Solutions
In your assessment of a normal adult, where would you expect
to palpate the apical impulse?
Fifth left intercostal space at the midclavicular line.
The NP will ask the patient to assume which position to assess
for mitral stenosis?
Left lateral decubitus
The NP will ask the patient to assume which position to assess
the patient for aortic regurgitation?
Sitting, leaning forward after full exhalation
The NP will document assessment of the radial pulse as normal
by noting the following grade:
2+
To assess the patient for a carotid bruit, the NP will first ask the
patient to
Hold their breath and then place the diaphragm of the
stethoscope near the upper end of the thyroid cartilage below the
angle of the jaw
The NP incorporates which of the following techniques to
ensure an accurate blood pressure measurement
Center the bladder of the cuff over the brachial artery
,When auscultating heart sounds at the mitral area of the anterior
chest, you would expect:
S1 to be louder than S2.
When examining a patient´s heart you hear a murmur between
S2 and S1. How would you describe the murmur?
It is a systolic murmur
When performing an Allen Test, the NP will note which of the
following results as positive, potentially indicating an occlusion?
Palmar pallor
Which of the following objective findings on the LE would alert
the NP to consider chronic venous insufficiency as a differential
diagnosis?
Brownish discoloration or ulcers just above the malleolus
Which of the following statements describes the correct
assessment technique for the examination of the peripheral
vascular system?
Assess the temperature of the feet and legs with the dorsal
aspect of the fingers
Which cardiac finding can be considered normal in children and
young adults?
Third heart sound (S3)
Which of the following statements is true of auscultation of the
aortic valve?
It is best performed using the diaphragm of the stethoscope
, Which of the following assessment findings is usually indicative
of an abdominal aortic aneurysm?
Positive bruit or wide, diffuse pulsation in the epigastric area
You notice a medium-pitched harsh systolic murmur during an
episodic examination of a 37-year-old woman. It is best heard at
the right upper border of the sternum. Which of the following is
most likely?
Aortic Stenosis
When auscultating heart sounds at the aortic and pulmonic areas
of the anterior chest, you would expect:
S2 to be louder than S1
Match the anatomic landmarks to the cardiac auscultatory area.
a. Aortic
b. Erb's Point
c. Pulmonic
d. Tricuspid
e. Mitral
A-aortic
P Pulmonic
E-Erb's Point
T- Tricuspid
M-Mitral
A 40-year-old male patient presents with sinus pain, pressure,
and yellow nasal discharge. Your exam would include palpation
of: