NUR 210 FINAL EXAM QUESTIONS
WITH COMPLETE SOLUTIONS
when obtaining subjective information related to the heart, what information will the
nurse obtain? (select all that apply)
a. chest pain
b. shortness of breath
c. fatigue
d. edema
e. cardiac risk factors
f. heart rate and rhythm - Answer-A, B, C, D, E
Where is the apex of the heart located in an infant?
a. the fourth, left intercostal space
b. the fifth, left intercostal space
c. the 6th, left intercostal space
d. the fourth, right intercostal space - Answer-A
what is the proper patient position that is used for assessment of jugular veins?
A. supine, with head of the bed at 30 - 45 degree elevation
B. supine with head of the bed flat
C. right side lying position to assess the left jugular vein
D. supine with head of the bed at 90 degree elevation - Answer-A
second right interspace - Answer-aortic valve area
second left interspace - Answer-pulmonic valve area
left sternal border, 5th intercostal space - Answer-tricuspid valve area
fifth interspace, left midclavicular line - Answer-mitral valve area
Which of the following are modifiable risk factors for MI (select all that apply)
a. gender
b. diabetes
c. obesity
d. age
e. abnormal lipids
f. hypertension
g. smoking - Answer-B, C, E, F, G
what technique will the nurse use to palpate the carotid arteries?
a. use firm pressure to palpate carotid arteries one at a time
b. palpate one carotid artery at a time with gental pressure
c. palpate both carotid arteries at the same time to compare the two sides
d. palpate each carotid artery in the upper part of the neck - Answer-B
when ausculating the heart, the nurse will listen for the following: select all that apply
, a. listen for extra heart sounds
b. listen for murmurs
c. identify S1 and S2
d. note the rate and rhythm
e. listen for carotid bruit
f. listen for wheezes and rhonchi - Answer-A, B, C, D
which heart sound is associated with heart failure?
a. S3
b. systolic murmur
c. S4
d. diastolic murmur - Answer-A
Where will the nurse palpate the dorsalis pedis pulse?
a. lateral to and parallel with extension tendon of the great toe
b. lateral to the medial tendon
c. just below the inguinal ligament
d. between the malleolus and achilles tendon - Answer-A
How is a normal force peripheral pulse documented? - Answer-2+
Arterial ischemic ulcer - Answer-ulcer on the toe with well defined edges, pale base
and no drainage
Peripheral artery disease - Answer-deep muscle pain with walking that is relieved by
rest
Venous stasis ulcer - Answer-Shallow ulcer with irregular borders and coupious
drainage
Venous stasis (insuficiency) - Answer-Aching pain in legs that is worse at the end of
the day, prolonged standing or sitting
Where will the nurse palpate the posterior tibial pulse?
a. in the groove between the medial maleolus and the achilles tendon
b. Just lateral to and parallel with the extensor tendon of the big toe
c. in the groove between external maleolus and the achilles tendon
d. just medial to and parallel with extensor tendon of the big toe - Answer-A
Inspection of the lower extremities include: (select all that apply)
a. venous pattern
b. ankle-biracial index
c. skin color and condition
d. hair distribution
e. force of pedal pulses - Answer-A, C, D
The doppler ultrasonic stethoscope is used to
a. assess pitting edema
b. rate the force of a peripheral pulse
WITH COMPLETE SOLUTIONS
when obtaining subjective information related to the heart, what information will the
nurse obtain? (select all that apply)
a. chest pain
b. shortness of breath
c. fatigue
d. edema
e. cardiac risk factors
f. heart rate and rhythm - Answer-A, B, C, D, E
Where is the apex of the heart located in an infant?
a. the fourth, left intercostal space
b. the fifth, left intercostal space
c. the 6th, left intercostal space
d. the fourth, right intercostal space - Answer-A
what is the proper patient position that is used for assessment of jugular veins?
A. supine, with head of the bed at 30 - 45 degree elevation
B. supine with head of the bed flat
C. right side lying position to assess the left jugular vein
D. supine with head of the bed at 90 degree elevation - Answer-A
second right interspace - Answer-aortic valve area
second left interspace - Answer-pulmonic valve area
left sternal border, 5th intercostal space - Answer-tricuspid valve area
fifth interspace, left midclavicular line - Answer-mitral valve area
Which of the following are modifiable risk factors for MI (select all that apply)
a. gender
b. diabetes
c. obesity
d. age
e. abnormal lipids
f. hypertension
g. smoking - Answer-B, C, E, F, G
what technique will the nurse use to palpate the carotid arteries?
a. use firm pressure to palpate carotid arteries one at a time
b. palpate one carotid artery at a time with gental pressure
c. palpate both carotid arteries at the same time to compare the two sides
d. palpate each carotid artery in the upper part of the neck - Answer-B
when ausculating the heart, the nurse will listen for the following: select all that apply
, a. listen for extra heart sounds
b. listen for murmurs
c. identify S1 and S2
d. note the rate and rhythm
e. listen for carotid bruit
f. listen for wheezes and rhonchi - Answer-A, B, C, D
which heart sound is associated with heart failure?
a. S3
b. systolic murmur
c. S4
d. diastolic murmur - Answer-A
Where will the nurse palpate the dorsalis pedis pulse?
a. lateral to and parallel with extension tendon of the great toe
b. lateral to the medial tendon
c. just below the inguinal ligament
d. between the malleolus and achilles tendon - Answer-A
How is a normal force peripheral pulse documented? - Answer-2+
Arterial ischemic ulcer - Answer-ulcer on the toe with well defined edges, pale base
and no drainage
Peripheral artery disease - Answer-deep muscle pain with walking that is relieved by
rest
Venous stasis ulcer - Answer-Shallow ulcer with irregular borders and coupious
drainage
Venous stasis (insuficiency) - Answer-Aching pain in legs that is worse at the end of
the day, prolonged standing or sitting
Where will the nurse palpate the posterior tibial pulse?
a. in the groove between the medial maleolus and the achilles tendon
b. Just lateral to and parallel with the extensor tendon of the big toe
c. in the groove between external maleolus and the achilles tendon
d. just medial to and parallel with extensor tendon of the big toe - Answer-A
Inspection of the lower extremities include: (select all that apply)
a. venous pattern
b. ankle-biracial index
c. skin color and condition
d. hair distribution
e. force of pedal pulses - Answer-A, C, D
The doppler ultrasonic stethoscope is used to
a. assess pitting edema
b. rate the force of a peripheral pulse
