WorksheetsCardiology Quiz
Total questions: 37
Worksheet time: 19mins
A client with mitral valve stenosis is most likely to exhibit which of the following findings?
Wide pulse pressure
Loud S1 at the apex
Bounding peripheral pulses
Decreased jugular venous pressure
During auscultation, a harsh, loud systolic murmur is heard at the second right intercostal space, radiating to the neck. Which condition is most likely?
Aortic stenosis
Mitral regurgitation
Pulmonary hypertension
Tricuspid stenosis
A patient presents with a grade IV murmur and palpable thrill at the lower left sternal border. Which is the most probable diagnosis?
Pulmonic stenosis
Aortic regurgitation
Ventricular septal defect
Tricuspid regurgitation
The primary pacemaker of the heart is the:
AV node
Bundle of His
SA node
Purkinje fibers
Which position is best for auscultating an S3 heart sound?
Supine
Left lateral decubitus
A client reports chest pain radiating down the left arm, diaphoresis, and nausea. The ECG shows ST-elevation in leads II, III, and aVF. What is the priority action?
Administer nitroglycerin
Obtain a 12-lead ECG immediately
Prepare for thrombolytic therapy
Give aspirin and monitor vital signs
Which of the following is a normal variation of heart sounds in children and adolescents?
S4
S3
Murmur
Pericardial friction rub
The characteristic "lub" of the heartbeat is caused by closure of the:
Semilunar valves
AV valves
Aortic arch
Pulmonary veins
The "dub" sound corresponds to closure of the:
AV valves
Semilunar valves
Atria
Ventricles
The best site to check for a carotid bruit is:
Over the carotid artery using the bell of the stethoscope
Over the jugular vein with the diaphragm
At the apex of the heart
Over the femoral artery
When assessing the jugular venous pulse, elevation of the head of the bed should be:
15 degrees
30-45 degrees
60 degrees
Fully upright
Which of the following is a sign of arterial insufficiency?
Cool skin and pallor when elevated
Warm skin and brown pigmentation
Edema and varicose veins
Tenderness and swelling
A client with Raynaud’s phenomenon experiences pallor, cyanosis, and redness. These episodes are most often triggered by:
Exercise
Cold exposure
Stress
High altitude
A patient with peripheral vascular disease is advised to:
Limit physical activity
Perform regular exercise
Keep extremities immobile
Avoid elevation of limbs
The most common site for oral cancer is:
Under the tongue
The palate
The buccal mucosa
The lips
Which of the following findings suggests venous insufficiency?
Pallor upon elevation
Brown pigmentation around ankles
Cool extremities
Absent pedal pulses
Which assessment finding is most indicative of left-sided heart failure?
Peripheral edema
S3 heart sound
Elevated jugular venous pressure
Hepatomegaly
The primary function of the Bundle of His is to:
Generate electrical impulses
Conduct impulses from the SA node to the ventricles
Contract the atria
Regulate blood pressure
When auscultating, the first heart sound (S1) is loudest at the:
Base of the heart
Apex of the heart
Erb’s point
Pulmonic area
The term “thrill” in cardiac assessment refers to:
A palpable vibration indicating a loud murmur
A soft, blowing sound in the heart
A pulsation felt over the carotid artery
An abnormal heart rhythm
Which of the following is an abnormal finding when palpating the carotid pulse?
Bounding, strong pulse
Thready, weak pulse
Symmetrical pulses
Regular rhythm
When listening for a heart murmur, the nurse should:
Use the diaphragm of the stethoscope for high-pitched sounds
Use the bell for high-pitched sounds
Always listen to all areas with both the diaphragm and bell simultaneously
Avoid auscultation if the patient has a known heart defect
A client with atrial fibrillation has an irregularly irregular pulse. The most appropriate nursing action is:
Administer antiarrhythmic medication
Palpate the apical pulse for 1 minute and notify the provider if irregular
Immediately prepare for cardioversion
Check blood pressure only
In peripheral arterial disease, which symptom is most characteristic?
Painless swelling of limbs
Coldness, pallor, and pain with activity
Edema and brown pigmentation
Tenderness and warmth
To assess for a bruit in the carotid artery, the nurse should:
Palpate the artery first
Auscultate with the bell of the stethoscope while the client holds their breath briefly
Listen with the diaphragm while the client breathes normally
Use a Doppler device only
An abnormal finding during peripheral vascular assessment is:
Capillary refill less than 2 seconds
Diminished pedal pulses
Warm skin over extremities
Symmetrical hair growth on lower limbs
The primary concern in a patient with a carotid bruit is:
Risk of stroke due to narrowing of the artery
Heart failure
Aortic aneurysm
Pulmonary embolism
Which of the following is an expected normal finding in the older adult’s cardiovascular assessment?
S4 heart sound
S3 heart sound
Murmur
Irregular rhythm
When auscultating Erb’s point, the nurse listens at:
The second right intercostal space
The third to fifth left intercostal space
The apex of the heart
The epigastric area
The most common cause of peripheral edema in older adults is:
Heart failure
Venous insufficiency
Lymphedema
Deep vein thrombosis
A patient with hypertrophic cardiomyopathy may present with:
Systolic murmur that increases with Valsalva maneuver
Diastolic murmur heard at the apex
Wide pulse pressure
No abnormal heart sounds
Which of the following is a risk factor for developing peripheral arterial disease?
Smoking
Sedentary lifestyle
Diabetes mellitus
All of the above
Which of the following is a sign of venous insufficiency?
Pale, cool skin upon elevation
Brown pigmentation and edema around the ankles
Cold extremities with weak pulses
Sharp, stabbing pain in limbs
The primary purpose of the P wave in an EKG is to represent:
Ventricular depolarization
Atrial depolarization
Atrial repolarization
Ventricular repolarization
The nurse recognizes that the S4 heart sound is most likely to occur in:
Healthy young adults during exercise
Older adults with decreased ventricular compliance
Clients with mitral valve prolapse
Clients with pericarditis
A client with a history of hypertension and high LDL levels is at risk for:
Coronary artery disease
Stroke
Peripheral vascular disease
All of the above
When assessing for a pulse deficit, the nurse should:
Palpate the radial pulse while auscultating the apical pulse for 1 full minute
Palpate the carotid pulse only
Listen to the heart sounds with a stethoscope
Measure blood pressure in both arms
