Exam # 2 - NR 302 - Health Assessment
During a cardiovascular assessment, the nurse knows that a thrill is: - - correct
answer Vibration that is palpable.That signifies turbulent blood flow and
accompanies loud murmurs.
The nurse educator is preparing an education module for the nursing staff on the
epidermal layer of skin. Which of these statements would be included in the
module? - - correct answer Replaced every 4 weeks.
The nurse educator is preparing an education module for the nursing staff on the
dermis layer of skin. Which of these statements would be included in the module?
The dermis: - - correct answer Contains sensory receptors.
The nurse is examining a patient who tells the nurse, "I sure sweat a lot, especially
on my face and feet but it doesn't have an odor." The nurse knows that this
condition could be related to: - - correct answer Eccrine glands.
The nurse is bathing an 80-year-old man and notices that his skin is wrinkled, thin,
lax, and dry. This finding would be related to which factor in the older adult? - -
correct answer An increased loss of elastin and a decrease in subcutaneous fat
The nurse is reviewing the anatomy and physiologic functioning of the heart.
Which statement best describes what is meant by atrial kick? - - correct answer
The atria contract toward the end of diastole and push the remaining blood into
the ventricles.
During an examination, the nurse finds that a patient has excessive dryness of the
skin. The best term to describe this condition is: - - correct answer Xerosis
A 13-year-old girl is interested in obtaining information about the cause of her
acne. The nurse should share with her that acne: - - correct answer Is caused by
increased sebum production.
When listening to heart sounds, the nurse knows the valve closures that can be
heard best at the base of the heart are: - - correct answer Aortic and pulmonic.
The nurse keeps in mind that a thorough skin assessment is extremely important
because the skin holds information about a person's: - - correct answer
Circulatory status.
, Exam # 2 - NR 302 - Health Assessment
A patient comes in for a physical examination and complains of "freezing to
death" while waiting for her examination. The nurse notes that her skin is pale
and cool and attributes this finding to: - - correct answer Peripheral
vasoconstriction.
A patient comes to the clinic and tells the nurse that he has been confined to his
recliner chair for approximately 3 days with his feet down and he asks the nurse
to evaluate his feet. During the assessment, the nurse might expect to find: - -
correct answer Distended veins
The second heart sound (S2) occurs: - - correct answer with the closure of the
semilunar (aortic and pulmonic) valves and signals the end of systole. it is loudest
at the base of the heart.
Which of these statements describes the closure of the valves in a normal cardiac
cycle? - - correct answer The tricuspid valve closes slightly later than the mitral
valve.
The component of the conduction system referred to as the pacemaker of the
heart is the: - - correct answer Sinoatrial (SA) node.
The electrical stimulus of the cardiac cycle follows which sequence? - - correct
answer Jaundice
The findings from an assessment of a 70-year-old patient with swelling in his
ankles include jugular venous pulsations 5 cm above the sternal angle when the
head of his bed is elevated 45 degrees. The nurse knows that this finding
indicates: - - correct answer Elevated pressure related to heart failure.
A 42-year-old woman complains that she has noticed several small, slightly raised,
bright red dots on her chest. On examination, the nurse expects that the spots are
probably: - - correct answer Senile angiomas
A 65-year-old man with emphysema and bronchitis has come to the clinic for a
follow-up appointment. On assessment, the nurse might expect to see which
finding? - - correct answer Clubbing of the nails
A 35-year-old pregnant woman comes to the clinic for a monthly appointment.
During the assessment, the nurse notices that she has a brown patch of
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