Chapter 15: Blood Vessels

Seidel's Guide To Physical Examination 8th Edition Jane W. Ball

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Chapter 15: Blood Vessels

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

  1. The structure that carries oxygenated blood to the body from the left ventricle is the:
a. aorta.
b. pulmonary artery.
c. pulmonary vein.
d. superior vena cava.

 

 

ANS:  A

The aorta carries oxygenated blood from the left ventricle to the body. The pulmonary artery carries deoxygenated blood from the right side of the heart to the lungs. The pulmonary vein carries oxygenated blood from the lungs to the left side of the heart. The superior vena cava carries blood from the upper body to the right atrium.

 

DIF:    Cognitive Level: Remembering (Knowledge)                    REF:   p. 332

OBJ:   Nursing process—assessment          MSC:  Physiologic Integrity: Reduction of Risk Potential

 

  1. Induration, edema and hyperpigmentation are common associated findings with which of the following?
a. Peripheral arterial disease
b. Venous ulcer
c. Arterial embolic disease
d. Venous thrombus

 

 

ANS:  B

A venous ulcer also results from chronic venous insufficiency and demonstrates induration edema and hyperpigmentation. Peripheral arterial edema results in ischemia, in which the foot or leg is painful and cold; nonulceration is common as the muscles atrophy. Arterial embolic disease includes occlusion of the small arteries, resulting in blue toe syndrome and splinter hemorrhages in the nail bed. A venous thrombus presents with minimal ankle edema, low-grade fever, tachycardia, and possibly a positive Homan sign.

 

DIF:    Cognitive Level: Applying (Application)                           REF:   p. 349

OBJ:   Nursing process—diagnosis             MSC:  Physiologic Integrity: Reduction of Risk Potential

 

  1. In which location would carotid bruits be heard best?
a. Posterior cervical triangle
b. Anterior margin of the sternocleidomastoid muscle
c. Over the aortic valve
d. At the angle of the mandible

 

 

ANS:  B

Carotid artery bruits are best heard at the anterior margin of the sternocleidomastoid muscle.

 

DIF:    Cognitive Level: Remembering (Knowledge)                    REF:   p. 342

OBJ:   Nursing process—assessment          MSC:  Physiologic Integrity: Reduction of Risk Potential

 

  1. The characteristics of arterial pulses are directly affected by all the following except:
a. the volume of blood ejected.
b. peripheral arterial resistance.
c. venous valvular competence.
d. blood viscosity.

 

 

ANS:  C

Arterial pulses are not affected by venous valvular competence. Venous valvular competence contributes to the venous blood flow back to the heart.

 

DIF:    Cognitive Level: Understanding (Comprehension)             REF:   p. 336

OBJ:   Nursing process—assessment          MSC:  Physiologic Integrity: Reduction of Risk Potential

 

  1. The most prominent component of the jugular venous pulse is the:
a. a wave.
b. c wave.
c. v wave.
d. x slope.

 

 

ANS:  A

The a wave is the first and most prominent component of the jugular venous pulse. The a wave represents a brief backflow of blood into the vena cava during right atrial contraction.

 

DIF:    Cognitive Level: Understanding (Comprehension)             REF:   p. 336

OBJ:   Nursing process—assessment          MSC:  Physiologic Integrity: Reduction of Risk Potential

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