During a post-hospital discharge visit, you notice your 71 Diastole
year old female patient has been diagnosed with a "new
murmur” found by the hospitalist during their recent
hospitalization for CHF exacerbation. In evaluating the
patient, during which phase of the cardiac cycle would you
anticipate auscultation of a S3 or S4 heart sound?
*Diastole
*563 in systole while S4 in diastole
*Systole
*S4 in diastole while S3 in systole
The point of maximum impulse (PMI) is MOST often Left 5th intercostal space, midclavicular line
palpable in healthy adults when positioned in the supine or
left lateral decubitus position. Which one of the following
locations is most commonly described as the PMI in a
healthy adult?
*Left 2nd intercostal space, midaxillary line.
*Left 5th intercostal space, midclavicular line.
*Right 4th intercostal space, midaxillary line.
*Right 2nd intercostal space, midclavicular line.
The nurse practitioner assessing the patient with a rapid Peak of the R wave.
cardiac rhythm may assess for a pulse deficit by
auscultating the patient's heart while watching the EKG
rhythm. Where would the S1 heart sounds correlate with
the electrocardiographic waves?
*At the end of the T wave.
*At the start of the T wave.
*Peak of the R wave.
*At the start of the P wave.
Michael, a 72 year old male patient who previously Check for thyroid dysfunction
presented with stable cardiac-type chest pain has
underwent a stress test. He presents today to review the
stress test results, which show EKG findings of ST
segment depression during the exam in leads V3 and V4
as well as some concurrent chest discomfort. Based on
these findings, which of the following are NOT priority
medical decisions?
*Prescribe metoprolol (Lopressor) 12.5mg PO BID
*Prescribe aspirin 81mg PO daily
*Refer to cardiology for angiography
* Check for thyroid dysfunction
While examining a 53 year old female patient, you Positive for egophony
auscultate abnormal breath sounds over all fields, and now
assess transmission of voice sounds by having the patient
say "ee" while auscultating the chest with the diaphragm of
your stethoscope. Normally, you should auscultate a
muffled "e" sound, however, you hear hear a nasally "a"
sound. Which one of the following will you document is
present?
*Positive stereognosis.
*Positive for egophony.
*Negative for bronchophony.
*Negative for egophony
While assessing the 19 year old patient for a new onset To identify if underlying tissue are air-filled, fluid-filled or consolidated
cough, the nurse practitioner may inspect, auscultate,
palpate, and/or percuss.
How does performing percussion of the thorax assist the
provider during the physical examination?
*To assist with the confirmation of cardiac origin of angina.
*To assess for deep-seated lesion and tumors.
*To assess for any pain or discomfort prior to palpitation of
the chest wall.
*To identify if underlying tissue are air-filled, fluid-filled or
consolidated
year old female patient has been diagnosed with a "new
murmur” found by the hospitalist during their recent
hospitalization for CHF exacerbation. In evaluating the
patient, during which phase of the cardiac cycle would you
anticipate auscultation of a S3 or S4 heart sound?
*Diastole
*563 in systole while S4 in diastole
*Systole
*S4 in diastole while S3 in systole
The point of maximum impulse (PMI) is MOST often Left 5th intercostal space, midclavicular line
palpable in healthy adults when positioned in the supine or
left lateral decubitus position. Which one of the following
locations is most commonly described as the PMI in a
healthy adult?
*Left 2nd intercostal space, midaxillary line.
*Left 5th intercostal space, midclavicular line.
*Right 4th intercostal space, midaxillary line.
*Right 2nd intercostal space, midclavicular line.
The nurse practitioner assessing the patient with a rapid Peak of the R wave.
cardiac rhythm may assess for a pulse deficit by
auscultating the patient's heart while watching the EKG
rhythm. Where would the S1 heart sounds correlate with
the electrocardiographic waves?
*At the end of the T wave.
*At the start of the T wave.
*Peak of the R wave.
*At the start of the P wave.
Michael, a 72 year old male patient who previously Check for thyroid dysfunction
presented with stable cardiac-type chest pain has
underwent a stress test. He presents today to review the
stress test results, which show EKG findings of ST
segment depression during the exam in leads V3 and V4
as well as some concurrent chest discomfort. Based on
these findings, which of the following are NOT priority
medical decisions?
*Prescribe metoprolol (Lopressor) 12.5mg PO BID
*Prescribe aspirin 81mg PO daily
*Refer to cardiology for angiography
* Check for thyroid dysfunction
While examining a 53 year old female patient, you Positive for egophony
auscultate abnormal breath sounds over all fields, and now
assess transmission of voice sounds by having the patient
say "ee" while auscultating the chest with the diaphragm of
your stethoscope. Normally, you should auscultate a
muffled "e" sound, however, you hear hear a nasally "a"
sound. Which one of the following will you document is
present?
*Positive stereognosis.
*Positive for egophony.
*Negative for bronchophony.
*Negative for egophony
While assessing the 19 year old patient for a new onset To identify if underlying tissue are air-filled, fluid-filled or consolidated
cough, the nurse practitioner may inspect, auscultate,
palpate, and/or percuss.
How does performing percussion of the thorax assist the
provider during the physical examination?
*To assist with the confirmation of cardiac origin of angina.
*To assess for deep-seated lesion and tumors.
*To assess for any pain or discomfort prior to palpitation of
the chest wall.
*To identify if underlying tissue are air-filled, fluid-filled or
consolidated
