NURS 612 EXAM 2 MARYVILLE UNIVERSITY
ADVANCED HEALTH ASSESSMENT EXAM 2
NEWEST 2024 ACTUAL EXAM 250
QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES (VERIFIED
ANSWERS) |ALREADY GRADED A+
Dextrocardia is a condition characterized by which of
the following?
a. The right side of the heart is enlarged.
b. The heart is positioned to the right of the stomach.
c. The heart is positioned to the right, either rotated or displaced.
d. Blood glucose level in the heart is higher than in other organs. -
ANSWER >>>C
While auscultating the heart of an obese patient, the examiner should
expect the heart sounds to be
a. louder and closer.
b. softer and more distant.
c. louder and more distant.
d. softer and closer. - ANSWER >>>B
The examiner is unable to palpate a patient's apical pulse. In addition,
the heart sounds are very faint to
auscultation. What condition should be considered?
a. Pleural or pericardial fluid
b. Congestive heart failure
c. Mitral valve regurgitation
d. ASD - ANSWER >>>a
What disease process should the examiner consider if a patient
reports a several-week history of fever and
,shows clinical symptoms of congestive heart failure?
a. Bacterial endocarditis
b. Infarction
c. Myocarditis
d. Cardiac tamponade - ANSWER >>>a
Which of the following occurs in the body to accommodate the
increased maternal blood volume in a
pregnant woman?
a. The heart rate drops to deal with greater cardiac output.
b. The plasma volume decreases to allow for more erythrocytes.
c. The heart is shifted in position toward a more horizontal
orientation. - ANSWER >>>c
The examiner suspects that a patient has pulmonary hypertension.
What examination findings are consistent
with this?
a. Decreased intensity of S1 heart sounds; increased intensity of S2
heart sounds
b. A thrill palpated in the area of apex
c. Paradoxic splitting of S1 and S2 heart sounds
d. Pericardial friction rub - ANSWER >>>a
In most adults, the apical impulse should be visible at the
a. midaxillary line in the fifth right intercostal space.
b. sternal notch.
c. midclavicular line in the fifth left intercostal space.
d. costovertebral angle. - ANSWER >>>c
While palpating the precordium, a heave is identified, with lateral
displacement of the apical pulse.
Such a finding may indicate
a. mitral regurgitation.
b. aortic stenosis.
c. left ventricular enlargement.
d. pericarditis - ANSWER >>>c
,A thrill generally indicates which of the following?
a. A disturbance in the electrical conductivity of the heart
b. A disruption of blood flow related to a defect of closure in the
semilunar valves
c. The presence of significant infection of the myocardium
d. Pulmonary hypotension - ANSWER >>>b
Because percussion has a limited value in determining heart size, left
ventricular size is more accurately
determined by
a. auscultating the heart sounds.
b. locating the apical pulse or PMI.
c. palpating the left sternal border.
d. palpating the heart base. - ANSWER >>>b
Which of the following may be easily mistaken for cardiac-generated
sounds?
a. Bowel sounds
b. Pulmonary insufficiency
c. Pericardial friction rub
d. Tracheal shifting - ANSWER >>>c
Cardiac tamponade is
a. sudden in onset and requires immediate intervention.
b. easily detected by auscultation.
c. the result of excessive accumulation of fluid between the
pericardium and the myocardium.
d. characterized by excessive cardiac relaxation, increased blood
pressure, and bounding pulse. - ANSWER >>>c
During cardiac auscultation, the examiner notes a midsystolic murmur
with a medium pitch; a coarse
thrill is palpated as well. These findings are consistent with which
condition?
a. Aortic stenosis
b. Aortic regurgitation
c. Pulmonic stenosis
, d. Mitral stenosis - ANSWER >>>a
Which of the following reports made by a patient suggests
compromised cardiac output?
a. "My heart pounds hard after going upstairs, but it settles down after
I rest a minute."
b. "My right foot hurts a lot. I have also noticed it is colder and darker
than the left foot."
c. "I have been really tired lately. By evening, I am too tired to do
anything but lie down."
d. "I keep getting sores on my legs and feet that take forever to heal."
- ANSWER >>>c
Which of the following cardiovascular findings would be considered
normal for a woman who is 8 months' pregnant?
a. The heart position shifts up and to the left; the apex moves laterally.
b. Percussion reveals a decrease in left ventricular size.
c. Assessment of the lower legs reveal 3+ pitting edema.
d. Blood pressure is 150/118 mm Hg. - ANSWER >>>a
Which principle helps the examiner determine where heart sounds are
best heard?
a. The Doppler effect diminishes the sound over time.
b. Sound is transmitted in the direction of blood flow.
c. Accumulation of fluid magnifies the intensity of sound.
d. Duration of sound varies directly with frequency. - ANSWER >>>b
S2 is
a. the result of opening of the atrioventricular valves.
b. the beginning of systole.
c. best heard in the mitral area.
d. of higher pitch and shorter duration than S1. - ANSWER >>>d
Splitting of heart sounds is
a. an unexpected event that should be further evaluated.
b. the result of opening of the valves during exhalation.
c. greatest at the peak of inspiration.
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