During a cardiovascular assessment, the nurse knows that a thrill is: - Answers Vibration that is
palpable.That signifies turbulent blood flow and accompanies loud murmurs.
The nurse educator is preparing an education module for the nursing staff on the epidermal
layer of skin. Which of these statements would be included in the module? - Answers Replaced
every 4 weeks.
The nurse educator is preparing an education module for the nursing staff on the dermis layer
of skin. Which of these statements would be included in the module? The dermis: - Answers
Contains sensory receptors.
The nurse is examining a patient who tells the nurse, "I sure sweat a lot, especially on my face
and feet but it doesn't have an odor." The nurse knows that this condition could be related to: -
Answers Eccrine glands.
The nurse is bathing an 80-year-old man and notices that his skin is wrinkled, thin, lax, and dry.
This finding would be related to which factor in the older adult? - Answers An increased loss of
elastin and a decrease in subcutaneous fat
The nurse is reviewing the anatomy and physiologic functioning of the heart. Which statement
best describes what is meant by atrial kick? - Answers The atria contract toward the end of
diastole and push the remaining blood into the ventricles.
During an examination, the nurse finds that a patient has excessive dryness of the skin. The
best term to describe this condition is: - Answers Xerosis
A 13-year-old girl is interested in obtaining information about the cause of her acne. The nurse
should share with her that acne: - Answers Is caused by increased sebum production.
When listening to heart sounds, the nurse knows the valve closures that can be heard best at
the base of the heart are: - Answers Aortic and pulmonic.
The nurse keeps in mind that a thorough skin assessment is extremely important because the
skin holds information about a person's: - Answers Circulatory status.
A patient comes in for a physical examination and complains of "freezing to death" while
waiting for her examination. The nurse notes that her skin is pale and cool and attributes this
finding to: - Answers Peripheral vasoconstriction.
A patient comes to the clinic and tells the nurse that he has been confined to his recliner chair
for approximately 3 days with his feet down and he asks the nurse to evaluate his feet. During
the assessment, the nurse might expect to find: - Answers Distended veins
The second heart sound (S2) occurs: - Answers with the closure of the semilunar (aortic and
, pulmonic) valves and signals the end of systole. it is loudest at the base of the heart.
Which of these statements describes the closure of the valves in a normal cardiac cycle? -
Answers The tricuspid valve closes slightly later than the mitral valve.
The component of the conduction system referred to as the pacemaker of the heart is the: -
Answers Sinoatrial (SA) node.
The electrical stimulus of the cardiac cycle follows which sequence? - Answers Jaundice
The findings from an assessment of a 70-year-old patient with swelling in his ankles include
jugular venous pulsations 5 cm above the sternal angle when the head of his bed is elevated 45
degrees. The nurse knows that this finding indicates: - Answers Elevated pressure related to
heart failure.
A 42-year-old woman complains that she has noticed several small, slightly raised, bright red
dots on her chest. On examination, the nurse expects that the spots are probably: - Answers
Senile angiomas
A 65-year-old man with emphysema and bronchitis has come to the clinic for a follow-up
appointment. On assessment, the nurse might expect to see which finding? - Answers Clubbing
of the nails
A 35-year-old pregnant woman comes to the clinic for a monthly appointment. During the
assessment, the nurse notices that she has a brown patch of hyperpigmentation on her face.
The nurse continues the skin assessment aware that another finding may be: - Answers
Chloasma.
During an 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: - Answers These findings are
consistent with mitral regurgitation.
A 70-year-old woman who loves to garden has small, flat, brown macules over her arms and
hands. She asks, "What causes these liver spots?" The nurse tells her, "They are: - Answers
"Clusters of melanocytes that appear after extensive sun exposure."
The nurse notices that a patient has a solid, elevated, circumscribed lesion that is less than 1
cm in diameter. When documenting this finding, the nurse reports this as a: - Answers Papule.
The nurse just noted from the medical record that the patient has a lesion that is confluent in
nature. On examination, the nurse expects to find: - Answers Lesions that run together.
A patient has had a "terrible itch" for several months that he has been continuously scratching.
On examination, the nurse might expect to find: - Answers Lichenification.