NUR 6111 Exam 2 – Questions With Applicable
Solutions (Rated A+)
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 - Anginal
The second heart sound (S2) occurs because of the closure of the:
Correct Answer - the closure of the aortic and pulmonic valves
Xanthelasma is a skin condition that should alert the clinician to
_________________ in a patient. Correct Answer - atherosclerotic
disease of the left carotid artery.
The murmur of aortic stenosis is best heard in the: Correct
Answer - 2nd intercostal space at right upper sternal border
The best diagnostic test that allows analysis of a heart murmur is:
Correct Answer - echocardiogram
The pain associated with pericarditis is _________________________.
Correct Answer - progressive, frequently severe, sharp chest
pain. The pain is generally worse with deep inspiration and when
lying supine. It is relieved by sitting up and leaning forward.
The NP is assessing a patient with possible cardiomyopathy and
assesses the hepatojugular reflux. If heart failure is present, the NP
should see which finding while pushing on the right upper quadrant
of the patient's abdomen, just below the rib cage? Correct Answer
, - The jugular veins will remin elevated as long as pressure on the
abdomen is maintained.
Calf tenderness and warmth, swelling and ankle edema, and an
otherwise unexplained fever are symptoms of Correct Answer -
dvt
Your patient complains of a feeling of heaviness in the lower legs
daily. You note varicosities, edema, and dusky color of both ankles
and feet. Which of the following is the most likely cause for these
symptoms? Correct Answer - Venous insufficiency
The medical record of your patient lists a grade III systolic murmur.
This indicates the patient has a heart murmur that is: Correct
Answer - Moderately loud and after S1
Nurse practitioner is palpating for the apical pulse. An apical
impulse palpated beyond the fifth intercostal space may indicate:
Correct Answer - May indicate an enlarged heart
During an assessment of a 68-year-old 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 - A bruit is a blowing, swishing
sound indicating blood flow turbulence; normally none is present.
A 75-year-old patient complains of pain and paresthesias in the
right foot that worsens with exercise and is relieved by rest. On
physical examination, you note pallor of the right foot, capillary refill
of 4 seconds in the right foot, +1 dorsalis pedis pulse in the right
foot, and +2 pulse in left foot. Which of the following is a likely cause
of the signs and symptoms? Correct Answer - PAD
Solutions (Rated A+)
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 - Anginal
The second heart sound (S2) occurs because of the closure of the:
Correct Answer - the closure of the aortic and pulmonic valves
Xanthelasma is a skin condition that should alert the clinician to
_________________ in a patient. Correct Answer - atherosclerotic
disease of the left carotid artery.
The murmur of aortic stenosis is best heard in the: Correct
Answer - 2nd intercostal space at right upper sternal border
The best diagnostic test that allows analysis of a heart murmur is:
Correct Answer - echocardiogram
The pain associated with pericarditis is _________________________.
Correct Answer - progressive, frequently severe, sharp chest
pain. The pain is generally worse with deep inspiration and when
lying supine. It is relieved by sitting up and leaning forward.
The NP is assessing a patient with possible cardiomyopathy and
assesses the hepatojugular reflux. If heart failure is present, the NP
should see which finding while pushing on the right upper quadrant
of the patient's abdomen, just below the rib cage? Correct Answer
, - The jugular veins will remin elevated as long as pressure on the
abdomen is maintained.
Calf tenderness and warmth, swelling and ankle edema, and an
otherwise unexplained fever are symptoms of Correct Answer -
dvt
Your patient complains of a feeling of heaviness in the lower legs
daily. You note varicosities, edema, and dusky color of both ankles
and feet. Which of the following is the most likely cause for these
symptoms? Correct Answer - Venous insufficiency
The medical record of your patient lists a grade III systolic murmur.
This indicates the patient has a heart murmur that is: Correct
Answer - Moderately loud and after S1
Nurse practitioner is palpating for the apical pulse. An apical
impulse palpated beyond the fifth intercostal space may indicate:
Correct Answer - May indicate an enlarged heart
During an assessment of a 68-year-old 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 - A bruit is a blowing, swishing
sound indicating blood flow turbulence; normally none is present.
A 75-year-old patient complains of pain and paresthesias in the
right foot that worsens with exercise and is relieved by rest. On
physical examination, you note pallor of the right foot, capillary refill
of 4 seconds in the right foot, +1 dorsalis pedis pulse in the right
foot, and +2 pulse in left foot. Which of the following is a likely cause
of the signs and symptoms? Correct Answer - PAD
