NU 518 EXAM 2 | ACTUAL EXAM VERSION 1-3 WITH QUESTIONS AND 100% COORECT ANSWERS | GRADED A+ | LATEST UPDATE | EXPERT VERIFIED SOLUTIONS | ASSURED PASS.

NU 518 EXAM 2 | ACTUAL EXAM VERSION 1-3 WITH QUESTIONS AND 100% COORECT ANSWERS | GRADED A+ | LATEST UPDATE | EXPERT VERIFIED SOLUTIONS | ASSURED PASS. The findings from an assessment of a 70-year-old patient with swelling in his ankles include jugular venous pulsations 5 cm above the sternal angle when the head of his bed is elevated 45 degrees. The nurse knows that this finding indicates: a Decreased fluid volume. B Increased cardiac output. C Narrowing of jugular veins. D Elevated pressure related to heart failure. - ANSWER: D When assessing a newborn infant who is 5 minutes old, the nurse knows which of these statements to be true? A The left ventricle is larger and weighs more than the right ventricle. B The circulation of a newborn is identical to that of an adult. C Blood can flow into the left side of the heart through an opening in the atrial septum. D The foramen ovale closes just minutes before birth, and the ductus arteriosus closes immediately after. - ANSWER: C A 25-year-old woman in her fifth month of pregnancy has a blood pressure of 100/70 mm Hg. In reviewing her previous examination, the nurse notes that her blood pressure in her second month was 124/80 mm Hg. In evaluating this change, what does the nurse know to be true? A This decline in blood pressure is the result of peripheral vasodilatation and is an expected change. 2 | P a g e B Because of increased cardiac output, the blood pressure should be higher at this time. C This change in blood pressure is not an expected finding because it means a decrease in cardiac output. D This decline in blood pressure means a decrease in circulating blood volume, which is dangerous for the fetus. - ANSWER: A In assessing a patients major risk factors for heart disease, which would the nurse want to include when taking a history? A Family history, hypertension, stress, and age B Personality type, high cholesterol, diabetes, and smoking C Smoking, hypertension, obesity, diabetes, and high cholesterol D Alcohol consumption, obesity, diabetes, stress, and high cholesterol - ANSWER: C The mother of a 3-month-old infant states that her baby has not been gaining weight. With further questioning, the nurse finds that the infant falls asleep after nursing and wakes up after a short time, hungry again. What other information would the nurse want to have? A Infants sleeping position B Sibling history of eating disorders C Amount of background noise when eating D Presence of dyspnea or diaphoresis when sucking - ANSWER: D 3 | P a g e In assessing the carotid arteries of an older patient with cardiovascular disease, the nurse would: a Palpate the artery in the upper one third of the neck. B Listen with the bell of the stethoscope to assess for bruits. C Simultaneously palpate both arteries to compare amplitude. D Instruct the patient to take slow deep breaths during auscultation. - ANSWER: B A 45-year-old man is in the clinic for a routine physical examination. During the recording of his health history, the patient states that he has been having difficulty sleeping. Ill be sleeping great, and then I wake up and feel like I cant get my breath. The nurses best response to this would be: a When was your last electrocardiogram? B Its probably because its been so hot at night. C Do you have any history of problems with your heart? D Have you had a recent sinus infection or upper respiratory infection? - ANSWER: C In assessing a 70-year-old man, the nurse finds the following: blood pressure 140/100 mm Hg; heart rate 104 beats per minute and slightly irregular; and the split S2 heart sound. Which of these findings can be explained by expected hemodynamic changes related to age? A Increase in resting heart rate B Increase in systolic blood pressure C Decrease in diastolic blood pressure D Increase in diastolic blood pressure - ANSWER: B 4 | P a g e During an assessment of a 68-year-old man with a recent onset of right-sided weakness, the nurse hears a blowing, swishing sound with the bell of the stethoscope over the left carotid artery. This finding would indicate: a Valvular disorder. B Blood flow turbulence. C Fluid volume overload. D Ventricular hypertrophy. - ANSWER: B When listening to heart sounds, the nurse knows that the S1: A Is louder than the S2 at the base of the heart. B Indicates the beginning of diastole. C Coincides with the carotid artery pulse. D Is caused by the closure of the semilunar valves. - ANSWER: C During the cardiac auscultation, the nurse hears a sound immediately occurring after the S2 at the second left intercostal space. To further assess this sound, what should the nurse do? A Have the patient turn to the left side while the nurse listens with the bell of the stethoscope. B Ask the patient to hold his or her breath while the nurse listens again. C No further assessment is needed because the nurse knows this sound is an S3. D Watch the patients respirations while listening for the effect on the sound. - ANSWER: D 5 | P a g e Which of these findings would the nurse expect to notice during a cardiac assessment on a 4-year-old child? A S3 when sitting up B Persistent tachycardia above 150 beats per minute C Murmur at the second left intercostal space when supine D Palpable apical impulse in the fifth left intercostal space lateral to midclavicular line - ANSWER: C While auscultating heart sounds on a 7-year-old child for a routine physical examination, the nurse hears an S3, a soft murmur at the left midsternal border, and a venous hum when the child is standing. What would be a correct interpretation of these findings? A S3 is indicative of heart disease in children. B These findings can all be normal in a child. C These findings are indicative of congenital problems. D The venous hum most likely indicates an aneurysm. - ANSWER: B The nurse is examining a patient who has possible cardiac enlargement. Which statement about percussion of the heart is true? A Percussion is a useful tool for outlining the hearts borders. B Percussion is easier in patients who are obese. C Studies show that percussed cardiac borders do not correlate well with the true cardiac border. D Only expert health care providers should attempt percussion of the heart. - ANSWER: C 6 | P a g e A 57-year-old maintenance worker comes to your office for evaluation of pain in his legs. He has smoked two packs per day since the age of 16, but he is otherwise healthy. You are concerned that he may have peripheral vascular disease. Which of the following is part of common or concerning symptoms for the peripheral vascular system? A) Intermittent claudication B) Chest pressure with exertion C) Shortness of breath D) Knee pain - ANSWER: A During an inspection of the precordium of an adult patient, the nurse notices the chest moving in a forceful manner along the sternal border. This finding most likely suggests a(n): a Normal heart. B Systolic murmur. C Enlargement of the left ventricle. D Enlargement of the right ventricle. - ANSWER: D During an assessment of a healthy adult, where would the nurse expect to palpate the apical impulse? A Third left intercostal space at the midclavicular line B Fourth left intercostal space at the sternal border C Fourth left intercostal space at the anterior axillary line D Fifth left intercostal space at the midclavicular line - ANSWER: D 7 | P a g e The nurse is preparing to auscultate for heart sounds. Which technique is correct? A Listening to the sounds at the aortic, tricuspid, pulmonic, and mitral areas B Listening by inching the stethoscope in a rough Z pattern, from the base of the heart across and down, then over to the apex c Listening to the sounds only at the site where the apical pulse is felt to be the strongest d Listening for all possible sounds at a time at each specified area - ANSWER: B While counting the apical pulse on a 16-year-old patient, the nurse notices an irregular rhythm. His rate speeds up on inspiration and slows on expiration. What would be the nurses response? A Talk with the patient about his intake of caffeine. B Perform an electrocardiogram after the examination. C No further response is needed because sinus arrhythmia can occur normally. D Refer the patient to a cardiologist for further testing. - ANSWER: C A 72-year-old teacher comes to your clinic for an annual examination. She is concerned about her risk for peripheral vascular disease and states that there is a place in town that does tests to let her know her if she has this or not. Which of the following disease processes is a risk factor for peripheral vascular disease? A) Gastroesophageal reflux disease B) Coronary artery disease C) Migraine headaches D) Osteoarthritis - ANSWER: B A 68-year-old retired truck driver comes to your office for evaluation of swelling in his legs. He is a smoker and has been taking medications to control his hypertension for the past 25 years. You are concerned about his risk for peripheral 8 | P a g e Thank you for Purchasing this exam Study Guide. We provide high-quality academic materials to help students excel in exams. Our other Services include but not limited to: academic research, University & College assignments writing, essay writing, Online Classes, and research projects. Our services are reliable, affordable, and plagiarism-free. All the Best in your Exam. 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