Walden University NURS 6512N Week 6 Quiz 2 Sets – Question and Answers (Graded A)
Walden University NURS 6512N Week 6 Quiz
Walden University NURS
... [Show More] 6512N Week 6 Quiz 2
Walden University NURS 6512N Week 6 Quiz 2 Sets – Question and Answers (Graded A).
Bronchovesicular breath sounds in young children that are loud and harsh are an indication of:
an accumulation of fluid.
malignant tumors or solid masses.
normal, thin chest wall structures.
pus-filled abscesses and tumors.
tension pneumothorax.
On a CXR, which of the following is true of the diaphragm?
The right diaphragm is usually higher.
The left diaphragm is usually higher.
The diaphragm is of equal heights on both sides.
It is abnormal for the diaphragm to be <3cm on one side versus the other
Which of the following statements is most accurate in describing hepatic jugular reflux?
It is an accurate indicator of heart failure.
It is exaggerated in patients with right heart failure.
It is normal when patients are sitting up straight.
It should be absent in older patients with heart failure.
It never elevates the jugular venous pressure (JVP) in patients without heart failure.
Chest pain in a child with an organic cause is more likely the result of:
cardiac disease.
asthma.
esophageal reflux.
arthritis.
peptic ulcer disease.
The American Thoracic Society suggests replacing the term rales with:
wheezes.
crunches.
vesicular.
crackles.
rhonchi.
Heart position can vary depending on body habitus. In a short, stocky individual, you would expect the heart to be located:
more to the right and hanging more vertically.
more to the left and lying more horizontally.
riding higher in the chest and pushed anteriorly.
hanging lower in the chest and riding more vertically.
more to the right and lying more horizontally.
Which of following is considered an expected finding in newborns and when found in adults is a concern?
Mottling of the thorax
Sternal retractions
Cough
Nasal flaring
Stridor
To assess a patient s jugular veins, he or she should first be placed in which position?
Supine
Semi-Fowler
Upright
Left lateral recumbent
Leaning forward
If pitting edema is unilateral, you would suspect occlusion of a:
lymphatic duct.
major vein.
surface capillary.
superficial artery.
deep artery.
The patient that you are examining is complaining of pain near the spine. While palpating the spinous process at T7, and medially to the inferior border of the right scapula, the patient feels more intense pain. When viewing the chest radiograph, you will carefully look at which rib?
Right sixth rib
Right seventh rib
Right eighth rib
Left seventh rib
Left eighth rib
In newborn infants, closure of the ductus arteriosus usually occurs:
prior to the initiation of labor.
12 to 14 hours after birth.
after 7 days of life.
between the second and third month.
during the toddler period.
In the adult, the apical impulse should be most visible when the patient is in what position?
Supine
Leaning backwards
Lithotomy
Right lateral recumbent
Upright
Persons of Irish or German descent and genetically predisposed women who take birth control pills are at risk for developing:
kidney dysfunction.
liver disease.
renal calculi.
varicose veins.
preeclampsia.
An idiopathic spasm of arterioles in the digits is called:
arteriosclerosis obliterans.
giant cell arteritis.
arteriovenous fistula.
peripheral arterial aneurysm.
Raynaud disease.
In differentiating between an occluded artery or vein, a differentiating sign (present in venous but not arterial occlusion) is:
color change.
edema.
pain with walking.
pain with palpation.
paralysis.
Electrical activity recorded by the electrocardiogram (ECG) tracing that denotes the spread of the stimulus through the atria is the:
P wave.
PR interval.
QRS complex.
ST segment.
T wave.
In children, coarctation of the aorta should be suspected if you detect:
a delay between the radial and femoral pulses.
a simultaneous radial and femoral pulse.
an absent femoral pulse on the left.
bilateral absence of femoral pulses.
equal blood pressures in the arms and legs.
A sound similar to a murmur that is heard over arteries is a:
thrill.
hum.
friction rub.
bruit.
heave.
Mr. O., age 50, comes for his yearly health assessment, which is provided by his employer. During your initial history-taking interview, Mr. O. mentions that he routinely engages in light exercise. At this time, you should:
ask if he makes his own bed daily.
have the patient describe his exercise.
make a note that he walks each day.
record light exercise in the history.
record questionable exercise in the history.
You are conducting an examination of Mr. C. s heart and blood vessels and auscultate a grade III murmur. The intensity of this murmur is:
barely discernible.
quiet but audible.
moderately loud.
loud with palpable thrill.
very loud without a stethoscope.
QUIZ 2
• Question 1
2 out of 2 points
On a CXR, which of the following is true of the diaphragm?
• Question 2
2 out of 2 points
Which of the following statements is most accurate in describing hepatic jugular reflux?
Response Feedback: Hepatojugular reflux is used to evaluate right heart failure and is exaggerated when right heart failure is present. All patients will have elevation of the JVP with this maneuver, depending on the elevation of their head and their underlying venous pressure. Use your hand and apply firm pressure to the abdomen in the mid-epigastric region while the patient breathes regularly. Observe the neck for increased JVP followed by an abrupt fall in JVP when the hand pressure is released. The JVP quickly returns to its true level between the abdominal hand pressure and the release of the abdominal hand pressure.
• Question 3
2 out of 2 points
Chest pain in a child with an organic cause is more likely the result of:
Response Feedback: Unlike chest pain in adults, children and adolescents seldom are caused by a cardiac problem. More likely the case is related to trauma, exercise-induced asthma, or cocaine use.
• Question 4
2 out of 2 points
The American Thoracic Society suggests replacing the term rales with:
Response Feedback: The term rales is suggested to be replaced with crackles in order for the term to more precisely describe the sound.
• Question 5
2 out of 2 points
Heart position can vary depending on body habitus. In a short, stocky individual, you would expect the heart to be located:
Response Feedback: The position of the heart varies depending on body build, configuration of the chest, and level of the diaphragm. A tall, slender person s heart tends to hang vertically and is positioned centrally. A stocky, short person s heart tends to lie more to the left and more horizontally.
• Question 6
2 out of 2 points
Which of following is considered an expected finding in newborns and when found in adults is a concern?
Response Feedback: Mottling of the thorax, sternal retractions, and stridor are signs of distress in all ages; cough is rare in the newborn and would be considered a problem; nasal flaring, because children are obligatory nose breathers, is common in infants and signals distress in the adult. Respiratory grunting and periodic breathing are other examples of adult concern but not in infants.
• Question 7
0 out of 2 points
To assess a patient s jugular veins, he or she should first be placed in which position?
• Question 8
2 out of 2 points
If pitting edema is unilateral, you would suspect occlusion of a:
Response Feedback: If edema is unilateral, you should suspect the occlusion of a major vein. If edema is bilateral, consider congestive heart failure. If edema occurs without pitting, suspect arterial disease and occlusion or lymphedema.
• Question 9
2 out of 2 points
The patient that you are examining is complaining of pain near the spine. While palpating the spinous process at T7, and medially to the inferior border of the right scapula, the patient feels more intense pain. When viewing the chest radiograph, you will carefully look at which rib?
Response Feedback: Although each rib articulates with the corresponding vertebra, the palpated spinous process dips down so that the rib you feel in apparent association with the spinous process is actually the number of that process plus one.
• Question 10
2 out of 2 points
In newborn infants, closure of the ductus arteriosus usually occurs:
Response Feedback: The ductus arteriosus closes usually within the first 12 to 14 hours of life.
• Question 11
2 out of 2 points
In the adult, the apical impulse should be most visible when the patient is in what position?
Response Feedback: In most adults, the apical impulse should be visible at about the midclavicular line in the fifth left intercostal space, but it is easily obscured by obesity, large breasts, or muscularity. The apical impulse may become visible only when the patient sits upright and the heart is brought closer to the anterior wall. A visible and palpable impulse when the patient is supine suggests an intensity that may be the result of a problem.
• Question 12
2 out of 2 points
Persons of Irish or German descent and genetically predisposed women who take birth control pills are at risk for developing:
Response Feedback: Persons of Irish or German descent and genetically predisposed women who take birth control pills are at risk of developing varicose veins. Other risk factors include female gender, being a daughter of a woman with varicosities, leading a sedentary lifestyle, old age, and being white.
• Question 13
0 out of 2 points
An idiopathic spasm of arterioles in the digits is called:
• Question 14
2 out of 2 points
In differentiating between an occluded artery or vein, a differentiating sign (present in venous but not arterial occlusion) is:
Response Feedback: Deep vein thrombosis is suspected if swelling, pain, and tenderness occur over a vein. An occluded artery does not cause any swelling (edema). Positive Homan sign indicates venous thrombosis. Paralysis is a rare complication of arterial occlusion.
• Question 15
2 out of 2 points
Electrical activity recorded by the electrocardiogram (ECG) tracing that denotes the spread of the stimulus through the atria is the:
Response Feedback: The P wave represents the spread of a stimulus through the atria (atrial depolarization). The PR interval is the time from the initial stimulation of the atria to the initial stimulation of the ventricles, usually 0.12 to 0.20 second. The QRS complex is the spread of a stimulus through the ventricles (ventricular depolarization), less than 0.10 second. The ST segment and T wave are the return of stimulated ventricular muscle to a resting state (ventricular repolarization).
• Question 16
0 out of 2 points
In children, coarctation of the aorta should be suspected if you detect:
• Question 17
2 out of 2 points
A sound similar to a murmur that is heard over arteries is a:
Response Feedback: A bruit is the sound of turbulent blood flow auscultated over arteries and heard best with the bell of the stethoscope. Thrills, as well as a heave, are palpated findings. A friction rub is a distinct sound heard when two surfaces are rubbed together as occurs with pericardial or pleural inflammation. Hums are low-pitched sounds associated with the venous system.
• Question 18
2 out of 2 points
Mr. O., age 50, comes for his yearly health assessment, which is provided by his employer. During your initial history-taking interview, Mr. O. mentions that he routinely engages in light exercise. At this time, you should:
Response Feedback: When Mr. O. says he engages in light exercise, have him describe his exercise. To qualify his use of the term light, ask him the type, length of time, frequency, and intensity of his activities.
• Question 19
2 out of 2 points
You are conducting an examination of Mr. C. s heart and blood vessels and auscultate a grade III murmur. The intensity of this murmur is:
Response Feedback: The intensity of a grade III murmur is described as moderately loud. Barely loud is a grade I murmur; quiet but clearly audible is grade II; loud with a palpable thrill is a grade IV; and very loud without a stethoscope is a grade VI.
• Question 20
2 out of 2 points
Bronchovesicular breath sounds in young children that are loud and harsh are an indication of:
Response Feedback: The young child s chest wall is usually thin and therefore able to normally transmit loud, harsh, and more bronchial breath sounds than can adults. [Show Less]