HEALTH ASSESSMENT EXAM 3 TEST
BANK QUESTION WITH CORRECT
ANSWERS
While aauscultating athe aheart aat athe athird aintercostal aspace, aleft asternal aborder, athe
anurse anotes aa ahigh-pitched, ascratchy asound athat aincreases awith aexhalation awith
athe aclient aleaning aforward. aThe anurse awould adocument awhich aof athe afollowing?
A) aPericardial afriction arub
B) aMidsystolic aclick
C) aSummation agallop
D) aAortic aejection aclick a- a✔✔A) aPericardial afriction arub
During achest aauscultation, athe anurse ahears aa aquiet amurmur aimmediately aupon
aplacing athe astethoscope aon athe aclient's achest. aThe anurse ainterprets athis aas awhich
agrade?
A) aI
B) aII
C) aIII
D) aIV a- a✔✔B) aII
After ateaching aa agroup aof astudents aabout ablood aflow athrough athe aheart, athe
ainstructor adetermines athat athe ateaching awas asuccessful awhen athe astudents astate
athat aafter abeing areceived aby athe aatria, athe ablood agoes ato awhich aof athe afollowing?
A) aChordae atendineae
B) aVentricles
C) aSemilunar avalves
D) aPrecordium a- a✔✔B) aVentricles
A agroup aof astudents ais areviewing athe astructures aof athe aheart, anoting athat athe
athickest alayer aof athe aheart ais amade aup aof acontractile amuscle acells. aThe astudents
aare acorrect ain aidentifying ait aas awhich aof athe afollowing?
A) aMyocardium
B) aEpicardium
C) aEndocardium
D) aPericardium a- a✔✔A) aMyocardium
A anursing astudent ais areviewing athe aelectrical aconduction aof athe aheart. aThe astudent
ais acorrect ain aidentifying athe asinoatrial anode aof athe aheart aas awhich aof athe
afollowing?
,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.
, C) aThe aclient ahas adecreased aperformance alevels aof aactivities aof adaily aliving.
D) aThe aclient amost alikely asleeps awithout aa apillow aat anight. a- a✔✔b
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
BANK QUESTION WITH CORRECT
ANSWERS
While aauscultating athe aheart aat athe athird aintercostal aspace, aleft asternal aborder, athe
anurse anotes aa ahigh-pitched, ascratchy asound athat aincreases awith aexhalation awith
athe aclient aleaning aforward. aThe anurse awould adocument awhich aof athe afollowing?
A) aPericardial afriction arub
B) aMidsystolic aclick
C) aSummation agallop
D) aAortic aejection aclick a- a✔✔A) aPericardial afriction arub
During achest aauscultation, athe anurse ahears aa aquiet amurmur aimmediately aupon
aplacing athe astethoscope aon athe aclient's achest. aThe anurse ainterprets athis aas awhich
agrade?
A) aI
B) aII
C) aIII
D) aIV a- a✔✔B) aII
After ateaching aa agroup aof astudents aabout ablood aflow athrough athe aheart, athe
ainstructor adetermines athat athe ateaching awas asuccessful awhen athe astudents astate
athat aafter abeing areceived aby athe aatria, athe ablood agoes ato awhich aof athe afollowing?
A) aChordae atendineae
B) aVentricles
C) aSemilunar avalves
D) aPrecordium a- a✔✔B) aVentricles
A agroup aof astudents ais areviewing athe astructures aof athe aheart, anoting athat athe
athickest alayer aof athe aheart ais amade aup aof acontractile amuscle acells. aThe astudents
aare acorrect ain aidentifying ait aas awhich aof athe afollowing?
A) aMyocardium
B) aEpicardium
C) aEndocardium
D) aPericardium a- a✔✔A) aMyocardium
A anursing astudent ais areviewing athe aelectrical aconduction aof athe aheart. aThe astudent
ais acorrect ain aidentifying athe asinoatrial anode aof athe aheart aas awhich aof athe
afollowing?
,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.
, C) aThe aclient ahas adecreased aperformance alevels aof aactivities aof adaily aliving.
D) aThe aclient amost alikely asleeps awithout aa apillow aat anight. a- a✔✔b
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
