NR 509 Week 4 Exam With 80 Questions & Correct
Answers
A 45-year-old man is in the clinic for a routine physical examination. During the
recording of his health history, the patient states that he has been having difficulty
sleeping. "I'll be sleeping great, and then I wake up and feel like I can't get my
breath." The nurse's best response to this would be:
a. "When was your last electrocardiogram?"
b. "It's probably because it's been so hot at night."
c. "Do you have any history of problems with your heart?"
d. "Have you had a recent sinus infection or upper respiratory infection?" -
ANSWER-c. "Do you have any history of problems with your heart?"
In assessing a patient's major risk factors for heart disease, which would the nurse
want to include when taking a history?
a. Family history, hypertension, stress, and age
b. Personality type, high cholesterol, diabetes, and smoking
c... Smoking, hypertension, obesity, diabetes, and high cholesterol
d. Alcohol consumption, obesity, diabetes, stress, and high cholesterol -
ANSWER-c... Smoking, hypertension, obesity, diabetes, and high cholesterol
The mother of a 3-month-old infant states that her baby has not been gaining
weight. With further questioning, the nurse finds that the infant falls asleep after
nursing and wakes up after a short time, hungry again. What other information
would the nurse want to have?
a. Infant's sleeping position
b. Sibling history of eating disorders
c. Amount of background noise when eating
,d. Presence of dyspnea or diaphoresis when sucking - ANSWER-d. Presence of
dyspnea or diaphoresis when sucking
In assessing the carotid arteries of an older patient with cardiovascular disease, the
nurse would:
a... Palpate the artery in the upper one third of the neck.
b. Listen with the bell of the stethoscope to assess for bruits.
c... Simultaneously palpate both arteries to compare amplitude.
d. Instruct the patient to take slow deep breaths during auscultation. - ANSWER-b.
Listen with the bell of the stethoscope to assess for bruits.
During an assessment of a 68-year-old man with a recent onset of right-sided
weakness, the nurse hears a blowing, swishing sound with the bell of the
stethoscope over the left carotid artery. This finding would indicate:
a. Valvular disorder.
b. Blood flow turbulence.
c. Fluid volume overload.
d. Ventricular hypertrophy. - ANSWER-b. Blood flow turbulence.
During an inspection of the precordium of an adult patient, the nurse notices the
chest moving in a forceful manner along the sternal border. This finding most
likely suggests a(n):
a. Normal heart.
b. Systolic murmur.
c... Enlargement of the left ventricle.
d. Enlargement of the right ventricle. - ANSWER-d. Enlargement of the right
ventricle.
, During an assessment of a healthy adult, where would the nurse expect to palpate
the apical impulse?
a. Third left intercostal space at the midclavicular line
b. Fourth left intercostal space at the sternal border
c. Fourth left intercostal space at the anterior axillary line
d. Fifth left intercostal space at the midclavicular line - ANSWER-d. Fifth left
intercostal space at the midclavicular line
The nurse is examining a patient who has possible cardiac enlargement. Which
statement about percussion of the heart is true?
a. Percussion is a useful tool for outlining the heart's borders.
b. Percussion is easier in patients who are obese.
c. Studies show that percussed cardiac borders do not correlate well with the true
cardiac border.
d. Only expert health care providers should attempt percussion of the heart. -
ANSWER-c. Studies show that percussed cardiac borders do not correlate well
with the true cardiac border.
The nurse is preparing to auscultate for heart sounds. Which technique is correct?
a. Listening to the sounds at the aortic, tricuspid, pulmonic, and mitral areas
b. Listening by inching the stethoscope in a rough Z pattern, from the base of the
heart across and down, then over to the apex
c. Listening to the sounds only at the site where the apical pulse is felt to be the
strongest
d. Listening for all possible sounds at a time at each specified area - ANSWER-b.
Listening by inching the stethoscope in a rough Z pattern, from the base of the
heart across and down, then over to the apex
Answers
A 45-year-old man is in the clinic for a routine physical examination. During the
recording of his health history, the patient states that he has been having difficulty
sleeping. "I'll be sleeping great, and then I wake up and feel like I can't get my
breath." The nurse's best response to this would be:
a. "When was your last electrocardiogram?"
b. "It's probably because it's been so hot at night."
c. "Do you have any history of problems with your heart?"
d. "Have you had a recent sinus infection or upper respiratory infection?" -
ANSWER-c. "Do you have any history of problems with your heart?"
In assessing a patient's major risk factors for heart disease, which would the nurse
want to include when taking a history?
a. Family history, hypertension, stress, and age
b. Personality type, high cholesterol, diabetes, and smoking
c... Smoking, hypertension, obesity, diabetes, and high cholesterol
d. Alcohol consumption, obesity, diabetes, stress, and high cholesterol -
ANSWER-c... Smoking, hypertension, obesity, diabetes, and high cholesterol
The mother of a 3-month-old infant states that her baby has not been gaining
weight. With further questioning, the nurse finds that the infant falls asleep after
nursing and wakes up after a short time, hungry again. What other information
would the nurse want to have?
a. Infant's sleeping position
b. Sibling history of eating disorders
c. Amount of background noise when eating
,d. Presence of dyspnea or diaphoresis when sucking - ANSWER-d. Presence of
dyspnea or diaphoresis when sucking
In assessing the carotid arteries of an older patient with cardiovascular disease, the
nurse would:
a... Palpate the artery in the upper one third of the neck.
b. Listen with the bell of the stethoscope to assess for bruits.
c... Simultaneously palpate both arteries to compare amplitude.
d. Instruct the patient to take slow deep breaths during auscultation. - ANSWER-b.
Listen with the bell of the stethoscope to assess for bruits.
During an assessment of a 68-year-old man with a recent onset of right-sided
weakness, the nurse hears a blowing, swishing sound with the bell of the
stethoscope over the left carotid artery. This finding would indicate:
a. Valvular disorder.
b. Blood flow turbulence.
c. Fluid volume overload.
d. Ventricular hypertrophy. - ANSWER-b. Blood flow turbulence.
During an inspection of the precordium of an adult patient, the nurse notices the
chest moving in a forceful manner along the sternal border. This finding most
likely suggests a(n):
a. Normal heart.
b. Systolic murmur.
c... Enlargement of the left ventricle.
d. Enlargement of the right ventricle. - ANSWER-d. Enlargement of the right
ventricle.
, During an assessment of a healthy adult, where would the nurse expect to palpate
the apical impulse?
a. Third left intercostal space at the midclavicular line
b. Fourth left intercostal space at the sternal border
c. Fourth left intercostal space at the anterior axillary line
d. Fifth left intercostal space at the midclavicular line - ANSWER-d. Fifth left
intercostal space at the midclavicular line
The nurse is examining a patient who has possible cardiac enlargement. Which
statement about percussion of the heart is true?
a. Percussion is a useful tool for outlining the heart's borders.
b. Percussion is easier in patients who are obese.
c. Studies show that percussed cardiac borders do not correlate well with the true
cardiac border.
d. Only expert health care providers should attempt percussion of the heart. -
ANSWER-c. Studies show that percussed cardiac borders do not correlate well
with the true cardiac border.
The nurse is preparing to auscultate for heart sounds. Which technique is correct?
a. Listening to the sounds at the aortic, tricuspid, pulmonic, and mitral areas
b. Listening by inching the stethoscope in a rough Z pattern, from the base of the
heart across and down, then over to the apex
c. Listening to the sounds only at the site where the apical pulse is felt to be the
strongest
d. Listening for all possible sounds at a time at each specified area - ANSWER-b.
Listening by inching the stethoscope in a rough Z pattern, from the base of the
heart across and down, then over to the apex
