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healthassess vessels
quiz 3 blood vessels
| Question | Answer |
|---|---|
| Mr. Jones brings her child into your clinical for her kindergarten physical. Upon assessment you note a jugular venous hum. You are aware that this can be normal as well as what abnormalities? | Patent ductus arteriosis |
| You have been assessing Ms. Tanner for suspected valvular problems. What finding would indicate that she is experiencing severe tricuspid regurgitation? | A holosystolic murmur in the tricuspid region |
| Mrs. Jones is a 55-year-old patient who returns to your office today for a follow-up examination. You suspect that she has an arterial aneurysm. Which of the following techniques would best detect an arterial aneurysm? | Auscultating a bruit over the aneurysm |
| A condition that results in progressive ischemia caused by insufficient perfusion is referred to as: | peripheral atherosclerotic disease. |
| In which group is a jugular venous hum an ordinarily expected examination finding? | Children |
| Mrs. Torres presents to your office and states, “My left leg has been hurting a lot lately, especially when I move my foot up and down. It also seems more swollen than the other leg.” Based on these symptoms, the examiner should suspect: | venous thrombosis. |
| Mr. Black is a 62-year-old patient who presents to your office for routine examination. You note a prominent jugular vein with significant pulsations. Which of the following are consistent with this finding? | Right-sided heart failure |
| Mr. Yates is a 37-year-old patient who presents with a complaint of pain. Which of the following types of pain would differentiate musculoskeletal pain from vascular insufficiency? | The pain may occur several hours after activity. |
| Mr. Sanchez is a 42-year-old patient who presents to your office with a complaint of palpitations. Which of the following statements is true in regard to blood flow to or from the heart? | The pulmonary veins carry oxygenated blood to the heart. |
| Which of the following differentiates the venous system from the arterial system? | Veins contain valves to keep blood flowing in one direction. |
| Stroke volume is defined as: | the amount of blood ejected per heartbeat. |
| Mr. Hanson is a 67-year-old patient with a long-standing cardiac history. You are concerned about his cardiac output. Cardiac output is dependent on which of the following? | Heart rate and ejection fraction |
| The venous pulse is best described as: | a reflection of right-sided heart activity transmitted up through the jugular veins. |
| Which of the following differentiates the arterial pulse from the venous pulse? | The arterial pulse can be palpated, whereas the venous pulse is visualized. |
| Mrs. Troba is a 68-year-old patient who presents to your office with a complaint of elevated blood pressure. In older individuals blood pressure tends to become elevated as a result of: | increased peripheral vascular resistance. |
| Your assessing a patient who has been diagnosed with peripheral artery disease. Upon assessment you note that the dorsalis pedis pulse is absent. What other pulse point in the legs may be absent? | posterior tibial. |
| A pulse that decreases in amplitude during inspiration is described by which of the following? | Pulsus paradoxus |
| Mrs. Vallens brings her young child in for a routine checkup. On examination you notice a pulse that is stronger in the upper extremities than it is in the lower extremities. Which of the following is suggestive of this clinical finding? | Coarctation of the aorta |
| Arterial occlusion is characterized by: | pain, pallor, and pulselessness. |
| Mr. Garges is a 64-year-old patient who is experiencing calf pain when he exercises. Pain that results from muscle ischemia is identified as: | claudication. |
| Mrs. Broad is a 34-year-old patient who presents for a routine examination. Which of the following represents an expected finding when inspecting the jugular venous pressure? | Diffuse pulsations in a distended vein that may extend into the angle of the jaw when lying supine |
| Which of the following persons is most at risk for developing venous thrombosis? | A person on bedrest for 4 days after trauma |
| Mrs. Amons is a 52-year-old patient has complaints of fever, fatigue, muscle aches, mild loss of vision, and a severe throbbing headache with a red swollen temporal artery. Which of the following best describes these clinical signs and symptoms? | Temporal arteritis |
| The structure that carries oxygenated blood to the body from the left ventricle is the: | aorta. |
| When does peripheral vascular pressure fall to the lowest point? | Diastole |
| The arterial pulse is produced by: | ventricular systole. |
| ___________ are affected by stroke volume (volume of blood ejected), distensibility of the aorta and large arteries, viscosity of the blood, and peripheral arteriolar resistance. | arterial pulses |
| The level at which the jugular venous pulse is visible gives an indication of: | right atrial pressure. |
| The most prominent component of the jugular venous pulse is the: | a wave. |
| In newborn infants, closure of the ductus arteriosus usually occurs: | 12 to 14 hours after birth |
| Blood pressure normally decreases during what period? | First trimester of pregnancy |
| Vascular changes expected in the older adult include: | loss of vessel elasticity. |
| Persons of Irish or German descent and genetically predisposed women who take birth control pills are at risk for developing: | varicose veins. |
| The amplitude of pulses is recorded on a(n): | numerical scale of 0 to 4. |
| The pulses are most readily felt over bony prominences. T or F? | True |
| Which arterial pulse is most useful in evaluating heart activity? | Carotid |
| A pulsation that is diminished to the point of being barely palpable would be graded as: | 1 |
| The term claudication refers to: | pain from muscle ischemia. |
| Conduction system impairment should be suspected if an irregular heartbeat is: | patternless. |
| Chronic obstructive pulmonary disease, pericarditis, and pericardial effusion are most often associated with: | paradoxical pulse. |
| In which location would carotid bruits best be heard? | Anterior margin of the sternocleidomastoid muscle |
| A pt with _________ or __________ will have thin skin with localized pallor and cyanosis, a loss of body warmth in the affected area, and loss of hair over the extremity. | PAD or Claudication |
| A sound similar to a murmur that is heard over arteries is a: | bruit |
| The nurse assesses the blood pressure to be 140/62 and records 78 as the: | pulse pressure |
| The difference in blood pressure readings between the right and the left arms is considered normal up to _____ mm Hg. | 10 |
| If only two blood pressure values are recorded, they are the _____ sounds. | first systolic and second diastolic |
| A normal adult's pulse pressure should range from _____ mm Hg. | 30 to 40 |
| Postural hypotension is defined as a _____ when the patient stands, compared with sitting or supine readings. | systolic pressure drop of more than 15 mm Hg with a pulse rate increase |
| In differentiating between an occluded artery or vein, a differentiating sign (present in venous but not arterial occlusion) is: | edema. |
| To assess a patient's jugular veins, he or she should first be placed in which position? | Supine |
| Observation of hand veins can facilitate assessment of: | right heart pressure. |
| You are assessing Mr. Z.'s fluid volume status as a result of heart failure. If your finger depresses a patient's edematous ankle to a depth of 6 mm, you should record this pitting as: | 3+ |
| If pitting edema is unilateral, you would suspect occlusion of a: | major vein |
| Thrombosis of a leg vein should be suspected if the patient feels calf pain: | on dorsiflexion of the foot |
| Which of the following statements is most accurate in describing hepatic jugular reflux? | It is exaggerated in patients with right heart failure. |
| You are performing jugular venous pressure measurement for your patient in heart failure. You see a pulse wave with the patient's head elevated at a 45-degree angle. Your action as a result of this assessment is to: | confirm that the pulsations decrease with inspirations. |
| A bounding pulse in an infant may be associated with: | patent ductus arteriosus. |
| In infants or small children, a capillary refill time of 4 seconds: | indicates dehydration or hypovolemic shock. |
| A venous hum heard over the internal jugular vein of a child: | usually has no pathologic significance. |
| The most frequent cause of serious hypertension in children is: | renal disease. |
| In pregnancy, blood pressure is at its nadir at: | 16 to 20 weeks. |
| Systolic hypertension in the adult is generally defined as pressure in excess of: | 140 |
| An idiopathic spasm of arterioles in the digits is called: | Raynaud disease |
| A major risk factor for arterial embolic disease is: | A-Fib |
| In children, coarctation of the aorta should be suspected if you detect: | a delay between the radial and femoral pulses. |
| Kawasaki disease is suspected when assessments of a child reveal: | conjunctival injection, strawberry tongue, and edema of the hands and feet. |
Created by:
TwiggyG85