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Health Assessment

Quiz yourself by thinking what should be in each of the black spaces below before clicking on it to display the answer.
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Question
Answer
show "I always listen to the heart in a number of places on the chest."  
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To assess the dorsalis pedis artery, you would palpate:   show
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show Aortic area - pulmonic area - Erb's point - tricuspid area - mitral area  
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During an assessment, the nurse notes that a patient's left arm is swollen from the shoulder down to the fingers, with nonpitting edema. The right arm is normal. The patient had a mastectomy one year ago. The nurse suspects which problem:   show
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show Modified Allen's test  
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show No further response is needed, as this is normal.  
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show left atrioventricular valve.  
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show Raynaud's syndrome.  
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show Enlarged and tender inguinal nodes  
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show proceed with the exam. It is often impossible to palpate this pulse.  
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show a murmur that is palpable.  
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show pericardium  
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show second left intercostal space  
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Which of the following statements best describes the mechanism(s) by which venous blood returns to the heart? Question 14 answers   show
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Which of the following statements is true regarding the apical impulse?   show
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The nurse wishes to listen in the aortic valve area. To do this, the stethoscope would be placed at the:   show
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show blood flow turbulence.  
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show the atria contract toward the end of diastole and push the remaining blood into the ventricles  
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show the aorta  
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The muscular wall of the heart is called the:   show
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When listening to heart sounds, the nurse knows that the valve closures that can be heard best at the base of the heart are:   show
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show SA node - AV node - bundle of His - bundle branches  
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show heart failure.  
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The component of the conduction system referred to as the pacemaker of the heart is the:   show
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The nurse would palpate around the medial malleolus to assess which pulse:   show
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The direction of blood flow through the heart is best described by which of the following?   show
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show a brownish discoloration to the skin of the lower leg  
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show S1 coincides w/carotid artery pulse  
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The precordium is:   show
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show claudication  
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show decreased cardiac output.  
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A patient's capillary refill in the fingertips is found to be greater than 3 seconds. The student nurse understands this to mean:   show
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A patient has a positive Homan's sign. You know that a positive Homan's sign:   show
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show distant  
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The thin layer of tissue that lines the inner surface of the heart chambers and valves is called:   show
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show Nocturia  
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A 70-year-old patient is scheduled for open-heart surgery. The physician plans to use the great saphenous vein for the coronary bypass grafts. The patient asks, "What happens to my circulation when the veins are removed?" The nurse should reply:   show
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show listen with the bell of the stethoscope to assess for bruits.  
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show 1+/4+  
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show with the diaphragm, patient sitting up and leaning forward  
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The second heart sound (S2) is the result of:   show
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In your assessment of a normal adult, where would you expect to palpate the apical impulse?   show
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When performing a peripheral vascular assessment on a patient, you are unable to palpate the ulnar pulses. The patient's skin is warm and capillary refill time is normal. You would:   show
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show Examine the patient's lower arm and hand, checking for the presence of infection or lesions.  
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show moderately loud, easy to hear.  
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Select the best description of the tricuspid valve:   show
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The nurse is reviewing an assessment of a patient's peripheral pulses and notes that the documentation states that the radial pulses are 2+. The nurse recognizes that this reading indicates what type of pulse:   show
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show Peripheral blood vessels growing more rigid with age, producing a rise in systolic blood pressure  
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The nurse is performing a peripheral vascular assessment on a bedridden patient, & notes following findings in right leg: increased warmth, swelling, redness, tenderness to palpation, & positive Homan's sign. The nurse would:   show
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