NUR 216 Exam 3 Complete Questions and Correct
Answers| Latest
A nurse was auscultating a clients heart when she heard the lub and dub sounds.
What were the valves opening during the lub sounds?
semilunar valves are open (aortic/pulmonic)
A nurse was educating the patient on why he needed heart surgery. The nurse
was explaining that murmurs were heard with the dub sound. What valves were
open and causing the murmur?
with dub sound the atrioventricular valves are open (tricuspid/mitral)
The student nurse what being taught the landmark of the tricuspid valve. The
clinical preceptor explained that it was located on the Lt 2nd ICS midclavicular. Is
that teaching true or false?
FALSE, should be Lt 4th ICS sternal border
The nurse was auscultating the apical pulse of a patient with her stethoscope.
Which of the following indicates a need for further teaching.
A. They auscultate with the bell
B. They auscultate with the diaphragm
C. They auscultate over the Lt Midclavicular line 5th ICS
D. They auscultate for a full minute.
A
,What node is the pacemaker of the heart?
SA node
A nurse preceptor was helping the student nurse go over topics she was
continuing to have difficulty. The student nurse was still having difficulty
learning how heart conduction travels. Which statement ensures the teaching is
understood?
A. AV node, SA node, bundle of his, Rt bundle fiber, perkinje fibers
B. SA node, SA node, bundle of his, Rt bundle fiber, perkinje fibers
C. SA node, AV node, Bundle of his, Rt bundle fibers, perkinje fibers
C
The student nurse reports to her nurse preceptor that their patient has a normal
pulse that is strong and steady. Should the nurse preceptor be alarmed?
NO, this is expected
A nurse is asking a patient who reports chest angina about their medical history.
Which of the following should the nurse ask the patient about. Select all that
apply.
hypertension
dysphagia
vertigo
stroke
myocardial infarction.
HTN, STROKE & MI
, A nurse is listening to her patients heart sound. As the charge nurse you are
doing her quarterly evaluations. Which of the two options requires the need for
additional teaching?
1. The nurse listens with her ear and the bell of the stethoscope
2. The nurse listens with both the bell and diaphragm of the stethoscope.
1
The nurse is doing a focused peripheral vascular assessment on a patient and
assesses and +4 pulse radially. The nurse should be concerned with this finding.
True or false?
true, it is an abnormal finding
A nurse is doing an assessment on a new admission. The patient reports sudden
weight gain. What should the nurse do next?
A. grab vital signs then chart her findings
B. finish the assessment
C. complete the assessment and report the finding immediately to the provider
D. Put the patient on oxygen
C. symptom of Right sided heart failure !!!
Upon assessment a patient is found with edema, abdominal distention, and JVD.
Which is most likely the diagnosis for this patient?
Answers| Latest
A nurse was auscultating a clients heart when she heard the lub and dub sounds.
What were the valves opening during the lub sounds?
semilunar valves are open (aortic/pulmonic)
A nurse was educating the patient on why he needed heart surgery. The nurse
was explaining that murmurs were heard with the dub sound. What valves were
open and causing the murmur?
with dub sound the atrioventricular valves are open (tricuspid/mitral)
The student nurse what being taught the landmark of the tricuspid valve. The
clinical preceptor explained that it was located on the Lt 2nd ICS midclavicular. Is
that teaching true or false?
FALSE, should be Lt 4th ICS sternal border
The nurse was auscultating the apical pulse of a patient with her stethoscope.
Which of the following indicates a need for further teaching.
A. They auscultate with the bell
B. They auscultate with the diaphragm
C. They auscultate over the Lt Midclavicular line 5th ICS
D. They auscultate for a full minute.
A
,What node is the pacemaker of the heart?
SA node
A nurse preceptor was helping the student nurse go over topics she was
continuing to have difficulty. The student nurse was still having difficulty
learning how heart conduction travels. Which statement ensures the teaching is
understood?
A. AV node, SA node, bundle of his, Rt bundle fiber, perkinje fibers
B. SA node, SA node, bundle of his, Rt bundle fiber, perkinje fibers
C. SA node, AV node, Bundle of his, Rt bundle fibers, perkinje fibers
C
The student nurse reports to her nurse preceptor that their patient has a normal
pulse that is strong and steady. Should the nurse preceptor be alarmed?
NO, this is expected
A nurse is asking a patient who reports chest angina about their medical history.
Which of the following should the nurse ask the patient about. Select all that
apply.
hypertension
dysphagia
vertigo
stroke
myocardial infarction.
HTN, STROKE & MI
, A nurse is listening to her patients heart sound. As the charge nurse you are
doing her quarterly evaluations. Which of the two options requires the need for
additional teaching?
1. The nurse listens with her ear and the bell of the stethoscope
2. The nurse listens with both the bell and diaphragm of the stethoscope.
1
The nurse is doing a focused peripheral vascular assessment on a patient and
assesses and +4 pulse radially. The nurse should be concerned with this finding.
True or false?
true, it is an abnormal finding
A nurse is doing an assessment on a new admission. The patient reports sudden
weight gain. What should the nurse do next?
A. grab vital signs then chart her findings
B. finish the assessment
C. complete the assessment and report the finding immediately to the provider
D. Put the patient on oxygen
C. symptom of Right sided heart failure !!!
Upon assessment a patient is found with edema, abdominal distention, and JVD.
Which is most likely the diagnosis for this patient?
