NU650 2022 January Week 10 Quiz 2 Latest

NU650 Advanced Health Assessment Nursing

Week 10 Quiz 2

Question 1Match the anatomic landmarks to the cardiac auscultatory area.

Aortic   

Erb's Point          

Pulmonic            

Tricuspid             

Mitral   

Question 2In your assessment of a normal adult, where would you expect to palpate the apical impulse?

Select one:

 a.Third left intercostal space at the sternal border.

 b.Fourth left intercostal space at the sternal border.

 c.Fourth left intercostal space at the anterior axillary line.

 d.Fifth left intercostal space at the midclavicular line.

Question 3The NP incorporates which of the following techniques to ensure an accurate blood pressure measurement

Select one:

 a.Allowing the patient to rest for at least ten minutes

 b.Asking the patient to cross his legs at the ankles

 c.Center the bladder of the cuff over the brachial artery

 d.Placing the patient’s arm above heart level

Question 4The NP will ask the patient to assume which position to assess for mitral stenosis?

Select one:

 a.Left lateral decubitus

b.Supine, with the head elevated 30 degrees

 c.Sitting, learning forward after full exhalation

 d.Supine with the head of the bed elevated 15 degrees and the patient’s head turned to the left

Question 5The NP will ask the patient to assume which position to assess the patient for aortic regurgitation?

Select one:

 a.Left lateral decubitus

 b.Supine, with the head elevated 30 degrees

 c.Sitting, leaning forward after full exhalation

 d.Supine with the head of the bed elevated 15 degrees and the patient’s head turned to the left

Question 6The NP will document assessment of the radial pulse as normal by noting the following grade:

Select one:

 a.1+

 b.2+

c.3+

 d.4+

Question 7To assess the patient for a carotid bruit, the NP will first ask the patient to

Select one:

a.Perform a Valsalva maneuver and then place the bell of the stethoscope near the upper end of the thyroid cartilage below the angle of the jaw

 b.Hold their breath and then place the diaphragm of the stethoscope near the upper end of the thyroid cartilage below the angle of the jaw

 c.Breathe normally and then place the bell of the stethoscope near the upper end of the thyroid cartilage below the angle of the jaw

 d.Hold their breath and then palpate both carotid arteries simultaneously to assess for symmetry

Question 8When ascultating heart sounds at the mitral area of the anterior chest, you would expect:

Select one:

 a.S1 to be present, S2 to be absent.

 b.S1 to be louder than S2.

 c.S1 to be the same intensity as S2.

 d.S2 to be louder than S1.

Question 9When examining a patient´s heart you hear a murmur between S2 and S1. How would you describe the murmur?

Select one:

 a.It is a normal finding in this part of the cardiac cycle

 b.It is a diastolic murmur

c.It is a systolic murmur

 d.It is a crescendo murmur

Question 10When performing an Allen Test, the NP will note which of the following results as positive, potentially indicating an occlusion?

Select one:

 a.Palmar pallor

 b.Palmar flushing

I: This is a negative or expected result

 c.Filling of the veins of the feet within 15 seconds of dangling after being raised to 90 degrees tor two minutes

 d.A palpable pressure wave when palpating two areas of a vein

Question 11Which of the following objective findings on the LE would alert the NP to consider chronic venous insufficiency as a differential diagnosis?

Select one:

a.Cool or pale color

 b.Local swelling, redness, and warmth

c.Brownish discoloration or ulcers just above the malleolus

 d.Varicosities

Question 12Which of the following statements describes the  assessment technique for the examination of the peripheral vascular system?

Select one:

 a.Assess the temperature of the feet and legs with the dorsal aspect of the fingers

b. Observe the patient’s gait walking heel-toe

 c.Auscultate the femoral pulse to determine rate and rhythm

 d.Percuss quickly over the dorsum of each foot, behind each medial malleolus, and over the shins bilaterally to identify any edema