Question 1

Which heart problem is responsible for an early systolic murmur?

Accepted Answer

A)   Pericarditis
B)   Turbulent venous flow
C)   Ventricular septal defect (VS
D)  
D)   Myocardial infarction (MI)  C

Question 2

Which is often the cause of an additional heart sound heard during pregnancy?

Accepted Answer

A)   A mammary soufflé
B)   Friction rub
C)   Venous hum
D)   S4 gallop A

Question 3

The nurse knows that a systolic murmur less than or equal to a grade ________________auscultated during a cardiovascular assessment is usually innocent.

Accepted Answer

2

Question 4

The nurse assesses an S4 gallop rhythm during a cardiovascular assessment. Which is the reason for this heart sound?

Accepted Answer

A)   Pulmonary hypertension
B)   Mitral stenosis
C)   Aortic stenosis
D)   Pericarditis

Question 5

The nurse auscultates an S3 gallop rhythm in an adult. Which disorder is this indicative of?

Accepted Answer

A)   Atrial fibrillation
B)   Heart failure
C)   Ventricular tachycardia
D)   Atrial septal defect

Question 6

An S₃ heart sound may be a normal finding in patients younger than ________________years of age.

Accepted Answer

The answer of An S₃ heart sound may be a...

Question 7

An older adult patient is admitted to the critical care unit with uncontrolled hypertension. The patient's point of maximal impulse (PMI) is enlarged and displaced laterally. Which is the normal size of the left ventricular impulse (LVI)?

Accepted Answer

A)   
B)   No greater than 2 cm
C)   Between 3 and 4 cm
D)   >4 cm

Question 8

The nurse auscultates a widely split S2 heart sound. Which is this assessment finding indicative of?

Accepted Answer

A)   Atrial fibrillation
B)   Left bundle branch block (LBB
B)  
C)   Right bundle branch block (RBB
B)  
D)   Ventricular fibrillation

Question 9

The nurse notes an elevated jugular venous pressure (JVP). Which disease process can cause this assessment finding?

Accepted Answer

A)   Hypovolemia
B)   Constrictive pericarditis
C)   Right ventricular hypertrophy
D)   Abnormal venous wave forms

Question 10

Which action by the nurse will allow bruits to be heard most accurately?

Accepted Answer

A)   Using a fetoscope
B)   Using the diaphragm of the stethoscope
C)   Using the bell of the stethoscope
D)   Using the unassisted ear

Question 11

The nurse auscultates an S2 sound during a cardiovascular system assessment. Which conclusion by the nurse is most appropriate?

Accepted Answer

A)   Normal finding
B)   Mitral valve stenosis
C)   Pericarditis
D)   Hypertension

Question 12

The nurse notes an opening snap when auscultating a patient's heart sounds. Which does this finding indicate?

Accepted Answer

A)   Atrial fibrillation
B)   Pulmonary hypertension
C)   Emphysema
D)   Mitral stenosis

Question 13

The nurse is conducting a health history for a patient who presents for a cardiovascular assessment. Which drugs would likely cause the patient's heart rate to be more than 100 beats per minute? Select all that apply.

Accepted Answer

A)   Nitrates
B)   Isoproterenol
C)   Nicotine
D)   Digoxin
E)   Procainamide

Question 14

Which of the following factors may affect a patient's risk for heart disease?

Accepted Answer

A)   Age
B)   Gender
C)   Ethnicity
D)   All of the above

Question 15

To measure jugular venous pressure, the patient should be placed in which position?

Accepted Answer

A)   Supine
B)   High Fowler's
C)   Semi-Fowler's
D)   Prone

Question 16

At which auscultatory site would a normal split S1 occur?

Accepted Answer

A)   Aortic
B)   Pulmonic
C)   Tricuspid
D)   Mitral

Question 17

When auscultating heart sounds, what is the best way to differentiate S1 and S2?

Accepted Answer

A)   Time S1 with a visible pulsation at the apex
B)   Time S1 with the carotid pulsation
C)   Time S1 as the louder sound at the base
D)   Time the difference between S1 and S2 and the next S1

Question 18

The nurse is preparing to conduct a cardiovascular assessment. Which positions are appropriate for the patient to assume during cardiac auscultation? Select all that apply.

Accepted Answer

A)   Sitting
B)   Trendelenburg
C)   Supine
D)   Sims'
E)   Left lateral recumbent

Question 19

The nurse notes a low-pitch early systolic murmur during a cardiovascular assessment. Which quality will the nurse document when recording this murmur in the patient's medical record?

Accepted Answer

A)   Rough
B)   Harsh
C)   Blowing
D)   RumblingCompletionComplete each statement.

Question 20

Ethnic variations have an impact on severity of coronary artery disease (CAD). Which individual is more likely to suffer from CAD?

Accepted Answer

A)   Japanese American male
B)   Puerto Rican female
C)   African American female
D)   White female

Exam 6: Assessing the Cardiovascular System

Which heart problem is responsible for an early systolic murmur?

Which is often the cause of an additional heart sound heard during pregnancy?

The nurse knows that a systolic murmur less than or equal to a grade ________________auscultated during a cardiovascular assessment is usually innocent.

The nurse assesses an S₄ gallop rhythm during a cardiovascular assessment. Which is the reason for this heart sound?

The nurse auscultates an S₃ gallop rhythm in an adult. Which disorder is this indicative of?

An S₃ heart sound may be a normal finding in patients younger than ________________years of age.

An older adult patient is admitted to the critical care unit with uncontrolled hypertension. The patient's point of maximal impulse (PMI) is enlarged and displaced laterally. Which is the normal size of the left ventricular impulse (LVI) ?

The nurse auscultates a widely split S₂ heart sound. Which is this assessment finding indicative of?

The nurse notes an elevated jugular venous pressure (JVP) . Which disease process can cause this assessment finding?

Which action by the nurse will allow bruits to be heard most accurately?

The nurse auscultates an S₂sound during a cardiovascular system assessment. Which conclusion by the nurse is most appropriate?

The nurse notes an opening snap when auscultating a patient's heart sounds. Which does this finding indicate?

The nurse is conducting a health history for a patient who presents for a cardiovascular assessment. Which drugs would likely cause the patient's heart rate to be more than 100 beats per minute? Select all that apply.

Which of the following factors may affect a patient's risk for heart disease?

To measure jugular venous pressure, the patient should be placed in which position?

At which auscultatory site would a normal split S₁ occur?

When auscultating heart sounds, what is the best way to differentiate S₁ and S₂?

The nurse is preparing to conduct a cardiovascular assessment. Which positions are appropriate for the patient to assume during cardiac auscultation? Select all that apply.

The nurse notes a low-pitch early systolic murmur during a cardiovascular assessment. Which quality will the nurse document when recording this murmur in the patient's medical record?

Ethnic variations have an impact on severity of coronary artery disease (CAD) . Which individual is more likely to suffer from CAD?

Exam 6: Assessing the Cardiovascular System

Which heart problem is responsible for an early systolic murmur?

Which is often the cause of an additional heart sound heard during pregnancy?

The nurse knows that a systolic murmur less than or equal to a grade ________________auscultated during a cardiovascular assessment is usually innocent.

The nurse assesses an S4 gallop rhythm during a cardiovascular assessment. Which is the reason for this heart sound?

The nurse auscultates an S3 gallop rhythm in an adult. Which disorder is this indicative of?

An S3 heart sound may be a normal finding in patients younger than ________________years of age.

An older adult patient is admitted to the critical care unit with uncontrolled hypertension. The patient's point of maximal impulse (PMI) is enlarged and displaced laterally. Which is the normal size of the left ventricular impulse (LVI) ?

The nurse auscultates a widely split S2 heart sound. Which is this assessment finding indicative of?

The nurse notes an elevated jugular venous pressure (JVP) . Which disease process can cause this assessment finding?

Which action by the nurse will allow bruits to be heard most accurately?

The nurse auscultates an S2 sound during a cardiovascular system assessment. Which conclusion by the nurse is most appropriate?

The nurse notes an opening snap when auscultating a patient's heart sounds. Which does this finding indicate?

The nurse is conducting a health history for a patient who presents for a cardiovascular assessment. Which drugs would likely cause the patient's heart rate to be more than 100 beats per minute? Select all that apply.

Which of the following factors may affect a patient's risk for heart disease?

To measure jugular venous pressure, the patient should be placed in which position?

At which auscultatory site would a normal split S1 occur?

When auscultating heart sounds, what is the best way to differentiate S1 and S2?

The nurse is preparing to conduct a cardiovascular assessment. Which positions are appropriate for the patient to assume during cardiac auscultation? Select all that apply.

The nurse notes a low-pitch early systolic murmur during a cardiovascular assessment. Which quality will the nurse document when recording this murmur in the patient's medical record?

Ethnic variations have an impact on severity of coronary artery disease (CAD) . Which individual is more likely to suffer from CAD?

The nurse assesses an S₄ gallop rhythm during a cardiovascular assessment. Which is the reason for this heart sound?

The nurse auscultates an S₃ gallop rhythm in an adult. Which disorder is this indicative of?

An S₃ heart sound may be a normal finding in patients younger than ________________years of age.

The nurse auscultates a widely split S₂ heart sound. Which is this assessment finding indicative of?

The nurse auscultates an S₂sound during a cardiovascular system assessment. Which conclusion by the nurse is most appropriate?

At which auscultatory site would a normal split S₁ occur?

When auscultating heart sounds, what is the best way to differentiate S₁ and S₂?