NUR328 Exam 2 Questions with Correct Answers
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Terms in this set (152)
Which of the following A. It is a double pump circulating blood out to the
statements describes the lungs and body.
cardiovascular system
most accurately? Rationale: The heart is a double pump with four
A. It is a double pump chambers, four valves, and a conduction system that
circulating blood out to has a pacemaker originating in the atrium (SA node).
the lungs and body. Concepts of preload, afterload, and contractility are
B. It has a heart with six used when considering the effectiveness of the
chambers, great vessels, pumping.
and valves.
C. It includes concepts of
precontractility,
postcontractility, and load.
D. It functions with a
conduction system that
starts in the ventricles.
, C. Systole.
In a healthy patient, the
Rationale: The SA node depolarizes and the atria
myocardial cells in the
contract, which appears as the P wave on an ECG.
ventricle depolarize and
After a brief pause at the AV junction, the impulse
contract during
travels through the bundle of His, bundle branches,
A. prediastole.
and Purkinje fibers. The muscle cells depolarize and
B. diastole.
contract, appearing as the QRS complex on the ECG.
C. systole.
The end result is ventricular systole and ejection of
D. postsystole.
blood to the lungs and body, producing the
heartbeat.
When the nurse listens to A. S1 greater than S2.
S1 in the mitral and
tricuspid areas, the Rationale: Closure of the mitral and tricuspid valves at
expected finding is the beginning of systole produces the S1. This closure
A. S1 greater than S2. prevents backflow of blood from the ventricles into
B. S1 is equal to S2. the atria. S1 is loudest over these valves, located in the
C. S2 greater than S1. 5th left ICS at the sternal border (tricuspid) and the
D. No S1 is heard 5th left ICS at the MCL (mitral).
The nurse assesses the C. The highest level of jugular venous pulsation.
neck vessels in the stable
patient with heart failure Rationale: The nurse looks for fluid volume overload
to determine which of the in the patient with congestive heart failure (CHF). An
following? elevated jugular venous pulsation reflects fluid
A.The bilateral carotid volume overload in the right heart. The bilateral
pulse carotid pulse is never palpated, because doing so
B.The presence of bruits may obstruct the circulation to the brain and cause
C.The highest level of the patient to faint. Bruits are auscultated in the
jugular venous pulsation carotids for the presence of narrowing that may lead
D.The strength of the to stroke; the carotids, not the jugular veins, are also
jugular veins palpated for arterial pulse strength.
,The nurse is caring for a D. Obtain pulse and blood pressure.
patient with a sudden
onset of chest pain. Which Rationale: Blood pressure serves as an indicator of
assessment is highest hemodynamic stability in this acute situation.
priority? Evaluating the pulse and blood pressure indicates if
A. Auscultate heart the patient has an effective pulse. Although heart
sounds. sounds will be auscultated, the highest priority is
B. Inspect the precordium. identifying the consequences of chest pain and
C. Percuss the left border. cardiac ischemia. Abnormal heart sounds may or may
D. Obtain pulse and blood not reflect ischemia.
pressure.
A patient who visits the C. Discuss risk factors that the patient is interested in
clinic has the controllable modifying.
risk factors of smoking,
high-fat diet, overweight, Rationale: Because multiple risk factors are apparent,
decreased activity, and the most effective strategy may be for the patient to
high blood pressure. What identify those items that he or she would like to
concept should the nurse change. Presentation of many brochures is likely to
use when performing overwhelm the patient; it is better to focus attention
patient teaching? on one or two things that the patient is interested in
A. Teach the patient the modifying.
most serious information.
B. Give the patient
brochures to review
before the next visit.
C. Discuss risk factors that
the patient is interested in
modifying.
D. Describe
consequences of risk
factors to motivate the
patient.
, Which of the following D. Fatigue, difficulty sleeping, dyspnea.
clusters of symptoms are
common in women Rationale: Men typically have chest pain, nausea, and
preceding an MI? diaphoresis. Weight gain, edema, and nocturia are
A. Chest pain, nausea, typical symptoms of CHF. Dizziness, palpitations, and
diaphoresis low pulse are common with arrhythmias. Fatigue is a
B. Weight gain, edema, common presenting symptom in women.
nocturia
C. Dizziness, palpitations,
low pulse
D. Fatigue, difficulty
sleeping, dyspnea
The nurse auscultates a A. Grade III systolic murmur.
medium-loud whooshing
sound that softens Rationale: A medium loud murmur is graded III or IV
between S1 and S2. The on a I to VI scale. Murmurs between S1 and S2 are
nurse documents this systolic; those between S2 and S1 are diastolic.
finding as which of the
following?
A. Grade III systolic
murmur
B. Grade I systolic murmur
C. Grade V diastolic
murmur
D. Grade II diastolic
murmur
Save
Terms in this set (152)
Which of the following A. It is a double pump circulating blood out to the
statements describes the lungs and body.
cardiovascular system
most accurately? Rationale: The heart is a double pump with four
A. It is a double pump chambers, four valves, and a conduction system that
circulating blood out to has a pacemaker originating in the atrium (SA node).
the lungs and body. Concepts of preload, afterload, and contractility are
B. It has a heart with six used when considering the effectiveness of the
chambers, great vessels, pumping.
and valves.
C. It includes concepts of
precontractility,
postcontractility, and load.
D. It functions with a
conduction system that
starts in the ventricles.
, C. Systole.
In a healthy patient, the
Rationale: The SA node depolarizes and the atria
myocardial cells in the
contract, which appears as the P wave on an ECG.
ventricle depolarize and
After a brief pause at the AV junction, the impulse
contract during
travels through the bundle of His, bundle branches,
A. prediastole.
and Purkinje fibers. The muscle cells depolarize and
B. diastole.
contract, appearing as the QRS complex on the ECG.
C. systole.
The end result is ventricular systole and ejection of
D. postsystole.
blood to the lungs and body, producing the
heartbeat.
When the nurse listens to A. S1 greater than S2.
S1 in the mitral and
tricuspid areas, the Rationale: Closure of the mitral and tricuspid valves at
expected finding is the beginning of systole produces the S1. This closure
A. S1 greater than S2. prevents backflow of blood from the ventricles into
B. S1 is equal to S2. the atria. S1 is loudest over these valves, located in the
C. S2 greater than S1. 5th left ICS at the sternal border (tricuspid) and the
D. No S1 is heard 5th left ICS at the MCL (mitral).
The nurse assesses the C. The highest level of jugular venous pulsation.
neck vessels in the stable
patient with heart failure Rationale: The nurse looks for fluid volume overload
to determine which of the in the patient with congestive heart failure (CHF). An
following? elevated jugular venous pulsation reflects fluid
A.The bilateral carotid volume overload in the right heart. The bilateral
pulse carotid pulse is never palpated, because doing so
B.The presence of bruits may obstruct the circulation to the brain and cause
C.The highest level of the patient to faint. Bruits are auscultated in the
jugular venous pulsation carotids for the presence of narrowing that may lead
D.The strength of the to stroke; the carotids, not the jugular veins, are also
jugular veins palpated for arterial pulse strength.
,The nurse is caring for a D. Obtain pulse and blood pressure.
patient with a sudden
onset of chest pain. Which Rationale: Blood pressure serves as an indicator of
assessment is highest hemodynamic stability in this acute situation.
priority? Evaluating the pulse and blood pressure indicates if
A. Auscultate heart the patient has an effective pulse. Although heart
sounds. sounds will be auscultated, the highest priority is
B. Inspect the precordium. identifying the consequences of chest pain and
C. Percuss the left border. cardiac ischemia. Abnormal heart sounds may or may
D. Obtain pulse and blood not reflect ischemia.
pressure.
A patient who visits the C. Discuss risk factors that the patient is interested in
clinic has the controllable modifying.
risk factors of smoking,
high-fat diet, overweight, Rationale: Because multiple risk factors are apparent,
decreased activity, and the most effective strategy may be for the patient to
high blood pressure. What identify those items that he or she would like to
concept should the nurse change. Presentation of many brochures is likely to
use when performing overwhelm the patient; it is better to focus attention
patient teaching? on one or two things that the patient is interested in
A. Teach the patient the modifying.
most serious information.
B. Give the patient
brochures to review
before the next visit.
C. Discuss risk factors that
the patient is interested in
modifying.
D. Describe
consequences of risk
factors to motivate the
patient.
, Which of the following D. Fatigue, difficulty sleeping, dyspnea.
clusters of symptoms are
common in women Rationale: Men typically have chest pain, nausea, and
preceding an MI? diaphoresis. Weight gain, edema, and nocturia are
A. Chest pain, nausea, typical symptoms of CHF. Dizziness, palpitations, and
diaphoresis low pulse are common with arrhythmias. Fatigue is a
B. Weight gain, edema, common presenting symptom in women.
nocturia
C. Dizziness, palpitations,
low pulse
D. Fatigue, difficulty
sleeping, dyspnea
The nurse auscultates a A. Grade III systolic murmur.
medium-loud whooshing
sound that softens Rationale: A medium loud murmur is graded III or IV
between S1 and S2. The on a I to VI scale. Murmurs between S1 and S2 are
nurse documents this systolic; those between S2 and S1 are diastolic.
finding as which of the
following?
A. Grade III systolic
murmur
B. Grade I systolic murmur
C. Grade V diastolic
murmur
D. Grade II diastolic
murmur
