NR509 Week 4 Exam QUESTIONS WITH 100% CORRECT ANSWERS/A+ GRADE
A 25-year-old woman in her fifth month of pregnancy has a blood pressure of
100/70 mm Hg. In reviewing her previous examination, the nurse notes that her
blood pressure in her second month was 124/80 mm Hg. In evaluating this
change, what does the nurse know to be true?
a. This decline in blood pressure is the result of peripheral vasodilatation and is
an expected change.
b. Because of increased cardiac output, the blood pressure should be higher at
this time.
c. This change in blood pressure is not an expected finding because it means a
decrease in cardiac output.
d. This decline in blood pressure means a decrease in circulating blood volume,
which is dangerous for the fetus. - ✔✔a. This decline in blood pressure is the
result of peripheral vasodilatation and is an expected change.
A 30-year-old woman with a history of mitral valve problems states that she has
been "very tired." She has started waking up at night and feels like her "heart is
pounding." During the assessment, the nurse palpates a thrill and lift at the fifth
left intercostal space midclavicular line. In the same area, the nurse also
auscultates a blowing, swishing sound right after the S1. These findings would
be most consistent with:
a. Heart failure.
b. Aortic stenosis.
c. Pulmonary edema.
d. Mitral regurgitation. - ✔✔d. Mitral regurgitation.
A 35-year-old man is seen in the clinic for an infection in his left foot. Which of
these findings should the nurse expect to see during an assessment of this
patient?
,a. Hard and fixed cervical nodes
b. Enlarged and tender inguinal nodes
c. Bilateral enlargement of the popliteal nodes
d. Pelletlike nodes in the supraclavicular region - ✔✔b. Enlarged and tender
inguinal nodes
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?" -
✔✔c. "Do you have any history of problems with your heart?"
A 65-year-old patient is experiencing pain in his left calf when he exercises that
disappears after resting for a few minutes. The nurse recognizes that this
description is most consistent with _______ the left leg.
a. Venous obstruction of
b. Claudication due to venous abnormalities in
c. Ischemia caused by a partial blockage of an artery supplying
d. Ischemia caused by the complete blockage of an artery supplying - ✔✔c.
Ischemia caused by a partial blockage of an artery supplying
A 67-year-old patient states that he recently began to have pain in his left calf
when climbing the 10 stairs to his apartment. This pain is relieved by sitting for
, approximately 2 minutes; then he is able to resume his activities. The nurse
interprets that this patient is most likely experiencing:
a... Claudication.
b. Sore muscles.
c. Muscle cramps.
d. Venous insufficiency. - ✔✔a... Claudication.
A 70-year-old patient is scheduled for open-heart surgery. The surgeon plans to
use the great saphenous vein for the coronary bypass grafts. The patient asks,
"What happens to my circulation when this vein is removed?" The nurse should
reply:
a. "Venous insufficiency is a common problem after this type of surgery."
b. "Oh, you have lots of veins—you won't even notice that it has been
removed."
c. "You will probably experience decreased circulation after the vein is
removed."
d. "This vein can be removed without harming your circulation because the
deeper veins in your leg are in good condition." - ✔✔d. "This vein can be
removed without harming your circulation because the deeper veins in your leg
are in good condition."
A 70-year-old patient with a history of hypertension has a blood pressure of
180/100 mm Hg and a heart rate of 90 beats per minute. The nurse hears an
extra heart sound at the apex immediately before the S1. The sound is heard
only with the bell of the stethoscope while the patient is in the left lateral
position. With these findings and the patient's history, the nurse knows that this
extra heart sound is most likely a(n):
a. Split S1.
A 25-year-old woman in her fifth month of pregnancy has a blood pressure of
100/70 mm Hg. In reviewing her previous examination, the nurse notes that her
blood pressure in her second month was 124/80 mm Hg. In evaluating this
change, what does the nurse know to be true?
a. This decline in blood pressure is the result of peripheral vasodilatation and is
an expected change.
b. Because of increased cardiac output, the blood pressure should be higher at
this time.
c. This change in blood pressure is not an expected finding because it means a
decrease in cardiac output.
d. This decline in blood pressure means a decrease in circulating blood volume,
which is dangerous for the fetus. - ✔✔a. This decline in blood pressure is the
result of peripheral vasodilatation and is an expected change.
A 30-year-old woman with a history of mitral valve problems states that she has
been "very tired." She has started waking up at night and feels like her "heart is
pounding." During the assessment, the nurse palpates a thrill and lift at the fifth
left intercostal space midclavicular line. In the same area, the nurse also
auscultates a blowing, swishing sound right after the S1. These findings would
be most consistent with:
a. Heart failure.
b. Aortic stenosis.
c. Pulmonary edema.
d. Mitral regurgitation. - ✔✔d. Mitral regurgitation.
A 35-year-old man is seen in the clinic for an infection in his left foot. Which of
these findings should the nurse expect to see during an assessment of this
patient?
,a. Hard and fixed cervical nodes
b. Enlarged and tender inguinal nodes
c. Bilateral enlargement of the popliteal nodes
d. Pelletlike nodes in the supraclavicular region - ✔✔b. Enlarged and tender
inguinal nodes
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?" -
✔✔c. "Do you have any history of problems with your heart?"
A 65-year-old patient is experiencing pain in his left calf when he exercises that
disappears after resting for a few minutes. The nurse recognizes that this
description is most consistent with _______ the left leg.
a. Venous obstruction of
b. Claudication due to venous abnormalities in
c. Ischemia caused by a partial blockage of an artery supplying
d. Ischemia caused by the complete blockage of an artery supplying - ✔✔c.
Ischemia caused by a partial blockage of an artery supplying
A 67-year-old patient states that he recently began to have pain in his left calf
when climbing the 10 stairs to his apartment. This pain is relieved by sitting for
, approximately 2 minutes; then he is able to resume his activities. The nurse
interprets that this patient is most likely experiencing:
a... Claudication.
b. Sore muscles.
c. Muscle cramps.
d. Venous insufficiency. - ✔✔a... Claudication.
A 70-year-old patient is scheduled for open-heart surgery. The surgeon plans to
use the great saphenous vein for the coronary bypass grafts. The patient asks,
"What happens to my circulation when this vein is removed?" The nurse should
reply:
a. "Venous insufficiency is a common problem after this type of surgery."
b. "Oh, you have lots of veins—you won't even notice that it has been
removed."
c. "You will probably experience decreased circulation after the vein is
removed."
d. "This vein can be removed without harming your circulation because the
deeper veins in your leg are in good condition." - ✔✔d. "This vein can be
removed without harming your circulation because the deeper veins in your leg
are in good condition."
A 70-year-old patient with a history of hypertension has a blood pressure of
180/100 mm Hg and a heart rate of 90 beats per minute. The nurse hears an
extra heart sound at the apex immediately before the S1. The sound is heard
only with the bell of the stethoscope while the patient is in the left lateral
position. With these findings and the patient's history, the nurse knows that this
extra heart sound is most likely a(n):
a. Split S1.
