QUIZ ON CARDIO ASSESSMENT

1. Which of the following findings of the physical assessment indicates possible cardiovascular problem?

• •Thrills upon auscultation

• Absence of pulsation in the aortic area

• •Pulsation in the epigastric area

• •Jugular venous distention

Upon doing a simultaneous assessment, one nurse was able to count 65 beats per minute in the radial pulse upon palpation and the other nurse counted 82 beats per minute upon auscultation in the apical pulse. How would the nurse document this finding?

• •Pulsus Alternans

• •Thrills

• •Pulse Deficit

• •Ventricular Gallop

Upon auscultation, the nurse was able to hear a heart sound after S2 near right before S1 of the next cycle. How would the nurse document this finding?

• •Cardiac murmur

• •Ventricular Gallop

• •Splitting S2

• •Atrial Gallop

Upon palpation of the carotid pulse, the nurse was able to find a pulse that has a regular rhythm yet with alternating weak,thready and  full and bounding  force. How would the nurse document this finding?

• •Thrills

• •Pulse Deficit

• •Bounding

• •Pulsus Alternans

During a clinic appointment, a patient states, "I came in because my calcium score was positive on my CT scan last week." In which section of the patient assessment does the cardiac-vascular nurse document this finding?

• Past medical history.
  

• Personal/social history.
  

• Presenting problem.
  

• Review of symptoms

Which of the following tests/procedures are NOT used to diagnose heart failure?

• •Echocardiogram

• •Brain natriuretic peptide blood test

• •Stress test

• •Holter monitoring

Which of the following lab results confirm your suspicions of heart failure?

• •CK-MB 5.6%

• •BNP 820

• •Myoglobin of 50mcg/L

• •Troponin <0.02

Which of the following lab results confirm your suspicions of Myocardial Infarction?

• •CK-MB 5.6%

• •BNP 820

• •Myoglobin of 50mcg/L

• •Troponin <0.02

When obtaining a cardiovascular health history the nurse should ask the client which questions? Select all that apply.

• Rate, Regularity, and Rhythm

• "Are you able to perform your ADL's?,

• "Have you had any weight changes?",

• Palpation of pulses, Skin temperature of bilateral extremities, Skin color, Hair on the legs and feet

The nurse performing a cardiovascular assessment observes splinter hemorrhages. The nurse should evaluate this client for which of the following?

• Endocarditis

• Myocardial Infarction

• Pericarditis

• Myocarditis