Health Assessment Exam 3 test bank
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1. While auscultating the heart at the third inter- A) Pericardial friction rub
costal space, left sternal border, the nurse notes a
high-pitched, scratchy sound that increases with ex-
halation with the client leaning forward. The nurse
would document which of the following?
A) Pericardial friction rub
B) Midsystolic click
C) Summation gallop
D) Aortic ejection click
2. During chest auscultation, the nurse hears a quiet B) II
murmur immediately upon placing the stethoscope
on the client's chest. The nurse interprets this as which
grade?
A) I
B) II
C) III
D) IV
3. After teaching a group of students about blood flow B) Ventricles
through the heart, the instructor determines that the
teaching was successful when the students state that
after being received by the atria, the blood goes to
which of the following?
A) Chordae tendineae
B) Ventricles
C) Semilunar valves
D) Precordium
4. A group of students is reviewing the structures of the A) Myocardium
heart, noting that the thickest layer of the heart is
made up of contractile muscle cells. The students are
, Health Assessment Exam 3 test bank
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correct in identifying it as which of the following?
A) Myocardium
B) Epicardium
C) Endocardium
D) Pericardium
5. A nursing student is reviewing the electrical conduc- C) Pacemaker
tion of the heart. The student is correct in identifying
the sinoatrial node of the heart as which of the follow-
ing?
A) Bundle of His
B) Purkinje fibers
C) Pacemaker
D) Conduction system
6. The nurse is assessing a client's first heart sound. The d
nurse interprets this finding as indicating which heart
action?
A) Isometric contraction
B) Closure of the semilunar valves
C) Beginning of diastole
D) Closure of the atrioventricular valves
7. A nurse assesses a client's jugular venous pulse to d
gather information about which of the following?
A) Left arterial pressure.
B) Left ventricular diastolic filling.
C) Right ventricular pressure.
D) Hemodynamics of the right side of the heart.
8. On examination, the nurse would expect what finding a
if a client is in right-sided failure?
A) Increased jugular venous pressure
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B) Decreased right-sided volume
C) Decreased central venous pressure
D) Decreased stroke volume
9. A client presents with chest pain described as a pres- a
sure and squeezing sensation that is steady and se-
vere. The nurse would suspect which system as the
most likely source?
A) Cardiac
B) Gastrointestinal
C) Musculoskeletal
D) Pulmonary
10. A client complains of palpitations and a feeling of anxi- c
ety. Which of the following would be most appropriate
for the nurse to keep in mind?
A) This is a normal response by the heart's conduction
system.
B) This is the body's response to an increase in cardiac
output.
C) The heart is attempting to increase cardiac output.
D) The heart is responding to increased renal perfu-
sion.
11. Which of the following would the nurse suspect when b
a client with a cardiac condition complains of not
sleeping well and having to get up frequently at night
to urinate?
A) This indicates the heart is working efficiently.
B) Increased urination at rest may indicate heart fail-
ure.
C) The client has decreased performance levels of ac-
, Health Assessment Exam 3 test bank
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tivities of daily living.
D) The client most likely sleeps without a pillow at
night.
12. When auscultating the left carotid artery, the nurse b
notes a swishing sound. The nurse interprets this find-
ing as suggesting which of the following?
A) Decreased cardiac output
B) Increased central venous pressure
C) A narrowed vessel
D) Right ventricular failure
13. Which technique would be most appropriate to use d
when examining the jugular venous pulse?
A) Perform the exam with the client in a supine posi-
tion.
B) Have the client look straight ahead with chin slightly
lifted.
C) Have the client sit up at a 90-degree angle.
D) Inspect the suprasternal notch or around the clav-
icles.
14. The nurse is preparing to assess a client's apical im- d
pulse. The nurse would palpate at which location?
A) Second intercostal space, left sternal border
B) Third intercostal space, left axillary line
C) Fourth intercostal space, left sternal border
D) Fifth intercostal space, left midclavicular line
15. A nurse is preparing a presentation for a local commu- b
nity group about coronary artery disease and culture.
Which information would the nurse include?
A) Caucasians take higher lifestyle risks than African
Study online at https://quizlet.com/_1gd3b5
1. While auscultating the heart at the third inter- A) Pericardial friction rub
costal space, left sternal border, the nurse notes a
high-pitched, scratchy sound that increases with ex-
halation with the client leaning forward. The nurse
would document which of the following?
A) Pericardial friction rub
B) Midsystolic click
C) Summation gallop
D) Aortic ejection click
2. During chest auscultation, the nurse hears a quiet B) II
murmur immediately upon placing the stethoscope
on the client's chest. The nurse interprets this as which
grade?
A) I
B) II
C) III
D) IV
3. After teaching a group of students about blood flow B) Ventricles
through the heart, the instructor determines that the
teaching was successful when the students state that
after being received by the atria, the blood goes to
which of the following?
A) Chordae tendineae
B) Ventricles
C) Semilunar valves
D) Precordium
4. A group of students is reviewing the structures of the A) Myocardium
heart, noting that the thickest layer of the heart is
made up of contractile muscle cells. The students are
, Health Assessment Exam 3 test bank
Study online at https://quizlet.com/_1gd3b5
correct in identifying it as which of the following?
A) Myocardium
B) Epicardium
C) Endocardium
D) Pericardium
5. A nursing student is reviewing the electrical conduc- C) Pacemaker
tion of the heart. The student is correct in identifying
the sinoatrial node of the heart as which of the follow-
ing?
A) Bundle of His
B) Purkinje fibers
C) Pacemaker
D) Conduction system
6. The nurse is assessing a client's first heart sound. The d
nurse interprets this finding as indicating which heart
action?
A) Isometric contraction
B) Closure of the semilunar valves
C) Beginning of diastole
D) Closure of the atrioventricular valves
7. A nurse assesses a client's jugular venous pulse to d
gather information about which of the following?
A) Left arterial pressure.
B) Left ventricular diastolic filling.
C) Right ventricular pressure.
D) Hemodynamics of the right side of the heart.
8. On examination, the nurse would expect what finding a
if a client is in right-sided failure?
A) Increased jugular venous pressure
, Health Assessment Exam 3 test bank
Study online at https://quizlet.com/_1gd3b5
B) Decreased right-sided volume
C) Decreased central venous pressure
D) Decreased stroke volume
9. A client presents with chest pain described as a pres- a
sure and squeezing sensation that is steady and se-
vere. The nurse would suspect which system as the
most likely source?
A) Cardiac
B) Gastrointestinal
C) Musculoskeletal
D) Pulmonary
10. A client complains of palpitations and a feeling of anxi- c
ety. Which of the following would be most appropriate
for the nurse to keep in mind?
A) This is a normal response by the heart's conduction
system.
B) This is the body's response to an increase in cardiac
output.
C) The heart is attempting to increase cardiac output.
D) The heart is responding to increased renal perfu-
sion.
11. Which of the following would the nurse suspect when b
a client with a cardiac condition complains of not
sleeping well and having to get up frequently at night
to urinate?
A) This indicates the heart is working efficiently.
B) Increased urination at rest may indicate heart fail-
ure.
C) The client has decreased performance levels of ac-
, Health Assessment Exam 3 test bank
Study online at https://quizlet.com/_1gd3b5
tivities of daily living.
D) The client most likely sleeps without a pillow at
night.
12. When auscultating the left carotid artery, the nurse b
notes a swishing sound. The nurse interprets this find-
ing as suggesting which of the following?
A) Decreased cardiac output
B) Increased central venous pressure
C) A narrowed vessel
D) Right ventricular failure
13. Which technique would be most appropriate to use d
when examining the jugular venous pulse?
A) Perform the exam with the client in a supine posi-
tion.
B) Have the client look straight ahead with chin slightly
lifted.
C) Have the client sit up at a 90-degree angle.
D) Inspect the suprasternal notch or around the clav-
icles.
14. The nurse is preparing to assess a client's apical im- d
pulse. The nurse would palpate at which location?
A) Second intercostal space, left sternal border
B) Third intercostal space, left axillary line
C) Fourth intercostal space, left sternal border
D) Fifth intercostal space, left midclavicular line
15. A nurse is preparing a presentation for a local commu- b
nity group about coronary artery disease and culture.
Which information would the nurse include?
A) Caucasians take higher lifestyle risks than African
