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Advanced Health Assessment Exam 2 Questions & Answers (Grade A+).docx

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Advanced Health Assessment Exam 2
Questions & Answers (Grade A+)
Nurse practitioner is palpating for the apical pulse. An apical
impulse palpated beyond the fifth intercostal space may indicate -
correct answer ✅Left ventricular hypertrophy/cardiac
enlargement


During an assessment of a 68 yo man with a recent onset of right
sided weakness, the NP hears a blowing, swishing sound with the
bell of the stethoscope over the left carotid artery. This finding
would indicate -
correct answer ✅blood flow turbulence/atherosclerotic disease of
the left carotid artery


the patient complains of chest pain that comes on when he
vacuums the house or mows the lawn. it comes in a fairly
consistent pattern, usually lasting about 1 minute. when he feels it,
he drinks a glass of water, sits quietly on the couch, and it typically
goes away. What is the most likely type of problem? -
correct answer ✅Angina


the second heart sound (S2) occurs because of the closure of the -
correct answer ✅aortic and pulmonic valves

, Advanced Health Assessment Exam 2
Questions & Answers (Grade A+)
xanthelasma is a skin condition that should alert the clinician to -
correct answer ✅familial hyperlipidemia/dyslipidemia in a patient


the murmur of aortic stenosis is best heard in the -
correct answer ✅right second intercostal space right sternal
border


the best diagnostic test that allows the analysis of a heart murmur
is -
correct answer ✅an echocardiogram


the pain associated with pericarditis is -
correct answer ✅worse with inspiration; sharp and stabbing chest
pains, pain radiating into the left shoulder and arm pain that gets
worse if you're lying down or taking deep breaths


the NP is assessing a patient with possible cardiomyopathy and
assess the hepatojugular reflux. if heart failure is present, the NP
should see which finding while pushing on the right upper quadrant
of the patients abdomen just below the rib cage? -
correct answer ✅jugular veins will remain elevated, >3 cm, as long
as pressure on the abdomen is maintained

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