Cardiac and Peripheral Vascular Assessment- NUR 2220
Questions With Complete Solutions
A nurse in the emergency department is assessing a patient who
reports the following symptoms: mild shortness of breath, a
severe headache, chest pain rated 7 out of 10, and nausea. Which
assessment should the nurse prioritize?
a) Assess the severity and characteristics of the chest pain
b) Evaluate the patient's headache using a pain scale.
c) Obtain a detailed history of the patient's nausea.
d) Check the patient's respiratory rate and lung sounds.
A
Priority Assessment: Chest pain is a potential indicator of life-
threatening conditions such as myocardial infarction (heart
attack) or pulmonary embolism. It requires immediate
assessment to determine the underlying cause and initiate
prompt intervention.
A nurse in the emergency department is assessing a patient who
reports the following symptoms: mild shortness of breath, a
severe headache, chest pain rated 7 out of 10, and nausea. Which
assessment should the nurse prioritize?
a) Assess the severity and characteristics of the chest pain
b) Evaluate the patient's headache using a pain scale.
c) Obtain a detailed history of the patient's nausea.
d) Check the patient's respiratory rate and lung sounds.
, A
Priority Assessment: Chest pain is a potential indicator of life-
threatening conditions such as myocardial infarction (heart
attack) or pulmonary embolism. It requires immediate
assessment to determine the underlying cause and initiate
prompt intervention.
A nurse is teaching a patient about the signs of worsening heart
failure. Which symptom should the patient report immediately?
a. Weight gain of 3 pounds in 2 days
b. Occasional skipped heartbeats
c. Feeling tired after activity
d. Mild shortness of breath when climbing stairs
A
Rapid weight gain can indicate fluid retention, a sign of
worsening heart failure that needs prompt attention.
The nurse is assessing a patient with suspected pericarditis.
Which finding is characteristic of pericardial friction rub?
a. High-pitched, scratchy sound heard at the apex
b. Low-pitched rumbling during diastole
c. Systolic murmur heard over the aortic area
d. Continuous machinery-like murmur
a. High-pitched, scratchy sound heard at the apex
Questions With Complete Solutions
A nurse in the emergency department is assessing a patient who
reports the following symptoms: mild shortness of breath, a
severe headache, chest pain rated 7 out of 10, and nausea. Which
assessment should the nurse prioritize?
a) Assess the severity and characteristics of the chest pain
b) Evaluate the patient's headache using a pain scale.
c) Obtain a detailed history of the patient's nausea.
d) Check the patient's respiratory rate and lung sounds.
A
Priority Assessment: Chest pain is a potential indicator of life-
threatening conditions such as myocardial infarction (heart
attack) or pulmonary embolism. It requires immediate
assessment to determine the underlying cause and initiate
prompt intervention.
A nurse in the emergency department is assessing a patient who
reports the following symptoms: mild shortness of breath, a
severe headache, chest pain rated 7 out of 10, and nausea. Which
assessment should the nurse prioritize?
a) Assess the severity and characteristics of the chest pain
b) Evaluate the patient's headache using a pain scale.
c) Obtain a detailed history of the patient's nausea.
d) Check the patient's respiratory rate and lung sounds.
, A
Priority Assessment: Chest pain is a potential indicator of life-
threatening conditions such as myocardial infarction (heart
attack) or pulmonary embolism. It requires immediate
assessment to determine the underlying cause and initiate
prompt intervention.
A nurse is teaching a patient about the signs of worsening heart
failure. Which symptom should the patient report immediately?
a. Weight gain of 3 pounds in 2 days
b. Occasional skipped heartbeats
c. Feeling tired after activity
d. Mild shortness of breath when climbing stairs
A
Rapid weight gain can indicate fluid retention, a sign of
worsening heart failure that needs prompt attention.
The nurse is assessing a patient with suspected pericarditis.
Which finding is characteristic of pericardial friction rub?
a. High-pitched, scratchy sound heard at the apex
b. Low-pitched rumbling during diastole
c. Systolic murmur heard over the aortic area
d. Continuous machinery-like murmur
a. High-pitched, scratchy sound heard at the apex