Chapter 17 Patient Assessment- Cardiovascular System

Chapter 17  Patient Assessment- Cardiovascular System

Complete Chapter Questions And Answers
 

Sample Questions

1.
The patient is complaining of chest pain. The nurse asks several questions to determine the likelihood that this pain is cardiac in origin. What patient response is most likely to indicate cardiac pain?
A)
Started suddenly and was at maximum intensity from the start
B)
Accompanied by no other symptoms, such as nausea
C)
Painful area is the size of a clenched fist and substernal.
D)
Described as stabbing and knifelike pain

2.
As part of the general physical assessment of a patient with cardiac disease, the nurse assesses central and peripheral pulses. What is the most accurate statement about pulse assessment?
A)
All pulses should be assessed bilaterally at the same time.
B)
A pulse that is weak and thready would be scaled +4.
C)
Pulsus alternans varies in intensity with every other beat.
D)
Absence of posterior tibial pulses is a normal variant.

3.
The nurse is auscultating a patient’s heart sounds. What best describes a normal finding?
A)
S2 is heard best at the second intercostal space to the right of the sternum.
B)
S2 is heard equally at all areas across the precordium and apex.
C)
S1 usually disappears after 25 to 35 years of age.
D)
S3 is caused by retrograde blood flow though an incompetent valve.

4.
A patient has been determined to have a new heart murmur. The best description of the cause of a cardiac murmur is what?
A)
The patient had rheumatic heart disease as a child.
B)
A murmur is caused by the flow of blood through a narrow or incompetent valve or septum.
C)
A murmur indicates a ruptured ventricular septum from myocardial disease or infarction.
D)
A murmur occurs normally secondary to turbulent blood flow in children and young adults.

5.
The patient is to undergo a diagnostic electrophysiology study. The nurse should tell the patient and family that the purpose of this study is what?
A)
Identify blockages of coronary arteries.
B)
Measure volumes and pressures in cardiac chambers.
C)
Evaluate the efficacy of antiarrhythmic drugs and devices.
D)
Evaluate patient response to pharmacologically elevated heart rates.

Answer Key

1.
C
2.
C
3.
A
4.
B
5.
C