Health Assessment Exam 3 test bank
While auscultating the heart at the third intercostal space, left sternal border, the nurse
notes a high-pitched,
... [Show More] scratchy sound that increases with exhalation with the client
leaning forward. The nurse would document which of the following?
A) Pericardial friction rub
B) Midsystolic click
C) Summation gallop
D) Aortic ejection click - ANSWER-A) Pericardial friction rub
During chest auscultation, the nurse hears a quiet murmur immediately upon placing the
stethoscope on the client's chest. The nurse interprets this as which grade?
A) I
B) II
C) III
D) IV - ANSWER-B) II
After teaching a group of students about blood flow through the heart, the instructor
determines that the teaching was successful when the students state that after being
received by the atria, the blood goes to which of the following?
A) Chordae tendineae
B) Ventricles
C) Semilunar valves
D) Precordium - ANSWER-B) Ventricles
A group of students is reviewing the structures of the heart, noting that the thickest layer
of the heart is made up of contractile muscle cells. The students are correct in
identifying it as which of the following?
A) Myocardium
B) Epicardium
C) Endocardium
D) Pericardium - ANSWER-A) Myocardium
A nursing student is reviewing the electrical conduction of the heart. The student is
correct in identifying the sinoatrial node of the heart as which of the following?
A) Bundle of His
B) Purkinje fibers
C) Pacemaker
D) Conduction system - ANSWER-C) Pacemaker
The nurse is assessing a client's first heart sound. The nurse interprets this finding as
indicating which heart action?
A) Isometric contraction
B) Closure of the semilunar valves
C) Beginning of diastole
D) Closure of the atrioventricular valves - ANSWER-d
A nurse assesses a client's jugular venous pulse to gather information about which of
the following?
A) Left arterial pressure.
B) Left ventricular diastolic filling.
C) Right ventricular pressure. [Show Less]