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Health Assessment Exam 3 Study Guide

Terms in this set (20)

The precordium is:
a) a synonym for the mediastinum.
b) the area on the chest where the apical impulse is felt.
c) the area on the anterior chest overlying the heart and great vessels.
d) a synonym for the area where the superior and inferior venae cavae return unoxygenated venous blood to the right side of the heart.
c) the area on the anterior chest overlying the heart and great vessels
Select the best description of the tricuspid valve.
a) left semilunar valve
b) right atrioventricular valve.
c) left atrioventricular valve.
d) right semilunar valve.
b) right atrioventricular valve (AV)
The function of the pulmonic valve is to:
a. divide the left atrium and left ventricle
b. guard the opening between
c. protect the orifice between the right ventricle and the pulmonary artery
d. Guard the entrance to the aorta from the left ventricle
c. Protect the orifice between the right ventricle and the pulmonary artery
Atrial systole occurs:
a. during ventricular systole
b. during ventricular diastole
c. concurrently with ventricular systole
d. independently of ventricular function
b. during ventricular diastole
The second heart sound is a result of:
closing of the aortic and pulmonic valves
The examiner has estimated the jugular venous pressure. Identify the finding that is abnormal.

a. Patient elevated to 30 degrees, internal jugular vein pulsation at 1 cm above sternal angle

b. Patient elevated to 30 degrees, internal jugular vein pulsation at 2 cm above

c. Patient elevated to 40 degrees, internal jugular vein pulsation at 1 cm above

d. Patient elevated to 45 degrees, internal jugular vein pulsation at 4 cm above sternal angle
d. Patient elevated to 45 degrees, internal jugular vein pulsation at 4 cm above sternal angle
The examiner is palpating the apical impulse. Which is a normal-sized impulse?

a. less than 1 cm
b. Approximately 1 x 2 cm
c. 3 cm
d. Varies depending on the size of the person
b. Approximately 1 x 2 cm
The nurse auscultates the pulmonic valve area in which region?
a. Second right interspace
b. Second left interspace
c. Left lower sternal border
d. Fifth interspace, left mid-clavicular line
b. Second left interspace
Which description would differentiate a split S2 from S3?
a. S3 is lower pitched and is heart at the apex
b. S2 is heard at the left lower sternal border
c. The timing of S2 varies with respirations
d. S3 is heard at the base; the timing varies with respirations
a. S3 is lower pitched and is heart at the apex
You auscultate a patient to rule out a pericardial friction rub. Which assessment technique is most appropriate?
a. listen with the diaphragm, patient sitting up and leaning forward, breath held in expiration.
b. Listen using the bell with the patient leaning forward
c. Listen at the base during normal respiration
d. Listen with the diaphragm, patient turned to the left side.
a. listen with the diaphragm, patient sitting up and leaning forward, breath held in expiration.
When auscultating the heart, your first step is to:
a. Identify S1 and S2
a. Identify S1 and S2
You will hear a split S2 most clearly in which area?
a. Apical
b. Pulmonic
c. Tricuspid
d. Aortic
b. Pulmonic
The stethoscope bell should be pressed lightly against the skin so that:
a. Chest hair doesn't simulate crackles
b. High-pitched sounds can be heard better
c. The bell does not act as a diaphragm
d. The bell does not interfere with amplification of heart sounds
c. The bell does not act as a diaphragm
A murmur is heard after S1 and before S2. This murmur would be classifies as:
a. Diastolic (possibly benign)
b. Diastolic (always pathologic)
c. Systolic (possibly benign)
d. Systolic (always pathologic)
c. Systolic (possibly benign)
When assessing the carotid artery, the nurse should palpate:
a. Bilaterally at the same time while standing behind the patient
b. Medial to the sternomastoid muscle, one side at a time
c. For a bruit while asking the patient to hold his or her breath briefly
d. For unilateral distention while turning the patient's head to one side
b. Medial to the sternomastoid muscle, one side at a time
A function of the venous system includes:
a. Holding more blood when blood volume increases
b. Conserving fluid and plasma proteins that leak out of the capillaries
c. Forming a major part of the immune system that defends the body against disease
d. Absorbing lipids from the intestinal tract
a. Holding more blood when blood volume increases
Which of the following organs aid the lymphatic system?
a. Liver, lymph nodes, and stomach
b. Pancreas, small intestine, and thymus
c. Spleen, tonsils, and thymus
d. Pancreas, spleen, and tonsils
c. Spleen, tonsils, and thymus
Ms. T has come for a prenatal visit. She reports dependent edema, varicosities in the legs, and hemorrhoids. What is the best response?

a. "If these symptoms persist, we will perform an amniocentesis."
b. "If these symptoms persist, we will discuss having you hospitalized"
c. The symptoms are caused by the pressure of the growing uterus on the veins. They are usually conditions of pregnancy."
d. "At the time, the symptoms are a minor inconvenience. You should learn to accept them"
c. The symptoms are caused by the pressure of the growing uterus on the veins. They are usually conditions of pregnancy."
A patient's pulse with an amplitude of 3+ indicates:
a. Irregular with 3 premature beats
b. increased, full
c. Normal
d. Weak
b. increased, full
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