NSG 6020 Cardiovascular Disorders - Q and
Answers
1. In order to bring the ventricular apex closer to the chest wall when assessing the point of
maximal impulse (PMI), ask the pt to: turn to the left side
2. The tonsillar, submandibular, and submental nodes drain the lymphatic fluid from portions of
the: mouth, throat, and face
3. When screening a pt for peripheral arterial disease (PAD), one risk factor would include a
history of: smoking
4. Heart sounds produced by turbulence due to a temporary increase in blood flow in
predisposing conditions, such as hyperthyroidism, is considered: a physiologic murmur
5. A pt complains of a tight, bursting pain in the calf that increases w/ walking. Elevation of the
leg sometimes relieves the pain. These symptoms may be consistent w/: deep venous
thrombosis
6. On assessment, which one of the following symptoms would be noted as a compensatory
response to chronic hypoxia? Hematocrit (HCT) of 55%
7. A pt describes chest pain as persistent, sharp, and knife-like. These symptoms are more
characteristic of: pericarditis
8. The horizontal superficial inguinal lymph nodes are located in the anterior thigh below the
inguinal ligament and drain lymphatic fluid from all of these areas except: testes
9. When assessing the heart rate of a healthy 13-month-old child, which one of the following sites
is the most appropriate for this child? Apical pulse between the 3rd and 4th intercostal space in
the left midclavicular line
10. To assess the murmur of aortic insufficiency, position the pt: sitting leaning forward
11. A child presents w/ fever of 102. 5 F for the past five days. Kawasaki disease is suspected if
which of the following groups of symptoms is present? Cervical lymphadenopathy, bilateral
non-purulent conjunctivitis, periungual desquamation, and polymorphous rash
12. The great saphenous vein enters the deep venous system by way of the: femoral vein
13. A pt describes chest pain as pressing, squeezing, and tight lasting between 1 and 3 minutes.
These symptoms are more characteristic of: myocardial infarction
14. A bruit heard in the epigastric area w/ both systolic and diastolic components is suggestive of:
renal artery stenosis
15. Tissue ischemia is usually observed when assessing a pt w/ peripheral artery disease (PAD).
What other symptom could be assessed? Intermittent claudication
16. A pt complains of some pain in the distal portions of her fingers on both hands. She states that
it tends to occur more frequently w/ exposure to cold. These symptoms may be consistent w/:
Raynaud's disease
17. A pt presents w/ chest pain that radiates to the left side of the neck and down the left arm when
he chops wood. This type of pain could be suggestive of: angina pectoris
18. The amplitude of the pulse in a pt in cardiogenic shock would most likely appear: thready
19. Characteristic symptoms of chronic venous insufficiency may include which one of the
following? Petechiae leading to brown pigmentation noted over the feet
20. Children presenting w/ congenital heart defects that result in right to left shunting would most
likely exhibit which of the following symptoms? Cyanosis, decreased cardiac output, and
desaturated systemic blood flow
21. The ankle-brachial index is a screening test used to assess a person's risk for: peripheral artery
disease
, 22. A disease that may present as indigestion, but is precipitated by exertion and relieved by rest is
most likely: angina
23. In order to assess for varicosities in the lower extremities, position the pt: standing
24. The four classic structural defects of Tetralogy of Fallot include: a ventricular septal defect, an
overriding aorta, pulmonary stenosis, and right ventricular hypertrophy
25. A 68-year-old man w/ uncontrolled HTN presents w/ sudden, intense left lower abdominal
pain that radiates to the back. The pain is associated w/ a tearing sensation. These findings
are MOST likely associated w/: an abdominal aortic aneurysm (AAA)
26. Symptoms of orthostatic hypotension include all of the following except: respiratory rate
greater than 30
27. When auscultating the heart, a scratchy, continuous murmur is audible during atrial systole
and ventricular systole and diastole. This finding may be indicative of a: pericardial friction rub
28. In older adults, the presence of heart sound S4 suggests: HTN
29. A pt w/ cirrhosis develops portal HTN as indicated by the presence of: splenomegaly
30. The anterior cervical lymph node chain is located anterior and: superficial to the sternomastoid
muscle
31. The axillary lymph nodes drain lymphatic fluid from all of the following areas except the:
anterior chest wall
32. The lymphatic ducts drain into the: venous system
33. The pt has had an internal pacemaker in place for five years. Pacemaker failure is being
considered because over the past few days, the pt has been experiencing episodes of: hiccoughs
34. Why would a newborn w/ patent ductus arteriosus receive a prostaglandin inhibitor
(indomethacin)? To reduce fluid overload on the pulmonary circulation
35. In older adults, the presence of heart sound S3 suggests: heart failure
36. Enlarged or tender lymph nodes are most often associated w/: infection in its nearby drainage
area
37. Pain w/ walking or prolonged standing, radiating from the spinal area into the buttocks, thighs,
lower legs, or feet, may be seen w/: neurogenic claudication
38. A heart rate of 100-180 beats per minute in an adult is considered: sinus tachycardia
39. When auscultating the point of maximal impulse (PMI), apex of the heart, in an adult, the
stethoscope is placed at the: fifth intercostal space to the left of the midclavicular line
40. When auscultating the heart, the displacement of the point of maximal impulse (PMI) is
greater than 10 cm lateral to themidsternal line. This finding is consistent w/: left ventricular
hypertrophy
41. A finding suggestive of an inflamed lymph node would be one that is: tender and movable
42. The posterior auricular lymph nodes drain lymphatic fluid from the: posterior part of the
temporoparietal region
43. Which of the following group of symptoms would be suggestive of an infant experiencing a
congenital heart defect associated w/a decreased pulmonary blood flow pattern? Tissue
perfusion greater than 3 seconds, bluish colored skin, and poor feeding
44. What heart sounds are heard during auscultation of a man w/ Marfan syndrome who has a
known mitral valve prolapse? A mid-systolic click
45. Deep cervical lymph nodes drain lymphatic fluid from the: head and neck
46. A pt complains of increased pain in the calf muscles and buttocks especially after walking or
riding his bicycle. He states that the pain stops after he sits still for about 2-3 minutes. This
condition may be associated w/: intermittent claudication
47. A male pt states that he has difficulty breathing when he is lying down but when he sits up, it
improves. This is a classic description of: orthopnea
48. The external iliac lymph nodes drain lymphatic fluid from the following areas except the:
gluteal region
49. A disparity between the brachial and femoral pulses in a 4-month-old could indicate:
coarctation of the aorta (COA)
Answers
1. In order to bring the ventricular apex closer to the chest wall when assessing the point of
maximal impulse (PMI), ask the pt to: turn to the left side
2. The tonsillar, submandibular, and submental nodes drain the lymphatic fluid from portions of
the: mouth, throat, and face
3. When screening a pt for peripheral arterial disease (PAD), one risk factor would include a
history of: smoking
4. Heart sounds produced by turbulence due to a temporary increase in blood flow in
predisposing conditions, such as hyperthyroidism, is considered: a physiologic murmur
5. A pt complains of a tight, bursting pain in the calf that increases w/ walking. Elevation of the
leg sometimes relieves the pain. These symptoms may be consistent w/: deep venous
thrombosis
6. On assessment, which one of the following symptoms would be noted as a compensatory
response to chronic hypoxia? Hematocrit (HCT) of 55%
7. A pt describes chest pain as persistent, sharp, and knife-like. These symptoms are more
characteristic of: pericarditis
8. The horizontal superficial inguinal lymph nodes are located in the anterior thigh below the
inguinal ligament and drain lymphatic fluid from all of these areas except: testes
9. When assessing the heart rate of a healthy 13-month-old child, which one of the following sites
is the most appropriate for this child? Apical pulse between the 3rd and 4th intercostal space in
the left midclavicular line
10. To assess the murmur of aortic insufficiency, position the pt: sitting leaning forward
11. A child presents w/ fever of 102. 5 F for the past five days. Kawasaki disease is suspected if
which of the following groups of symptoms is present? Cervical lymphadenopathy, bilateral
non-purulent conjunctivitis, periungual desquamation, and polymorphous rash
12. The great saphenous vein enters the deep venous system by way of the: femoral vein
13. A pt describes chest pain as pressing, squeezing, and tight lasting between 1 and 3 minutes.
These symptoms are more characteristic of: myocardial infarction
14. A bruit heard in the epigastric area w/ both systolic and diastolic components is suggestive of:
renal artery stenosis
15. Tissue ischemia is usually observed when assessing a pt w/ peripheral artery disease (PAD).
What other symptom could be assessed? Intermittent claudication
16. A pt complains of some pain in the distal portions of her fingers on both hands. She states that
it tends to occur more frequently w/ exposure to cold. These symptoms may be consistent w/:
Raynaud's disease
17. A pt presents w/ chest pain that radiates to the left side of the neck and down the left arm when
he chops wood. This type of pain could be suggestive of: angina pectoris
18. The amplitude of the pulse in a pt in cardiogenic shock would most likely appear: thready
19. Characteristic symptoms of chronic venous insufficiency may include which one of the
following? Petechiae leading to brown pigmentation noted over the feet
20. Children presenting w/ congenital heart defects that result in right to left shunting would most
likely exhibit which of the following symptoms? Cyanosis, decreased cardiac output, and
desaturated systemic blood flow
21. The ankle-brachial index is a screening test used to assess a person's risk for: peripheral artery
disease
, 22. A disease that may present as indigestion, but is precipitated by exertion and relieved by rest is
most likely: angina
23. In order to assess for varicosities in the lower extremities, position the pt: standing
24. The four classic structural defects of Tetralogy of Fallot include: a ventricular septal defect, an
overriding aorta, pulmonary stenosis, and right ventricular hypertrophy
25. A 68-year-old man w/ uncontrolled HTN presents w/ sudden, intense left lower abdominal
pain that radiates to the back. The pain is associated w/ a tearing sensation. These findings
are MOST likely associated w/: an abdominal aortic aneurysm (AAA)
26. Symptoms of orthostatic hypotension include all of the following except: respiratory rate
greater than 30
27. When auscultating the heart, a scratchy, continuous murmur is audible during atrial systole
and ventricular systole and diastole. This finding may be indicative of a: pericardial friction rub
28. In older adults, the presence of heart sound S4 suggests: HTN
29. A pt w/ cirrhosis develops portal HTN as indicated by the presence of: splenomegaly
30. The anterior cervical lymph node chain is located anterior and: superficial to the sternomastoid
muscle
31. The axillary lymph nodes drain lymphatic fluid from all of the following areas except the:
anterior chest wall
32. The lymphatic ducts drain into the: venous system
33. The pt has had an internal pacemaker in place for five years. Pacemaker failure is being
considered because over the past few days, the pt has been experiencing episodes of: hiccoughs
34. Why would a newborn w/ patent ductus arteriosus receive a prostaglandin inhibitor
(indomethacin)? To reduce fluid overload on the pulmonary circulation
35. In older adults, the presence of heart sound S3 suggests: heart failure
36. Enlarged or tender lymph nodes are most often associated w/: infection in its nearby drainage
area
37. Pain w/ walking or prolonged standing, radiating from the spinal area into the buttocks, thighs,
lower legs, or feet, may be seen w/: neurogenic claudication
38. A heart rate of 100-180 beats per minute in an adult is considered: sinus tachycardia
39. When auscultating the point of maximal impulse (PMI), apex of the heart, in an adult, the
stethoscope is placed at the: fifth intercostal space to the left of the midclavicular line
40. When auscultating the heart, the displacement of the point of maximal impulse (PMI) is
greater than 10 cm lateral to themidsternal line. This finding is consistent w/: left ventricular
hypertrophy
41. A finding suggestive of an inflamed lymph node would be one that is: tender and movable
42. The posterior auricular lymph nodes drain lymphatic fluid from the: posterior part of the
temporoparietal region
43. Which of the following group of symptoms would be suggestive of an infant experiencing a
congenital heart defect associated w/a decreased pulmonary blood flow pattern? Tissue
perfusion greater than 3 seconds, bluish colored skin, and poor feeding
44. What heart sounds are heard during auscultation of a man w/ Marfan syndrome who has a
known mitral valve prolapse? A mid-systolic click
45. Deep cervical lymph nodes drain lymphatic fluid from the: head and neck
46. A pt complains of increased pain in the calf muscles and buttocks especially after walking or
riding his bicycle. He states that the pain stops after he sits still for about 2-3 minutes. This
condition may be associated w/: intermittent claudication
47. A male pt states that he has difficulty breathing when he is lying down but when he sits up, it
improves. This is a classic description of: orthopnea
48. The external iliac lymph nodes drain lymphatic fluid from the following areas except the:
gluteal region
49. A disparity between the brachial and femoral pulses in a 4-month-old could indicate:
coarctation of the aorta (COA)
