NSG 6420 WEEK 4 QUIZ
1.
Where is the point of maximal impulse (PMI) normally located?
In the left 5th intercostal space, 7 to 9 cm lateral to the sternum
2.
Which of the following correlates with a sustained, high-amplitude point of
maximal impulse (PMI)?
Hyperthyroidism
Anemia
Fever
Hypertension
3.
A 68-year-old woman with hypertension and diabetes is seen by the nurse
practitioner for a dry cough that worsens at night when she lies in bed. She has
shortness of breath, which worsens when she exerts herself. The patient’s pulse
rate is 90/min and regular. The patient has gained 6 lbs over the past two months.
She is on a nitroglycerine patch and furosemide daily. The explanation for her
symptoms is:
Kidney failure
Congestive heart failure Angiotensin-converting enzyme (ACE) inhibitor induced
coughing
Thyroid disease
4.
During a routine physical exam of a 90 year old woman, a low-pitched diastolic
murmur grade II/VI is auscultated. It is located on the fifth intercostal space on the
left side of the midclavicular line. Which is the following is the correct diagnosis?
5.
You are performing a cardiac examination on a patient with shortness of breath and
palpitations. You have the patient turn onto his left side in the left lateral decubitus
position to listen to the heart. Which of the following valvular defects is best heard
in this position?
Mitral
6.
1.
Where is the point of maximal impulse (PMI) normally located?
In the left 5th intercostal space, 7 to 9 cm lateral to the sternum
2.
Which of the following correlates with a sustained, high-amplitude point of
maximal impulse (PMI)?
Hyperthyroidism
Anemia
Fever
Hypertension
3.
A 68-year-old woman with hypertension and diabetes is seen by the nurse
practitioner for a dry cough that worsens at night when she lies in bed. She has
shortness of breath, which worsens when she exerts herself. The patient’s pulse
rate is 90/min and regular. The patient has gained 6 lbs over the past two months.
She is on a nitroglycerine patch and furosemide daily. The explanation for her
symptoms is:
Kidney failure
Congestive heart failure Angiotensin-converting enzyme (ACE) inhibitor induced
coughing
Thyroid disease
4.
During a routine physical exam of a 90 year old woman, a low-pitched diastolic
murmur grade II/VI is auscultated. It is located on the fifth intercostal space on the
left side of the midclavicular line. Which is the following is the correct diagnosis?
5.
You are performing a cardiac examination on a patient with shortness of breath and
palpitations. You have the patient turn onto his left side in the left lateral decubitus
position to listen to the heart. Which of the following valvular defects is best heard
in this position?
Mitral
6.
