PCHA FINAL EXAM ACTUAL EXAM 2026 | ALL
QUESTIONS AND CORRECT ANSWERS |
VERIFIED ANSWERS | GRADED A+ | BRAND
NEW VERSION
In your assessment of a 68-year-old male with recent onset of right-
sided weakness, you hear a blowing, swishing sound with the bell of the
stethoscope over the left carotid artery. This would best be described
as a: ------------Correct Answer--------------------bruit
The findings from an assessment of a 70-year-old patient with swelling
in his ankles include jugular venous distention to the jaw when the
head of his bed is elevated 45 degrees. The nurse knows that this
finding indicates: ------------Correct Answer--------------------increased
pressure in the right side of the heart.
During assessment of the cardiovascular system, it is important to: ------
------Correct Answer--------------------all of the above
- use the bell and diaphragm when auscultating heart sounds
- assess for systemic signs of cardiovascular disease
- perform a thorough patient history
,Assessment findings which may indicate cardiac disease include: ---------
---Correct Answer--------------------pitting edema
In assessing a patient's major risk factors for heart disease, which would
the nurse want to include when taking a history? ------------Correct
Answer--------------------all of the above
- cigarette smoking
- hypertension
- high blood cholesterol
The patient has 20/100 vision. When the patient asks the nurse what
this means, the correct response would be: ------------Correct Answer----
----------------"This is a variation from normal and means that you see at
20 feet what average eyes would see at 100 feet."
The patient presents to the hospital Emergency Department with a
dilated left pupil, left ptosis, and inability to look up, down, or medially
with the left eye. These signs may indicate a problem with: ------------
Correct Answer--------------------Left oculomotor nerve (CN III)
,The patient visits the clinic complaining of excessive tearing in the left
eye. The nurse should assess the patient's eye for: ------------Correct
Answer--------------------lacrimal sac obstruction.
The patient comes to the clinic for a routine well patient yearly physical
exam. The patient has no complaints at this visit, and no history of any
chronic illnesses. Upon examining the nasal cavity, the nasal septum is
symmetrical with scant amount of clear drainage; no masses or lesions
are noted. No other symptoms are noted. These findings are: ------------
Correct Answer--------------------normal findings
The size of the normal pupil is determined by: ------------Correct Answer-
-------------------all of the above
- amount of light entering the eye
- closeness of the object being visualized
- function of cranial nerves II (optic) and III (oculomotor)
The patient comes to the clinic complaining of blurred vision when
reading the newspaper. After testing the patient's near vision, the
nurse explains to the patient that he has impaired near vision and
discusses a possible reason for the condition. The nurse determines the
patient has understood the teaching when the patient states
, presbyopia is usually due to: ------------Correct Answer--------------------
decreased ability of the lens to accommodate
The nurse is taking a blood pressure on a patient; the patient's baseline
blood pressure is unknown. The nurse does not have any previous
information about the patient's blood pressure measurements, nor is
the patient able to give any information about previous blood pressure
readings. Which of the following techniques would be the MOST
accurate way to measure this patient's blood pressure? ------------
Correct Answer--------------------Inflate the blood pressure cuff 30 mm Hg
above the point at which the palpated pulse disappeared.
A patient is being seen in the clinic for "fainting episodes". The patient
has a blood pressure of 150/90 in a lying position, 120/80 in a sitting
position, and 90/60 in a standing position. How should the nurse
interpret these findings? ------------Correct Answer--------------------The
change in blood pressure readings is called orthostatic hypotension.
In the article by Rakotz, 'Medical students and measuring blood
pressure: Results from the American Medical Association Blood
Pressure Check Challenge', what are the consequences of poor
technique when measuring blood pressure? ------------Correct Answer---
-----------------all of the above
QUESTIONS AND CORRECT ANSWERS |
VERIFIED ANSWERS | GRADED A+ | BRAND
NEW VERSION
In your assessment of a 68-year-old male with recent onset of right-
sided weakness, you hear a blowing, swishing sound with the bell of the
stethoscope over the left carotid artery. This would best be described
as a: ------------Correct Answer--------------------bruit
The findings from an assessment of a 70-year-old patient with swelling
in his ankles include jugular venous distention to the jaw when the
head of his bed is elevated 45 degrees. The nurse knows that this
finding indicates: ------------Correct Answer--------------------increased
pressure in the right side of the heart.
During assessment of the cardiovascular system, it is important to: ------
------Correct Answer--------------------all of the above
- use the bell and diaphragm when auscultating heart sounds
- assess for systemic signs of cardiovascular disease
- perform a thorough patient history
,Assessment findings which may indicate cardiac disease include: ---------
---Correct Answer--------------------pitting edema
In assessing a patient's major risk factors for heart disease, which would
the nurse want to include when taking a history? ------------Correct
Answer--------------------all of the above
- cigarette smoking
- hypertension
- high blood cholesterol
The patient has 20/100 vision. When the patient asks the nurse what
this means, the correct response would be: ------------Correct Answer----
----------------"This is a variation from normal and means that you see at
20 feet what average eyes would see at 100 feet."
The patient presents to the hospital Emergency Department with a
dilated left pupil, left ptosis, and inability to look up, down, or medially
with the left eye. These signs may indicate a problem with: ------------
Correct Answer--------------------Left oculomotor nerve (CN III)
,The patient visits the clinic complaining of excessive tearing in the left
eye. The nurse should assess the patient's eye for: ------------Correct
Answer--------------------lacrimal sac obstruction.
The patient comes to the clinic for a routine well patient yearly physical
exam. The patient has no complaints at this visit, and no history of any
chronic illnesses. Upon examining the nasal cavity, the nasal septum is
symmetrical with scant amount of clear drainage; no masses or lesions
are noted. No other symptoms are noted. These findings are: ------------
Correct Answer--------------------normal findings
The size of the normal pupil is determined by: ------------Correct Answer-
-------------------all of the above
- amount of light entering the eye
- closeness of the object being visualized
- function of cranial nerves II (optic) and III (oculomotor)
The patient comes to the clinic complaining of blurred vision when
reading the newspaper. After testing the patient's near vision, the
nurse explains to the patient that he has impaired near vision and
discusses a possible reason for the condition. The nurse determines the
patient has understood the teaching when the patient states
, presbyopia is usually due to: ------------Correct Answer--------------------
decreased ability of the lens to accommodate
The nurse is taking a blood pressure on a patient; the patient's baseline
blood pressure is unknown. The nurse does not have any previous
information about the patient's blood pressure measurements, nor is
the patient able to give any information about previous blood pressure
readings. Which of the following techniques would be the MOST
accurate way to measure this patient's blood pressure? ------------
Correct Answer--------------------Inflate the blood pressure cuff 30 mm Hg
above the point at which the palpated pulse disappeared.
A patient is being seen in the clinic for "fainting episodes". The patient
has a blood pressure of 150/90 in a lying position, 120/80 in a sitting
position, and 90/60 in a standing position. How should the nurse
interpret these findings? ------------Correct Answer--------------------The
change in blood pressure readings is called orthostatic hypotension.
In the article by Rakotz, 'Medical students and measuring blood
pressure: Results from the American Medical Association Blood
Pressure Check Challenge', what are the consequences of poor
technique when measuring blood pressure? ------------Correct Answer---
-----------------all of the above
