NURS 1410 Midterm 2 Practice Questions and Correct Answers
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Course
NUR 1410
Institution
NUR 1410
Which of the following patients is at highest risk for orthostatic hypertension
A. 50 yr old man with pneumonia B. 4 yr old child with cystic fibrosis C. 30 yr old woman who smokes and takes oral contraceptives D. An 86 yr old woman with mild ankle edema d. An 86 yr old woman with mild ankle edema...
NURS 1410 Midterm 2 Practice
Questions and Correct Answers
Which of the following patients is at highest risk for orthostatic hypertension
A. 50 yr old man with pneumonia
B. 4 yr old child with cystic fibrosis
C. 30 yr old woman who smokes and takes oral contraceptives
D. An 86 yr old woman with mild ankle edema ✅d. An 86 yr old woman with mild ankle
edema
What is the proper technique for assessing a patient's carotid arteries? ✅auscultate
with the bell of the stethoscope on the side of the neck, listen for bruits, and palpate for
thrills
What socioeconomic factors influence the increase incidence of cvd in canada among
men and women? ✅smokin, diabetes, hypertension, cultural considerations such as
type of diet, aboriginal ppl, black ppl, south asians at greater risk of developing heart
disease due to likely hood of having greater blood pressure and type 2 diabetes
What developmental considerations influence the older adult and cardiovascular
disease? ✅less movement
Menopause
Increase in systolic blood ressure
Decrease ability of heart to augment with exercise; heart isn't able to work the same
way when exercising like when younger
Arrythmias
Decrease tolerance for tachyarryhthmia
Areas of the body that can signal cardiac pain are which of the following? ✅jaw, chest,
left shoulder, left arm, epigastric region
What is the difference between angina and mi? ✅angina: chest pain; temporary -
should resolve in less than 20 mins
- can be aggravated by stress and exercise
Where do you assess the apex of the heart? ✅left 5th ics medial to the mcl
List the order of palpation of the precordium from 1-6 ✅1. Right sternal border in the
2nd ics (aortic)
2. Left sternal border in the 2nd ics (pulmonic)
, 3. Left sternal border in the 3rd ics (erb's point_
4. Left sternal border in the 4th ics (1st tricuspid)
5. Left sternal border in the 5th ics (2nd tricuspid)
6. In the epigastric area: point index finger up under
What do you do if you cannot palpate the patient's pmi? ✅ask the pt to roll to the left
side to bring heart closer to the surface
Which of the following would be the rational for hearing s4? Select all that apply ✅1. Pt
is >40 with no cvd, heard especially after exercise
2. Decresed compliance of ventricle - cad, cardiomyopathy
List the causes of an innocent murmur (functional) ✅- non cardiac cause
Pregnancy
Hyperthyroidism
Exercise
Anemia
Heard in children
What part of the stethoscope do you use to assess a murmur? ✅bell of the
stethoscope
How many places do you assess the carotid artery on the neck? ✅3 on each side:
angle of the jaw, mid cervical region, base of the neck
What is an abnormal assessment of the carotid artery? ✅bruits considered abnormal
(swooshing sound)
Which position will cause distension or pulsation of the jugular vein to disappear?
✅elevation to 30-45 degrees may cause distension/pulsation to disappear
What enzyme is used to confirm a mi ✅troponin
The sa node (hearts pacemaker beats how many times per minute? ✅60-100 beats
per min
What should you asses for with chf ✅increase weight, breathing at night, edema
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