NURSING HEALTH ASSESSMENT 3rd Edition By Dillon
NURSING HEALTH ASSESSMENT 3rd Edition By Dillon
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Chapter 06: Assessing the Cardiovascular System
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. The S1 heart sound is made during which part of the cardiac cycle?
| 1) | Systolic |
| 2) | Diastolic |
| 3) | Early diastolic |
| 4) | Midsystolic |
____ 2. The nurse auscultates a widely split S2 heart sound. Which is this assessment finding indicative of?
| 1) | Atrial fibrillation |
| 2) | Left bundle branch block (LBBB) |
| 3) | Right bundle branch block (RBBB) |
| 4) | Ventricular fibrillation |
____ 3. The nurse auscultates an S3 gallop rhythm in an adult. Which disorder is this indicative of?
| 1) | Atrial fibrillation |
| 2) | Heart failure |
| 3) | Ventricular tachycardia |
| 4) | Atrial septal defect |
____ 4. Turbulent blood flow within the heart is heard as a murmur. Which is the cause of the murmur?
| 1) | Increased blood volume |
| 2) | Constricted blood vessels |
| 3) | Flow from a normal vessel to a dilated one |
| 4) | All of the above |
____ 5. Ethnic variations have an impact on severity of coronary artery disease (CAD). Which individual is more likely to suffer from CAD?
| 1) | Japanese American male |
| 2) | Puerto Rican female |
| 3) | African American female |
| 4) | White female |
Answer Section
MULTIPLE CHOICE
Chapter number and title: 6, Assessing the Cardiovascular System
Chapter learning objective: N/A
Chapter page reference: 202
Integrated Processes: Nursing Process: Assessment
Client Need: Health Promotion and Maintenance
Cognitive level: Comprehension [Understanding]
Concept: Assessment, Perfusion
Difficulty: Easy
| Feedback | |
| 1 | S1 occurs during systole. |
| 2 | S1 does not occur during diastole. |
| 3 | S1 does not occur during early diastole. |
| 4 | S1 does not occur during midsystole. |
PTS: 1 CON: Assessment | Perfusion
Chapter number and title: 6, Assessing the Cardiovascular System
Chapter learning objective: N/A
Chapter page reference:
Heading: 202
Integrated Processes: Nursing Process: Assessment
Client Need: Physiological Integrity: Physiological Adaptation
Cognitive level: Comprehension [Understanding]
Concept: Perfusion
Difficulty: Moderate
| Feedback | |
| 1 | A split R2 does not indicate atrial fibrillation. |
| 2 | A split R2 does not indicate LBBB. |
| 3 | A split R2 often indicates RBBB. |
| 4 | A split R2 does not indicate ventricular fibrillation. |
PTS: 1 CON: Perfusion
Chapter number and title: 6, Assessing the Cardiovascular System
Chapter learning objective: N/A
Chapter page reference: 192
Integrated Processes: Nursing Process: Evaluation
Client Need: Physiological Integrity: Physiological Adaptation
Cognitive level: Evaluation [Evaluating]
Concept: Perfusion
Difficulty: Moderate
| Feedback | |
| 1 | The S3 gallop rhythm is not indicative of atrial fibrillation. |
| 2 | The S3 gallop rhythm is a sign of congestive heart failure (CHF). It relates to hemodynamic filling of a failing, noncompliant ventricle. |
| 3 | The S3 gallop rhythm is not indicative of ventricular tachycardia. |
| 4 | The S3 gallop rhythm is not indicative of atrial septal defect. |
PTS: 1 CON: Perfusion
Chapter number and title: 6, Assessing the Cardiovascular System
Chapter learning objective: N/A
Chapter page reference: 203
Integrated Processes: Nursing Process: Assessment
Client Need: Physiological Integrity: Physiological Adaptation
Cognitive level: Comprehension [Understanding]
Concept: Perfusion
Difficulty: Moderate
| Feedback | |
| 1 | Murmurs can be caused by increased blood volume. |
| 2 | Murmurs can be caused by constricted blood vessels. |
| 3 | Murmurs can be caused by flow from a constricted blood vessel to a dilated blood vessel. |
| 4 | Murmurs are defined as a series of audible, prolonged sounds resulting from turbulence created within the vascular system. Causes of turbulent flow include increased flow through normal blood vessels creating frictional, audible sounds; flow through constricted blood vessels (as in aortic stenosis); flow into a dilated blood vessel from one of normal size; or a combination of these. |
PTS: 1 CON: Perfusion
Chapter number and title: 6, Assessing the Cardiovascular System
Chapter learning objective: N/A
Chapter page reference: 173
Integrated Processes: Nursing Process: Planning
Client Need: Health Promotion and Maintenance
Cognitive level: Knowledge [Remembering]
Concept: Diversity
Difficulty: Easy
| Feedback | |
| 1 | Japanese and Puerto Ricans have a lower incidence of hypertension and high cholesterol; middle-aged white males have the highest incidence of CAD. |
| 2 | Japanese and Puerto Ricans have a lower incidence of hypertension and high cholesterol; middle-aged white males have the highest incidence of CAD. |
| 3 | African Americans have an earlier onset and greater severity of CAD than other groups; African American women have a greater incidence of CAD than white women. |
| 4 | African American women have a greater incidence of CAD than white women. |
PTS: 1 CON: Diversity
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