lahat na

Question 1

part of stethoscope used to assess for murmurs

Answer 1

bell

Question 2

assessment technique most often associated with evaluation of the cardiovascular system

Answer 2

auscultation

Question 3

thin layer of endothelial tissue that forms the innermost layer of the heart and is continuous with the endothelial lining of blood vessels.

Answer 3

endocardium

Question 4

The nurse is auscultating the heart sounds of an adult client. To auscultate Erb point, the nurse should place the stethoscope at the…

Answer 4

third to fifth intercostal space at the left sternal border

Question 5

major supplier of blood to the legs

Answer 5

femoral artery

Question 6

increased CO / hypervolemia

Answer 6

bounding pulse

Question 7

left atrium and left ventricle

Answer 7

mitral valve

Question 8

The nurse has assessed the heart sounds of an adolescent client and detects the presence of an S3 heart sound as the beginning of the diastolic pressure. The nurse should…

Answer 8

d. recognize that this finding is normal in adolescents

Question 9

The bicuspid, or mitral, valve is located

Answer 9

a. between the left atrium and the left ventricle

Question 10

The nurse detects paradoxical pulses in an adult client during an examination. The nurse should explain to the client that parodical pulses are usually indicative of…

Answer 10

a. obstructive lung disease

Question 11

is a tough, inextensible, loose-fitting, fibro serous sac that attaches to the great vessels and surrounds the heart.

Answer 11

pericardium

Question 12

The anterior chest area that overlies the heart and great vessels is called the

Answer 12

precordium

Question 13

The P-wave phase of an ECG
represents

Answer 13

b. conduction of the impulse throughout the atria

Question 14

under the inguinal ligament

Answer 14

emoral pulse

Question 15

audible variation between closure of two valves

Answer 15

splitting

Question 16

moves blood between the heart and lungs

Answer 16

pulmonary circulation

Question 17

While assessing an adult client, the nurse detects opening snaps early in diastole during auscultation of the heart. The nurse should refer the client to a physician because this is usually indicative of…

Answer 17

c. mitral valve stenosis

Question 18

serous membrane covers the outer surface of the heart.

Answer 18

epicardium

Question 19

Blowing/swishing sound caused by turbulent blood flow during systole

Answer 19

carotid bruit

Question 20

part of stethoscope sued to auscultate normal heart sounds

Answer 20

diaphragm

Question 21

area of auscultation located at the third to fifth ICS at the left sternal border

Answer 21

erb’s point

Question 22

Pathologic heart sounds produced when blood is pumped across a heart valve and creates a blowing or swooshing sound heard across precordium. (Anterior chest wall)

Answer 22

murmur

Question 23

The nurse is planning to auscultate a female adult client’s carotid arteries. The nurse should plan to

Answer 23

aks the client to hold her breath

Question 24

anterior branch of popliteal artery top of the foor

Answer 24

dorsalis pedis artery