TEST BANK For Seidel's Guide to Physical Examination An
Interprofessional Approach 10th Edition by Jane W. Ball, Joyce
E. Dains
A nurse in a provider's office is preparing to perform a breast examination for an
older adult client who is postmenopausal. Which of the following findings should the
nurse expect?
a. Smaller nipples
b. More pendulous
c. Dimpling
d. Nipple Inversion - ANSWER:a. Smaller nipples
b. More pendulous
d. Nipple Inversion
A nurse in a provider's office is preparing to auscultate and percuss a client's thorax
as part of a comprehensive physical examination. Which of the following findings
should the nurse expect?
a. Resonance
b. Dullness
c. Bronchovesicular sounds
d. Gurgling sounds - ANSWER:a. Resonance
c. Bronchovesicular sounds
During an abdominal examination, a nurse in a provider's office determines that a
client has abdominal distention. The protrusion is at midline, the skin over the area is
taut, and the nurse notes no involvement of the flanks. Which of the following
possible causes of distention should the nurse expect?
a. right-sided heart failure
b. left sided heart failure
c. liver failure
d. flatus, flatulence - ANSWER:d. Flatus, flatulence
During a cardiovascular examination, a nurse in a provider's office places the
diaphragm of the stethoscope on the left midclavicular line of the fifth intercostal
space. Which of the following heard sounds is the nurse attempting to auscultate?
a. Closure of the mitral valve
b. Closure of the pulmonic valve
c. Closure of the tricuspid valve
d. Closure of the aortic valve - ANSWER:a. Closure of the mitral valve
A nurse in a provider's office is preparing to auscultate and percuss a client's
abdomen as part of a comprehensive physical examination. Which of the following
findings should the nurse expect?
a. Tympany
,b. Resonance
c. Crackles
d. High-pitched clicks - ANSWER:a. Tympany
d. High-pitched clicks
Select the correct description of S2, the second heart sound.
a. Corresponds to the "lubb" sound
b. Corresponds to the gurgling sound
c. Corresponds to the "dubb" sound
d. Corresponds to the rubbing sound - ANSWER:Corresponds to the "dubb" sound
A patient has a holosystolic murmur. Which statement is correct about this murmur?
a. The sound is heard with aortic stenosis
b. The sound is heard with mitral regurgitation.
c. The sound is heard with still murmur
d. the sound is heard with tricuspid regurgitation - ANSWER:The sound is heard with
mitral regurgitation.
A ventricular heave is detected by which assessment technique?
a. Inspection
b. Palpation
c. Percussion
d. Auscultation - ANSWER:b. Palpation
What effect on the radial pulse is a usual finding for a client with atrial fibrillation?
a. This is a normal finding
b. There are normal strength and low-quality of the pulse
c. There are low strength and normal quality of the pulse
d. There is a fluctuation in the strength and quality of the pulse. - ANSWER:d. There
is a fluctuation in the strength and quality of the pulse.
The nurse hears a pericardial friction rub while listening to heart sounds. Which
characteristic is correct about this sound?
a. Just before S1
b. Just before S2
c. Just after S1
d. Just after S2 - ANSWER:a. Just before S1
Where is the point of maximum impact heard in most normal adult patients?
a. Fifth intercostal space right midclavicular line
b. Second intercostal space right midclavicular line
c. Second intercostal space left midclavicular line
d. Fifth intercostal space left midclavicular line - ANSWER:d. Fifth intercostal space
left midclavicular line
The nurse auscultates heart sounds of a client with a heart rate of 110 beats/min.
What should the nurse do to identify which sound is S1?
, a. Determine which sound is louder with inspiration
b. Determine which sound is louder with expiration
c. Determine which sound is louder with breath held
d. Determine which sound is louder with talking - ANSWER:a. Determine which
sound is louder with inspiration.
During which segment of the electrical conduction of a heartbeat does ventricular
systole occur?
a. P wave
b. PR wave
c. QRS wave
d. T wave - ANSWER:c. QRS
The nurse listens to the heart sound at the apex with the patient in the left lateral
position. Identify the sound.
a. S1
b. S2
c. S3
d. S4 - ANSWER:c. S3
Heart sounds are created by which structure of the heart?
a. atriums
b. ventricles
c. septum
d. valves - ANSWER:valves
The S1 (lubb) sound is created by:
a. atrioventricular valves
b. semilunar valves
c. tricuspid valve
d. mitral valve - ANSWER:a. atroventricular valves
The S2 (dubb) sound is created by:
a. atrioventricular valves
b. semilunar valves
c. tricuspid valve
d. mitral valve - ANSWER:b. semilunar valves
In a split S2 sound, which valve closes first creating the split sound?
a. aortic
b. pulmonic
c. second pulmonic
d. tricuspid - ANSWER:a. aortic (A2)
How many contractions per minute does the SA node make?
a. 1500
b. 2000
Interprofessional Approach 10th Edition by Jane W. Ball, Joyce
E. Dains
A nurse in a provider's office is preparing to perform a breast examination for an
older adult client who is postmenopausal. Which of the following findings should the
nurse expect?
a. Smaller nipples
b. More pendulous
c. Dimpling
d. Nipple Inversion - ANSWER:a. Smaller nipples
b. More pendulous
d. Nipple Inversion
A nurse in a provider's office is preparing to auscultate and percuss a client's thorax
as part of a comprehensive physical examination. Which of the following findings
should the nurse expect?
a. Resonance
b. Dullness
c. Bronchovesicular sounds
d. Gurgling sounds - ANSWER:a. Resonance
c. Bronchovesicular sounds
During an abdominal examination, a nurse in a provider's office determines that a
client has abdominal distention. The protrusion is at midline, the skin over the area is
taut, and the nurse notes no involvement of the flanks. Which of the following
possible causes of distention should the nurse expect?
a. right-sided heart failure
b. left sided heart failure
c. liver failure
d. flatus, flatulence - ANSWER:d. Flatus, flatulence
During a cardiovascular examination, a nurse in a provider's office places the
diaphragm of the stethoscope on the left midclavicular line of the fifth intercostal
space. Which of the following heard sounds is the nurse attempting to auscultate?
a. Closure of the mitral valve
b. Closure of the pulmonic valve
c. Closure of the tricuspid valve
d. Closure of the aortic valve - ANSWER:a. Closure of the mitral valve
A nurse in a provider's office is preparing to auscultate and percuss a client's
abdomen as part of a comprehensive physical examination. Which of the following
findings should the nurse expect?
a. Tympany
,b. Resonance
c. Crackles
d. High-pitched clicks - ANSWER:a. Tympany
d. High-pitched clicks
Select the correct description of S2, the second heart sound.
a. Corresponds to the "lubb" sound
b. Corresponds to the gurgling sound
c. Corresponds to the "dubb" sound
d. Corresponds to the rubbing sound - ANSWER:Corresponds to the "dubb" sound
A patient has a holosystolic murmur. Which statement is correct about this murmur?
a. The sound is heard with aortic stenosis
b. The sound is heard with mitral regurgitation.
c. The sound is heard with still murmur
d. the sound is heard with tricuspid regurgitation - ANSWER:The sound is heard with
mitral regurgitation.
A ventricular heave is detected by which assessment technique?
a. Inspection
b. Palpation
c. Percussion
d. Auscultation - ANSWER:b. Palpation
What effect on the radial pulse is a usual finding for a client with atrial fibrillation?
a. This is a normal finding
b. There are normal strength and low-quality of the pulse
c. There are low strength and normal quality of the pulse
d. There is a fluctuation in the strength and quality of the pulse. - ANSWER:d. There
is a fluctuation in the strength and quality of the pulse.
The nurse hears a pericardial friction rub while listening to heart sounds. Which
characteristic is correct about this sound?
a. Just before S1
b. Just before S2
c. Just after S1
d. Just after S2 - ANSWER:a. Just before S1
Where is the point of maximum impact heard in most normal adult patients?
a. Fifth intercostal space right midclavicular line
b. Second intercostal space right midclavicular line
c. Second intercostal space left midclavicular line
d. Fifth intercostal space left midclavicular line - ANSWER:d. Fifth intercostal space
left midclavicular line
The nurse auscultates heart sounds of a client with a heart rate of 110 beats/min.
What should the nurse do to identify which sound is S1?
, a. Determine which sound is louder with inspiration
b. Determine which sound is louder with expiration
c. Determine which sound is louder with breath held
d. Determine which sound is louder with talking - ANSWER:a. Determine which
sound is louder with inspiration.
During which segment of the electrical conduction of a heartbeat does ventricular
systole occur?
a. P wave
b. PR wave
c. QRS wave
d. T wave - ANSWER:c. QRS
The nurse listens to the heart sound at the apex with the patient in the left lateral
position. Identify the sound.
a. S1
b. S2
c. S3
d. S4 - ANSWER:c. S3
Heart sounds are created by which structure of the heart?
a. atriums
b. ventricles
c. septum
d. valves - ANSWER:valves
The S1 (lubb) sound is created by:
a. atrioventricular valves
b. semilunar valves
c. tricuspid valve
d. mitral valve - ANSWER:a. atroventricular valves
The S2 (dubb) sound is created by:
a. atrioventricular valves
b. semilunar valves
c. tricuspid valve
d. mitral valve - ANSWER:b. semilunar valves
In a split S2 sound, which valve closes first creating the split sound?
a. aortic
b. pulmonic
c. second pulmonic
d. tricuspid - ANSWER:a. aortic (A2)
How many contractions per minute does the SA node make?
a. 1500
b. 2000
