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Nur 306 Midterm - Quinnipiac University With Complete Solutions Latest Update
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Nur 306 Midterm - Quinnipiac University With Complete Solutions Latest Update
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Nur 306 Midterm - Quinnipiac University WithComplete Solutions Latest Update
How does the nurse differentiate a pleural friction rub from a pericardial friction rub?
A) Auscultate the upper back; if a rub is present, it is pleural
B) Auscultate the base of the heart; if a rub is present, it is pericardial
C) Turn the client on the right side; if the rub persists, it is pericardial
D) Have the client hold his or her breath; if the rub persists, it is pericardial
D) Have the client hold his or her breath; if the rub persists, it is pericardial
A student states that a client has a palpable rushing vibration in the area of the pulmonic valve. What should the
instructor explain that the student is feeling?
A) A thrill
B) A normal finding
C) A heave
D) A thrust
A) a thrill
Rationale:
Thrills are vibrations detected on palpation. A palpable, rushing vibration (thrill) is caused from turbulent blood flow
with incompetent valves, pulmonary hypertension, or septal defects. This vibration is usually in the location of the valve
in which it is associated. A thrust or a heave is a forceful thrusting on the chest. This is not a normal finding.
In order to palpate an apical pulse when performing a cardiac assessment, where should the nurse place the fingers?
a. right of midclavicular line at the fifth intercostal space
b. right of the midclavicular line at the third intercostal space
c. left midclavicular line at the fifth intercostal space
d. left midclavicular line at the third intercostal space
c. left midclavicular line at the fifth intercostal space
Variations in the presentation of S1 are due to alterations in which heart valve?
a. Pulmonic
b. Aortic
c. Tricuspid
d. Mitral
d. Mitral
,The nurse's assessment of a client reveals jugular venous distention. The nurse should conduct further assessments
related to what health problem?
a. Myocardial infarction
b. Peripheral arterial disease (PAD)
c. Heart failure
d. Venous thromboembolism
c. heart failure
Rationale:
Jugular venous distention (JVD) is associated with heart failure, tricuspid regurgitation, and fluid volume overload. The
neck veins appear full, and the level of pulsation may be have elevated jugular venous pressure greater than 3 cm (about
1 1/4 in.) above the sternal angle. About 75% of patients with elevated JVD have heart failure.
A nurse auscultates a client's heart sounds and notes an accentuated first heart sound. The nurse would suspect which
of the following?
a. Heart murmur
b. Mitral stenosis
c. Fever
d. Hypothyroidism
b. mitral stenosis
rationale:
An accentuated S1 sound louder than S2 occurs when the mitral valve is wide open and closes quickly.
The nurse is palpating in the right upper abdominal quadrant and feels an enlarged area. The nurse recognizes that she
is most likely feeling what organ?
a. Pancreas
b. Liver
c. Gallbladder
d. Kidneys
b. liver
The should nurse assess for kidney tenderness at what location?
a. Costovertebral angle
b. Umbilical region
c. Hypogastric area
d. Midclavicular line
a. Costovertebral angle
To percuss the liver of an adult client, the nurse should begin the abdominal assessment at the client's:
,a. right lower quadrant
b. left lower quadrant
c. right upper quadrant
d. left upper quadrant
c. right upper quadrant
To palpate the spleen of an adult client, the nurse should begin the abdominal assessment of the client at the:
A. Left lower quadrant
B. Left upper quadrant
C. Right upper quadrant
D. Right lower quadrant
B. Left upper quadrant
To palpate for tenderness of an adult client's appendix, the nurse should begin the abdominal assessment at the client's:
A. Left upper quadrant
B. Left lower quadrant
C. Right upper quadrant
D. Right lower quadrant
B. Left lower quadrant
A group of students is reviewing information about the locations of various organs within the abdomen. The students
demonstrate understanding of the material when they identify which organ as being found in the left upper quadrant?
A. Gallbladder
B. Head of pancreas
C. Spleen
D. Liver
C. Spleen
The nurse correctly identifies the gallbladder is located where?
a. RUQ
b. RLQ
c. LUQ
d. LLQ
a. RUQ
The client would complain of pain in what quadrant if experiencing appendicitis?
a. RUQ
b. RLQ
c. LUQ
d. LLQ
, b. RLQ
A client reports the onset of pain in the left upper quadrant of the abdomen with the ingestion of alcohol. The nurse
recognizes that alteration in function of which organ is most likely to be the cause of pain?
a. liver
b. spleen
c. appendix
d. pancreas
d. pancreas
While auscultating a patient's abdomen, the nurse hears an abdominal bruit. This indicates what condition?
abdominal aortic aneurysm
A nurse determines that the liver span of an older adult male client measures 6 cm. The nurse would interpret this as
indicating which of the following?
A) It is a normal-sized liver
B) The liver is larger than normal
C) It is a smaller-than-normal liver
D) The liver has atrophied
A) It is a normal-sized liver
When assessing the abdomen, the nurse auscultates before percussing because:
a. Percussion may alter the character of bowel sounds.
b. Percussion may alter the frequency of bowel sounds.
c. Auscultation will identify any painful regions.
d. Percussion and palpation may increase the frequency of bruits.
b. Percussion may alter the frequency of bowel sounds.
While palpating a patient's abdomen, the nurse feels fluid in the peritoneal area and notices abdominal swelling. The
nurse should suspect that the patient has:
a. abdominal aortic aneurysm
b. appendicitis
c. ascites
d. ulcerative colitis
c. ascites
*rationale: ascites is abdominal swelling due to accumulated fluid in the peritoneal cavity, often caused by liver disease
The pancreas of an adult client is located:
A. Below the diaphragm and extending below the right costal margin
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