Chapter 14- The Cardiovascular System

8/20/2019 Chapter 14- The Cardiovascular System

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1.A patient asks the nurse why the neck veins need to be checked when the patient is

experiencing heart palpitations. What should the nurse respond to this patient?

A) “They detect the function of the aortic valve.!) “They help deter"ine how "uch pressure is in the right atriu" of the heart.

#) “They are used to detect the heart rate.

$) “They are used to esti"ate blood pressure.

%.The nurse is auscultating a patient&s heart sounds. Which valve is the nurse assessingwhen the stethoscope is placed over the area identified in the diagra"?

A) Aortic!) 'ul"onic

#) Tricuspid

$) (itral

.Which area of the heart should be further assessed in the patient with an irregular pulse?A) *ight ventricle

!) +eft ventricle

#) *ight atriu"$) +eft atriu"

,.The nurse is reviewing the following electrocardiogra" wavefor". What does theidentified wave indicate to the nurse?

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A) Atrial depolari-ation!) eptal depolari-ation

#) /entricular depolari-ation

$) /entricular repolari-ation

0.When auscultating a patient&s heart sounds the nurse hears a louder % when listening at

the %nd intercostal space right sternal border. The nurse deter"ines that this finding isconsistent with the closure of which heart valves?

A) Aortic and pul"onic!) Tricuspid and "itral#) 'ul"onic and tricuspid

$) (itral and aortic

2.$uring the auscultation of a patient&s heart sounds the nurse hears a fixed % split. What

does this heart sound indicate to the nurse?

A) 'ul"onic stenosis!) *ight bundle branch block

#) *ight ventricular failure

$) +eft bundle branch block

3.While co"pleting the cardiovascular syste" health history a patient tells the nurse aboutusing four pillows at night to sleep. The nurse will use this infor"ation to further assess

which area?

A) #hest pain

!) hortness of breath#) 'alpitations

$) 4de"a

5.The nurse is preparing to conduct a physical exa"ination of a patient&s cardiovascular

syste". What should the nurse instruct the patient in preparation for this exa"ination?6elect all that apply.)

A) Wear the gown with the opening in the front.

!) A sheet will be draped over the patient for co"fort.

#) The patient will be standing during the exa"ination.$) 4xplain that gloves will be worn during the exa"ination.

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4) The nurse will be conducting the exa"ination fro" the left side.

7.$uring the auscultation of a patient&s heart sounds the nurse asks the patient to turn onto

the left side. Why is this position used during the exa"ination?

A) Accentuates aortic "ur"urs!) Accentuates "itral stenosis

#) Accentuates the first heart sound

$) Accentuates atrial repolari-ation

18.A patient is diagnosed with coronary heart disease and hypertension. What can the nurse

instruct this patient to help reduce the "odifiable risk factors for both of these disorders?6elect all that apply.)

A) 9"portance of weight reduction

!) The need to increase physical activity

#) *educing alcohol consu"ption$) :aving kidney function checked each year

4) Way s"oking cessation is necessary

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Answer Key

1.!%.A

.#

,.$0.A

2.#

3.!5.A ! $ 4

7.!

18.A ! 4

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Chapter 14- The Cardiovascular System

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