsalis pedis pulse. Where
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
is the correct location for palpation? - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\ |\
✔✔lateral to the extensor tendon of the great toe |\ |\ |\ |\ |\ |\ |\ |\
You are assessing the patient's pretibial edema. You note that the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
patient has deep pitting at about 6mm, indention remains for a
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
short time, leg looks swollen. You assign the pitting edema a
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
grade of: - CORRECT ANSWERS ✔✔3+ (deep pitting, indention
|\ |\ |\ |\ |\ |\ |\ |\ |\
remains for a short time, leg looks swollen) |\ |\ |\ |\ |\ |\ |\
to assess for a pulse deficit you would assess which sites? -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔apical & radial pulse |\ |\ |\ |\ |\
, If you are unable to palpate a peripheral pulse, then the next
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
step would be to: - CORRECT ANSWERS ✔✔use Doppler Device
|\ |\ |\ |\ |\ |\ |\ |\ |\
During assessment of the precordium of an adult patient, the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
nurse palpates the apical impulse at the 6th intercostal space
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
and outside the midclavicular line. This finding most likely
|\ |\ |\ |\ |\ |\ |\ |\ |\
suggests: - CORRECT ANSWERS ✔✔explanation: left ventricular
|\ |\ |\ |\ |\ |\ |\
dilation (volume over-load) displaces impulse down and to left
|\ |\ |\ |\ |\ |\ |\ |\ |\
and increases size more than one space.
|\ |\ |\ |\ |\ |\
after detecting an irregular rhythm of a patient's heart beat, the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
nurse calculates the apical pulse at 92 beats per minute and the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
radial pulse at 80 beats per minute. The pulse deficit of 12 is
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
caused by a weak contraction of the ventricles. The most likely
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
cause is: - CORRECT ANSWERS ✔✔Heart failure, premature heart
|\ |\ |\ |\ |\ |\ |\ |\ |\
contractions, atrial fibrillation (all choices are possible causes) |\ |\ |\ |\ |\ |\ |\
Which of these is not a modifiable risk factor for cardiovascular
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
disease? - CORRECT ANSWERS ✔✔menopause |\ |\ |\ |\
Which of these statements is true regarding the vertebra
|\ |\ |\ |\ |\ |\ |\ |\ |\
prominens? - CORRECT ANSWERS ✔✔it is the spinous process of |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
C7 (most prominent bony spur, posterior side at base of neck)
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
Which statement about the anterior apices of the lungs is true? -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔extend 3 to 4cm above the inner third of
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
the clavicles
|\
