Health Assessment Exam 3 test bank
questions and answers 100% verified.
While auscultating the heart at the third intercostal space, left sternal border, the nurse
notes a high-pitched, scratchy sound that increases with exhalation with the client
leaning forward. The nurse would document which of the following?
A) Pericardial friction rub
B) Midsystolic click
C) Summation gallop
D) Aortic ejection click - correct answers.A) Pericardial friction rub
During chest auscultation, the nurse hears a quiet murmur immediately upon placing the
stethoscope on the client's chest. The nurse interprets this as which grade?
A) I
B) II
C) III
D) IV - correct answers.B) II
After teaching a group of students about blood flow through the heart, the instructor
determines that the teaching was successful when the students state that after being
received by the atria, the blood goes to which of the following?
A) Chordae tendineae
B) Ventricles
C) Semilunar valves
D) Precordium - correct answers.B) Ventricles
A group of students is reviewing the structures of the heart, noting that the thickest layer
of the heart is made up of contractile muscle cells. The students are correct in
identifying it as which of the following?
A) Myocardium
B) Epicardium
C) Endocardium
D) Pericardium - correct answers.A) Myocardium
A nursing student is reviewing the electrical conduction of the heart. The student is
correct in identifying the sinoatrial node of the heart as which of the following?
,A) Bundle of His
B) Purkinje fibers
C) Pacemaker
D) Conduction system - correct answers.C) Pacemaker
The nurse is assessing a client's first heart sound. The nurse interprets this finding as
indicating which heart action?
A) Isometric contraction
B) Closure of the semilunar valves
C) Beginning of diastole
D) Closure of the atrioventricular valves - correct answers.d
A nurse assesses a client's jugular venous pulse to gather information about which of
the following?
A) Left arterial pressure.
B) Left ventricular diastolic filling.
C) Right ventricular pressure.
D) Hemodynamics of the right side of the heart. - correct answers.d
On examination, the nurse would expect what finding if a client is in right-sided failure?
A) Increased jugular venous pressure
B) Decreased right-sided volume
C) Decreased central venous pressure
D) Decreased stroke volume - correct answers.a
A client presents with chest pain described as a pressure and squeezing sensation that
is steady and severe. The nurse would suspect which system as the most likely source?
A) Cardiac
B) Gastrointestinal
C) Musculoskeletal
D) Pulmonary - correct answers.a
A client complains of palpitations and a feeling of anxiety. Which of the following would
be most appropriate for the nurse to keep in mind?
A) This is a normal response by the heart's conduction system.
B) This is the body's response to an increase in cardiac output.
C) The heart is attempting to increase cardiac output.
D) The heart is responding to increased renal perfusion. - correct answers.c
Which of the following would the nurse suspect when a client with a cardiac condition
complains of not sleeping well and having to get up frequently at night to urinate?
A) This indicates the heart is working efficiently.
B) Increased urination at rest may indicate heart failure.
C) The client has decreased performance levels of activities of daily living.
D) The client most likely sleeps without a pillow at night. - correct answers.b
, When auscultating the left carotid artery, the nurse notes a swishing sound. The nurse
interprets this finding as suggesting which of the following?
A) Decreased cardiac output
B) Increased central venous pressure
C) A narrowed vessel
D) Right ventricular failure - correct answers.b
Which technique would be most appropriate to use when examining the jugular venous
pulse?
A) Perform the exam with the client in a supine position.
B) Have the client look straight ahead with chin slightly lifted.
C) Have the client sit up at a 90-degree angle.
D) Inspect the suprasternal notch or around the clavicles. - correct answers.d
The nurse is preparing to assess a client's apical impulse. The nurse would palpate at
which location?
A) Second intercostal space, left sternal border
B) Third intercostal space, left axillary line
C) Fourth intercostal space, left sternal border
D) Fifth intercostal space, left midclavicular line - correct answers.d
A nurse is preparing a presentation for a local community group about coronary artery
disease and culture. Which information would the nurse include?
A) Caucasians take higher lifestyle risks than African Americans.
B) Hypertension is more prevalent in African Americans.
C) Hypertension is seen more in white women than in African-American women.
D) Hispanic Americans have a higher rate of coronary artery disease than white
Americans. - correct answers.b
A nurse auscultates a client's heart sounds and notes an accentuated first heart sound.
The nurse would suspect which of the following?
A) Hypothyroidism
B) Fever
C) Mitral stenosis
D) Heart murmur - correct answers.c
Which characteristic of the first heart sound would the nurse expect to hear in a client
with mitral insufficiency?
A) Split
B) Diminished
C) Accentuated
D) Varying - correct answers.b
A nurse suspects that a client may have a pericardial friction rub. To ensure that the
nurse hears this, the nurse would place the client in which position?
A) Supine with head of bed elevated 30 degrees
questions and answers 100% verified.
While auscultating the heart at the third intercostal space, left sternal border, the nurse
notes a high-pitched, scratchy sound that increases with exhalation with the client
leaning forward. The nurse would document which of the following?
A) Pericardial friction rub
B) Midsystolic click
C) Summation gallop
D) Aortic ejection click - correct answers.A) Pericardial friction rub
During chest auscultation, the nurse hears a quiet murmur immediately upon placing the
stethoscope on the client's chest. The nurse interprets this as which grade?
A) I
B) II
C) III
D) IV - correct answers.B) II
After teaching a group of students about blood flow through the heart, the instructor
determines that the teaching was successful when the students state that after being
received by the atria, the blood goes to which of the following?
A) Chordae tendineae
B) Ventricles
C) Semilunar valves
D) Precordium - correct answers.B) Ventricles
A group of students is reviewing the structures of the heart, noting that the thickest layer
of the heart is made up of contractile muscle cells. The students are correct in
identifying it as which of the following?
A) Myocardium
B) Epicardium
C) Endocardium
D) Pericardium - correct answers.A) Myocardium
A nursing student is reviewing the electrical conduction of the heart. The student is
correct in identifying the sinoatrial node of the heart as which of the following?
,A) Bundle of His
B) Purkinje fibers
C) Pacemaker
D) Conduction system - correct answers.C) Pacemaker
The nurse is assessing a client's first heart sound. The nurse interprets this finding as
indicating which heart action?
A) Isometric contraction
B) Closure of the semilunar valves
C) Beginning of diastole
D) Closure of the atrioventricular valves - correct answers.d
A nurse assesses a client's jugular venous pulse to gather information about which of
the following?
A) Left arterial pressure.
B) Left ventricular diastolic filling.
C) Right ventricular pressure.
D) Hemodynamics of the right side of the heart. - correct answers.d
On examination, the nurse would expect what finding if a client is in right-sided failure?
A) Increased jugular venous pressure
B) Decreased right-sided volume
C) Decreased central venous pressure
D) Decreased stroke volume - correct answers.a
A client presents with chest pain described as a pressure and squeezing sensation that
is steady and severe. The nurse would suspect which system as the most likely source?
A) Cardiac
B) Gastrointestinal
C) Musculoskeletal
D) Pulmonary - correct answers.a
A client complains of palpitations and a feeling of anxiety. Which of the following would
be most appropriate for the nurse to keep in mind?
A) This is a normal response by the heart's conduction system.
B) This is the body's response to an increase in cardiac output.
C) The heart is attempting to increase cardiac output.
D) The heart is responding to increased renal perfusion. - correct answers.c
Which of the following would the nurse suspect when a client with a cardiac condition
complains of not sleeping well and having to get up frequently at night to urinate?
A) This indicates the heart is working efficiently.
B) Increased urination at rest may indicate heart failure.
C) The client has decreased performance levels of activities of daily living.
D) The client most likely sleeps without a pillow at night. - correct answers.b
, When auscultating the left carotid artery, the nurse notes a swishing sound. The nurse
interprets this finding as suggesting which of the following?
A) Decreased cardiac output
B) Increased central venous pressure
C) A narrowed vessel
D) Right ventricular failure - correct answers.b
Which technique would be most appropriate to use when examining the jugular venous
pulse?
A) Perform the exam with the client in a supine position.
B) Have the client look straight ahead with chin slightly lifted.
C) Have the client sit up at a 90-degree angle.
D) Inspect the suprasternal notch or around the clavicles. - correct answers.d
The nurse is preparing to assess a client's apical impulse. The nurse would palpate at
which location?
A) Second intercostal space, left sternal border
B) Third intercostal space, left axillary line
C) Fourth intercostal space, left sternal border
D) Fifth intercostal space, left midclavicular line - correct answers.d
A nurse is preparing a presentation for a local community group about coronary artery
disease and culture. Which information would the nurse include?
A) Caucasians take higher lifestyle risks than African Americans.
B) Hypertension is more prevalent in African Americans.
C) Hypertension is seen more in white women than in African-American women.
D) Hispanic Americans have a higher rate of coronary artery disease than white
Americans. - correct answers.b
A nurse auscultates a client's heart sounds and notes an accentuated first heart sound.
The nurse would suspect which of the following?
A) Hypothyroidism
B) Fever
C) Mitral stenosis
D) Heart murmur - correct answers.c
Which characteristic of the first heart sound would the nurse expect to hear in a client
with mitral insufficiency?
A) Split
B) Diminished
C) Accentuated
D) Varying - correct answers.b
A nurse suspects that a client may have a pericardial friction rub. To ensure that the
nurse hears this, the nurse would place the client in which position?
A) Supine with head of bed elevated 30 degrees
