C HAPTER 15: H EART
Ball: Seidel’s Guide to Physical Examination, 9th Edition
MULTIPLE CHOICE
1. Mr. O, age 50 years, comes for his annual health assessment, which is provided
by his employer. During your initial history-taking interview, Mr. O mentions
that he routinely engages in light exercise. At this time, you should:
a. ask if he makes his own bed daily.
b. have the patient describe his exercise.
c. make a note that he walks each day.
d. record ―light exercise‖ in the history.
ANS: B
When Mr. O says that he engages in light exercise, have him describe his
exercise. To qualify his use of the term light, ask him the type, length of time,
frequency, and intensity of his activities.
DIF: Cognitive Level: Applying (Application) OBJ: Nursing process—
assessment MSC: Physiologic Integrity: Physiologic Adaptation
2. Which of the following information belongs in the past medical history section
related to heart and blood vessel assessment?
a. Adolescent inguinal hernia
b. Childhood mumps
c. History of bee stings
, d. Previous unexplained fever
ANS: D
Previous unexplained fever should be included in the past medical history of a
heart and blood vessel assessment. This incidence may be related to acute
rheumatic fever, with potential heart valve damage.
DIF: Cognitive Level: Understanding (Comprehension) OBJ: Nursing
process—assessment MSC: Physiologic Integrity: Physiologic
Adaptation
3. A patient you are seeing in the emergency department for chest pain is believed
to be having a myocardial infarction. During the health history interview of his
family history, he relates that his father had died of ―heart trouble.‖ The most
important follow-up question you should pose is which of the following?
a. “Did your father have coronary bypass surgery?”
b. “Did your father's father have heart trouble also? ”
c. “What were your father's usual dietary habits? ”
d. “What age was your father at the time of his death? ”
ANS: D
A family history of sudden death, particularly in young and middle -aged
relatives, significantly increases one's chance of a similar occurrence.
DIF: Cognitive Level: Applying (Application) OBJ: Nursing process—
assessment MSC: Physiologic Integrity: Physiologic Adaptation
Ball: Seidel’s Guide to Physical Examination, 9th Edition
MULTIPLE CHOICE
1. Mr. O, age 50 years, comes for his annual health assessment, which is provided
by his employer. During your initial history-taking interview, Mr. O mentions
that he routinely engages in light exercise. At this time, you should:
a. ask if he makes his own bed daily.
b. have the patient describe his exercise.
c. make a note that he walks each day.
d. record ―light exercise‖ in the history.
ANS: B
When Mr. O says that he engages in light exercise, have him describe his
exercise. To qualify his use of the term light, ask him the type, length of time,
frequency, and intensity of his activities.
DIF: Cognitive Level: Applying (Application) OBJ: Nursing process—
assessment MSC: Physiologic Integrity: Physiologic Adaptation
2. Which of the following information belongs in the past medical history section
related to heart and blood vessel assessment?
a. Adolescent inguinal hernia
b. Childhood mumps
c. History of bee stings
, d. Previous unexplained fever
ANS: D
Previous unexplained fever should be included in the past medical history of a
heart and blood vessel assessment. This incidence may be related to acute
rheumatic fever, with potential heart valve damage.
DIF: Cognitive Level: Understanding (Comprehension) OBJ: Nursing
process—assessment MSC: Physiologic Integrity: Physiologic
Adaptation
3. A patient you are seeing in the emergency department for chest pain is believed
to be having a myocardial infarction. During the health history interview of his
family history, he relates that his father had died of ―heart trouble.‖ The most
important follow-up question you should pose is which of the following?
a. “Did your father have coronary bypass surgery?”
b. “Did your father's father have heart trouble also? ”
c. “What were your father's usual dietary habits? ”
d. “What age was your father at the time of his death? ”
ANS: D
A family history of sudden death, particularly in young and middle -aged
relatives, significantly increases one's chance of a similar occurrence.
DIF: Cognitive Level: Applying (Application) OBJ: Nursing process—
assessment MSC: Physiologic Integrity: Physiologic Adaptation
