Question 1

Discovered upon inspection,a pulsation or systolic bulge found at the third intercostal space,left sternal border,is considered

Accepted Answer

A)  normal, caused by blood pulsating against the left ventricular wall. 
B)  abnormal, possibly caused by a left ventricular aneurysm. 
C)  abnormal, possibly caused by pericardial disease with constriction. 
D)  abnormal, possibly caused by a right ventricular rupture. 
A)  normal, caused by blood pulsating against the left ventricular wall. 
B)  abnormal, possibly caused by a left ventricular aneurysm. 
C)  abnormal, possibly caused by pericardial disease with constriction. 
D)  abnormal, possibly caused by a right ventricular rupture. B

Question 2

A pulsation in the aortic area,discovered upon inspection,is considered

Accepted Answer

A)  normal, due to blood pulsating against the aortic wall. 
B)  abnormal, possibly caused by an aortic root aneurysm. 
C)  abnormal, possibly caused by right ventricular hypertrophy. 
D)  abnormal, possibly caused by aortic regurgitation. 
A)  normal, due to blood pulsating against the aortic wall. 
B)  abnormal, possibly caused by an aortic root aneurysm. 
C)  abnormal, possibly caused by right ventricular hypertrophy. 
D)  abnormal, possibly caused by aortic regurgitation. B

Question 3

The visceral layer,a serous layer that lies against the heart,is also called the ____________________.

Accepted Answer

epicardium
Explanation:The heart and the roots of the great vessels lie within a sac called the pericardium, which is composed of fibrous and serous layers.The fibrous layer is the outermost layer.The two serous layers of the pericardium are the parietal layer and the visceral layer.The parietal layer lies close to the fibrous tissues.The visceral layer lies against the actual heart muscle and is often referred to as the epicardium.

Question 4

The LAD supplies blood to which of the following? Select all that apply.

Accepted Answer

A)  Lateral and posterior portions of the left ventricle. 
B)  Apex of the left ventricle. 
C)  Anterior wall. 
D)  Anterior portion of the interventricular septum. 
E)  Left atrium.
F) Inferior wall of the left ventricle. 
A)  Lateral and posterior portions of the left ventricle. 
B)  Apex of the left ventricle. 
C)  Anterior wall. 
D)  Anterior portion of the interventricular septum. 
E)  Left atrium.
F) Inferior wall of the left ventricle.

Question 5

Hypokinetic pulsations in the mitral area can be caused by

Accepted Answer

A)  the presence of fluid between the left ventricle and the chest wall. 
B)  decreased subcutaneous tissue in the individual. 
C)  high-output states such as warm septic shock. 
D)  left ventricular hypertrophy. 
A)  the presence of fluid between the left ventricle and the chest wall. 
B)  decreased subcutaneous tissue in the individual. 
C)  high-output states such as warm septic shock. 
D)  left ventricular hypertrophy.

Question 6

The heart muscle (myocardium)receives oxygen from the coronary arterial system.Which vessels comprise the coronary arterial system? Select all that apply.

Accepted Answer

A)  Left anterior descending (LA
D)  coronary artery 
B)  Circumflex branch of left coronary artery 
C)  Right branch of pulmonary artery 
D)  Inferior vena cava 
E)  Right coronary artery (RC
A) 
F) Marginal artery 
A)  Left anterior descending (LA
D)  coronary artery 
B)  Circumflex branch of left coronary artery 
C)  Right branch of pulmonary artery 
D)  Inferior vena cava 
E)  Right coronary artery (RC
A) 
F) Marginal artery

Question 7

Which heart sound does closure of the atrioventricular (A-V)valves produce?

Accepted Answer

A)  S1 
B)  S2 
C)  S3 
D)  S4 
A)  S1 
B)  S2 
C)  S3 
D)  S4

Question 8

An obstruction in the left main coronary artery is often referred to as a(n)____________________ because of its lethal effect.

Accepted Answer

widow maker
Explanation:The left main co

Question 9

An S3 originating from the right ventricle is best heard with the

Accepted Answer

A)  bell of the stethoscope over the fifth intercostal space. 
B)  diaphragm of the stethoscope over the fifth intercostal space. 
C)  bell of the stethoscope over the third intercostal space. 
D)  diaphragm of the stethoscope over the third intercostal space. 
A)  bell of the stethoscope over the fifth intercostal space. 
B)  diaphragm of the stethoscope over the fifth intercostal space. 
C)  bell of the stethoscope over the third intercostal space. 
D)  diaphragm of the stethoscope over the third intercostal space.

Question 10

An example of a minor modifiable cardiovascular risk factor is

Accepted Answer

A)  hyperlipidemia. 
B)  hypertension. 
C)  obesity. 
D)  smoking. 
A)  hyperlipidemia. 
B)  hypertension. 
C)  obesity. 
D)  smoking.

Question 11

Which type of murmur has a configuration that goes from loud to soft?

Accepted Answer

A)  crescendo 
B)  holosystolic 
C)  pansystolic 
D)  decrescendo 
A)  crescendo 
B)  holosystolic 
C)  pansystolic 
D)  decrescendo

Question 12

When auscultating a patient’s heart at the pulmonic area,you hear a split S2 with the louder A2 component occurring slightly before the P2 component during inspiration.You recognize that this finding most likely is

Accepted Answer

A)  normal physiological splitting. 
B)  fixed splitting. 
C)  paradoxical splitting. 
D)  S3. 
A)  normal physiological splitting. 
B)  fixed splitting. 
C)  paradoxical splitting. 
D)  S3.

Question 13

An S4 is best described as

Accepted Answer

A)  an early diastolic filling sound associated with rapid ventricular filling. 
B)  a rumbling or blowing sound heard throughout systole. 
C)  a high-pitched clicking sound occurring early in diastole. 
D)  a late diastolic filling sound associated with atrial contraction. 
A)  an early diastolic filling sound associated with rapid ventricular filling. 
B)  a rumbling or blowing sound heard throughout systole. 
C)  a high-pitched clicking sound occurring early in diastole. 
D)  a late diastolic filling sound associated with atrial contraction.

Question 14

The condition in which a valve that should be open remains partially closed is

Accepted Answer

A)  stenosis. 
B)  regurgitation. 
C)  prosthesis. 
D)  normal. 
A)  stenosis. 
B)  regurgitation. 
C)  prosthesis. 
D)  normal.

Question 15

Potential causes of hyperkinetic pulsations include which of the following? Select all that apply.

Accepted Answer

A)  Shock 
B)  Thyrotoxicosis 
C)  Mitral regurgitation 
D)  Severe Anemia 
E)  Left-to-right heart shunts
F) Decreased myocardial contractibility 
A)  Shock 
B)  Thyrotoxicosis 
C)  Mitral regurgitation 
D)  Severe Anemia 
E)  Left-to-right heart shunts
F) Decreased myocardial contractibility

Question 16

In the cardiac cycle,once the pressure in the left ventricle exceeds that in the aorta and the pressure in the right ventricle exceeds that in the pulmonary artery,the

Accepted Answer

A)  A-V node is stimulated. 
B)  semilunar valves open. 
C)  A-V valves open. 
D)  semilunar valves close. 
A)  A-V node is stimulated. 
B)  semilunar valves open. 
C)  A-V valves open. 
D)  semilunar valves close.

Question 17

A patient's primary care provider has indicated that her symptoms of dyspnea and fatigue related to heart failure are class IV.This classification indicates that she experiences

Accepted Answer

A)  symptoms with any activity or even at rest. 
B)  symptoms with ordinary physical activity and has a slight limitation of physical activity. 
C)  no symptoms with ordinary physical activity. 
D)  symptoms with ordinary physical activity and has a marked limitation of physical activity. 
A)  symptoms with any activity or even at rest. 
B)  symptoms with ordinary physical activity and has a slight limitation of physical activity. 
C)  no symptoms with ordinary physical activity. 
D)  symptoms with ordinary physical activity and has a marked limitation of physical activity.

Question 18

You are auscultating a patient's heart during a routine physical examination.You should position the patient

Accepted Answer

A)  in a flat, supine position or a sitting position. 
B)  in the left lateral position. 
C)  leaning forward slightly. 
D)  on his back with the bed raised 45°. 
A)  in a flat, supine position or a sitting position. 
B)  in the left lateral position. 
C)  leaning forward slightly. 
D)  on his back with the bed raised 45°.

Question 19

The bicuspid valve is also known as the ____________________ valve.

Accepted Answer

mitral
Explanation: The two at

Question 20

The normal pacemaker of the heart is the

Accepted Answer

A)  S-A node at 120 bpm. 
B)  A-V node at 60 bpm. 
C)  S-A node at 70 bpm. 
D)  A-V node at 40 bpm. 
A)  S-A node at 120 bpm. 
B)  A-V node at 60 bpm. 
C)  S-A node at 70 bpm. 
D)  A-V node at 40 bpm.

Exam 16: Heart

Discovered upon inspection,a pulsation or systolic bulge found at the third intercostal space,left sternal border,is considered

A pulsation in the aortic area,discovered upon inspection,is considered

The visceral layer,a serous layer that lies against the heart,is also called the ____________________.

The LAD supplies blood to which of the following? Select all that apply.

Hypokinetic pulsations in the mitral area can be caused by

The heart muscle (myocardium)receives oxygen from the coronary arterial system.Which vessels comprise the coronary arterial system? Select all that apply.

Which heart sound does closure of the atrioventricular (A-V)valves produce?

An obstruction in the left main coronary artery is often referred to as a(n)____________________ because of its lethal effect.

An S3 originating from the right ventricle is best heard with the

An example of a minor modifiable cardiovascular risk factor is

Which type of murmur has a configuration that goes from loud to soft?

When auscultating a patient’s heart at the pulmonic area,you hear a split S2 with the louder A2 component occurring slightly before the P2 component during inspiration.You recognize that this finding most likely is

An S4 is best described as

The condition in which a valve that should be open remains partially closed is

Potential causes of hyperkinetic pulsations include which of the following? Select all that apply.

In the cardiac cycle,once the pressure in the left ventricle exceeds that in the aorta and the pressure in the right ventricle exceeds that in the pulmonary artery,the

A patient's primary care provider has indicated that her symptoms of dyspnea and fatigue related to heart failure are class IV.This classification indicates that she experiences

You are auscultating a patient's heart during a routine physical examination.You should position the patient

The bicuspid valve is also known as the ____________________ valve.

The normal pacemaker of the heart is the

Critical Thinking And The Nursing Process

Communication Techniques And The Patient Interview

The Complete Health History Including Documentation

Developmental Assessment

Cultural Assessment

Spiritual Assessment

Nutritional Assessment

Physical Examination Techniques

General Survey, vital Signs, and Pain

Skin, hair, and Nails

Head, neck, and Regional Lymph Nodes

Eyes

Ears, nose, mouth, and Throat

Breasts And Regional Nodes

Thorax And Lungs

Peripheral Vasculature And Lymphatic System

Abdomen

Musculoskeletal System

Mental Status And Neurological Techniques

Female Genitalia

Male Genitalia

Anus, rectum, and Prostate

The Pregnant Patient

The Pediatric Patient

The Older Adult Patient

The Complete Health History And Physical Examination

Filters

An S₃ originating from the right ventricle is best heard with the

When auscultating a patient’s heart at the pulmonic area,you hear a split S₂ with the louder A₂ component occurring slightly before the P₂ component during inspiration.You recognize that this finding most likely is

An S₄ is best described as