quiz 2 final

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  1. A patient is complaining of a sharp pain along the costovertebral angles. The nurse knows that this symptom is most often indicative of:
    kidney inflammation.
  2. The nurse is preparing for a class on risk factors for hypertension, and reviews recent statistics. Which racial group has the highest prevalence of hypertension in the world?
    African-Americans
  3. The nurse is presenting a class on risk factors for cardiovascular disease. Which of these are considered modifiable risk factors for myocardial infarction (MI)? Select all that apply.
    A. DiabetesB. SmokingC. Abnormal lipidsG. Hypertension
  4. During an assessment, a patient tells the nurse that her fingers often change color when she goes out in cold weather. She describes these episodes as her fingers first turning white, then blue, then red with a burning, throbbing pain. The nurse suspects that she is experiencing:
    Raynaud’s disease.
  5. The nurse is preparing to perform a modified Allen test. Which is an appropriate reason for this test?
    To evaluate the adequacy of collateral circulation before cannulating the radial artery
  6. A 67-year-old patient states that he recently began to have pain in his left calf when climbing the 10 stairs to his apartment. This pain is relieved by sitting for about 2 minutes; then he is able to resume his activities. The nurse interprets that this patient is most likely experiencing
    claudication
  7. The nurse assesses the hepatojugular reflex in a patient. If heart failure is present, then the nurse should see which finding while pushing on the right upper quadrant of the patient’s abdomen, just below the rib cage?
    The jugular veins will remain elevated as long as pressure on the abdomen is maintained.
  8. The nurse is preparing to assess the dorsalis pedis artery. Where is the correct location for palpation?
    Lateral to the extensor tendon of the great toe
  9. A patient in right sided heart failure will exhibit the following signs/symptoms. Select all that apply
    Swollen feet C. FatigueD. Distended jugular veinsE. cyanosis of fingersF. Paroxysmal nocturnal dyspneaG. Anorexia
  10. The nurse is reviewing an assessment of a patient’s peripheral pulses and notices that the documentation states that the radial pulses are “2+.” The nurse recognizes that this reading indicates what type of pulse?
    Normal
  11. The nurse is performing an assessment on an adult. The adult’s vital signs are normal and capillary refill time is 5 seconds. What should the nurse do next
    Consider this a delayed capillary refill time and investigate further.
  12. During an assessment of a 68-year-old man with a recent onset of right-sided weakness, the nurse hears a blowing, swishing sound with the bell of the stethoscope over the left carotid artery. This finding would indicate:
    blood flow turbulence
  13. When listening to heart sounds, the nurse knows that the valve closures that can be heard best at the base of the heart are
    aortic and pulmonic.
  14. Burgers disease is the result of
    Thrombi
  15. The direction of blood flow through the heart is best described by which of these?
    Right atrium right ventricle pulmonary artery lungs pulmonary vein left atrium left ventricle
  16. A 35-year-old man is seen in the clinic for an infection in his left foot. Which of these findings should the nurse expect to see during an assessment of this patient?
    Enlarged and tender inguinal nodes
  17. When auscultating over a patient’s femoral arteries the nurse notices the presence of a bruit on the left side. The nurse knows that
    bruits occur with turbulent blood flow, indicating partial occlusion
  18. The nurse is assessing a patient’s pulses and notices a difference between the patient’s apical pulse and radial pulse. The apical pulse was 118 beats per minute, and the radial pulse was 105 beats per minute. What is the pulse deficit?
    13
  19. S1 is the closure of
    Tricuspid & Mitral valves
  20. The nurse is reviewing risk factors for venous disease. Which of these situations best describes a person at highest risk for development of venous disease
    Person who has been on bed rest for 4 days
  21. When assessing the carotid arteries of an older patient with cardiovascular disease, the nurse would:
    listen with the bell of the stethoscope to assess for bruits
  22. An aching, crampy, tired, and sometimes burning pain in the legs that comes and goes -- it typically occurs with walking and goes away with rest -- due to poor circulation of blood in the arteries of the legs is called
    Intermittent claudication
  23. Which of these statements is true regarding the arterial system?
    The arterial system is a high-pressure system
  24. A 65-year-old patient is experiencing pain in his left calf when he exercises that disappears after resting for a few minutes. The nurse recognizes that this description is most consistent with _________ the left leg.
    ischemia caused by partial blockage of an artery supplying
  25. When assessing a patient’s major risk factors for heart disease, which would the nurse want to include when taking a history
    Smoking, hypertension, obesity, diabetes, high cholesterol
  26. A patient has a positive Homans’ sign. The nurse knows that a positive Homans’ sign may indicate:
    deep vein thrombosis
  27. During a cardiac assessment on a 38 year-old patient in the hospital for “chest pain,” the nurse finds the following: jugular vein pulsations 4 cm above sternal angle when he is elevated at 45 degrees, blood pressure 98/60 mm Hg, heart rate 130 beats per minute, ankle edema, difficulty in breathing when supine, and an S3 on auscultation. Which of these conditions best explains the cause of these findings
    Heart failure
  28. A patient has hypoactive bowel sounds. The nurse knows that a potential cause of hypoactive bowel sounds is:
    peritonitis
  29. A patient's abdomen is bulging and stretched in appearance. The nurse should describe this finding as:
    protuberant
  30. A patient is having difficulty in swallowing medications and food. The nurse would document that this patient has:
    dysphagia
  31. During an abdominal assessment, the nurse elicits tenderness on light palpation in the right lower quadrant. The nurse interprets that this finding could indicate a disorder of which of these structures
    Appendix
  32. During an abdominal assessment, the nurse is unable to hear bowel sounds in a patient's abdomen. Before reporting this finding as "silent bowel sounds" the nurse should listen for at least:
    5 minutes.
  33. A patient is suspected of having inflammation of the gallbladder, or cholecystitis. The nurse should conduct which of these techniques to assess for this condition?
    Test for Murphy’s sign
  34. The nurse suspects that a patient has a distended bladder. How should the nurse assess for this condition?
    Percuss and palpate the midline area above the suprapubic bone
  35. When palpating the abdomen of a 20-year-old patient, the nurse notices the presence of tenderness in the left upper quadrant with deep palpation. Which of these structures is most likely to be involved
    Spleen
  36. The nurse is percussing the seventh right intercostal space at the midclavicular line over the liver. Which sound should the nurse expect to hear?
    Dullness
  37. A nurse notices that a patient has ascites, which indicates the presence of:
    fluid
  38. The nurse suspects that a patient has appendicitis. Which of these procedures are appropriate for use when assessing for appendicitis or a perforated appendix? Select all that apply.
    • Perform iliopsoas muscle test
    • Test for Blumberg’s sign
  39. The nurse is watching a new graduate nurse perform auscultation of a patient's abdomen. Which statement by the new graduate shows a correct understanding of the reason auscultation precedes percussion and palpation of the abdomen?
    “It prevents distortion of bowel sounds that might occur after percussion and palpation.
  40. The nurse is preparing to examine a patient who has been complaining of right lower quadrant pain. Which technique is correct during the assessment? The nurse should:
    examine the tender area last
  41. Which structure is located in the left lower quadrant of the abdomen?
    Sigmoid colon
Author:
trulytrudy85
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313116
Card Set:
quiz 2 final
Updated:
2015-12-12 20:40:53
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quiz 2 final
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