NSG 6020 APEA Cardiovascular Disorder – Question and Answers

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NSG 6020 APEA Cardiovascular Disorder

  1. In order to bring the ventricular apex closer to the chest wall when assessing the point of maximal impulse (PMI), ask the patient to:
  2. The tonsillar, submandibular, and submental nodes drain the lymphatic fluid from portions of the
  3. When screening a patient for peripheral arterial disease (PAD), one risk factor would include a history of
  4. Heart sounds produced by turbulence due to a temporary increase in blood flow in predisposing conditions, such as hyperthyroidism, is considered
  5. A patient complains of a tight, bursting pain in the calf that increases with walking. Elevation of the leg sometimes relieves the pain. These symptoms may be consistent with:
  6. On assessment, which one of the following symptoms would be noted as a compensatory response to chronic hypoxia?
  7. A patient describes chest pain as persistent, sharp, and knife-like. These symptoms are more characteristic of
  8. The horizontal superficial inguinal lymph nodes are located in the anterior thigh below the inguinal ligament and drain lymphatic fluid from all of these areas except
  9. When assessing the heart rate of a healthy 13-month-old child, which one of the following sites is the most appropriate for this child?
  10. To assess the murmur of aortic insufficiency, position the patient
  11. A child presents with fever of 102.5 F for the past five days.Kawasaki disease is suspected if which of the following groups of symptoms is present?
  12. The great saphenous vein enters the deep venous system by way of the
  13. A patient describes chest pain as pressing, squeezing, and tight lasting between 1 and 3 minutes. These symptoms are morecharacteristic of
  14. A bruit heard in the epigastric area with both systolic and diastolic components is suggestive of
  15. Tissue ischemia is usually observed when assessing a patient with peripheral artery disease (PAD). What other symptom could be assessed?
  16. A patient complains of some pain in the distal portions of her fingers on both hands.She states that it tends to occur more frequently with exposure to cold. These symptoms may be consistent with
  17. A patient presents with chest pain that radiates to the left side of the neck and down the left arm when he chops wood.This type of pain could be suggestive of
  18. The amplitude of the pulse in a patient in cardiogenic shock would most likely appear:
  19. Characteristic symptoms of chronic venous insufficiency may include which one of the following?
  20. Children presenting with congenital heart defects that result in right to left shunting would most likely exhibit which of the following symptoms?
  21. The ankle-brachial index is a screening test used to assess a person’s risk for:
  22. A disease that may present as indigestion, but is precipitated by exertion and relieved by rest is most likely
  23. In order to assess for varicosities in the lower extremities, position the patien
  24. The four classic structural defects of Tetralogy of Fallot include
  25. A 68-year-old man with uncontrolled hypertension presents with sudden, intense left lower abdominal pain that radiates to the back. The pain is associated with a tearing sensation. These findings are MOST likely associated with
  26. Symptoms of orthostatic hypotension include all of the following except
  27. When auscultating the heart, a scratchy, continuous murmur is audible during atrial systole and ventricular systole and diastole.This finding may be indicative of a
  28. In older adults, the presence of heart sound S4 suggest
  29. A patient with cirrhosis develops portal hypertension as indicated by the presence of
  30. The anterior cervical lymph node chain is located anterior and
  31. The axillary lymph nodes drain lymphatic fluid from all of the following areas except the
  32. The lymphatic ducts drain into the
  33. The patient has had an internal pacemaker in place for five years.Pacemaker failure is being considered because over the past few days, the patient has been experiencing episodes of
  34. Why would a newborn with patent ductus arteriosus receive a prostaglandin inhibitor (indomethacin)?
  35. In older adults, the presence of heart sound S3 suggests
  36. Enlarged or tender lymph nodes are most often associated with
  37. Pain with walking or prolonged standing, radiating from the spinal area into the buttocks, thighs, lower legs, or feet, may be seen with
  38. A heart rate of 100-180 beats per minute in an adult is considered
  39. When auscultating the point of maximal impulse (PMI), apex of the heart, in an adult, the stethoscope is placed at the
  40. When auscultating the heart, the displacement of the point of maximal impulse (PMI) is greater than 10 cm lateral to themidsternal line. This finding is consistent with:left
  41. A finding suggestive of an inflamed lymph node would be one that is
  42. The posterior auricular lymph nodes drain lymphatic fluid from the
  43. Which of the following group of symptoms would be suggestive of an infant experiencing a congenital heart defect associated with decreased pulmonary blood flow pattern?
  44. What heart sounds are heard during auscultation of a man with Marfan syndrome who has a known mitral valve prolapse?
  45. Deep cervical lymph nodes drain lymphatic fluid from the
  46. A patient complains of increased pain in the calf muscles and buttocks especially after walking or riding his bicycle.He states that the pain stops after he sits still for about 2-3 minutes. This condition may be associated with
  47. A male patient states that he has difficulty breathing when he is lying down but when he sits up, it improves. This is a classic description of
  48. The external iliac lymph nodes drain lymphatic fluid from the following areas except the
  49. A disparity between the brachial and femoral pulses in a 4-month-old could indicate
  50. The sacral lymph nodes receive lymphatic fluid from all the following except the
  51. When auscultating the apex of the heart in an 8-year-old, the bell of the stethoscope should be placed at the
  52. To auscultate the heart sounds arising from the pulmonic valve in an adult patient, place the stethoscope
  53. Enlargement of which lymph nodes would be suggestive of metastasis from a thoracic or abdominal malignancy?
  54. In an adult patient, auscultate the sounds arising from the mitral valve by placing the stethoscope
  55. Symptoms of acrocyanosis in the newborn include
  56. The anterior mediastinal lymph nodes drain lymphatic fluid from the
  57. When auscultating the heart for aortic insufficiency, ask the patient to
  58. Presence of a heart murmur in a child would be considered organic if the child
  59. A condition that usually presents with numbness or tingling in the distal portions of one or more fingers aggravated by cold oremotional stress may be associated with
  60. Right atrial pressure can be determined by
  61. While examining the heart, a pansystolic, blowing murmur is audible over the left sternal border with radiation to the right of the sternum. The intensity increased with inspiration. This finding is characteristic of
  62. While auscultating the patient’s heart, a medium, soft murmur is audible.It is pansystolic and heard loudest at the apex with radiation to the left axilla. These findings are consistent with
  63. To assess aortic pulsations in patients with carotid obstruction, assess the pulse using the
  64. A condition that presents with symptomatic limb ischemia upon exertion is termed
  65. Men between the ages of 40 and 64 years should be screened yearly for
  66. The thoracic lymph duct drains lymphatic fluid from all the following areas except the
  67. A patient complains of pain in the arch of the foot sometimes relieved by rest. Occasionally, he experiences intermittent painin the toes, especially at rest. Exercise aggravates the pain in the arch.History reveals he smokes approximately a half pack of cigarettes per day.These symptoms may be consistent with
  68. When auscultating the heart of a 50-year-old patient, a soft murmur is audible in the left second and third intercostal spaces and radiates to the left shoulder and neck. Also noted is a crescendo-decrescendo pitch to the murmur. This finding could be consistent with
  69. A sudden, tearing, sharp pain that begins in the chest and radiates to the back or into the neck is usually associated with
  70. When auscultating heart sounds arising from the aortic valve in an adult patient, place the stethoscope
  71. A twelve-month-old has a history of heart failure related to his congenital heart defect.He is receiving Aldactone (Spironolactone), enalapril (Vasotec), furosemide (Lasix), and acetaminophen (Tylenol).The infant’spotassium level is 3.1 meq/l. Which medication is most likely decreasing his potassium level?
  72. To auscultate the tricuspid valve heart sounds in an adult patient, place the stethoscope
  73. The posterior auricular lymph node is located
  74. A 5-year-old child presents with complaints of fever and headache. Examination reveals a heart rate of 157 beats/minute,respiratory rate of 40 breaths/minute, B/P 108/54, and a temperature of 102.6F. The increased heart rate is most likely related to
  75. When auscultating the heart of a 55-year-old patient, a loud murmur with a thrill is audible in the right second intercostalspace that radiates to the carotid arteries.Also noted is a crescendo-decrescendo pitch audible at the apex.The murmur is heard best with the patient sitting and leaning forward.This finding is consistent with
  76. When auscultating the heart; S1 sound, is located at the apex of the heart and signifies
  77. Which lymph nodes receive lymphatic fluid from the stomach, duodenum, liver, gallbladder, and pancreas?
  78. Pain or cramping of the legs that occurs during exertion and is relieved by rest is termed
  79. A third heart sound (S3) is audible in a forty-five-year old. This S3 sound may be
  80. When performing a cardiovascular assessment on a healthy 2-year-old child
  81. Warning signs of peripheral artery disease may include all of the following except
  82. A pediatric patient presents with erythema marginatum, chorea, and a heart murmur. These symptoms are consistent with
  83. Causes of orthostatic hypotension in older adults may include all of the following except
  84. A three-week-old infant presents with a generalized lacy, reticulated blue discoloration of the skin. This is suggestive of
  85. When assessing a 3-year-old African American child, the most likely cause of black, dusky mucous membranes is related to
  86. The preauricular lymph node is located
  87. By placing the ball of the examiner’s hand firmly on the chest, the examiner would be checking for
  88. The hemodynamic changes resulting from structural defects in children can lead to heart failure. The most common reason for these changes is related to
  89. Assessment findings in a newborn at birth include: irregular respirations without crying, heart rate of 105 beats/minute, grimaces with reflex stimulation, kicking of both feet, and moving of both arms.The body and face are pink and hands and feet are cyanotic. What is the APGAR score?
  90. A patient complaints of a sharp, knifelike pain that begins in the chest and radiates to the tip of the shoulder and to the neck. This type of chest pain is suggestive of
  91. An otherwise healthy two-year-old presents with a heart rate that varies with inspiration and expiration. Which statement is true?
  92. The tonsillar lymph node is located:
  93. Widened pulse pressure (PP) is defined as systolic blood pressure (SBP)
  94. A widened pulse pressure greater than or equal to 60 in an older patient is a risk factor for cardiovascular disease, stroke, and
  95. Which of the following symptoms would necessitate the need for further evaluation in the newborn?
  96. The occipital lymph node is located:
  97. The preauricular nodes drain lymphatic fluid from the
  98. Absent or diminished pulses in the wrist could be indicative of
  99. The posterior chest wall and portions of the arms are drained by which group of lymph nodes?
  100. A patient suspected of having chronic venous insufficiency, may present with
  101. The right lymph duct drains lymphatic fluid from all the following areas except the
  102. The infraorbital or maxillary, buccinator, and supramandibular lymph nodes drain lymphatic fluid from the
  103. Characteristic symptoms of chronic arterial insufficiency may include which one of the following?
  104. A patient states that the only way he can sleep at night is to use several pillows or to sleep upright in a recliner.This sleep pattern is most consistent with
  105. The internal iliac lymph nodes drain lymphatic fluid from the
  106. The supraclavicular lymph nodes are located
  107. The superior and inferior mesenteric lymph nodes drain lymphatic fluid from the

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