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NSG 6020 WEEK 4 - CHAPTER 7. CARDIAC AND PERIPHERAL VASCULAR SYSTEMS

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Chapter 7. Cardiac and Peripheral Vascular Systems Multiple Choice Identify the choice that best completes the statement or answers the question. ____ 1. The first heart sound (S1) occurs because of the closure of the: A. Aortic and mitral valves B. Mitral and tricuspid valves C. Pulmonic valve D. Aortic valve B ____ 2. The second heart sound (S2) occurs because of the closure of the: A. Aortic valve B. Tricuspid valve C. Aortic and pulmonic valve D. A and B C ____ 3. To distinguish a physiologic split S2 heart sound, it is best to listen with the stethoscope at: A. Left fifth intercostal space midclavicular line B. Fourth intercostal space left sternal border with patient holding his or her breath C. Second intercostal space left sternal border with inspiration D. Fourth intercostal space right sternal border with expiration C ____ 4. An S3 gallop is commonly heard in: A. Children with fever B. Adults with heart failure C. Children with aortic stenosis D. Adults with hypertension B ____ 5. An S4 sound is commonly heard in: A. Children with fever B. Adults with atrial fibrillation C. Adults with hypertension D. Children with pulmonic stenosis C ____ 6. Which of the following heart sounds is commonly heard after myocardial infarction? A. Friction rub B. S4 C. S3 D. Opening snap A ____ 7. Which of the following is the most important question to ask during cardiovascular health history? A. Number of offspring B. Last physical examination C. Sudden death of a family member D. Use of caffeine C ____ 8. Cardiovascular disease risk increase in women after age: A. 30 B. 40 C. 45 D. 55 D ____ 9. Which of the following blood pressure measurements is categorized as prehypertension? A. 110/78 B. 129/85 C. 142/80 D. 145/92 B ____ 10. Xanthelasma is a skin condition that should alert the clinician to ____ in a patient. A. Familial hyperlipidemia B. Type 2 diabetes C. Congenital heart disease D. Peripheral arterial disease A ____ 11. When palpating the chest, you find the point of maximal impulse (PMI) in the left mid-axillary region. This can be indicative of: A. Normal PMI B. Congenital heart disease C. Ventricular hypertrophy D. Hypertension C ____ 12. Upon inspecting the patient, you find jugular venous distension. This is a sign of: A. Left ventricular hypertrophy B. Right ventricular failure C. Hypertension D. Valve disease B ____ 13. On an electrocardiogram, you see a deepened Q wave that is greater than one-third the height of the QRS complex. This is indicative of: A. Acute myocardial infarction B. Acute myocardial ischemia C. Left ventricular hypertrophy D. Past myocardial infarction D ____ 14. Your 35-year-old female patient complains of feeling palpitations on occasion. The clinician should recognize that palpitations are often a sign of: A. Anemia B. Anxiety C. Hyperthyroidism

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