N224 Exam 2 QUESTIONS WITH ANSWERS

N224 Exam 2 QUESTIONS WITH |\ |\ |\ |\ |\




ANSWERS

The second heart sound is the result of: - CORRECT ANSWERS
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✔✔closing of the aortic and pulmonic valves. |\ |\ |\ |\ |\ |\




The nurse is performing an assessment on an adult. the adult's
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vital signs are normal and capillary refill is 5 seconds. What
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should the nurse do next? - CORRECT ANSWERS ✔✔consider this
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a delayed capillary refill time and investigate further
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a pulse amplitude (or force) that is diminished to the point of
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being barely palpable would be graded as: - CORRECT ANSWERS
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✔✔1+ (weak) |\




the nurse is preparing to assess the dorsalis pedis pulse. Where
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is the correct location for palpation? - CORRECT ANSWERS
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✔✔lateral to the extensor tendon of the great toe |\ |\ |\ |\ |\ |\ |\ |\




You are assessing the patient's pretibial edema. You note that the
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patient has deep pitting at about 6mm, indention remains for a
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short time, leg looks swollen. You assign the pitting edema a
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grade of: - CORRECT ANSWERS ✔✔3+ (deep pitting, indention
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remains for a short time, leg looks swollen) |\ |\ |\ |\ |\ |\ |\




to assess for a pulse deficit you would assess which sites? -
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CORRECT ANSWERS ✔✔apical & radial pulse |\ |\ |\ |\ |\

, If you are unable to palpate a peripheral pulse, then the next
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step would be to: - CORRECT ANSWERS ✔✔use Doppler Device
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During assessment of the precordium of an adult patient, the
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nurse palpates the apical impulse at the 6th intercostal space
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and outside the midclavicular line. This finding most likely
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suggests: - CORRECT ANSWERS ✔✔explanation: left ventricular
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dilation (volume over-load) displaces impulse down and to left
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and increases size more than one space.
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after detecting an irregular rhythm of a patient's heart beat, the
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nurse calculates the apical pulse at 92 beats per minute and the
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radial pulse at 80 beats per minute. The pulse deficit of 12 is
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caused by a weak contraction of the ventricles. The most likely
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cause is: - CORRECT ANSWERS ✔✔Heart failure, premature heart
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contractions, atrial fibrillation (all choices are possible causes) |\ |\ |\ |\ |\ |\ |\




Which of these is not a modifiable risk factor for cardiovascular
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disease? - CORRECT ANSWERS ✔✔menopause |\ |\ |\ |\




Which of these statements is true regarding the vertebra
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prominens? - CORRECT ANSWERS ✔✔it is the spinous process of |\ |\ |\ |\ |\ |\ |\ |\ |\ |\


C7 (most prominent bony spur, posterior side at base of neck)
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Which statement about the anterior apices of the lungs is true? -
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CORRECT ANSWERS ✔✔extend 3 to 4cm above the inner third of
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the clavicles
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