NursGuru

    Exam Review

    1. The traditional areas of auscultation of heart sounds include Erb's point, which is located at?
      A)
      Second or third intercostal space at the left sternal border
      B)
      The second intercostal space at the right sternal border
      C)
      Fifth intercostal space near the left midclavicular line
      D)
      Third intercostal space at the left sternal border
    2. When the nurse is obtaining a health history of the urinary system, the client reports "leaking" urine when coughing or laughing. Which of the following problems is the client likely experiencing?
      A)
      Stress incontinence
      B)
      Obstructive incontinence
      C)
      Overflow incontinence
      D)
      Urge incontinence
    3. The nurse is auscultating a client's abdomen and is unable to discern any bowel sounds. How should the nurse proceed with assessment?
      A)
      Perform abdominal percussion, and then repeat auscultation.
      B)
      Palpate the client's abdomen to stimulate bowel motility.
      C)
      Repeat auscultation in four to six hours.
      D)
      Listen for five minutes before documenting an absence of bowel sounds.
    4. While the nurse is assessing a 56-year-old male with concerns about his peripheral vascular health, the nurse would educate the patient about which risk factors that can influence his peripheral vascular system? (Select all that apply)
      (SATA)
      A)
      Smoking
      B)
      Diabetes
      C)
      Elevated Cholesterol Levels
      D)
      Hypertension

    Exam Review

    1. A 42-year-old woman reveals an intake of medications. Which medication if reported by the client would alert the nurse to the need to assess the client for thrombophlebitis?
      A)
      Antidepressant
      B)
      Antihypertensive
      C)
      Oral contraceptive
      D)
      Antilipid agent
    2. While auscultating heart sounds, asking the client to turn onto a left lying position would help the nurse assess the presence of which of the following?
      A)
      Aortic murmurs
      B)
      Atrial repolarization
      C)
      The first heart sound
      D)
      Mitral stenosis
    3. The nurse knows screening test(s) for colorectal cancer detection according to recommendations from the American Cancer Society (2018) includes? (Select all that apply.)
      (SATA)
      A)
      Flexible sigmoidoscopy
      B)
      Double contrast barium enema
      C)
      Fecal occult blood test
      D)
      Upper endoscopy
      E)
      Colonoscopy
    4. A group of students is preparing for their clinical experience, during which they are required to demonstrate the techniques for assessing the abdomen. The students demonstrate understanding of the proper sequence when they demonstrate the techniques in which order?
      A)
      Percuss, inspect, auscultate, palpate
      B)
      Auscultate, inspect, palpate, percuss
      C)
      Palpate, percuss, inspect, auscultate
      D)
      Inspect, auscultate, percuss, palpate

    Exam Review

    1. The nurse is planning care for a client recovering from orthopedic surgery. Interventions should be included to address which contributing factor to deep vein thrombosis development?
      A)
      Smoking
      B)
      Hypertension
      C)
      Obesity
      D)
      Immobility
    2. While completing the cardiovascular system health history, a client reports difficulty falling asleep unless she is in an upright position. Which of the following potential problems should the nurse further investigate?
      A)
      Chest pain
      B)
      Orthopnea
      C)
      Edema
      D)
      Palpitations
    3. When auscultating a client's heart sounds, the nurse hears a louder S2 when listening at the 2nd intercostal space right sternal border. The nurse determines that this finding is consistent with the closure of which heart valves?
      A)
      Pulmonic and tricuspid
      B)
      Mitral and aortic
      C)
      Aortic and pulmonic
      D)
      Tricuspid and mitral
    4. What is responsible to move the blood supply from the feet toward the inferior vena cava?
      A)
      Thigh muscles
      B)
      Arterial pulsations
      C)
      Venous flow
      D)
      Calf muscles

    Exam Review

    1. 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)
      X
      C)
      II
      D)
      III
    2. A positive Murphy's sign is indicative of?
      A)
      Diverticulosis
      B)
      Acute Cholecystitis
      C)
      Appendicitis
      D)
      Nephrolithiasis
    3. During the physical assessment of the peripheral vascular system, a client's foot is pale when elevated and dark red when in the dependent position. The nurse is concerned that this client is at risk for developing:
      A)
      Venous insufficiency ulcers
      B)
      Arterial insufficiency ulcers
      C)
      Neuropathic ulcers
      D)
      Deep vein thrombosis
    4. During the cardiac cycle heart sounds correlate with events of the cycle. Which is being associated with systole?
      A)
      S3
      B)
      S1
      C)
      S2
      D)
      S4

    Exam Review

    1. Aortic insufficiency/regurgitation murmur is classified as a:
      A)
      Systolic murmur
      B)
      Diastolic murmur
      C)
      Absent murmur
      D)
      Very faint murmur
    2. The nurse assesses the client as shown. What pulse is the nurse assessing?
      A)
      Posterior tibial
      B)
      Femoral
      C)
      Popliteal
      D)
      Dorsalis pedis
    3. The nurse is preparing to assess a client's apical impulse. The nurse would palpate at which location?
      A)
      Fourth intercostal space, left sternal border
      B)
      Second intercostal space, left sternal border
      C)
      Fifth intercostal space, left midclavicular line
      D)
      Third intercostal space left axillary line
    4. 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)
      Precordium
      C)
      Ventricles
      D)
      Semilunar valves

    Exam Review

    1. On examination, the nurse would expect what finding if a client is in right-sided heart failure?
      A)
      Increased jugular venous pressure
      B)
      Decreased right-sided volume
      C)
      Decreased stroke volume
      D)
      Decreased central venous pressure
    2. While performing an assessment, the nurse presses the client's arm with the tip of her thumb, holds for a few seconds, and releases. The nurse observes the client as shown. What is the nurse assessing?
      A)
      Pitting edema
      B)
      Capillary refill
      C)
      Skin temperature
      D)
      Peripheral pulses
    3. When assessing for appendicitis, what signs might the nurse look for? (Select all that apply.)
      A)
      Rovsing sign
      B)
      Obturator sign
      C)
      Murphy sign
      D)
      Psoas sign
    4. A group of nurses is reviewing several electrocardiograms (ECGs). The students demonstrate an understanding of the waveforms when they identify which component as indicating ventricular repolarization (relaxation).
      A)
      ST segment
      B)
      QRS complex
      C)
      T wave
      D)
      P wave