,A) aBundle aof aHis
B) aPurkinje afibers
C) aPacemaker
D) aConduction asystem a- a✔✔C) aPacemaker
The anurse ais aassessing aa aclient's afirst aheart asound. aThe anurse ainterprets athis
afinding aas aindicating awhich aheart aaction?
A) aIsometric acontraction
B) aClosure aof athe asemilunar avalves
C) aBeginning aof adiastole
D) aClosure aof athe aatrioventricular avalves a- a✔✔d
A anurse aassesses aa aclient's ajugular avenous apulse ato agather ainformation aabout
awhich aof athe afollowing?
A) aLeft aarterial apressure.
B) aLeft aventricular adiastolic afilling.
C) aRight aventricular apressure.
D) aHemodynamics aof athe aright aside aof athe aheart. a- a✔✔d
On aexamination, athe anurse awould aexpect awhat afinding aif aa aclient ais ain aright-sided
afailure?
A) aIncreased ajugular avenous apressure
B) aDecreased aright-sided avolume
C) aDecreased acentral avenous apressure
D) aDecreased astroke avolume a- a✔✔a
A aclient apresents awith achest apain adescribed aas aa apressure aand asqueezing
asensation athat ais asteady aand asevere. aThe anurse awould asuspect awhich asystem aas
athe amost alikely asource?
A) aCardiac
B) aGastrointestinal
C) aMusculoskeletal
D) aPulmonary a- a✔✔a
A aclient acomplains aof apalpitations aand aa afeeling aof aanxiety. aWhich aof athe
afollowing awould abe amost aappropriate afor athe anurse ato akeep ain amind?
A) aThis ais aa anormal aresponse aby athe aheart's aconduction asystem.
B) aThis ais athe abody's aresponse ato aan aincrease ain acardiac aoutput.
C) aThe aheart ais aattempting ato aincrease acardiac aoutput.
D) aThe aheart ais aresponding ato aincreased arenal aperfusion. a- a✔✔c
Which aof athe afollowing awould athe anurse asuspect awhen aa aclient awith aa acardiac
acondition acomplains aof anot asleeping awell aand ahaving ato aget aup afrequently aat
anight ato aurinate?
A) aThis aindicates athe aheart ais aworking aefficiently.
B) aIncreased aurination aat arest amay aindicate aheart afailure.
When aauscultating athe aleft acarotid aartery, athe anurse anotes aa aswishing asound. aThe
anurse ainterprets athis afinding aas asuggesting awhich aof athe afollowing?
A) aDecreased acardiac aoutput
B) aIncreased acentral avenous apressure
C) aA anarrowed avessel
D) aRight aventricular afailure a- a✔✔b
Which atechnique awould abe amost aappropriate ato ause awhen aexamining athe ajugular
avenous apulse?
A) aPerform athe aexam awith athe aclient ain aa asupine aposition.
B) aHave athe aclient alook astraight aahead awith achin aslightly alifted.
C) aHave athe aclient asit aup aat aa a90-degree aangle.
D) aInspect athe asuprasternal anotch aor aaround athe aclavicles. a- a✔✔d
The anurse ais apreparing ato aassess aa aclient's aapical aimpulse. aThe anurse awould
apalpate aat awhich alocation?
A) aSecond aintercostal aspace, aleft asternal aborder
B) aThird aintercostal aspace, aleft aaxillary aline
C) aFourth aintercostal aspace, aleft asternal aborder
D) aFifth aintercostal aspace, aleft amidclavicular aline a- a✔✔d
A anurse ais apreparing aa apresentation afor aa alocal acommunity agroup aabout acoronary
aartery adisease aand aculture. aWhich ainformation awould athe anurse ainclude?
A) aCaucasians atake ahigher alifestyle arisks athan aAfrican aAmericans.
B) aHypertension ais amore aprevalent ain aAfrican aAmericans.
C) aHypertension ais aseen amore ain awhite awomen athan ain aAfrican-American awomen.
D) aHispanic aAmericans ahave aa ahigher arate aof acoronary aartery adisease athan awhite
aAmericans. a- a✔✔b
A anurse aauscultates aa aclient's aheart asounds aand anotes aan aaccentuated afirst aheart
asound. aThe anurse awould asuspect awhich aof athe afollowing?
A) aHypothyroidism
B) aFever
C) aMitral astenosis
D) aHeart amurmur a- a✔✔c
Which acharacteristic aof athe afirst aheart asound awould athe anurse aexpect ato ahear ain aa
aclient awith amitral ainsufficiency?
A) aSplit
B) aDiminished
C) aAccentuated
D) aVarying a- a✔✔b
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