HESI MED SURG ELSEVIER EXAM |
100+ QUESTIONS AND VERIFIED
ANSWERS GRADED A+ | LATEST
2024/2025
The nurse is performing an assessment for a patient with
fatigue and shortness of breath. Auscultation of the heart
reveals the presence of a murmur. What is this assessment
finding indicative of?
Increased viscosity of the patient's blood
Turbulent blood flow across a heart valve
Friction between the heart and the myocardium
A deficit in heart conductivity that impairs normal contractility
- Correct Answer - Turbulent blood flow across a heart valve
While assessing the cardiovascular status of a patient, the
nurse performs auscultation. Which intervention should the
nurse implement in the assessment during auscultation?
Position the patient supine.
Ask the patient to hold his or her breath.
,Palpate the radial pulse while auscultating the apical pulse.
Use the bell of the stethoscope when auscultating S1 and S2.
- Correct Answer - Palpate the radial pulse while auscultating
the apical pulse.
A patient presents to the emergency department with reports of
chest pain for 3 hours. What component of his blood work is
most clearly indicative of a myocardial infarction (MI)?
CK-MB
Troponin
Myoglobin
C-reactive protein
- Correct Answer - Troponin
While auscultating the patient's heart sounds with the bell of the
stethoscope, the nurse hears these sounds. How should the
nurse document what is heard?
Diastolic murmur
Third heart sound (S3)
Fourth heart sound (S4)
Normal heart sounds (S1, S2)
,- Correct Answer - Third heart sound (S3)
The patient informs the nurse that he does not understand how
there can be a blockage in the left anterior descending artery
(LAD), but there is damage to the right ventricle. What is the
best response by the nurse?
"The one vessel curves around from the left side to the right
ventricle."
"The LAD supplies blood to the left side of the heart and part of
the right ventricle."
"The right ventricle is supplied during systole primarily by the
right coronary artery."
"It is actually on your right side of the heart, but we call it the left
anterior descending vessel."
- Correct Answer - "The LAD supplies blood to the left side of
the heart and part of the right ventricle."
When looking at the electrocardiogram (ECG) of the patient,
the nurse knows that the QRS complex recorded on the ECG
represents which part of the heart's beat?
Depolarization of the atria
Repolarization of the ventricles
, Depolarization from atrioventricular (AV) node throughout
ventricles
The length of time it takes for the impulse to travel from the
atria to the ventricles
- Correct Answer - Depolarization from atrioventricular (AV)
node throughout ventricle
In palpating the patient's pedal pulses, the nurse determines
the pulses are absent. What factor could contribute to this
result?
Atherosclerosis
Hyperthyroidism
Arteriovenous fistula
Cardiac dysrhythmias
- Correct Answer - Atherosclerosis
The nurse informs the patient that she must wear intermittent
sequential compression stockings after a surgical procedure.
What is an appropriate rationale for nurse to give to the patient
for the use of the device?
The socks keep the legs warm while the patient is not moving
much.
100+ QUESTIONS AND VERIFIED
ANSWERS GRADED A+ | LATEST
2024/2025
The nurse is performing an assessment for a patient with
fatigue and shortness of breath. Auscultation of the heart
reveals the presence of a murmur. What is this assessment
finding indicative of?
Increased viscosity of the patient's blood
Turbulent blood flow across a heart valve
Friction between the heart and the myocardium
A deficit in heart conductivity that impairs normal contractility
- Correct Answer - Turbulent blood flow across a heart valve
While assessing the cardiovascular status of a patient, the
nurse performs auscultation. Which intervention should the
nurse implement in the assessment during auscultation?
Position the patient supine.
Ask the patient to hold his or her breath.
,Palpate the radial pulse while auscultating the apical pulse.
Use the bell of the stethoscope when auscultating S1 and S2.
- Correct Answer - Palpate the radial pulse while auscultating
the apical pulse.
A patient presents to the emergency department with reports of
chest pain for 3 hours. What component of his blood work is
most clearly indicative of a myocardial infarction (MI)?
CK-MB
Troponin
Myoglobin
C-reactive protein
- Correct Answer - Troponin
While auscultating the patient's heart sounds with the bell of the
stethoscope, the nurse hears these sounds. How should the
nurse document what is heard?
Diastolic murmur
Third heart sound (S3)
Fourth heart sound (S4)
Normal heart sounds (S1, S2)
,- Correct Answer - Third heart sound (S3)
The patient informs the nurse that he does not understand how
there can be a blockage in the left anterior descending artery
(LAD), but there is damage to the right ventricle. What is the
best response by the nurse?
"The one vessel curves around from the left side to the right
ventricle."
"The LAD supplies blood to the left side of the heart and part of
the right ventricle."
"The right ventricle is supplied during systole primarily by the
right coronary artery."
"It is actually on your right side of the heart, but we call it the left
anterior descending vessel."
- Correct Answer - "The LAD supplies blood to the left side of
the heart and part of the right ventricle."
When looking at the electrocardiogram (ECG) of the patient,
the nurse knows that the QRS complex recorded on the ECG
represents which part of the heart's beat?
Depolarization of the atria
Repolarization of the ventricles
, Depolarization from atrioventricular (AV) node throughout
ventricles
The length of time it takes for the impulse to travel from the
atria to the ventricles
- Correct Answer - Depolarization from atrioventricular (AV)
node throughout ventricle
In palpating the patient's pedal pulses, the nurse determines
the pulses are absent. What factor could contribute to this
result?
Atherosclerosis
Hyperthyroidism
Arteriovenous fistula
Cardiac dysrhythmias
- Correct Answer - Atherosclerosis
The nurse informs the patient that she must wear intermittent
sequential compression stockings after a surgical procedure.
What is an appropriate rationale for nurse to give to the patient
for the use of the device?
The socks keep the legs warm while the patient is not moving
much.
