APEA- Cardiovascular Assessment Exam Questions with Correct Answers
Question 1:
To auscultate the tricuspid valve heart sounds in an adult patient, place the stethoscope:
between the 2nd and 3rd intercostal spaces at the right upper sternal border.
near the apex of the heart between the 5th and 6th intercostal spaces in the mid-clavicular line.
located between the 2nd and 3rd intercostal spaces at the left sternal border.
between the 3rd, 4th, 5th, and 6th intercostal spaces at the left lower sternal border.
Answer:
between the 3rd,
Question 2:
To auscultate the heart sounds arising from the pulmonic valve in an adult patient, place the
stethoscope:
between the 2nd and 3rd intercostal spaces at the right upper sternal border.
Answer:
4th, 5th, and 6th intercostal spaces at the left lower sternal border.
near the apex of the heart between the 5th and 6th intercostal spaces in the mid-clavicular line.
between the 2nd and 3rd intercostal spaces at the left sternal border.
Question 3:
between the 3rd, 4th, 5th, and 6th intercostal spaces at the left lower sternal border.
Answer:
between the 2nd
Question 4:
What heart sounds are heard during auscultation of a man with Marfan syndrome who has a
known
Answer:
and 3rd intercostal spaces at the left sternal border.
Question 5:
mitral valve prolapse? An opening snap
A mid-systolic click A flat blowing pitch
A fourth heart sound (S4)
Answer:
A mid-systolic click
Pulse pressure is determined by subtracting diastolic blood pressure (DSP) from systolic blood
pressure
,Question 6:
(SBP). A widened pulse pressure means that:
the SBP drops 20 mm Hg within 3 minutes of standing. the difference is >100 mm Hg.
the DBP is greater than the SBP. the difference is 40 mm Hg. likely:
gastroesophageal reflux. inflammatory bowel disease.
Answer:
the difference is >100 mm Hg.
A disease that may present as indigestion, but is precipitated by exertion and relieved by rest is
most angina.
Question 7:
aortic stenosis.
Answer:
angina.
Question 8:
A patient complains of some pain in the distal portions of her fingers on both hands. She states
that it tends to occur more frequently with exposure to cold. These symptoms may be
consistent with: intermittent claudication.
Raynaud's disease.
deep venous thrombosis. superficial thrombophlebitis.
Answer:
Raynaud's disease.
Question 9:
Pain or cramping of the legs that occurs during exertion and is relieved by rest is termed:
neurogenic claudication.
intermittent claudication.
atherosclerotic peripheral vascular disease. Raynaud's disease.
associated with:
angina pectoris.
a myocardial infarction.
Answer:
intermittent claudication.
A sudden, tearing, sharp pain that begins in the chest and radiates to the back or into the neck
is usually an aortic dissection.
, Question 10:
pericarditis.
Answer:
an aortic dissection.
A twelve-month-old has a history of heart failure related to his congenital heart defect. He is
receiving aldactone (Spironolactone), enalapril (Vasotec), furosemide (Lasix), and
acetaminophen (Tylenol). The
Question 11:
infant's potassium level is 3.1 mEq/l. Which medication is most likely decreasing his potassium
level? Aldactone (Spironolactone)
Furosemide (Lasix) Enalapril (Vasotec) Acetaminophen (Tylenol)
Answer:
Furosemide (Lasix)
Question 12:
A patient complains of a tight, bursting pain in the calf that increases with walking. Elevation of
the leg sometimes relieves the pain. These symptoms may be consistent with:
intermittent claudication. Raynaud's disease.
deep venous thrombosis. superficial thrombophlebitis.
Answer:
deep venous thrombosis.
Question 13:
Symptoms of orthostatic hypotension include all of the following except: syncope.
unsteadiness. visual blurring.
respiratory rate greater than 30.
Answer:
respiratory rate greater than 30.
Question 14:
When auscultating the heart for aortic insufficiency, ask the patient to: lie supine and inhale.
exhale while standing.
turn to the left side and breath deeply.
Answer:
sit up, lean forward, and exhale.
Question 1:
To auscultate the tricuspid valve heart sounds in an adult patient, place the stethoscope:
between the 2nd and 3rd intercostal spaces at the right upper sternal border.
near the apex of the heart between the 5th and 6th intercostal spaces in the mid-clavicular line.
located between the 2nd and 3rd intercostal spaces at the left sternal border.
between the 3rd, 4th, 5th, and 6th intercostal spaces at the left lower sternal border.
Answer:
between the 3rd,
Question 2:
To auscultate the heart sounds arising from the pulmonic valve in an adult patient, place the
stethoscope:
between the 2nd and 3rd intercostal spaces at the right upper sternal border.
Answer:
4th, 5th, and 6th intercostal spaces at the left lower sternal border.
near the apex of the heart between the 5th and 6th intercostal spaces in the mid-clavicular line.
between the 2nd and 3rd intercostal spaces at the left sternal border.
Question 3:
between the 3rd, 4th, 5th, and 6th intercostal spaces at the left lower sternal border.
Answer:
between the 2nd
Question 4:
What heart sounds are heard during auscultation of a man with Marfan syndrome who has a
known
Answer:
and 3rd intercostal spaces at the left sternal border.
Question 5:
mitral valve prolapse? An opening snap
A mid-systolic click A flat blowing pitch
A fourth heart sound (S4)
Answer:
A mid-systolic click
Pulse pressure is determined by subtracting diastolic blood pressure (DSP) from systolic blood
pressure
,Question 6:
(SBP). A widened pulse pressure means that:
the SBP drops 20 mm Hg within 3 minutes of standing. the difference is >100 mm Hg.
the DBP is greater than the SBP. the difference is 40 mm Hg. likely:
gastroesophageal reflux. inflammatory bowel disease.
Answer:
the difference is >100 mm Hg.
A disease that may present as indigestion, but is precipitated by exertion and relieved by rest is
most angina.
Question 7:
aortic stenosis.
Answer:
angina.
Question 8:
A patient complains of some pain in the distal portions of her fingers on both hands. She states
that it tends to occur more frequently with exposure to cold. These symptoms may be
consistent with: intermittent claudication.
Raynaud's disease.
deep venous thrombosis. superficial thrombophlebitis.
Answer:
Raynaud's disease.
Question 9:
Pain or cramping of the legs that occurs during exertion and is relieved by rest is termed:
neurogenic claudication.
intermittent claudication.
atherosclerotic peripheral vascular disease. Raynaud's disease.
associated with:
angina pectoris.
a myocardial infarction.
Answer:
intermittent claudication.
A sudden, tearing, sharp pain that begins in the chest and radiates to the back or into the neck
is usually an aortic dissection.
, Question 10:
pericarditis.
Answer:
an aortic dissection.
A twelve-month-old has a history of heart failure related to his congenital heart defect. He is
receiving aldactone (Spironolactone), enalapril (Vasotec), furosemide (Lasix), and
acetaminophen (Tylenol). The
Question 11:
infant's potassium level is 3.1 mEq/l. Which medication is most likely decreasing his potassium
level? Aldactone (Spironolactone)
Furosemide (Lasix) Enalapril (Vasotec) Acetaminophen (Tylenol)
Answer:
Furosemide (Lasix)
Question 12:
A patient complains of a tight, bursting pain in the calf that increases with walking. Elevation of
the leg sometimes relieves the pain. These symptoms may be consistent with:
intermittent claudication. Raynaud's disease.
deep venous thrombosis. superficial thrombophlebitis.
Answer:
deep venous thrombosis.
Question 13:
Symptoms of orthostatic hypotension include all of the following except: syncope.
unsteadiness. visual blurring.
respiratory rate greater than 30.
Answer:
respiratory rate greater than 30.
Question 14:
When auscultating the heart for aortic insufficiency, ask the patient to: lie supine and inhale.
exhale while standing.
turn to the left side and breath deeply.
Answer:
sit up, lean forward, and exhale.
