MSN 572 QUIZ 5

Quiz Question 1 (1 point) Saved While assessing the jugular venous pressure of a patient the NP finds that the pressure is elevated. Which observation is consistent with this conclusion? Question 1 options: The level of pulsation is 2 cm above the sternal angle while at 30 degrees The level of pulsation is 4 cm above the sternal angle while at 30 degrees The level of pulsation is 3 cm above the sternal angle while at 30 degrees The level of pulsation is 2 cm above the sternal angle while at 45 degrees Question 2 (1 point) Saved Match the answer that is closest to the definition: Produced by closure of the aortic valve Question 2 options: S1 S2 S3 S4 Question 3 (1 point) Saved While assessing a patient with cyanosis the NP hears a loud murmur that lasts throughout systole. A thrill is also palpable. Which classification best describes the murmur? Question 3 options: Grade I crescendo Grade III holodiastolic Grade VI decrescendo Grade IV holosystolic Question 4 (1 point) Saved While auscultating the chest the NP asks the patient to phonate a long ee-ee-ee-ee sound. Through the stethoscope the NP hears a long aaaaa sound. What should be charted as positive? Question 4 options: Egophony Bronchophony Sonorous wheezing Whispered pectoriloquy Question 5 (1 point) Saved A 22-year-old waitress presents to your clinic for evaluation of pain in her chest. She appears to be anxious. The pain is worse with physical exertion such as climbing stairs. She does not smoke use alcohol or illicit drugs or consume excessive amounts of caffeine. You auscultate her heart and diagnose mitral valve prolapse. What did you hear to make this diagnosis? Question 5 options: An opening snap A midsystolic click A diastolic rumble A holosystolic murmur Question 6 (1 point) Saved Which statement describes a thrill? Question 6 options: A thrill is vibration felt upon palpation of the chest. A thrill is an impulse seen over the chest. A thrill is associated with a venous hum with the stethoscope. A thrill is a sustained thrust of the ventricle of the heart. Question 7 (1 point) Saved An 80-year-old woman presents to your clinic for evaluation of palpitations and shortness of breath. You obtain an electrocardiogram which reveals an irregularly irregular rhythm without discrete P waves. You diagnose her with atrial fibrillation. The most likely physical finding upon auscultation of her heart is: Question 7 options: An irregularly irregular rhythm A rapid regular rhythm A midsystolic click Bigeminy Question 8 (1 point) Saved The NP observes bilateral pitting edema loud P2 and abnormal distention of the jugular veins in a patient. Which condition is the patient likely to have? Question 8 options: Hyperthyroidism Diabetes mellitus Cervical malignancy Pulmonary hypertension