Hap final Exam Questions with correct Answers

The first heart sound (S1) is produced by the: - Answer- Closure of AV Valve The semilunar valves separate the: - Answer- Ventricle from the arteries The component of the conduction system referred to as the pacemaker of the heart is the: - Answer- SA Node During an assessment of a healthy adult, where would the nurse expect to palpate the apical pulse? - Answer- Fifth left intercostal space at the midclavicular line During a cardiovascular assessment, the nurse knows that a "thrill" is: - Answer- A vibration that is palpable Claudication is caused by: - Answer- Arterial insufficiency The nurse is reviewing the blood supply to the arm. The major artery supplying the arm is the _________ artery. - Answer- Brachial When auscultating over a patient's carotid arteries the nurse notices the presence of a bruit on the left side. The nurse knows that: - Answer- Bruits occur with turbulent blood flow, indicating partial occlusion. How should the nurse document mild, slight pitting edema present at the ankles of a pregnant patient? - Answer- 1+ The nurse is reviewing an assessment of a patient's peripheral pulses and notices that the documentation states that the radial pulses are "2+." The nurse recognizes that this reading indicates what type of pulse? - Answer- Normal A patient is asked to indicate on a form how many times he eats a specific food. This would describe which of these methods for obtaining dietary information? - Answer- Food frequency questionnaire During a nutritional assessment, why is it important for the nurse to ask a patient what medications he or she is taking? - Answer- Certain drugs can affect the appetite or cause gastrointestinal discomfort. Ascites is defined as: - Answer- An abnormal accumulation of serous fluid within the peritoneal cavity. Methods to enhance abdominal wall relaxation during examination include: - Answer- Positioning the patient with the knees bent. The nurse is watching a new graduate nurse perform auscultation of a patient's abdomen. Which statement by the new graduate shows a correct understanding of the reason auscultation precedes percussion and palpation of the abdomen? - Answer- It prevents distortion of bowel sounds that might occur after percussion and palpation. The nurse is assessing the abdomen of an aging adult. Which of these statements regarding the aging adult and abdominal assessment is true? - Answer- The abdominal musculature is thinner. During an abdominal assessment, the nurse elicits tenderness on light palpation in the right lower quadrant. The nurse interprets that this finding could indicate a disorder of which of these structures? - Answer- Appendix A patient has a body mass index (BMI) of 28.5 kg/m2. How does the nurse classify this? - Answer- Overweight A 70-year-old man presents with the following symptoms: straining to void, nocturia, dribbling and hesitancy when voiding. These signs are consistent with what condition? - Answer- Benign prostate hyperplasia A Pap smear is recommended to screen for what condition? - Answer- Cervical Cancer When does the health assessment begin? - Answer- When the nurse first meets the patient The nurse has assessed the patients on the unit. Which patient should be attended to first? - Answer- A patient with blood pressure of 180/110 mm Hg and urine output of 20 mL/hr At the beginning of rounds when entering the room, what would the nurse do first? - Answer- Make eye contact with the patient, and introduce themself as the patient's nurse Which data does a nurse collect during the