Health Assessment Exam 3 Test Bank – Comprehensive Practice
Questions, Clinical Assessment Concepts & Exam Review
Terms in this set (157)
While auscultating the heart at the third A) Pericardial friction rub
intercostal space, left sternal border, the
nurse notes a high-pitched, scratchy sound
that increases with exhalation with the client
leaning forward. The nurse would document
which of the following?
A) Pericardial friction rub
B) Midsystolic click
C) Summation gallop
D) Aortic ejection click
,During chest auscultation, the nurse hears a
B) II
quiet murmur immediately upon placing the
stethoscope on the client's chest. The nurse
interprets this as which grade?
A) I
B) II
C) III
D) IV
After teaching a group of students about B) Ventricles
blood flow through the heart, the instructor
determines that the teaching was
successful when the students state that
after being received by the atria, the
blood goes to which of the following?
A) Chordae tendineae
B)Ventricles
C) Semilunar valves
D) Precordium
A group of students is reviewing the A) Myocardium
structures of the heart, noting that the
thickest layer of the heart is made up of
contractile muscle cells. The students are
correct in identifying it as which of the
following?
A) Myocardium
B) Epicardium
C) Endocardium
D) Pericardium
A nursing student is reviewing the electrical C) Pacemaker
conduction of the heart. The student is
correct in identifying the sinoatrial node of
the heart as which of the following?
A) Bundle of His
B) Purkinje fibers
C) Pacemaker
D) Conduction system
The nurse is assessing a client's first heart d
sound. The nurse interprets this finding as
indicating which heart action?
A) Isometric contraction
B) Closure of the semilunar valves
C) Beginning of diastole
D) Closure of the atrioventricular valves
,A nurse assesses a client's jugular venous d
pulse to gather information about which of
the following?
A) Left arterial pressure.
B) Left ventricular diastolic filling.
C) Right ventricular pressure.
D) Hemodynamics of the right side of the
heart.
On examination, the nurse would expect
a what finding if a client is in right-sided
failure?
A) Increased jugular venous pressure
B) Decreased right-sided volume
C) Decreased central venous pressure
D) Decreased stroke volume
A client presents with chest pain described
a as a pressure and squeezing sensation that
is steady and severe. The nurse would
suspect which system as the most likely
source?
A) Cardiac
B)Gastrointestinal
C) Musculoskeletal
D) Pulmonary
A client complains of palpitations and a c
feeling of anxiety. Which of the following
would be most appropriate for the nurse to
keep in mind?
A) This is a normal response by the
heart's conduction system.
B)This is the body's response to an
increase in cardiac output.
C) The heart is attempting to increase
cardiac output.
D)The heart is responding to increased
renal perfusion.
Which of the following would the nurse b
suspect when a client with a cardiac
condition complains of not sleeping well
and having to get up frequently at night to
urinate?
A) This indicates the heart is working
efficiently.
B) Increased urination at rest may indicate
heart failure.
C) The client has decreased performance
levels of activities of daily living.
D)The client most likely sleeps without
a pillow at night.
When auscultating the left carotid artery, the
, b
nurse notes a swishing sound. The nurse
interprets this finding as suggesting which
of the following?
A) Decreased cardiac output
B) Increased central venous pressure
C) A narrowed vessel
D) Right ventricular failure
Which technique would be most d
appropriate to use when examining the
jugular venous pulse?
A) Perform the exam with the client in a
supine position.
B) Have the client look straight ahead
with chin slightly lifted.
C) Have the client sit up at a 90-
degree angle.
D) Inspect the suprasternal notch or around
the clavicles.
The nurse is preparing to assess a client's d
apical impulse. The nurse would palpate at
which location?
A) Second intercostal space, left sternal
border
B)Third intercostal space, left axillary line
C) Fourth intercostal space, left
sternal border
D) Fifth intercostal space, left
midclavicular line
A nurse is preparing a presentation for a b
local community group about coronary
artery disease and culture. Which
information would the nurse include?
A) Caucasians take higher lifestyle risks
than African Americans.
B) Hypertension is more prevalent in African
Americans.
C) Hypertension is seen more in
white women than in African-American
women.
D) Hispanic Americans have a higher rate
of coronary artery disease than white
Americans.
A nurse auscultates a client's heart sounds c
and notes an accentuated first heart sound.
The nurse would suspect which of the
following?
A) Hypothyroidism
B) Fever
C) Mitral stenosis
D) Heart murmur
Questions, Clinical Assessment Concepts & Exam Review
Terms in this set (157)
While auscultating the heart at the third A) Pericardial friction rub
intercostal space, left sternal border, the
nurse notes a high-pitched, scratchy sound
that increases with exhalation with the client
leaning forward. The nurse would document
which of the following?
A) Pericardial friction rub
B) Midsystolic click
C) Summation gallop
D) Aortic ejection click
,During chest auscultation, the nurse hears a
B) II
quiet murmur immediately upon placing the
stethoscope on the client's chest. The nurse
interprets this as which grade?
A) I
B) II
C) III
D) IV
After teaching a group of students about B) Ventricles
blood flow through the heart, the instructor
determines that the teaching was
successful when the students state that
after being received by the atria, the
blood goes to which of the following?
A) Chordae tendineae
B)Ventricles
C) Semilunar valves
D) Precordium
A group of students is reviewing the A) Myocardium
structures of the heart, noting that the
thickest layer of the heart is made up of
contractile muscle cells. The students are
correct in identifying it as which of the
following?
A) Myocardium
B) Epicardium
C) Endocardium
D) Pericardium
A nursing student is reviewing the electrical C) Pacemaker
conduction of the heart. The student is
correct in identifying the sinoatrial node of
the heart as which of the following?
A) Bundle of His
B) Purkinje fibers
C) Pacemaker
D) Conduction system
The nurse is assessing a client's first heart d
sound. The nurse interprets this finding as
indicating which heart action?
A) Isometric contraction
B) Closure of the semilunar valves
C) Beginning of diastole
D) Closure of the atrioventricular valves
,A nurse assesses a client's jugular venous d
pulse to gather information about which of
the following?
A) Left arterial pressure.
B) Left ventricular diastolic filling.
C) Right ventricular pressure.
D) Hemodynamics of the right side of the
heart.
On examination, the nurse would expect
a what finding if a client is in right-sided
failure?
A) Increased jugular venous pressure
B) Decreased right-sided volume
C) Decreased central venous pressure
D) Decreased stroke volume
A client presents with chest pain described
a as a pressure and squeezing sensation that
is steady and severe. The nurse would
suspect which system as the most likely
source?
A) Cardiac
B)Gastrointestinal
C) Musculoskeletal
D) Pulmonary
A client complains of palpitations and a c
feeling of anxiety. Which of the following
would be most appropriate for the nurse to
keep in mind?
A) This is a normal response by the
heart's conduction system.
B)This is the body's response to an
increase in cardiac output.
C) The heart is attempting to increase
cardiac output.
D)The heart is responding to increased
renal perfusion.
Which of the following would the nurse b
suspect when a client with a cardiac
condition complains of not sleeping well
and having to get up frequently at night to
urinate?
A) This indicates the heart is working
efficiently.
B) Increased urination at rest may indicate
heart failure.
C) The client has decreased performance
levels of activities of daily living.
D)The client most likely sleeps without
a pillow at night.
When auscultating the left carotid artery, the
, b
nurse notes a swishing sound. The nurse
interprets this finding as suggesting which
of the following?
A) Decreased cardiac output
B) Increased central venous pressure
C) A narrowed vessel
D) Right ventricular failure
Which technique would be most d
appropriate to use when examining the
jugular venous pulse?
A) Perform the exam with the client in a
supine position.
B) Have the client look straight ahead
with chin slightly lifted.
C) Have the client sit up at a 90-
degree angle.
D) Inspect the suprasternal notch or around
the clavicles.
The nurse is preparing to assess a client's d
apical impulse. The nurse would palpate at
which location?
A) Second intercostal space, left sternal
border
B)Third intercostal space, left axillary line
C) Fourth intercostal space, left
sternal border
D) Fifth intercostal space, left
midclavicular line
A nurse is preparing a presentation for a b
local community group about coronary
artery disease and culture. Which
information would the nurse include?
A) Caucasians take higher lifestyle risks
than African Americans.
B) Hypertension is more prevalent in African
Americans.
C) Hypertension is seen more in
white women than in African-American
women.
D) Hispanic Americans have a higher rate
of coronary artery disease than white
Americans.
A nurse auscultates a client's heart sounds c
and notes an accentuated first heart sound.
The nurse would suspect which of the
following?
A) Hypothyroidism
B) Fever
C) Mitral stenosis
D) Heart murmur
