Nur 216 Exam 3 – Questions With Verifiable Answers
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Sherpath: Diabetes Mellitus Chapter 21 Test Case Study 4 (Short
30 terms 24 terms 22 terms
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Practice questions for this set
Learn 1 /7 Study using Learn
ROM, immobilizing the patient, and imaging
Choose an answer
1. A nurse was auscultating a client's heart when she heard the lub and dub sounds. What were the
1
valves opening during the lub sounds?
13. Upon assessment a patient is found with crackles in the lungs, difficulty breathing, cyanosis, and
2
fatigue. What is the patients most likely diagnosis?
3 52. What are the nursing interventions for a patient who has a joint injury?
4 5. What node is the pacemaker of the heart?
Don't know?
Terms in this set (65)
1. A nurse was auscultating a client's heart semilunar valves are open (aortic/pulmonic)
when she heard the lub and dub sounds.
What were the valves opening during the
lub sounds?
2. A nurse was educating the patient on why with dub sound the atrioventricular valves are open
he needed heart surgery. (tricuspid/mitral)
The nurse was explaining that murmurs were
heard with the dub sound.
What valves were open and causing the
murmur?
, 3. The student nurse what being taught the FALSE, should be Lt 4th ICS sternal border
landmark of the tricuspid valve. The clinical
preceptor explained that it was located on
the Lt 2nd ICS midclavicular. Is that teaching
true or false?
4. The nurse was auscultating the apical They auscultate with the bell
pulse of a patient with her stethoscope.
Which of the following indicates a need for
further teaching.
5. What node is the pacemaker of the heart? SA node
6. A nurse preceptor was helping the SA node, AV node, Bundle of his, Rt bundle fibers, perkinje
student nurse go over topics she was fibers
continuing to have difficulty. The student
nurse was still having difficulty learning how
heart conduction travels. Which statement
ensures the teaching is understood?
7. The student nurse reports to her nurse NO, this is expected
preceptor that their patient has a normal
pulse that is strong and steady. Should the
nurse preceptor be alarmed?
8. A nurse is asking a patient who reports hypertension (HTN) stroke
chest angina about their medical history. myocardial infarction (MI)
Which of the following should the nurse ask
the patient about. Select all that apply.
9. A nurse is listening to her patients heart The nurse listens with her ear and the bell of the stethoscope
sound. As the charge nurse you are doing
her quarterly evaluations. Which of the two
options requires the need for additional
teaching?
10. The nurse is doing a focused peripheral true, it is an abnormal finding
vascular assessment on a patient and
assesses and +4 pulse radially. The nurse
should be concerned with this finding. True
or false?
11. A nurse is doing an assessment on a new complete the assessment and report the finding immediately
admission. The patient reports sudden to the
weight gain. What should the nurse do next? provider (symptom of Right sided heart failure !!!)
12. Upon assessment a patient is found with Rt sided heart failure
edema, abdominal distention, and JVD.
Which is most likely the diagnosis for this
patient?
13. Upon assessment a patient is found with Lt sided heart failure
crackles in the lungs, difficulty breathing,
cyanosis, and fatigue. What is the patients
most likely diagnosis?
14. A nurse finds an irregular pulse on a listen to the apical pulse for 1 minute
patient. What should the nurse do next
Save
Students also studied
Sherpath: Diabetes Mellitus Chapter 21 Test Case Study 4 (Short
30 terms 24 terms 22 terms
jesssbee Preview kenanderson2017 Preview Brittany182
Practice questions for this set
Learn 1 /7 Study using Learn
ROM, immobilizing the patient, and imaging
Choose an answer
1. A nurse was auscultating a client's heart when she heard the lub and dub sounds. What were the
1
valves opening during the lub sounds?
13. Upon assessment a patient is found with crackles in the lungs, difficulty breathing, cyanosis, and
2
fatigue. What is the patients most likely diagnosis?
3 52. What are the nursing interventions for a patient who has a joint injury?
4 5. What node is the pacemaker of the heart?
Don't know?
Terms in this set (65)
1. A nurse was auscultating a client's heart semilunar valves are open (aortic/pulmonic)
when she heard the lub and dub sounds.
What were the valves opening during the
lub sounds?
2. A nurse was educating the patient on why with dub sound the atrioventricular valves are open
he needed heart surgery. (tricuspid/mitral)
The nurse was explaining that murmurs were
heard with the dub sound.
What valves were open and causing the
murmur?
, 3. The student nurse what being taught the FALSE, should be Lt 4th ICS sternal border
landmark of the tricuspid valve. The clinical
preceptor explained that it was located on
the Lt 2nd ICS midclavicular. Is that teaching
true or false?
4. The nurse was auscultating the apical They auscultate with the bell
pulse of a patient with her stethoscope.
Which of the following indicates a need for
further teaching.
5. What node is the pacemaker of the heart? SA node
6. A nurse preceptor was helping the SA node, AV node, Bundle of his, Rt bundle fibers, perkinje
student nurse go over topics she was fibers
continuing to have difficulty. The student
nurse was still having difficulty learning how
heart conduction travels. Which statement
ensures the teaching is understood?
7. The student nurse reports to her nurse NO, this is expected
preceptor that their patient has a normal
pulse that is strong and steady. Should the
nurse preceptor be alarmed?
8. A nurse is asking a patient who reports hypertension (HTN) stroke
chest angina about their medical history. myocardial infarction (MI)
Which of the following should the nurse ask
the patient about. Select all that apply.
9. A nurse is listening to her patients heart The nurse listens with her ear and the bell of the stethoscope
sound. As the charge nurse you are doing
her quarterly evaluations. Which of the two
options requires the need for additional
teaching?
10. The nurse is doing a focused peripheral true, it is an abnormal finding
vascular assessment on a patient and
assesses and +4 pulse radially. The nurse
should be concerned with this finding. True
or false?
11. A nurse is doing an assessment on a new complete the assessment and report the finding immediately
admission. The patient reports sudden to the
weight gain. What should the nurse do next? provider (symptom of Right sided heart failure !!!)
12. Upon assessment a patient is found with Rt sided heart failure
edema, abdominal distention, and JVD.
Which is most likely the diagnosis for this
patient?
13. Upon assessment a patient is found with Lt sided heart failure
crackles in the lungs, difficulty breathing,
cyanosis, and fatigue. What is the patients
most likely diagnosis?
14. A nurse finds an irregular pulse on a listen to the apical pulse for 1 minute
patient. What should the nurse do next
