Assessment Simulation: Doris Anderson
(Cardiac) Questions and Answers |
Latest Version | 2025/2026 | Correct &
Verified
What is the most appropriate location to auscultate the apical heart rate in Doris Anderson?
✔✔ Fifth intercostal space at the midclavicular line
Which heart sound should the nurse expect to hear at the mitral valve area in Doris Anderson’s
assessment?
✔✔ S1 louder than S2
What is the significance of hearing an S3 heart sound in an older adult like Doris Anderson?
✔✔ It may indicate heart failure or fluid overload
What symptom reported by Doris Anderson would require immediate cardiac evaluation?
✔✔ Chest pain radiating to the jaw or left arm
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, What physical sign could indicate right-sided heart failure in Doris Anderson?
✔✔ Jugular vein distention
Which finding in Doris Anderson would suggest decreased peripheral perfusion?
✔✔ Cool extremities and delayed capillary refill
What is the best nursing action if Doris Anderson’s pulse is irregular?
✔✔ Auscultate apical pulse for one full minute
What should the nurse document if Doris Anderson's pedal pulses are difficult to palpate but
present with a Doppler?
✔✔ Pedal pulses present via Doppler
Why is it important to check for edema in Doris Anderson's lower extremities?
✔✔ It may indicate fluid retention due to heart failure
What is the rationale for assessing daily weights in Doris Anderson with a cardiac condition?
✔✔ To monitor fluid retention and effectiveness of treatment
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