SOLUTIONS
... of thyroid nodules can be identified in ultrasound studies.
Correct Answer 50%
A bruit can occur in 5% of those age 45 to 80 years old who
have... Correct Answer no significant disease
A bruit increases the risk of... Correct Answer transient
ischemic attack (TIA) and ischemic stroke
A carotid bruit is audible when the lumen is occulded by...
Correct Answer 1/2 or 2/3
A diameter of > or equal to 4 cm is likely a dilated heart which
occurs with... Correct Answer heart failure and
cardiomyopathy
A diastolic murmur always indicates... Correct Answer heart
disease
A heave/lift occurs with... Correct Answer ventricular
hypertrophy as a result of increased workload
A left ventricular heave is seen at the... Correct Answer apex
A murmur sounds much the same but is caused by a... Correct
Answer cardiac disorder
,A patient has been in the intensive care unit for 10 days. He has
just been moved to the medical-surgical unit, and the admitting
nurse is planning to perform a mental status examination on
him. During the tests of cognitive function the nurse would
expect that he:
A. may display some disruption in thought content.
B. will be oriented to place and person but may not be certain of
the date.
C. will state, "I am so relieved to be out of intensive care."
D. may show evidence of some clouding of his level of
consciousness. Correct Answer B. will be oriented to place and
person but may not be certain of the date.
A patient in her 50s is in the clinic for a yearly checkup with no
significant complaints. The nurse should perform which type of
neurologic examination:
A. Screening neurologic examination
B. Neurologic recheck examination
C. Complete neurologic examination
D. Glasgow Coma Scale Correct Answer A. Screening
neurologic examination
A patient sleeps most of the time and is difficult to arouse. A
hard shake will arouse the patient but they are confused when
aroused. The best description of this patient's level of
consciousness would be.
A. semi-alert
B. obtunded
C. lethargic
D. stuporous Correct Answer B. obtunded
,A person who has a stroke is still able to.. Correct Answer
wrinkle their forehead and close the eyes
A precordial bulge to the left of the sternum with a hyper
dynamic precordium signals... Correct Answer cardiac
enlargment
A recent stroke patient has alterations in hearing, taste and
smell. The nurse recalls that the cerebral lobe responsible for
these behaviors is the __________ lobe.
A. occipital
B. temporal
C. frontal
D. parietal Correct Answer B. temporal
A right ventricular heave is seen at the.. Correct Answer sternal
border
A short neck or webbing may indicate... Correct Answer
congenital abnormalities (Down or Turner syndrome)
A small fontanel is a sign of... Correct Answer microcephaly
A substernal heave occurs with... Correct Answer right
ventricular enlargement
A systolic murmur may occur with a... Correct Answer healthy
heart or with heart disease
A thrill in the second and third left interspaces occurs with...
Correct Answer pulmonic stenosis and pulmonic hypertension
, A thrill in the second and third right interspaces occurs with...
Correct Answer severe aortic stenosis and systemic
hypertension
Absence of a bruit does not ensure absence of a... Correct
Answer carotid lesion
Accentuated first and second heart sound and extra heart sounds
also may cause... Correct Answer abnormal pulsations
Accentuated S2 conditions: Correct Answer higher closing
pressure, exercise and excitement increase pressure in aorta,
pulmonary hypertension, and semilunar valves calcified but still
mobile
Accentuated S2 examples: Correct Answer systemic
hypertension, ringing or booming S2, and mitral stenosis, heart
failure, aortic or pulmonary stenosis
According to Jarvis, which of the following health promotion
statements is true:
A. More than half of women experience no chest pain when
having a heart attack.
B. The best time to measure feet for shoes is when the patient
first wakes up in the morning.
C. Health care providers often do not take the time to explian
what "good" foot care entails.
D. Because smoking rates have decreased, cigarette smoking is
no longerthe leading cause of preventable disease in the US.