Health Assessment Exam 3 Test Bank
Direction of blood flow through the heart - correct answer Right atrium -> Right Ventricle ->
Pulmonary Artery -> Lungs -> Pulmonary Vein -> Left Atrium -> Left Ventricle
Sac that surrounds the heart - correct answer Pericardium
Which statement best describes atrial kick?
- The atria contracts during systole and attempts to push against the closed valves.
- Contraction of the atria at the beginning of diastole can be felt as a palpitation.
- Atrial kick is the pressure exerted against the atria as the ventricles contract during systole.
- The atria contracts towards the end of diastole and pushes the remaining blood into the
ventricles. - correct answer The atria contracts towards the end of diastole and pushes the
remaining blood into the ventricles.
(It "kicks" the blood out and into the ventricles)
When listening to heart sounds, the nurse knows the valve closures that can be heard best at
the base of the heart are: - correct answer Aortic and pulmonic
During an examination, the nurse can assess mental status by which activity?
- Examining the patients electroencephalogram
- Observing the patient as he or she performs an intelligence quotient (IQ) test
, Health Assessment Exam 3 Test Bank
- Observing the patient and inferring health or dysfunction
- Examining the patients response to a specific set of questions - correct answer Observing the
patient and inferring health or dysfunction
A patient is admitted to the unit after an automobile accident. The nurse begins the mental
status examination and finds that the patient has dysarthric speech and is lethargic. The nurse's
best approach regarding this examination is to: - correct answer Plan to defer the rest of the
mental status examination
A 45-year-old woman is at the clinic for a mental status assessment. In giving her the Four
Unrelated Words Test, the nurse would be concerned if she could not _______ four unrelated
words ____________. - correct answer Recall; after a 30-minute delay
During a mental status assessment, which question by the nurse would best assess a persons
judgment? - correct answer Tell me what you plan to do once you are discharged from the
hospital.
The nurse is performing a mental status assessment on a 5-year-old girl. Her parents are
undergoing a bitter divorce and are worried about the effect it is having on their daughter.
Which action or statement might lead the nurse to be concerned about the girls mental status?
- She clings to her mother whenever the nurse is in the room.
- She appears angry and will not make eye contact with the nurse.
- Her mother states that she has begun to ride a tricycle around their yard.
Direction of blood flow through the heart - correct answer Right atrium -> Right Ventricle ->
Pulmonary Artery -> Lungs -> Pulmonary Vein -> Left Atrium -> Left Ventricle
Sac that surrounds the heart - correct answer Pericardium
Which statement best describes atrial kick?
- The atria contracts during systole and attempts to push against the closed valves.
- Contraction of the atria at the beginning of diastole can be felt as a palpitation.
- Atrial kick is the pressure exerted against the atria as the ventricles contract during systole.
- The atria contracts towards the end of diastole and pushes the remaining blood into the
ventricles. - correct answer The atria contracts towards the end of diastole and pushes the
remaining blood into the ventricles.
(It "kicks" the blood out and into the ventricles)
When listening to heart sounds, the nurse knows the valve closures that can be heard best at
the base of the heart are: - correct answer Aortic and pulmonic
During an examination, the nurse can assess mental status by which activity?
- Examining the patients electroencephalogram
- Observing the patient as he or she performs an intelligence quotient (IQ) test
, Health Assessment Exam 3 Test Bank
- Observing the patient and inferring health or dysfunction
- Examining the patients response to a specific set of questions - correct answer Observing the
patient and inferring health or dysfunction
A patient is admitted to the unit after an automobile accident. The nurse begins the mental
status examination and finds that the patient has dysarthric speech and is lethargic. The nurse's
best approach regarding this examination is to: - correct answer Plan to defer the rest of the
mental status examination
A 45-year-old woman is at the clinic for a mental status assessment. In giving her the Four
Unrelated Words Test, the nurse would be concerned if she could not _______ four unrelated
words ____________. - correct answer Recall; after a 30-minute delay
During a mental status assessment, which question by the nurse would best assess a persons
judgment? - correct answer Tell me what you plan to do once you are discharged from the
hospital.
The nurse is performing a mental status assessment on a 5-year-old girl. Her parents are
undergoing a bitter divorce and are worried about the effect it is having on their daughter.
Which action or statement might lead the nurse to be concerned about the girls mental status?
- She clings to her mother whenever the nurse is in the room.
- She appears angry and will not make eye contact with the nurse.
- Her mother states that she has begun to ride a tricycle around their yard.
