Download Health assessment lab quiz fitz Question and answers verified to pass 2025 and more Exams Nursing in PDF only on Docsity!
Health assessment lab quiz fitz Question
and answers verified to pass 2025
Using the quadrant method of interpretation, electrocardiographic changes suggestive of left axis deviation include: - correct answer ✔QRS in lead I primarily positive, QRS in lead aVF primarily negative. The normal wave of depolarization during a heart beat is: - correct answer ✔Down the heart and to the left. Sinus tachycardia can be caused by all of the following except: - correct answer ✔Digitalis use. The use of all of the following medications is implicated in Torsade de Pointe except: - correct answer ✔Third-generation cephalosporins. Tall, peaked P waves >2.5 mm in any limb lead suggests: - correct answer ✔Right atrial abnormality. Using the quadrant method of interpretation, electrocardiographic changes suggestive of right axis deviation include: - correct answer ✔QRS in lead I primarily negative, QRS in lead aVF primarily positive. Pathologic causes of right axis deviation include: - correct answer ✔Right ventricular hypertrophy.
On an ECG, the QT interval encompasses a total of 10 small boxes (10 mm) in length. This corresponds with a duration of: - correct answer ✔ 400 milliseconds. In the normal ECG complex, ventricular depolarization is indicated by the: - correct answer ✔QRS complex. Which of the following is a common sign of left ventricular hypertrophy? - correct answer ✔Left axis deviation. Of the following, which is consistent with the Romhilt-Estes Scoring System for left ventricular hypertrophy? - correct answer ✔R in V5 or V6 = 25 mm or more. Which of the following is typically seen on the ECG of the person with pericarditis? - correct answer ✔Concave ST-segment elevation. Which of the following characteristics is most consistent with chest pain caused by acute pericarditis? - correct answer ✔Worse with position change. A wide QRS complex and secondary R wave in V1 is an indication of: - correct answer ✔Right bundle branch block. According to the Romhilt-Estes Scoring System, which of the following scores is a strong indication for left ventricular hypertrophy? - correct answer ✔5 or greater. A cause of poor R wave progression includes: - correct answer ✔COPD or chronic bronchitis.
A 56-year-old man reports that he thinks he is having a heart attack. Which of the following statements is most likely associated with myocardial infarction? - correct answer ✔"I feel pressure and tightness in my chest." Which heart sound marks the end of systole? - correct answer ✔S A marker of poor diastolic function often found in poorly-controlled hypertension is: - correct answer ✔S4. A 62-year-old man with poorly-controlled hypertension is being evaluated for retinopathy. Examination reveals narrowing of the vessels with severe local constriction, but without any vision change. His condition can best be given a hypertensive retinopathy Grade: - correct answer ✔2. Thrill can be heard in murmurs of Grade: - correct answer ✔IV. A heart murmur that goes from soft to loud is described as: - correct answer ✔Crescendo. Kerley A and B lines identified on radiographic imaging are most likely linear opacities caused by: - correct answer ✔Interstitial fluid. Which of the following would not be an expected radiographic finding of a patient with pulmonary edema? - correct answer ✔Hyperlucency
You are reviewing a chest radiograph of a 52-year-old with suspected pneumonia and note an area of hazy opacity near the left heart border. This would indicate consolidation of the: - correct answer ✔Upper lobe. The most reliable radiographic finding of emphysema is: - correct answer ✔Pruned vascularity. In a patient with suspected acute respiratory distress syndrome, a CT scan reveals ground glass opacity that is observed with superimposed interlobular and/or intralobular septal thickening. This finding is known as which of the following? - correct answer ✔Crazy paving pattern Compared with posterior anterior (PA) positioning of a radiograph, the image from an anterior posterior (AP) positioning will result in: - correct answer ✔Heart size larger than normal. Which of the following is most radiolucent when observed on an x-ray film? - correct answer ✔Gas (air) Which of the following radiographic procedures exposes the patient to the greatest amount of radiation? - correct answer ✔PET/CT scan of head Which of the following positions would be most helpful in assessing the volume of pleural effusion in a 63-year-old woman with community-acquired pneumonia? - correct answer ✔Lateral decubitus A 57-year-old man is being evaluated for a 4-day history of fever, dyspnea, and purulent cough. Suspecting pneumonia, a chest radiograph is ordered and reveals the following: - correct answer ✔Right lower lobe consolidation.
The aortic space is located at the: - correct answer ✔2nd intercostal space, right sternal border The bulbar conjunctiva: - correct answer ✔Covers the sclera The cone of light is located at ____ in the right ear: - correct answer ✔ 5 O'clock The normal angle between the nail plate and the proximal nail fold is: - correct answer ✔160 degrees The thyroid is best palpated by having the patient: - correct answer ✔Flex the neck and turn head toward the side being palpated The upper eyelid should rest at: - correct answer ✔The superior border of the iris A normal liver span at the midclavicular line in the adult is: - correct answer ✔6-12 cm To accentuate a mitral murmur, it is helpful to: - correct answer ✔Have the patient roll onto the left side To best assess the tympanic membrane in the adult, the examiner should: - correct answer ✔Pull the auricle up, back, and out When palpating the carotids, it is important to perform all of the following except: - correct answer ✔Assess both at the same time for comparison
When performing ROM on the shoulder joint, all of the following should be performed except: - correct answer ✔Lateral Bending The leading cause of acute liver failure in the US is: - correct answer ✔Drug- induced hepatic injury Acetaminophen toxicity risk is greater in persons with depleted stores of: - correct answer ✔Glutathione In a healthy individual, ammonia is formed: - correct answer ✔By bacteria Clotting risk begins to be a concern once the platelet count typically reaches: - correct answer ✔1,000,000/mm Concomitant use of TMP-SMX with all of the following medications have been implicated in drug-induced hyperkalemia except: - correct answer ✔Statins In health, a typical Hb:Hct ratio is: - correct answer ✔1: The white blood cell line primarily responsible for targeting viruses is: - correct answer ✔Lymphocytes Elevated levels of ammonia are a concern with concomitant use of valproate and: - correct answer ✔Topiramate
A 47-year-old woman is suspected of having pancreatitis and requires radiographic imaging for confirmation. She mentions that she has "lousy insurance" and cannot afford any expensive tests. The NP recommends: - correct answer ✔MRI Which of the following diagnostic tests is appropriate for a 27-year-old woman who is in her second trimester of pregnancy? - correct answer ✔MRI A 65-year-old man with cholecystitis requires diagnostic imaging. He is overweight (BMI=28 kg/m 2 ) and has a pacemaker. Which of the following tests should be avoided? - correct answer ✔MRI A 28-year-old presents following a fall while mountain biking. He complains of pain in his left shoulder as well as abrasions to his face, hands, and forearms that do not penetrate to the dermis. When asked about prior tetanus immunization, he states that he cannot remember that last time he was immunized or how many tetanus vaccines he has received. The NP recommends: - correct answer ✔Tetanus vaccine A 54-year-old landscaper presents with a puncture wound on his left thigh after a tree limb fell on him. The wound penetrates into the dermis and fatty layer and small splinters are evident in the wound. His vaccination history reveals that he has received the tetanus vaccine every 10 years, with the most recent immunization 4 years ago. The NP recommends: - correct answer ✔No vaccination required at this time Which of the following wound closure devices provides the lowest tensile strength? - correct answer ✔Tape closure Which of the following types of sutures provides the greatest duration of wound security? - correct answer ✔Polydixanone
Which of the following suture types has the greatest potential for tissue reactivity? - correct answer ✔Silk A 62-year-old female receives nylon sutures on her scalp following a fall. The NP recommends a follow-up visit: - correct answer ✔In 7 days to remove the sutures The following image shows correct placement of a: - correct answer ✔Dermal or internal suture When cleaning and irrigating wounds, the use of tap water is as effective as a disinfecting solution in preventing infection. - correct answer ✔True When considering a local anesthetic, which of the following will provide the greatest duration of effect? - correct answer ✔Bupivacaine plus epinephrine A type of suture that can be useful in minimizing tension of the wound edges and depicted in the image below is called: - correct answer ✔Vertical mattress suture Which of the following statements is false regarding the use of wound closure strips? - correct answer ✔Wound closure strips can be used prior to achieving hemostasis The use of skin glue would be most appropriate for which of the following types of wounds? - correct answer ✔A clean superficial laceration of 2.5 cm in length on the forearm
