Question 1

A healthy adult heart pumps up to ____________________ liters of blood per minute.

Accepted Answer

5
five
Explanation:In a restin

Question 2

The major components of the cardiovascular physical examination are the

Accepted Answer

A)  pericardium, periphery, and hepatic area. 
B)  precordium and periphery. 
C)  mid-precordial area, peripheral vasculature, and gastric area. 
D)  gastric area and periphery. 
A)  pericardium, periphery, and hepatic area. 
B)  precordium and periphery. 
C)  mid-precordial area, peripheral vasculature, and gastric area. 
D)  gastric area and periphery.

Question 3

A patient with a chief complaint of palpitations reports excessive alcohol intake over the past 10 years.Which of the following is most useful in understanding the possible relationship between his substance abuse and his symptoms?

Accepted Answer

A)  Prolonged use of alcohol can lead to neurological damage. 
B)  Increased high-density lipoprotein cholesterol is associated with daily intake of 2 oz of alcohol. 
C)  Prolonged use of alcohol can interfere with normal pump function and electrical activity of the heart. 
D)  Liver disease is a common finding in patients with a history of alcohol abuse. 
A)  Prolonged use of alcohol can lead to neurological damage. 
B)  Increased high-density lipoprotein cholesterol is associated with daily intake of 2 oz of alcohol. 
C)  Prolonged use of alcohol can interfere with normal pump function and electrical activity of the heart. 
D)  Liver disease is a common finding in patients with a history of alcohol abuse.

Question 4

A normal pulsation palpated in the mitral area is the apical impulse,which

Accepted Answer

A)  has a large amplitude. 
B)  can be felt immediately after the first heart sound. 
C)  is often easier to palpate with the patient turned to the right side. 
D)  is present in about 10% of adults. 
A)  has a large amplitude. 
B)  can be felt immediately after the first heart sound. 
C)  is often easier to palpate with the patient turned to the right side. 
D)  is present in about 10% of adults.

Question 5

The diaphragm of the stethoscope is used in the cardiac examination to auscultate

Accepted Answer

A)  high-frequency sounds. 
B)  bruits. 
C)  low-pitched sounds. 
D)  all murmurs. 
A)  high-frequency sounds. 
B)  bruits. 
C)  low-pitched sounds. 
D)  all murmurs.

Question 6

The procedure for locating the second intercostal space (ICS)is to first locate

Accepted Answer

A)  Erb's point. 
B)  the angle of Louis. 
C)  the apical impulse. 
D)  the xiphoid process. 
A)  Erb's point. 
B)  the angle of Louis. 
C)  the apical impulse. 
D)  the xiphoid process.

Question 7

The target heart rate (THR)zone range for a patient 50 years old would be

Accepted Answer

A)  80-136. 
B)  85-145. 
C)  90-153. 
D)  95-162. 
A)  80-136. 
B)  85-145. 
C)  90-153. 
D)  95-162.

Question 8

You are unable to distinguish S1 from S2,so you proceed by placing the diaphragm of your stethoscope over the mitral area while

Accepted Answer

A)  palpating a radial pulse. 
B)  palpating a carotid pulse. 
C)  the patient holds his breath. 
D)  the patient takes a deep breath. 
A)  palpating a radial pulse. 
B)  palpating a carotid pulse. 
C)  the patient holds his breath. 
D)  the patient takes a deep breath.

Question 9

Questions on sexual practices should be included in a social history because of their potentially harmful effect on the heart as commonly evidenced by

Accepted Answer

A)  chest pain and syncope. 
B)  palpitations and systolic murmur. 
C)  peripheral edema and dyspnea. 
D)  cardiomyopathy and diaphoresis. 
A)  chest pain and syncope. 
B)  palpitations and systolic murmur. 
C)  peripheral edema and dyspnea. 
D)  cardiomyopathy and diaphoresis.

Question 10

Which of the following are the three phases of systole? Select all that apply.

Accepted Answer

A)  Relaxation phase 
B)  Atrial systole 
C)  Isovolumic contraction 
D)  Rapid ejection (early systole) 
E)  Reduced ejection (late systole)
F) Ventricular systole 
A)  Relaxation phase 
B)  Atrial systole 
C)  Isovolumic contraction 
D)  Rapid ejection (early systole) 
E)  Reduced ejection (late systole)
F) Ventricular systole

Question 11

Patients complaining of fluttering,pounding,or throbbing sensations in their chest are most likely experiencing

Accepted Answer

A)  angina. 
B)  aortic dissection. 
C)  palpitations 
D)  claudication. 
A)  angina. 
B)  aortic dissection. 
C)  palpitations 
D)  claudication.

Question 12

A patient with mitral stenosis may also have an opening snap caused by the opening of a diseased valve.This sound

Accepted Answer

A)  occurs early in diastole, following S2. 
B)  is low pitched. 
C)  varies with respirations and is localized. 
D)  is best auscultated with the bell of the stethoscope. 
A)  occurs early in diastole, following S2. 
B)  is low pitched. 
C)  varies with respirations and is localized. 
D)  is best auscultated with the bell of the stethoscope.

Question 13

When palpating the cardiac landmarks,you should examine for the presence of a thrill,which is best examined using the

Accepted Answer

A)  palmar surface of the hand at the base of the fingers. 
B)  finger pads of all five fingers. 
C)  ulnar aspect of a closed fist. 
D)  fingertips along with a stethoscope as a guide. 
A)  palmar surface of the hand at the base of the fingers. 
B)  finger pads of all five fingers. 
C)  ulnar aspect of a closed fist. 
D)  fingertips along with a stethoscope as a guide.

Question 14

A summation gallop is the sound heard when the following heart sounds are present

Accepted Answer

A)  S1, S2, S3. 
B)  S1, S2, S4. 
C)  S1, S2, S3-4. 
D)  opening snap, S1, S2, S3, S4. 
A)  S1, S2, S3. 
B)  S1, S2, S4. 
C)  S1, S2, S3-4. 
D)  opening snap, S1, S2, S3, S4.

Exam 16: Heart

A healthy adult heart pumps up to ____________________ liters of blood per minute.

The major components of the cardiovascular physical examination are the

A patient with a chief complaint of palpitations reports excessive alcohol intake over the past 10 years.Which of the following is most useful in understanding the possible relationship between his substance abuse and his symptoms?

A normal pulsation palpated in the mitral area is the apical impulse,which

The diaphragm of the stethoscope is used in the cardiac examination to auscultate

The procedure for locating the second intercostal space (ICS)is to first locate

The target heart rate (THR)zone range for a patient 50 years old would be

You are unable to distinguish S1 from S2,so you proceed by placing the diaphragm of your stethoscope over the mitral area while

Questions on sexual practices should be included in a social history because of their potentially harmful effect on the heart as commonly evidenced by

Which of the following are the three phases of systole? Select all that apply.

Patients complaining of fluttering,pounding,or throbbing sensations in their chest are most likely experiencing

A patient with mitral stenosis may also have an opening snap caused by the opening of a diseased valve.This sound

When palpating the cardiac landmarks,you should examine for the presence of a thrill,which is best examined using the

A summation gallop is the sound heard when the following heart sounds are present

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

You are unable to distinguish S₁ from S₂,so you proceed by placing the diaphragm of your stethoscope over the mitral area while