HEART QUIZ
While auscultating a client's heart sounds, the nurse hears turbulence between S1 and S2 heart sounds. How should the nurse document this finding? A. A systolic murmur B. A third heart sound (S3) C. An expected heart sound D. A fourth heart sound (S4)
A. A systolic murmur
Which sequence should the nurse use to auscultate a client's heart sounds? A. Aortic area > pulmonic area > Erb's point > tricuspic area > mitral area B. Pulmonic area > aortic area > Erb's point > tricuspid area > mitral area C. Aortic area > tricuspid area > Erb's point > mitral area > pulmonic area D. Pulmonic area > Erb's point > tricuspid area > aortic area > mitral area
A. Aortic area > pulmonic area > Erb's point > tricuspic area > mitral area
The layer of the heart responsible for contraction is: A. myocardium. B. endocardium. C. pericardium. D. epicardium.
A. myocardium.
During a cardiovascular examination, a nurse in a provider's office places the diaphragm of the stethoscope on the left midclavicular line at the fifth intercostal space. Which of the following heart sounds is the nurse attempting to auscultate? (Select all that apply). A. Ventricular gallop B. Closure of the mitral valve C. Closure of the pulmonic valve D. Closure of the tricuspid valve E. Murmur
B. Closure of the mitral valve D. Closure of the tricuspid valve
A client is being seen in the clinic for complaints of "fainting episodes that started last week". How should the nurse proceed with the examination? A. Assess the clients blood pressure in both arms while the client is in a sitting position. B. Assist the client to a lying position before assessing the blood pressure. C. Record the client's blood pressure in the lying, sitting, and standing positions. D. Assess the client's blood pressure in the lying and sitting positions and average these numbers to obtain a mean blood pressure.
C. Record the client's blood pressure in the lying, sitting, and standing positions.
Which of these statements describes the closure of the valves in normal cardiac cycle? A. The aortic valve closes slightly before the tricuspid valve. B. The pulmonic valve closes slightly before the aortic valve. C. The tricuspid valve closes slightly later than the mitral valve. D. Both the tricuspid and pulmonic valves close at the same time.
C. The tricuspid valve closes slightly later than the mitral valve.
When listening to heart sounds, the nurse knows that the valve closures that can be heard at the base of the heart are: A. mitral and tricuspid. B. tricuspid and aortic. C. aortic and pulmonic. D. mitral and pulmonic
C. aortic and pulmonic.
A nurse is preparing a community health program for adults at risk for cardiovascular disease. Which topic should the nurse include as a modifiable risk factor? A. Diagnosis of diabetes mellitus B. Family history of cardiac disease C. Increasing age D. Cigarette smoking
D. Cigarette smoking
During an assessment of a healthy adult, where would the nurse expect to palpate the apical impulse? A. Third left intercostal space at the midclavicular line. B. Fourth left intercostal space at the sternal border. C. Fourth left intercostal space at the anterior axillary line. D. Fifth left intercostal space at the midclavicular line.
D. Fifth left intercostal space at the midclavicular line.
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: A. decreased fluid volume. B. increased cardiac output. C. narrowing of jugular veins. D. elevated pressure related to heart failure.
D. elevated pressure related to heart failure.
