NR 509 Week 4 Exam With 80 Questions Correct

NR 509 Week 4 Exam With 80 Questions & Correct Answers

A 45-year-old man is in the clinic for a routine physical examination. During the recording of his health history, the patient states that he has been having difficulty sleeping. "I'll be sleeping great, and then I wake up and feel like I can't get my

breath." The nurse's best response to this would be:

• "When was your last electrocardiogram?"
• "It's probably because it's been so hot at night."
• "Do you have any history of problems with your heart?"
• "Have you had a recent sinus infection or upper respiratory infection?" -

ANSWER-c. "Do you have any history of problems with your heart?"

In assessing a patient's major risk factors for heart disease, which would the nurse want to include when taking a history?

• Family history, hypertension, stress, and age
• Personality type, high cholesterol, diabetes, and smoking

c... Smoking, hypertension, obesity, diabetes, and high cholesterol

• Alcohol consumption, obesity, diabetes, stress, and high cholesterol -

ANSWER-c... Smoking, hypertension, obesity, diabetes, and high cholesterol

The mother of a 3-month-old infant states that her baby has not been gaining weight. With further questioning, the nurse finds that the infant falls asleep after nursing and wakes up after a short time, hungry again. What other information would the nurse want to have?

• Infant's sleeping position
• Sibling history of eating disorders
• Amount of background noise when eating 1 / 3

• Presence of dyspnea or diaphoresis when sucking - ANSWER-d. Presence of

dyspnea or diaphoresis when sucking

In assessing the carotid arteries of an older patient with cardiovascular disease, the

nurse would:

a... Palpate the artery in the upper one third of the neck.

• Listen with the bell of the stethoscope to assess for bruits.

c... Simultaneously palpate both arteries to compare amplitude.

• Instruct the patient to take slow deep breaths during auscultation. - ANSWER-b.

Listen with the bell of the stethoscope to assess for bruits.

During an assessment of a 68-year-old man with a recent onset of right-sided weakness, the nurse hears a blowing, swishing sound with the bell of the

stethoscope over the left carotid artery. This finding would indicate:

• Valvular disorder.
• Blood flow turbulence.
• Fluid volume overload.
• Ventricular hypertrophy. - ANSWER-b. Blood flow turbulence.

During an inspection of the precordium of an adult patient, the nurse notices the chest moving in a forceful manner along the sternal border. This finding most

likely suggests a(n):

• Normal heart.
• Systolic murmur.

c... Enlargement of the left ventricle.

• Enlargement of the right ventricle. - ANSWER-d. Enlargement of the right

ventricle.

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During an assessment of a healthy adult, where would the nurse expect to palpate the apical impulse?

• Third left intercostal space at the midclavicular line
• Fourth left intercostal space at the sternal border
• Fourth left intercostal space at the anterior axillary line
• Fifth left intercostal space at the midclavicular line - ANSWER-d. Fifth left

intercostal space at the midclavicular line

The nurse is examining a patient who has possible cardiac enlargement. Which statement about percussion of the heart is true?

• Percussion is a useful tool for outlining the heart's borders.
• Percussion is easier in patients who are obese.
• Studies show that percussed cardiac borders do not correlate well with the true

cardiac border.

• Only expert health care providers should attempt percussion of the heart. -

ANSWER-c. Studies show that percussed cardiac borders do not correlate well with the true cardiac border.

The nurse is preparing to auscultate for heart sounds. Which technique is correct?

• Listening to the sounds at the aortic, tricuspid, pulmonic, and mitral areas
• Listening by inching the stethoscope in a rough Z pattern, from the base of the

heart across and down, then over to the apex

• Listening to the sounds only at the site where the apical pulse is felt to be the

strongest

• Listening for all possible sounds at a time at each specified area - ANSWER-b.

Listening by inching the stethoscope in a rough Z pattern, from the base of the heart across and down, then over to the apex

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