Description

NSG 6020 APEA Cardiac – Question and Answers

1. In order to bring the ventricular apex closer to the chest wall when assessing the point of maximal impulse (PMI), ask the pt to:
2. The tonsillar, submandibular, and submental nodes drain the lymphatic fluid from portions of the:
3. When screening a pt 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 pt complains of a tight, bursting pain in the calf that increases w/ walking. Elevation of the leg sometimes relieves the pain.  These symptoms may be consistent w/:
6. On assessment, which one of the following symptoms would be noted as a compensatory response to chronic hypoxia?
7. A pt 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 pt:
11. A child presents w/ 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 pt describes chest pain as pressing, squeezing, and tight lasting between 1 and 3 minutes. These symptoms are more characteristic of:
14. A bruit heard in the epigastric area w/ both systolic and diastolic components is suggestive of:
15. Tissue ischemia is usually observed when assessing a pt w/ peripheral artery disease (PAD). What other symptom could be assessed?
16. A pt complains of some pain in the distal portions of her fingers on both hands. She states that it tends to occur more frequently w/ exposure to cold. These symptoms may be consistent w/:
17. A pt presents w/ 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 pt in cardiogenic shock would most likely appear:
19. Characteristic symptoms of chronic venous insufficiency may include which one of the following?
20. Children presenting w/ 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 pt
24. The four classic structural defects of Tetralogy of Fallot include:
25. A 68-year-old man w/ uncontrolled HTN presents w/ sudden, intense left lower abdominal pain that radiates to the back. The pain is associated w/ a tearing sensation.  These findings are MOST likely associated w/:
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 suggests
29. A pt w/ cirrhosis develops portal HTN 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 pt has had an internal pacemaker in place for five years. Pacemaker failure is being consider because over the past few days, the pt has been experiencing episodes of:
34. Why would a newborn w/ 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 associate w/:
37. Pain w/ walking or prolonged standing, radiating from the spinal area into the buttocks, thighs, lower legs, or feet, may be seen w/:
38. A heart rate of 100-180 beats per minute in an adult is consider:
39. When auscultating the point of maximal impulse (PMI), apex of the heart, in an adult, the stethoscope is place 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 w/:
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 w/a decreased pulmonary blood flow pattern
44. What heart sounds are heard during auscultation of a man w/ Marfan syndrome who has a known mitral valve prolapse?
45. Deep cervical lymph nodes drain lymphatic fluid from the
46. A pt 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 w/
47. A male pt 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 pt, place the stethoscope:
53. Enlargement of which lymph nodes would be suggestive of metastasis from a thoracic or abdominal malignancy?
54. In an adult pt, 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 pt to
58. Presence of a heart murmur in a child would be consider organic if the child
59. A condition that usually presents w/ numbness or tingling in the distal portions of one or more fingers aggravate by cold oremotional stress may be associate nsg 6020 apea
60. Right atrial pressure can be determine byWhile examining the heart, a pansystolic, blowing murmur is audible over the left sternal border w/ radiation to the right ofthe sternum. The intensity increase w/ inspiration.  This finding is characteristic of:
61. While auscultating the pt’s heart, a medium, soft murmur is audible. It is pansystolic and heard ….at the apex w/ radiation to the left axilla. These findings are consistent w/:
62. To assess aortic pulsations in pts w/ carotid obstruction, assess the pulse using the:
63. A condition that presents w/ symptomatic limb ischemia upon exertion is term:
64. Men between the ages of 40 and 64 years should be screen yearly for
65. The thoracic lymph duct drains lymphatic fluid from all the following areas except the
66. A pt 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 w/: thromboangiitis obliterans
67. When auscultating the heart of a 50-year-old pt, a soft murmur is audible in the left second and third intercostal spacesand radiates to the left shoulder and neck. Also noted is a crescendo-decrescendo pitch to the murmur.  This finding could be consistent
68. A sudden, tearing, sharp pain that begins in the chest and radiates to the back or into the neck is usually …..
69. When auscultating heart sounds arising from the aortic valve in an adult pt, place the stethoscope: nsg 6020 apea
70. 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?  
71. To auscultate the tricuspid valve heart sounds in an adult pt, place the stethoscope:
72. The posterior auricular lymph node is located:
73. A 5-year-old child presents w/ 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:  When auscultating the heart of a 55-year-old pt, a loud murmur w/ 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 ….best w/ the pt sitting and leaning forward. This finding is consistent w/:
74. When auscultating the heart; S1 sound, is located at the apex of the heart and signifies: nsg 6020 apea
75. Which lymph nodes receive lymphatic fluid from the stomach, duodenum, liver, gallbladder, and pancreas?
76. Pain or cramping of the legs that occurs during exertion and is relieved by rest is term
77. A third heart sound (S3) is audible in a forty-five-year old. This S3 sound may be:
78. When performing a cardiovascular assessment on a healthy 2-year-old child: Warning signs of peripheral artery disease may include all of the following except:
79. A pediatric pt presents w/ erythema marginatum, chorea, and a heart murmur. These symptoms are consistent nsg 6020 apea
80. Causes of orthostatic hypotension in older adults may include all of the following except:
81. A three-week-old infant presents w/ a generalized lacy, reticulated blue discoloration of the skin. This is suggestive of
82. When assessing a 3-year-old African American child, the most likely cause of black, dusky mucous membranes is related to:
83. The preauricular lymph node is located
84. By placing the ball of the examiner’s hand firmly on the chest, the examiner would be checking for nsg 6020 apea
85. The hemodynamic changes resulting from structural defects in children can lead to heart failure. The most common reason for these changes is related to
86. Assessment findings in a newborn at birth include: irregular respirations w/out crying, heart rate of 105 beats/minute, grimaces w/ 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?
87. A pt 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:  
88. An otherwise healthy two-year-old presents w/ a heart rate that varies w/ inspiration and expiration. Which statement is true?
89. The tonsillar lymph node is located: Widened pulse pressure (PP) is define as systolic blood pressure (SBP) nsg 6020 apea
90. A widened pulse pressure greater than or equal to 60 in an older pt is a risk factor for cardiovascular disease, stroke, and:
91. Which of the following symptoms would necessitate the need for further evaluation in the newborn?
92. The occipital lymph node is located:
93. The preauricular nodes drain lymphatic fluid from the:
94. Absent or diminished pulses in the wrist could be indicative of:
95. The posterior chest wall and portions of the arms are draine by which group of lymph nodes?
96. A pt suspected of having chronic venous insufficiency, may present
97. The right lymph duct drains lymphatic fluid from all the following areas except the:
98. The infraorbital or maxillary, buccinator, and supramandibular lymph nodes drain lymphatic fluid from the:
99. Characteristic symptoms of chronic arterial insufficiency may include which one of the following? **I chose** Persistent pain.
100. A pt 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 w/: The internal iliac lymph nodes drain lymphatic fluid from the:
101. The supraclavicular lymph nodes are located
102. The superior and inferior mesenteric lymph nodes drain lymphatic fluid from the: