NUR 310 Health Assessment – Cardiac Questions With
Complete Solutions
>3 cm is considered elevated JVD and occurs with Correct
Answer heart failure, pericarditis
6 P's Correct Answer Paralysis
Pain
Pallor
Pulslessness
Paresthesia
Poikilothermic: inability to regulate one's body temperature.
A patient has hard, nonpitting edema of the left lower leg and
ankle. The right leg has no edema. Based on these findings, the
nurse recalls that: Correct Answer Nonpitting, hard edema
occurs with lymphatic obstruction.
A physiological S2 sounds only appears during Correct Answer
inspiration only.
A S1 may be pathologic when there is a Correct Answer right
bundle branch block (electrical conduction problem).
Acrocyanosis Correct Answer is normal at birth; overall
cyanosis may indicate congenital heart disease
An 82-year-old client complains of "aching" left leg pain and
swelling. A nurse assesses the leg and discovers superficial
dilated veins and an ulcerated area close to the ankle on his left
,leg. The nurse knows that this finding most likely indicates:
Correct Answer Chronic venous insufficiency
Angina Pectoris Correct Answer Angina is usually caused by
an increased oxygen demand (exertion) and decreased oxygen
supply (atherosclerosis)
Cardinal Sign: CAD
Chest pain (CP) due to ischemia of myocardium
Aortic is best heard: Correct Answer at the 2nd ICS R sternal
border
Apical impulse (PMI) is seen at what locations Correct Answer
may be seen at 5th ICS, L MCL or just medial to that
Arterial is what type of pressure system Correct Answer high-
pressure system
Atrioventricular (AV) valves separate Correct Answer the atria
& ventricles
Blood is returned by the veins to heart via: Correct Answer -
Contraction of skeletal muscle
- Breathing
- Intraluminal valves prevent backflow
Bottom of the heart is called Correct Answer Apex
, Carotid bruit can indicate AN increased risk for what Correct
Answer a stroke
Chest pain with Pericarditis Correct Answer sharp and stabbing
pain aggravated by deep breathing, lying supine, or coughing
Chronic Stable Angina (exertional or classic): Correct Answer
Symptoms last <15 min, and are relieved by rest and/or
nitroglycerin
Cough: Correct Answer Often pulmonary in origin, but can
indicate cardiac problems such as HF or mitral stenosis
(hemoptysis)
Delayed venous filling >15 seconds indicates
Marked elevational pallor when legs are raised 12" off table
indicates Correct Answer PAD
Developmental competence in pregnantcy Correct Answer
Blood volume ↑ 30-40%
Increased SV and HR
Peripheral vasodilation ↓ BP
S3 can be normal
Developmental Competence: The Aging Adult Correct Answer
↑ thickness of LV wall
↑ dysrhythmias
Increased risk for DVT due to enlarged calf veins
Fewer lymph nodes
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