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NSG 6020 CARDIOVASCULAR DISORDERS/ QUESTIONS AND ANSWERS

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NSG 6020 Cardiovascular Disorders - Q and Answers In order to bring the ventricular apex closer to the chest wall when assessing the point of maximal impulse (PMI), ask the patient to: The tonsillar, submandibular, and submental nodes drain the lymphatic fluid from portions of the When screening...

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  • April 12, 2022
  • 7
  • 2021/2022
  • Exam (elaborations)
  • Questions & answers
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NSG 6020 CARDIOVASCULAR DISORDERS
1. In order to bring the ventricular apex closer to the chest wall when assessing thepoint of
maximal impulse (PMI), ask the pt to: turn to the left side
2. The tonsillar, submandibular, and submental nodes drain the lymphatic fluid fromportions
of the: mouth, throat, and face
3. When screening a pt for peripheral arterial disease (PAD), one risk factor would include
a history of: smoking
4. Heart sounds produced by turbulence due to a temporary increase in blood flow in
predisposing conditions, such as hyperthyroidism, is considered: a physiologicmurmur
5. A pt complains of a tight, bursting pain in the calf that increases w/ walking.
Elevation of the leg sometimes relieves the pain. These symptoms may be
consistent w/: deep venous thrombosis
6. On assessment, which one of the following symptoms would be noted as a
compensatory response to chronic hypoxia? Hematocrit (HCT) of 55%
7. A pt describes chest pain as persistent, sharp, and knife-like. These symptomsare
more characteristic of: pericarditis
8. The horizontal superficial inguinal lymph nodes are located in the anterior thighbelow
the inguinal ligament and drain lymphatic fluid from all of these areas except: testes
9. When assessing the heart rate of a healthy 13-month-old child, which one of the following
sites is the most appropriate for this child? Apical pulse between the 3rd and 4th intercostal
space in the left midclavicular line
10. To assess the murmur of aortic insufficiency, position the pt: sitting leaning forward
11. A child presents w/ fever of 102. 5 F for the past five days. Kawasaki diseaseis suspected
if which of the following groups of symptoms is present? Cervical lymphadenopathy,
bilateral non-purulent conjunctivitis, periungual desquamation,and polymorphous rash
12. The great saphenous vein enters the deep venous system by way of the: femoral vein
13. A pt describes chest pain as pressing, squeezing, and tight lasting between1 and 3
minutes. These symptoms are more characteristic of: myocardial infarction
14. A bruit heard in the epigastric area w/ both systolic and diastoliccomponents
is suggestive of: renal artery stenosis
15. Tissue ischemia is usually observed when assessing a pt w/ peripheral artery
disease (PAD). What other symptom could be assessed? Intermittentclaudication
16. A pt complains of some pain in the distal portions of her fingers on bothhands. She
states that it tends to occur more frequently w/ exposure to cold. These symptoms
may be consistent w/: Raynaud's disease
17. A pt presents w/ chest pain that radiates to the left side of the neck and down the left
arm when he chops wood. This type of pain could be suggestive of:angina pectoris
18. The amplitude of the pulse in a pt in cardiogenic shock would most likelyappear:
thready
19. Characteristic symptoms of chronic venous insufficiency may include which one of the
following? Petechiae leading to brown pigmentation noted over the feet
20. Children presenting w/ congenital heart defects that result in right to left shunting
would most likely exhibit which of the following symptoms? Cyanosis, decreased
cardiac output, and desaturated systemic blood flow




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, 21. The ankle-brachial index is a screening test used to assess a person's riskfor:
peripheral artery disease
22. A disease that may present as indigestion, but is precipitated by exertionand relieved
by rest is most likely: angina
23. In order to assess for varicosities in the lower extremities, position the pt:standing
24. The four classic structural defects of Tetralogy of Fallot include: a ventricular
septal defect, an overriding aorta, pulmonary stenosis, and right ventricular
hypertrophy
25. A 68-year-old man w/ uncontrolled HTN presents w/ sudden, intense left lower
abdominal pain that radiates to the back. The pain is associated w/ a tearing sensation.
These findings are MOST likely associated w/: an abdominalaortic aneurysm (AAA)
26. Symptoms of orthostatic hypotension include all of the following except: respiratory
rate greater than 30
27. When auscultating the heart, a scratchy, continuous murmur is audible during atrial
systole and ventricular systole and diastole. This finding may be indicative of a:
pericardial friction rub
28. In older adults, the presence of heart sound S4 suggests: HTN
29. A pt w/ cirrhosis develops portal HTN as indicated by the presence of:
splenomegaly
30. The anterior cervical lymph node chain is located anterior and: superficialto the
sternomastoid muscle
31. The axillary lymph nodes drain lymphatic fluid from all of the followingareas except
the: anterior chest wall
32. The lymphatic ducts drain into the: venous system
33. The pt has had an internal pacemaker in place for five years. Pacemakerfailure is
being considered because over the past few days, the pt has been experiencing
episodes of: hiccoughs
34. Why would a newborn w/ patent ductus arteriosus receive a prostaglandin inhibitor
(indomethacin)? To reduce fluid overload on the pulmonary circulation
35. In older adults, the presence of heart sound S3 suggests: heart failure
36. Enlarged or tender lymph nodes are most often associated w/: infection in its nearby
drainage area
37. Pain w/ walking or prolonged standing, radiating from the spinal area into the buttocks,
thighs, lower legs, or feet, may be seen w/: neurogenic claudication
38. A heart rate of 100-180 beats per minute in an adult is considered: sinustachycardia
39. When auscultating the point of maximal impulse (PMI), apex of the heart, in an adult, the
stethoscope is placed at the: fifth intercostal space to the left of the midclavicular line
40. When auscultating the heart, the displacement of the point of maximal impulse (PMI) is
greater than 10 cm lateral to themidsternal line. This finding isconsistent w/: left
ventricular hypertrophy
41. A finding suggestive of an inflamed lymph node would be one that is: tenderand movable
42. The posterior auricular lymph nodes drain lymphatic fluid from the:posterior part
of the temporoparietal region
43. Which of the following group of symptoms would be suggestive of an infant experiencing
a congenital heart defect associated w/a decreased pulmonary blood




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