Cardiac Assessment NCLEX prep mkmk mkmk mkmk
The Nurse is assessing a client who has a low-pitches murmur. What is the
mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk
most appropriate way for the nurse to position the client to auscultate this
mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk
murmur
mkmk On the left lateral side using the bell of the stethoscope.
mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk
During a cardiovascular assessment the nurse finds a bluish tinge on the
mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk
clients lips, fingers, and toes. what is the appropriate documentation for this
mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk
finding?
mkmk Central and peripheral cyanosis mkmk mkmk mkmk
When evaluating a client's circulation the nurse should include which
mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk
assessments? Select all that apply. Palpation of pulses, Skin temperature of
mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk
bilateral extremities, Skin color, Hair on the legs and feet
mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk
During a cardiovascular assessment the nurse notes that the client has a heart
mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk
rhythm with a pause after each beat and a skip every third beat. What is
mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk
the appropriate interpretation of this findings? Regularly Irregular
mkmk mkmk mkmk mkmk mkmk mkmk mkmk
When obtaining a cardiovascular health history the nurse should ask the client
mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk
which questions? Select all that apply. "Are you able to perform your
mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk
ADL's?", "Have you had any weight changes?", Have you been treated for
mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk
cardiovascular disease?", Do you know your cholesterol and triglyceride levels?
mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk
When performing a dietary history on a client with a cardiovascular history,
mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk
the nurse should obtain information related to which items?
mkmk mkmk mkmk mkmk Sodium mkmk mkmk mkmk mkmk mkmk
intake
mkmk
In preparing to perform a cardiovascular assessment, the nurse should initially
mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk
place the client in which position?Sitting upright
mkmk mkmk mkmk mkmk mkmk mkmk mkmk
The nurse performing a cardiovascular assessment observes splinter hemorrhages.
mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk
The nurse should evaluate this client for which of the following?
mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk
Endocarditis
When palpating the carotid arteries it is essential that the nurse do which of
mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk
the following?
mkmk mkmk Avoid palpating the carotids simultaneously. mkmk mkmk mkmk mkmk
Before assessing the client's carotid arteries for pulsations, the nurse would
mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk
raise the client's head of bed to how many degrees elevation for proper
mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk
position? 45 degrees
mkmk mkmk
The client has a history of aortic stenosis and an S3 murmur. What action
mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk
would the nurse take to auscultate this murmur?
mkmk mkmk mkmk Use the bell of the
mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk
stethoscope.
mkmk
In the client with mitral regurgitation the nurse would confirm the presence
mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk
of a murmur at which location on the anterior chest?
mkmk mkmk mkmk mkmk Apex
mkmk mkmk mkmk mkmk mkmk mkmk
To detect the presence of an ascending aortic aneurysm, the nurse would
mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk
palpate which area on the client's chest? Select the correct area The A:
mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk
Aortic valve
mkmk mkmk
When auscultating the apical pulse the nurse should assess for which
mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk
characteristics? Select all that applyRate, Regularity, and Rhythm
mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk
The nurse caring for a client experiencing chest discomfort should obtain
mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk
which assessment data from the client? Description of the pain and location.
mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk
The Nurse is assessing a client who has a low-pitches murmur. What is the
mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk
most appropriate way for the nurse to position the client to auscultate this
mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk
murmur
mkmk On the left lateral side using the bell of the stethoscope.
mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk
During a cardiovascular assessment the nurse finds a bluish tinge on the
mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk
clients lips, fingers, and toes. what is the appropriate documentation for this
mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk
finding?
mkmk Central and peripheral cyanosis mkmk mkmk mkmk
When evaluating a client's circulation the nurse should include which
mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk
assessments? Select all that apply. Palpation of pulses, Skin temperature of
mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk
bilateral extremities, Skin color, Hair on the legs and feet
mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk
During a cardiovascular assessment the nurse notes that the client has a heart
mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk
rhythm with a pause after each beat and a skip every third beat. What is
mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk
the appropriate interpretation of this findings? Regularly Irregular
mkmk mkmk mkmk mkmk mkmk mkmk mkmk
When obtaining a cardiovascular health history the nurse should ask the client
mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk
which questions? Select all that apply. "Are you able to perform your
mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk
ADL's?", "Have you had any weight changes?", Have you been treated for
mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk
cardiovascular disease?", Do you know your cholesterol and triglyceride levels?
mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk
When performing a dietary history on a client with a cardiovascular history,
mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk
the nurse should obtain information related to which items?
mkmk mkmk mkmk mkmk Sodium mkmk mkmk mkmk mkmk mkmk
intake
mkmk
In preparing to perform a cardiovascular assessment, the nurse should initially
mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk
place the client in which position?Sitting upright
mkmk mkmk mkmk mkmk mkmk mkmk mkmk
The nurse performing a cardiovascular assessment observes splinter hemorrhages.
mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk
The nurse should evaluate this client for which of the following?
mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk
Endocarditis
When palpating the carotid arteries it is essential that the nurse do which of
mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk
the following?
mkmk mkmk Avoid palpating the carotids simultaneously. mkmk mkmk mkmk mkmk
Before assessing the client's carotid arteries for pulsations, the nurse would
mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk
raise the client's head of bed to how many degrees elevation for proper
mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk
position? 45 degrees
mkmk mkmk
The client has a history of aortic stenosis and an S3 murmur. What action
mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk
would the nurse take to auscultate this murmur?
mkmk mkmk mkmk Use the bell of the
mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk
stethoscope.
mkmk
In the client with mitral regurgitation the nurse would confirm the presence
mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk
of a murmur at which location on the anterior chest?
mkmk mkmk mkmk mkmk Apex
mkmk mkmk mkmk mkmk mkmk mkmk
To detect the presence of an ascending aortic aneurysm, the nurse would
mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk
palpate which area on the client's chest? Select the correct area The A:
mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk
Aortic valve
mkmk mkmk
When auscultating the apical pulse the nurse should assess for which
mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk
characteristics? Select all that applyRate, Regularity, and Rhythm
mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk
The nurse caring for a client experiencing chest discomfort should obtain
mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk
which assessment data from the client? Description of the pain and location.
mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk mkmk
