PCHA EXAM VERSION 2, PATIENT CARE HEALTH
ASSISTANT QUESTIONS, VERIFIED PCHA ANSWERS,
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Question 1: When listening to heart sounds, the nurse knows that
which of the following statements concerning S1 is true?
Answer:
S1 is caused by closure of the mitral and tricuspid valves.
Question 2: Ms. Key has a visible apical impulse in the seventh to
eighth left intercostal space lateral to the midclavicular line. Upon
palpation, the impulse, which feels like a short 'tap', is
approximately 5 cm in diameter and feels more forceful than usual.
These physical finding indicate:
Answer:
left ventricular enlargement
Question 3: Which of the following is true regarding an S3 heart
sound?
Answer:
S3 occurs early in diastole.
Question 4: Normal physiologic splitting of S2 occurs due to:
Answer:
early aortic valve closure and late pulmonic valve closure.
,Question 5: When listening to heart sounds, the nurse knows that
the valve closures that can be heard best at the base of the heart
are:
Answer:
aortic; pulmonic
Question 6: During the precordial assessment on an 8-month
pregnant patient, the nurse palpates the apical impulse at the third
to fourth left intercostal space lateral to the midclavicular line. This
would indicate:
Answer:
displacement of the heart from elevation of the diaphragm.
Question 7: A heart murmur:
Answer:
all of the above
Question 8: - may be innocent and occur without evidence of
structural abnormalities - can be caused by a structural
abnormality of a heart valve. - may be caused by increased blood
flow across a normal valve. In your assessment of a 68-year-old
male with recent onset of right-sided weakness, you hear a
blowing, swishing sound with the bell of the stethoscope over the
left carotid artery. This would best be described as a:
Answer:
bruit
, Question 9: The findings from an assessment of a 70-year-old
patient with swelling in his ankles include jugular venous
distention to the jaw when the head of his bed is elevated 45
degrees. The nurse knows that this finding indicates:
Answer:
increased pressure in the right side of the heart.
Question 10: During assessment of the cardiovascular system, it is
important to:
Answer:
all of the above
Question 11: - use the bell and diaphragm when auscultating heart
sounds - assess for systemic signs of cardiovascular disease -
perform a thorough patient history Assessment findings which may
indicate cardiac disease include:
Answer:
pitting edema
Question 12: In assessing a patient's major risk factors for heart
disease, which would the nurse want to include when taking a
history?
Answer:
all of the above
Question 13: - cigarette smoking - hypertension - high blood
cholesterol The patient has 20/100 vision. When the patient asks
the nurse what this means, the correct response would be:
Answer:
ASSISTANT QUESTIONS, VERIFIED PCHA ANSWERS,
LATEST PCHA TEST, PCHA STUDY GUIDE PDF, GRADED
PCHA QUESTIONS, CERTIFICATION REVIEW- COMPLETE
QUESTIONS AND DETAILED SOLUTIONS LATEST UPDATE
THIS YEAR JUST RELEASED
Question 1: When listening to heart sounds, the nurse knows that
which of the following statements concerning S1 is true?
Answer:
S1 is caused by closure of the mitral and tricuspid valves.
Question 2: Ms. Key has a visible apical impulse in the seventh to
eighth left intercostal space lateral to the midclavicular line. Upon
palpation, the impulse, which feels like a short 'tap', is
approximately 5 cm in diameter and feels more forceful than usual.
These physical finding indicate:
Answer:
left ventricular enlargement
Question 3: Which of the following is true regarding an S3 heart
sound?
Answer:
S3 occurs early in diastole.
Question 4: Normal physiologic splitting of S2 occurs due to:
Answer:
early aortic valve closure and late pulmonic valve closure.
,Question 5: When listening to heart sounds, the nurse knows that
the valve closures that can be heard best at the base of the heart
are:
Answer:
aortic; pulmonic
Question 6: During the precordial assessment on an 8-month
pregnant patient, the nurse palpates the apical impulse at the third
to fourth left intercostal space lateral to the midclavicular line. This
would indicate:
Answer:
displacement of the heart from elevation of the diaphragm.
Question 7: A heart murmur:
Answer:
all of the above
Question 8: - may be innocent and occur without evidence of
structural abnormalities - can be caused by a structural
abnormality of a heart valve. - may be caused by increased blood
flow across a normal valve. In your assessment of a 68-year-old
male with recent onset of right-sided weakness, you hear a
blowing, swishing sound with the bell of the stethoscope over the
left carotid artery. This would best be described as a:
Answer:
bruit
, Question 9: The findings from an assessment of a 70-year-old
patient with swelling in his ankles include jugular venous
distention to the jaw when the head of his bed is elevated 45
degrees. The nurse knows that this finding indicates:
Answer:
increased pressure in the right side of the heart.
Question 10: During assessment of the cardiovascular system, it is
important to:
Answer:
all of the above
Question 11: - use the bell and diaphragm when auscultating heart
sounds - assess for systemic signs of cardiovascular disease -
perform a thorough patient history Assessment findings which may
indicate cardiac disease include:
Answer:
pitting edema
Question 12: In assessing a patient's major risk factors for heart
disease, which would the nurse want to include when taking a
history?
Answer:
all of the above
Question 13: - cigarette smoking - hypertension - high blood
cholesterol The patient has 20/100 vision. When the patient asks
the nurse what this means, the correct response would be:
Answer:
