Chapter 19 Review Questions

Chapter 19 Review Questions

The first heart sound (S1) is produced by the:

Chapter 19 Review Questions

Which of the following guidelines may be used to identify which heart sound is S1?

Chapter 19 Review Questions

Which of the following cardiac alterations occurs during pregnancy?

Chapter 19 Review Questions

Which of the following is an appropriate position to have the patient assume when auscultating for extra heart sound or murmurs?

Chapter 19 Review Questions

The leaflets of the tricuspid and mitral valves are anchored by __ to the __, which are embedded in the ventricular floor.

Chapter 19 Review Questions

The ability of the hart to contract independently of any signals or stimulation is due to:

Chapter 19 Review Questions

When auscultating the heart of a newborn within 24 hours after birth, the examiner hears a continuous sound that mimics the sound of a machine. This finding most likely indicates:

Chapter 19 Review Questions

A bruit heard while auscultating the carotid artery of a 65-year-old patient is caused by:

Chapter 19 Review Questions

The jugular venous pressure is an indirect reflection of the:

Chapter 19 Review Questions

The semilunar valves separate the:

Chapter 19 Review Questions

Angina pectoris

Chapter 19 Review Questions

Aortic regurgitation (aortic insufficiency)

Chapter 19 Review Questions

Aortic stenosis

Chapter 19 Review Questions

Aortic valve

Chapter 19 Review Questions

Apex of the heart

Chapter 19 Review Questions

Apical Impulse

Chapter 19 Review Questions

Base of the heart

Chapter 19 Review Questions

Bell (of the stethoscope)

Chapter 19 Review Questions

Bradycardia

Chapter 19 Review Questions

Clubbing

Chapter 19 Review Questions

Coarctation of aorta

Chapter 19 Review Questions

Cor pulmonale

Chapter 19 Review Questions

Cyanosis

Chapter 19 Review Questions

Diaphragm (of the stethoscope)

Chapter 19 Review Questions

Dyspnea

Chapter 19 Review Questions

Edema

Chapter 19 Review Questions

Erb's point

Chapter 19 Review Questions

First heart sound (S1)

Chapter 19 Review Questions

Fourth heart sound (S4)

Chapter 19 Review Questions

Gallop rhythm

Chapter 19 Review Questions

Inching

Chapter 19 Review Questions

Left ventricular hypertrophy (LVH)

Chapter 19 Review Questions

Midclavicular line (MCL)

Chapter 19 Review Questions

Mitral regurgitation

Chapter 19 Review Questions

Mitral stenosis

Chapter 19 Review Questions

Mitral valve

Chapter 19 Review Questions

Palpitation

Chapter 19 Review Questions

Paradoxical splitting

Chapter 19 Review Questions

Pericardial friction rub

Chapter 19 Review Questions

Physiologic splitting

Chapter 19 Review Questions

Precordium

Chapter 19 Review Questions

Pulmonic regurgitation

Chapter 19 Review Questions

Pulmonic stenosis

Chapter 19 Review Questions

Pulmonic valve

Chapter 19 Review Questions

Second heart sound (S2)

Chapter 19 Review Questions

Summation gallop

Chapter 19 Review Questions

Syncope

Chapter 19 Review Questions

Systole

Chapter 19 Review Questions

Tachycardia

Chapter 19 Review Questions

Third heart sound (S3)

Chapter 19 Review Questions

Thrill

Chapter 19 Review Questions

Tricuspid valve

Chapter 19 Review Questions

Define the apical impulse and describe its normal location, size, and duration

Chapter 19 Review Questions

Which abnormal conditions may affect the location of the apical impulse?

Chapter 19 Review Questions

Explain the mechanism producing normal first and second heart sounds.

Chapter 19 Review Questions

Describe the effect of respiration on the heart sounds.

Chapter 19 Review Questions

Describe the characteristics of the first heart sound and its intensity at the apex of the heart and at the base

Chapter 19 Review Questions

Describe the characteristics of the second heart sound and its intensity at the apex of the heart and at the base.

Chapter 19 Review Questions

explain the physiologic mechanisms for normal splitting of S2 in the pulmonic valve area.

Chapter 19 Review Questions

Define the third heart sound. When in the cardiac cycle does it occur? Describe its intensity, quality, location in which it is heard, and method of auscultation

Chapter 19 Review Questions

Differentiate a physiologic S3 from a pathologic S3.

Chapter 19 Review Questions

Define the fourth heart sound. When in the cardiac cycle dos it occur? Describe its intensity, quality, location in which it is heard, and method of auscultation.

Chapter 19 Review Questions

Explain the position of the valves during the cardiac cycle in diastole, isometric contraction, systole, and isometric relaxation.

Chapter 19 Review Questions

Define venous pressure and jugular venous pulse

Chapter 19 Review Questions

Differentiate between carotid artery pulsation and jugular vein pulsation

Chapter 19 Review Questions

List the major risk factors for heart disease and stroke as identified in this text.

Chapter 19 Review Questions

Define a bruit, and discuss what it indicates

Chapter 19 Review Questions

Define a heave or lift, and discuss what it indicates

Chapter 19 Review Questions

State the 4 guidelines to distinguish S1 for S2

Chapter 19 Review Questions

Define pulse deficit, and discuss what it indicates

Chapter 19 Review Questions

Define preload and after load.

Chapter 19 Review Questions

List the characteristics to explore when you hear a murmur, including the grading scale of murmurs.

Chapter 19 Review Questions

Discuss the characteristics of an innocent or functional murmur.

Chapter 19 Review Questions

The precordium is:

Chapter 19 Review Questions

Select the best description of the tricuspid valve.

Chapter 19 Review Questions

The function of the pulmonic valve it to:

Chapter 19 Review Questions

Atrial systole occurs:

Chapter 19 Review Questions

The second heart sound is the result of:

Chapter 19 Review Questions

The examiner is had estimated the jugular venous pressure. Identify the finding that is abnormal

Chapter 19 Review Questions

The examiner is palpating the apical impulse. Which is a normal-sized impulse?

Chapter 19 Review Questions

The nurse auscultates the pulmonic valve area in which region?

Chapter 19 Review Questions

Which description would differentiate a split S2 and S3?

Chapter 19 Review Questions

You auscultate a patient to rule out pericardial friction rub. Which assessment technique is most appropriate?

Chapter 19 Review Questions

When auscultating the heart, your first step is to:

Chapter 19 Review Questions

You will hear a split S2 most clearly in which area

Chapter 19 Review Questions

The stethoscope bell should be pressed lightly against the skin so that:

Chapter 19 Review Questions

A murmur is heard after S1 and before S2. This murmur would be classified as:

Chapter 19 Review Questions

When assessing the carotid artery, the nurse should palpate:

Chapter 19 Review Questions

Fill in the blanksS1 is best heard at the __ of the heart, whereas S2 is loudest at the __ of the heart. S1 coincides with the pulse in the __ and coincides with the __ wave if the patient is on an ECG monitor

Chapter 19 Review Questions

Pericardium

Chapter 19 Review Questions

Endocardium

Chapter 19 Review Questions

Atrium

Chapter 19 Review Questions

Pericardial fluid

Chapter 19 Review Questions

Ventricle

Chapter 19 Review Questions

Myocardium