Ch 21 Heart and Neck Vessels Study Guide Exam Questions And Actual Answers.
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Course
Heart and Neck Vessels
Institution
Heart And Neck Vessels
1. While auscultating the client's heart at the third intercostal space and on the left sternal border, the nurse notes a high-pitched, scratchy sound that increases with exhalation with the client leaning forward. The nurse should document which of the following?
A) Pericardial friction rub
B) M...
Ch 21 Heart and Neck Vessels Study
Guide Exam Questions And Actual
Answers.
1. While auscultating the client's heart at the third intercostal space and on the left sternal border, the
nurse notes a high-pitched, scratchy sound that increases with exhalation with the client leaning
forward. The nurse should document which of the following?
A) Pericardial friction rub
B) Midsystolic click
C) Summation gallop
D) Aortic ejection click - Answer A) Pericardial friction rub
The anterior chest area that overlies the heart and great vessels - Answer precordium
2. During chest auscultation, the nurse hears a quiet murmur immediately upon placing the stethoscope
on the client's chest. The nurse interprets this as which grade?
A) 1
B) 2
C) 3
D) 4 - Answer B) 2
The bicuspid, or mitral, valve is located - Answer between the left atrium and the left ventricle
3. A group of students is reviewing the structures of the heart, noting that the thickest layer of the heart
is made up of contractile muscle cells. The students are correct in identifying this layer as which of the
following?
A) Myocardium
B) Epicardium
C) Endocardium
D) Pericardium - Answer A) Myocardium
, The semilunar valves are located - Answer at the exit of each ventricle at the beginning of the great
vessels
4. A nurse is reviewing the electrical conduction system of the heart in preparation for assessing a client
with a conduction problem. The nurse should be aware that the electrical signal originates in which of
the following locations?
A) Bundle of His
B) Purkinje fibers
C) Sinoatrial node
D) AV node - Answer C) Sinoatrial node
The sinoatrial node of the heart is located on the - Answer posterior wall of the right atrium
5. The nurse is analyzing the data from the assessment of a client's heart and neck vessels. The client's
first heart sound corresponds with what event in the cardiac cycle?
A) Isometric contraction
B) Closure of the semilunar valves
C) Beginning of diastole
D) Closure of the atrioventricular valves - Answer D) Closure of the atrioventricular valves
The P-wave phase of the electrocardium (ECG) represents - Answer conduction of the impulse
throughout the atria
6. The nurse is assessing a client who is in uncompensated right-sided heart failure. What assessment
finding should the nurse anticipate?
A) Increased jugular venous pressure
B) Bradycardia
C) Decreased blood pressure
D) Dysrhythmias - Answer A) Increased jugular venous pressure
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