<?xml version="1.0"?>
<catalog>
	<query>
		<question type="1" course="Assessments of Serious Signs and Symptoms" lesson="Nurse's Assessment V2 - Respiratory Signs and Symptoms" segment="Adventitious Breath Sounds" video="NA_RSAS_01ABS.wmv" slides="/NURSING2/NURSESASSESMENT/RespiratorySignsSymptoms/xml/1.xml" quiz="/NURSING2/NURSESASSESMENT/RespiratorySignsSymptoms/quiz/quiz1.xml">All of the following are respiratory signs and symptoms that may threaten a client's health, except:</question>
		<answer value="1"><![CDATA[Bronchial sounds]]></answer> 
		<answer value="0"><![CDATA[Crackles]]></answer> 
		<answer value="0"><![CDATA[Wheezes]]></answer> 
		<answer value="0"><![CDATA[Dyspnea]]></answer> 
	</query>
	<query>
		<question type="1" course="Assessments of Serious Signs and Symptoms" lesson="Nurse's Assessment V2 - Respiratory Signs and Symptoms" segment="Adventitious Breath Sounds" video="NA_RSAS_01ABS.wmv" slides="/NURSING2/NURSESASSESMENT/RespiratorySignsSymptoms/xml/1.xml" quiz="/NURSING2/NURSESASSESMENT/RespiratorySignsSymptoms/quiz/quiz1.xml">To manage respiratory signs and symptoms, the nurse should be able to do all of the following, except:</question>
		<answer value="1"><![CDATA[Pinpoint abnormal findings and prescribe medications]]></answer> 
		<answer value="0"><![CDATA[Thoroughly assess respiratory signs and symptoms]]></answer> 
		<answer value="0"><![CDATA[Differentiate normal findings from abnormal findings]]></answer> 
		<answer value="0"><![CDATA[Determine the probable cause of abnormal findings]]></answer> 
	</query>
	<query>
		<question type="1" course="Assessments of Serious Signs and Symptoms" lesson="Nurse's Assessment V2 - Respiratory Signs and Symptoms" segment="Adventitious Breath Sounds" video="NA_RSAS_01ABS.wmv" slides="/NURSING2/NURSESASSESMENT/RespiratorySignsSymptoms/xml/1.xml" quiz="/NURSING2/NURSESASSESMENT/RespiratorySignsSymptoms/quiz/quiz1.xml">These are examples of adventitious breath sounds:</question>
		<answer value="1"><![CDATA[Crackles and wheezes]]></answer> 
		<answer value="0"><![CDATA[Stridor and bronchial]]></answer> 
		<answer value="0"><![CDATA[Stertor and vesicular]]></answer> 
		<answer value="0"><![CDATA[Bronchovesicular and bronchial ]]></answer> 
	</query>
	<query>
		<question type="1" course="Assessments of Serious Signs and Symptoms" lesson="Nurse's Assessment V2 - Respiratory Signs and Symptoms" segment="Auscultation - Normal Breath Sounds" video="NA_RSAS_02AI.wmv" slides="/NURSING2/NURSESASSESMENT/RespiratorySignsSymptoms/xml/2.xml" quiz="/NURSING2/NURSESASSESMENT/RespiratorySignsSymptoms/quiz/quiz2.xml">This statement about bronchial breath sounds is most true:</question>
		<answer value="1"><![CDATA[They are loud, high-pitched sounds that last equally as long during inhalation and exhalation]]></answer> 
		<answer value="0"><![CDATA[They are the softest and lowest breath sounds because they normally occur over the trachea]]></answer> 
		<answer value="0"><![CDATA[They are normally heard over lung tissue and are twice as long on inhalation as they are on exhalation]]></answer> 
		<answer value="0"><![CDATA[They have a medium intensity and pitch and are heard equally as long during inhalation and exhalation]]></answer> 
	</query>
	<query>
		<question type="1" course="Assessments of Serious Signs and Symptoms" lesson="Nurse's Assessment V2 - Respiratory Signs and Symptoms" segment="Auscultation - Normal Breath Sounds" video="NA_RSAS_02AI.wmv" slides="/NURSING2/NURSESASSESMENT/RespiratorySignsSymptoms/xml/2.xml" quiz="/NURSING2/NURSESASSESMENT/RespiratorySignsSymptoms/quiz/quiz2.xml">Vesicular breath sounds are normally heard:</question>
		<answer value="1"><![CDATA[Over lung tissue]]></answer> 
		<answer value="0"><![CDATA[Over the trachea]]></answer> 
		<answer value="0"><![CDATA[Posteriorly between the scapulae to the right of the spine]]></answer> 
		<answer value="0"><![CDATA[Anteriorly in the first and second intercostal spaces]]></answer> 
	</query>
	<query>
		<question type="1" course="Assessments of Serious Signs and Symptoms" lesson="Nurse's Assessment V2 - Respiratory Signs and Symptoms" segment="Auscultation - Normal Breath Sounds" video="NA_RSAS_02AI.wmv" slides="/NURSING2/NURSESASSESMENT/RespiratorySignsSymptoms/xml/2.xml" quiz="/NURSING2/NURSESASSESMENT/RespiratorySignsSymptoms/quiz/quiz2.xml">Vesicular breath sounds normally occur:</question>
		<answer value="1"><![CDATA[Farthest from major airways]]></answer> 
		<answer value="0"><![CDATA[Over the trachea]]></answer> 
		<answer value="0"><![CDATA[Over lung tissue]]></answer> 
		<answer value="0"><![CDATA[Anteriorly in the first and second intercostal spaces]]></answer> 
	</query>
	<query>
		<question type="1" course="Assessments of Serious Signs and Symptoms" lesson="Nurse's Assessment V2 - Respiratory Signs and Symptoms" segment="Auscultation - Bronchial Breath Sound" video="NA_RSAS_03AII.wmv" slides="/NURSING2/NURSESASSESMENT/RespiratorySignsSymptoms/xml/2a.xml" quiz="/NURSING2/NURSESASSESMENT/RespiratorySignsSymptoms/quiz/quiz3.xml">Normally, inspired air creates:</question>
		<answer value="1"><![CDATA[Turbulence and loud, high-pitched bronchial sounds near the bifurcation of the mainstem bronchi]]></answer> 
		<answer value="0"><![CDATA[Soft, low-pitched vesicular sounds near the bifurcation of the mainstem bronchi or trachea]]></answer> 
		<answer value="0"><![CDATA[Turbulence and loud, high-pitched bronchial sounds in the lungs central and peripheral areas]]></answer> 
		<answer value="0"><![CDATA[Soft, low-pitched vesicular sounds as it passes through an airless and dense peripheral lung tissue]]></answer> 
	</query>
	<query>
		<question type="1" course="Assessments of Serious Signs and Symptoms" lesson="Nurse's Assessment V2 - Respiratory Signs and Symptoms" segment="Auscultation - Bronchial Breath Sound" video="NA_RSAS_03AII.wmv" slides="/NURSING2/NURSESASSESMENT/RespiratorySignsSymptoms/xml/2a.xml" quiz="/NURSING2/NURSESASSESMENT/RespiratorySignsSymptoms/quiz/quiz3.xml">This may be heard over airless and solid peripheral lung tissue:</question>
		<answer value="1"><![CDATA[Loud, high-pitched bronchial sounds]]></answer> 
		<answer value="0"><![CDATA[Soft, low-pitched vesicular sounds]]></answer> 
		<answer value="0"><![CDATA[Loud, high-pitched vesicular sounds]]></answer> 
		<answer value="0"><![CDATA[Soft, low-pitched bronchial sounds]]></answer> 
	</query>
	<query>
		<question type="1" course="Assessments of Serious Signs and Symptoms" lesson="Nurse's Assessment V2 - Respiratory Signs and Symptoms" segment="Auscultation - Bronchial Breath Sound" video="NA_RSAS_03AII.wmv" slides="/NURSING2/NURSESASSESMENT/RespiratorySignsSymptoms/xml/2a.xml" quiz="/NURSING2/NURSESASSESMENT/RespiratorySignsSymptoms/quiz/quiz3.xml">Inspired air produces vesicular breath sounds as it passes through:</question>
		<answer value="1"><![CDATA[Air-filled peripheral lung tissue]]></answer> 
		<answer value="0"><![CDATA[Airless peripheral lung tissue]]></answer> 
		<answer value="0"><![CDATA[Dense or solid peripheral lung tissue]]></answer> 
		<answer value="0"><![CDATA[Fluid-filled peripheral lung tissue]]></answer> 
	</query>
	<query>
		<question type="1" course="Assessments of Serious Signs and Symptoms" lesson="Nurse's Assessment V2 - Respiratory Signs and Symptoms" segment="Auscultation - Crackles" video="NA_RSAS_04AIII.wmv" slides="/NURSING2/NURSESASSESMENT/RespiratorySignsSymptoms/xml/2b.xml" quiz="/NURSING2/NURSESASSESMENT/RespiratorySignsSymptoms/quiz/quiz4.xml">Crackles should be suspected if auscultation reveals:</question>
		<answer value="1"><![CDATA[Discontinuous, coarse bubbling sounds on inspiration]]></answer> 
		<answer value="0"><![CDATA[Continuous, coarse whistling sounds on inspiration and expiration]]></answer> 
		<answer value="0"><![CDATA[The sound of squeaky leather, characterized by grating or rasping]]></answer> 
		<answer value="0"><![CDATA[Loud, high-pitched vesicular sounds]]></answer> 
	</query>
	<query>
		<question type="1" course="Assessments of Serious Signs and Symptoms" lesson="Nurse's Assessment V2 - Respiratory Signs and Symptoms" segment="Auscultation - Crackles" video="NA_RSAS_04AIII.wmv" slides="/NURSING2/NURSESASSESMENT/RespiratorySignsSymptoms/xml/2b.xml" quiz="/NURSING2/NURSESASSESMENT/RespiratorySignsSymptoms/quiz/quiz4.xml">Fine crackles are:</question>
		<answer value="1"><![CDATA[Soft and short and tend to be high-pitched]]></answer> 
		<answer value="0"><![CDATA[Loud and long and tend to be high-pitched]]></answer> 
		<answer value="0"><![CDATA[Soft and long and tend to be low-pitched]]></answer> 
		<answer value="0"><![CDATA[Loud and short and tend to be low-pitched]]></answer> 
	</query>
	<query>
		<question type="1" course="Assessments of Serious Signs and Symptoms" lesson="Nurse's Assessment V2 - Respiratory Signs and Symptoms" segment="Auscultation - Crackles" video="NA_RSAS_04AIII.wmv" slides="/NURSING2/NURSESASSESMENT/RespiratorySignsSymptoms/xml/2b.xml" quiz="/NURSING2/NURSESASSESMENT/RespiratorySignsSymptoms/quiz/quiz4.xml">Sonorous wheezes typically result from:</question>
		<answer value="1"><![CDATA[Excess mucus in the large upper airways]]></answer> 
		<answer value="0"><![CDATA[Severe coarse crackles]]></answer> 
		<answer value="0"><![CDATA[Collapsed or damaged alveolar cells]]></answer> 
		<answer value="0"><![CDATA[Fluid-filled alveoli or collapsed terminal bronchioles]]></answer> 
	</query>
	<query>
		<question type="1" course="Assessments of Serious Signs and Symptoms" lesson="Nurse's Assessment V2 - Respiratory Signs and Symptoms" segment="Vocal Resonance" video="NA_RSAS_05VR.wmv" slides="/NURSING2/NURSESASSESMENT/RespiratorySignsSymptoms/xml/2c.xml" quiz="/NURSING2/NURSESASSESMENT/RespiratorySignsSymptoms/quiz/quiz5.xml">To assess for vocal resonance, the nurse should:</question>
		<answer value="1"><![CDATA[Ask the client to repeat a word or phrase while auscultating]]></answer> 
		<answer value="0"><![CDATA[Ask the client to inhale and exhale through the mouth while auscultating]]></answer> 
		<answer value="0"><![CDATA[Instruct the client to inhale forcefully and hold his/her breath for 3 seconds while auscultating]]></answer> 
		<answer value="0"><![CDATA[Have the client cough forcefully and continuously while auscultating]]></answer> 
	</query>
	<query>
		<question type="1" course="Assessments of Serious Signs and Symptoms" lesson="Nurse's Assessment V2 - Respiratory Signs and Symptoms" segment="Vocal Resonance" video="NA_RSAS_05VR.wmv" slides="/NURSING2/NURSESASSESMENT/RespiratorySignsSymptoms/xml/2c.xml" quiz="/NURSING2/NURSESASSESMENT/RespiratorySignsSymptoms/quiz/quiz5.xml">Bronchophony is the abnormal transmission of sounds from the lungs, which occurs when:</question>
		<answer value="1"><![CDATA[Consolidated lung tissue amplifies vocal sounds]]></answer> 
		<answer value="0"><![CDATA[Consolidated lung tissue muffles vocal sounds]]></answer> 
		<answer value="0"><![CDATA[Air-filled lung tissue amplifies vocal sounds]]></answer> 
		<answer value="0"><![CDATA[Fluid-filled lung tissue muffles vocal sounds]]></answer> 
	</query>
	<query>
		<question type="1" course="Assessments of Serious Signs and Symptoms" lesson="Nurse's Assessment V2 - Respiratory Signs and Symptoms" segment="Vocal Resonance" video="NA_RSAS_05VR.wmv" slides="/NURSING2/NURSESASSESMENT/RespiratorySignsSymptoms/xml/2c.xml" quiz="/NURSING2/NURSESASSESMENT/RespiratorySignsSymptoms/quiz/quiz5.xml">When assessing a client's vocal resonance through auscultation, "E" normally sounds:</question>
		<answer value="1"><![CDATA[Muffled but unchanged]]></answer> 
		<answer value="0"><![CDATA[Sharp and loud]]></answer> 
		<answer value="0"><![CDATA[Clear and amplified]]></answer> 
		<answer value="0"><![CDATA[Exaggerated but unchanged]]></answer> 
	</query>
	<query>
		<question type="1" course="Assessments of Serious Signs and Symptoms" lesson="Nurse's Assessment V2 - Respiratory Signs and Symptoms" segment="Skin, Chest andamp; Back" video="NA_RSAS_06SCAB.wmv" slides="/NURSING2/NURSESASSESMENT/RespiratorySignsSymptoms/xml/2d.xml" quiz="/NURSING2/NURSESASSESMENT/RespiratorySignsSymptoms/quiz/quiz6.xml">To palpate a client's chest for tactile fremitus, the nurse should:</question>
		<answer value="1"><![CDATA[Use the ulnar surface of his/her hands to apply even pressure on each side of the sternum and then feel for voice vibrations as the client says a word]]></answer> 
		<answer value="0"><![CDATA[Use the dorsal surface of his/her hands to apply even pressure on each side of the abdomen and then feel for voice vibrations as the client says a word]]></answer> 
		<answer value="0"><![CDATA[Use the ulnar surface of his/her hands to apply even pressure on each side of the abdomen and then feel for voice vibrations as the client coughs forcefully]]></answer> 
		<answer value="0"><![CDATA[Use the dorsal surface of his/her hands to apply even pressure on each side of the sternum and then feel for voice vibrations as the client coughs forcefully]]></answer> 
	</query>
	<query>
		<question type="1" course="Assessments of Serious Signs and Symptoms" lesson="Nurse's Assessment V2 - Respiratory Signs and Symptoms" segment="Skin, Chest andamp; Back" video="NA_RSAS_06SCAB.wmv" slides="/NURSING2/NURSESASSESMENT/RespiratorySignsSymptoms/xml/2d.xml" quiz="/NURSING2/NURSESASSESMENT/RespiratorySignsSymptoms/quiz/quiz6.xml">Most specifically, tactile fremitus occurs when:</question>
		<answer value="1"><![CDATA[Vocal sound waves are transmitted through the lungs to the chest wall]]></answer> 
		<answer value="0"><![CDATA[The number of oxygenated red blood cells falls below 60%]]></answer> 
		<answer value="0"><![CDATA[Dense, airless lung tissue only filters high-pitched vowel sounds]]></answer> 
		<answer value="0"><![CDATA[Vocal sound waves pass through air-filled lung tissue]]></answer> 
	</query>
	<query>
		<question type="1" course="Assessments of Serious Signs and Symptoms" lesson="Nurse's Assessment V2 - Respiratory Signs and Symptoms" segment="Skin, Chest andamp; Back" video="NA_RSAS_06SCAB.wmv" slides="/NURSING2/NURSESASSESMENT/RespiratorySignsSymptoms/xml/2d.xml" quiz="/NURSING2/NURSESASSESMENT/RespiratorySignsSymptoms/quiz/quiz6.xml">Normally, tactile fremitus feels:</question>
		<answer value="1"><![CDATA[Equally intense bilaterally and strongest in the second intercostal space and between the scapulae]]></answer> 
		<answer value="0"><![CDATA[More intense in the second intercostal space to the right of the sternum]]></answer> 
		<answer value="0"><![CDATA[More intense in the third intercostal space to the left of the sternum]]></answer> 
		<answer value="0"><![CDATA[Equally intense bilaterally and weakest in the second intercostal space and between the scapulae]]></answer> 
	</query>
	<query>
		<question type="1" course="Assessments of Serious Signs and Symptoms" lesson="Nurse's Assessment V2 - Respiratory Signs and Symptoms" segment="Lung Expansion" video="NA_RSAS_07LE.wmv" slides="/NURSING2/NURSESASSESMENT/RespiratorySignsSymptoms/xml/2e.xml" quiz="/NURSING2/NURSESASSESMENT/RespiratorySignsSymptoms/quiz/quiz7.xml">When assessing the chest for lung expansion, the nurse should:</question>
		<answer value="1"><![CDATA[Place the palms of both hands over the client's chest, with the thumbs along the costal margin and over the xiphoid process]]></answer> 
		<answer value="0"><![CDATA[Place the dorsal surface of both hands over the client's abdomen, with the little fingers pointing at the sternum]]></answer> 
		<answer value="0"><![CDATA[Place the palms of both hands over the client's chest, with the thumbs along the fourth or fifth rib and over the manubrium]]></answer> 
		<answer value="0"><![CDATA[Place the dorsal surface of both hands over the client's abdomen, directly over the xiphoid process]]></answer> 
	</query>
	<query>
		<question type="1" course="Assessments of Serious Signs and Symptoms" lesson="Nurse's Assessment V2 - Respiratory Signs and Symptoms" segment="Lung Expansion" video="NA_RSAS_07LE.wmv" slides="/NURSING2/NURSESASSESMENT/RespiratorySignsSymptoms/xml/2e.xml" quiz="/NURSING2/NURSESASSESMENT/RespiratorySignsSymptoms/quiz/quiz7.xml">Reduced lung expansion may occur when:</question>
		<answer value="1"><![CDATA[Exudate-filled lung tissue stiffens and does not fill completely with air during inhalation]]></answer> 
		<answer value="0"><![CDATA[Air-filled, dense or solid lung tissue relaxes and fills completely with air during inhalation]]></answer> 
		<answer value="0"><![CDATA[The diaphragm contracts and descends during inspiration]]></answer> 
		<answer value="0"><![CDATA[The diaphragm expands and ascends during expiration]]></answer> 
	</query>
	<query>
		<question type="1" course="Assessments of Serious Signs and Symptoms" lesson="Nurse's Assessment V2 - Respiratory Signs and Symptoms" segment="Lung Expansion" video="NA_RSAS_07LE.wmv" slides="/NURSING2/NURSESASSESMENT/RespiratorySignsSymptoms/xml/2e.xml" quiz="/NURSING2/NURSESASSESMENT/RespiratorySignsSymptoms/quiz/quiz7.xml">When assessing for lung expansion, the thumbs normally:</question>
		<answer value="1"><![CDATA[Diverge symmetrically as the lungs expand]]></answer> 
		<answer value="0"><![CDATA[Converge symmetrically as the lungs expands]]></answer> 
		<answer value="0"><![CDATA[Converge symmetrically as the client inhales]]></answer> 
		<answer value="0"><![CDATA[Diverge symmetrically as the client exhales]]></answer> 
	</query>
	<query>
		<question type="1" course="Assessments of Serious Signs and Symptoms" lesson="Nurse's Assessment V2 - Respiratory Signs and Symptoms" segment="Percussion" video="NA_RSAS_08P.wmv" slides="/NURSING2/NURSESASSESMENT/RespiratorySignsSymptoms/xml/2f.xml" quiz="/NURSING2/NURSESASSESMENT/RespiratorySignsSymptoms/quiz/quiz8.xml">When percussing over the lungs, the nurse should:</question>
		<answer value="1"><![CDATA[Follow the pattern for auscultation and compare the sounds on both sides]]></answer> 
		<answer value="0"><![CDATA[Follow the pattern for palpation and compare the sounds on the upper and lower quadrants]]></answer> 
		<answer value="0"><![CDATA[Strike the middle finger with the index finger of the nondominant hand]]></answer> 
		<answer value="0"><![CDATA[Strike the index finger with the middle finger of the nondominant hand]]></answer> 
	</query>
	<query>
		<question type="1" course="Assessments of Serious Signs and Symptoms" lesson="Nurse's Assessment V2 - Respiratory Signs and Symptoms" segment="Percussion" video="NA_RSAS_08P.wmv" slides="/NURSING2/NURSESASSESMENT/RespiratorySignsSymptoms/xml/2f.xml" quiz="/NURSING2/NURSESASSESMENT/RespiratorySignsSymptoms/quiz/quiz8.xml">Percussion of the lungs is done by:</question>
		<answer value="1"><![CDATA[Pressing the middle finger of the nondominant hand firmly on the skin and then striking it briskly with the middle finger of the dominant hand]]></answer> 
		<answer value="0"><![CDATA[Pressing the middle finger of the nondominant hand lightly on the skin and then striking it briskly with the index finger of the dominant hand]]></answer> 
		<answer value="0"><![CDATA[Pressing the index finger of the nondominant hand lightly on the skin and then striking it briskly with the middle finger of the dominant hand]]></answer> 
		<answer value="0"><![CDATA[Pressing the middle finger of the dominant hand firmly on the skin and then striking it briskly with the middle finger of the nondominant hand]]></answer> 
	</query>
	<query>
		<question type="1" course="Assessments of Serious Signs and Symptoms" lesson="Nurse's Assessment V2 - Respiratory Signs and Symptoms" segment="Percussion" video="NA_RSAS_08P.wmv" slides="/NURSING2/NURSESASSESMENT/RespiratorySignsSymptoms/xml/2f.xml" quiz="/NURSING2/NURSESASSESMENT/RespiratorySignsSymptoms/quiz/quiz8.xml">In regard to percussion, resonance is:</question>
		<answer value="1"><![CDATA[A long, loud and low-pitched sound that is heard best over healthy air-filled lung tissue]]></answer> 
		<answer value="0"><![CDATA[A short, loud and high-pitched sound that is heard best over healthy air-filled lung tissue]]></answer> 
		<answer value="0"><![CDATA[A long, soft and low-pitched sound that is heard best over exudate-filled lung tissue]]></answer> 
		<answer value="0"><![CDATA[A short, loud and low-pitched sound that is heard best over exudate-filled lung tissue]]></answer> 
	</query>
	<query>
		<question type="1" course="Assessments of Serious Signs and Symptoms" lesson="Nurse's Assessment V2 - Respiratory Signs and Symptoms" segment="Probable Cause andamp; Nursing Interventions" video="NA_RSAS_09PCAN.wmv" slides="/NURSING2/NURSESASSESMENT/RespiratorySignsSymptoms/xml/3.xml" quiz="/NURSING2/NURSESASSESMENT/RespiratorySignsSymptoms/quiz/quiz9.xml">All of the following assessment findings may indicate right lower lobe pneumonia, except:</question>
		<answer value="1"><![CDATA[Increased hydatid fremitus]]></answer> 
		<answer value="0"><![CDATA[Coarse crackles]]></answer> 
		<answer value="0"><![CDATA[Bronchophony]]></answer> 
		<answer value="0"><![CDATA[Egophony]]></answer> 
	</query>
	<query>
		<question type="1" course="Assessments of Serious Signs and Symptoms" lesson="Nurse's Assessment V2 - Respiratory Signs and Symptoms" segment="Probable Cause andamp; Nursing Interventions" video="NA_RSAS_09PCAN.wmv" slides="/NURSING2/NURSESASSESMENT/RespiratorySignsSymptoms/xml/3.xml" quiz="/NURSING2/NURSESASSESMENT/RespiratorySignsSymptoms/quiz/quiz9.xml">Pneumonia typically develops when:</question>
		<answer value="1"><![CDATA[A microorganism multiplies in the lungs and invades the lung tissue]]></answer> 
		<answer value="0"><![CDATA[The body triggers the release of excess RBCs, WBCs, antibodies and bradykinin]]></answer> 
		<answer value="0"><![CDATA[RBCs and actomyosin enter an air-filled alveoli]]></answer> 
		<answer value="0"><![CDATA[Gas exchange is impaired and hyperemia develops]]></answer> 
	</query>
	<query>
		<question type="1" course="Assessments of Serious Signs and Symptoms" lesson="Nurse's Assessment V2 - Respiratory Signs and Symptoms" segment="Probable Cause andamp; Nursing Interventions" video="NA_RSAS_09PCAN.wmv" slides="/NURSING2/NURSESASSESMENT/RespiratorySignsSymptoms/xml/3.xml" quiz="/NURSING2/NURSESASSESMENT/RespiratorySignsSymptoms/quiz/quiz9.xml">In regard to pneumonia, alveolar edema occurs when:</question>
		<answer value="1"><![CDATA[Terminal bronchioles and alveoli fill with exudate]]></answer> 
		<answer value="0"><![CDATA[Pulmonary hypertension develops]]></answer> 
		<answer value="0"><![CDATA[Vocal sound waves are transmitted through the lungs to the chest wall]]></answer> 
		<answer value="0"><![CDATA[Excess mucus is present in the large upper airways]]></answer> 
	</query>
	<query>
		<question type="1" course="Assessments of Serious Signs and Symptoms" lesson="Nurse's Assessment V2 - Respiratory Signs and Symptoms" segment="Focused Assessment" video="NA_RSAS_10FA.wmv" slides="/NURSING2/NURSESASSESMENT/RespiratorySignsSymptoms/xml/4.xml" quiz="/NURSING2/NURSESASSESMENT/RespiratorySignsSymptoms/quiz/quiz10.xml">When assessing the dyspnea of a client, the nurse should inquire about all of the following, except:</question>
		<answer value="1"><![CDATA[Rate]]></answer> 
		<answer value="0"><![CDATA[Onset]]></answer> 
		<answer value="0"><![CDATA[Timing]]></answer> 
		<answer value="0"><![CDATA[Severity]]></answer> 
	</query>
	<query>
		<question type="1" course="Assessments of Serious Signs and Symptoms" lesson="Nurse's Assessment V2 - Respiratory Signs and Symptoms" segment="Focused Assessment" video="NA_RSAS_10FA.wmv" slides="/NURSING2/NURSESASSESMENT/RespiratorySignsSymptoms/xml/4.xml" quiz="/NURSING2/NURSESASSESMENT/RespiratorySignsSymptoms/quiz/quiz10.xml">The nurse should expect the physician to order a 12-lead ECG tracing and pulse oximetry when a postoperative client experiences all of the following, except:</question>
		<answer value="1"><![CDATA[Eupnea along with anxiety]]></answer> 
		<answer value="0"><![CDATA[Severe, constant dyspnea with a rapid onset]]></answer> 
		<answer value="0"><![CDATA[Chest pain during inhalation]]></answer> 
		<answer value="0"><![CDATA[Bloody sputum]]></answer> 
	</query>
	<query>
		<question type="1" course="Assessments of Serious Signs and Symptoms" lesson="Nurse's Assessment V2 - Respiratory Signs and Symptoms" segment="Focused Assessment" video="NA_RSAS_10FA.wmv" slides="/NURSING2/NURSESASSESMENT/RespiratorySignsSymptoms/xml/4.xml" quiz="/NURSING2/NURSESASSESMENT/RespiratorySignsSymptoms/quiz/quiz10.xml">An oxygen saturation of 89 percent most specifically reflects:</question>
		<answer value="1"><![CDATA[Hypoxemia]]></answer> 
		<answer value="0"><![CDATA[Hypovolemia]]></answer> 
		<answer value="0"><![CDATA[Hypotension]]></answer> 
		<answer value="0"><![CDATA[Hyposmia]]></answer> 
	</query>
	<query>
		<question type="1" course="Assessments of Serious Signs and Symptoms" lesson="Nurse's Assessment V2 - Respiratory Signs and Symptoms" segment="Vital Signs" video="NA_RSAS_11VS.wmv" slides="/NURSING2/NURSESASSESMENT/RespiratorySignsSymptoms/xml/4a.xml" quiz="/NURSING2/NURSESASSESMENT/RespiratorySignsSymptoms/quiz/quiz11.xml">Tachycardia is:</question>
		<answer value="1"><![CDATA[An abnormally fast heart rate]]></answer> 
		<answer value="0"><![CDATA[An abnormally slow heart rate]]></answer> 
		<answer value="0"><![CDATA[An abnormally high body temperature]]></answer> 
		<answer value="0"><![CDATA[An abnormally low body temperature]]></answer> 
	</query>
	<query>
		<question type="1" course="Assessments of Serious Signs and Symptoms" lesson="Nurse's Assessment V2 - Respiratory Signs and Symptoms" segment="Vital Signs" video="NA_RSAS_11VS.wmv" slides="/NURSING2/NURSESASSESMENT/RespiratorySignsSymptoms/xml/4a.xml" quiz="/NURSING2/NURSESASSESMENT/RespiratorySignsSymptoms/quiz/quiz11.xml">Hypotension may result from all of the following, except:</question>
		<answer value="1"><![CDATA[Increased cardiac output]]></answer> 
		<answer value="0"><![CDATA[Reduced cardiac output]]></answer> 
		<answer value="0"><![CDATA[Pulmonary embolism]]></answer> 
		<answer value="0"><![CDATA[Pulmonary hypertension]]></answer> 
	</query>
	<query>
		<question type="1" course="Assessments of Serious Signs and Symptoms" lesson="Nurse's Assessment V2 - Respiratory Signs and Symptoms" segment="Vital Signs" video="NA_RSAS_11VS.wmv" slides="/NURSING2/NURSESASSESMENT/RespiratorySignsSymptoms/xml/4a.xml" quiz="/NURSING2/NURSESASSESMENT/RespiratorySignsSymptoms/quiz/quiz11.xml">In pulmonary hypertension, the heart cannot move blood to the:</question>
		<answer value="1"><![CDATA[Left side of the heart]]></answer> 
		<answer value="0"><![CDATA[Right side of the heart]]></answer> 
		<answer value="0"><![CDATA[Right atrium]]></answer> 
		<answer value="0"><![CDATA[Inferior vena cava]]></answer> 
	</query>
	<query>
		<question type="1" course="Assessments of Serious Signs and Symptoms" lesson="Nurse's Assessment V2 - Respiratory Signs and Symptoms" segment="Heart Sounds" video="NA_RSAS_12HS.wmv" slides="/NURSING2/NURSESASSESMENT/RespiratorySignsSymptoms/xml/4b.xml" quiz="/NURSING2/NURSESASSESMENT/RespiratorySignsSymptoms/quiz/quiz12.xml">The pulmonic auscultatory site is in the:</question>
		<answer value="1"><![CDATA[Second intercostal space at the left sternal border]]></answer> 
		<answer value="0"><![CDATA[Second intercostal space at the right sternal border]]></answer> 
		<answer value="0"><![CDATA[Fourth intercostal space at the left sternal border]]></answer> 
		<answer value="0"><![CDATA[Fourth intercostal space at the right sternal border]]></answer> 
	</query>
	<query>
		<question type="1" course="Assessments of Serious Signs and Symptoms" lesson="Nurse's Assessment V2 - Respiratory Signs and Symptoms" segment="Heart Sounds" video="NA_RSAS_12HS.wmv" slides="/NURSING2/NURSESASSESMENT/RespiratorySignsSymptoms/xml/4b.xml" quiz="/NURSING2/NURSESASSESMENT/RespiratorySignsSymptoms/quiz/quiz12.xml">A single S<sub>2</sub> is produced when:</question>
		<answer value="1"><![CDATA[The aortic and pulmonic valves close at nearly the same time]]></answer> 
		<answer value="0"><![CDATA[The aortic valve closes before the pulmonic valve]]></answer> 
		<answer value="0"><![CDATA[The aortic valve closes after the pulmonic valve]]></answer> 
		<answer value="0"><![CDATA[The atria contracts forcefully to overcome an abnormally stiff ventricle]]></answer> 
	</query>
	<query>
		<question type="1" course="Assessments of Serious Signs and Symptoms" lesson="Nurse's Assessment V2 - Respiratory Signs and Symptoms" segment="Heart Sounds" video="NA_RSAS_12HS.wmv" slides="/NURSING2/NURSESASSESMENT/RespiratorySignsSymptoms/xml/4b.xml" quiz="/NURSING2/NURSESASSESMENT/RespiratorySignsSymptoms/quiz/quiz12.xml">Increased pulmonary pressure increases the:</question>
		<answer value="1"><![CDATA[Resistance the right ventricle must pump against]]></answer> 
		<answer value="0"><![CDATA[Resistance the left ventricle must pump against]]></answer> 
		<answer value="0"><![CDATA[Aortic component of S<sub>2</sub>]]></answer> 
		<answer value="0"><![CDATA[Pulmonic component of S<sub>1</sub>]]></answer> 
	</query>
	<query>
		<question type="1" course="Assessments of Serious Signs and Symptoms" lesson="Nurse's Assessment V2 - Respiratory Signs and Symptoms" segment="Diaphragmatic Excursion" video="NA_RSAS_13DE.wmv" slides="/NURSING2/NURSESASSESMENT/RespiratorySignsSymptoms/xml/4c.xml" quiz="/NURSING2/NURSESASSESMENT/RespiratorySignsSymptoms/quiz/quiz13.xml">When assessing diaphragmatic excursion during exhalation, the nurse should mark the spot where:</question>
		<answer value="1"><![CDATA[Dullness changes to resonance]]></answer> 
		<answer value="0"><![CDATA[Resonance changes to tympany]]></answer> 
		<answer value="0"><![CDATA[Hyper-resonance changes to resonance]]></answer> 
		<answer value="0"><![CDATA[Hyper-resonance changes to dullness]]></answer> 
	</query>
	<query>
		<question type="1" course="Assessments of Serious Signs and Symptoms" lesson="Nurse's Assessment V2 - Respiratory Signs and Symptoms" segment="Diaphragmatic Excursion" video="NA_RSAS_13DE.wmv" slides="/NURSING2/NURSESASSESMENT/RespiratorySignsSymptoms/xml/4c.xml" quiz="/NURSING2/NURSESASSESMENT/RespiratorySignsSymptoms/quiz/quiz13.xml">To assess diaphragmatic excursion during inhalation, the nurse should:</question>
		<answer value="1"><![CDATA[Have the client inhale deeply and hold his/her breath while percussing from the right scapulae toward the diaphragm, then repeating on the other side]]></answer> 
		<answer value="0"><![CDATA[Have the client inhale slowly and deeply while percussing from the fifth intercostal space to the second intercostal space, then repeating on the other side]]></answer> 
		<answer value="0"><![CDATA[Have the client inhale rapidly and deeply while percussing from the third intercostal space to the fifth intercostal space, then repeating on the other side]]></answer> 
		<answer value="0"><![CDATA[Have the client inhale slowly and deeply while percussing from the right sternum toward the fifth intercostal space, then repeating on the other side]]></answer> 
	</query>
	<query>
		<question type="1" course="Assessments of Serious Signs and Symptoms" lesson="Nurse's Assessment V2 - Respiratory Signs and Symptoms" segment="Diaphragmatic Excursion" video="NA_RSAS_13DE.wmv" slides="/NURSING2/NURSESASSESMENT/RespiratorySignsSymptoms/xml/4c.xml" quiz="/NURSING2/NURSESASSESMENT/RespiratorySignsSymptoms/quiz/quiz13.xml">Diaphragmatic excursion measurement on the right may be higher because:</question>
		<answer value="1"><![CDATA[The liver raises the diaphragm slightly]]></answer> 
		<answer value="0"><![CDATA[The left lung is normally bigger than the right lung]]></answer> 
		<answer value="0"><![CDATA[The diaphragm contracts during expiration]]></answer> 
		<answer value="0"><![CDATA[The right lung has more bronchioles and alveoli]]></answer> 
	</query>
	<query>
		<question type="1" course="Assessments of Serious Signs and Symptoms" lesson="Nurse's Assessment V2 - Respiratory Signs and Symptoms" segment="Breath Sounds andamp; Legs" video="NA_RSAS_14BSAL.wmv" slides="/NURSING2/NURSESASSESMENT/RespiratorySignsSymptoms/xml/4d.xml" quiz="/NURSING2/NURSESASSESMENT/RespiratorySignsSymptoms/quiz/quiz14.xml">This statement about a sibilant wheeze is most true:</question>
		<answer value="1"><![CDATA[It is a high-pitched, musical adventitious breath sound]]></answer> 
		<answer value="0"><![CDATA[It is a loud, grating sound during inspiration and expiration]]></answer> 
		<answer value="0"><![CDATA[It occurs when fibrosis inflames the pleural tissues]]></answer> 
		<answer value="0"><![CDATA[It indicates the widening of the bronchioles' terminal airway]]></answer> 
	</query>
	<query>
		<question type="1" course="Assessments of Serious Signs and Symptoms" lesson="Nurse's Assessment V2 - Respiratory Signs and Symptoms" segment="Breath Sounds andamp; Legs" video="NA_RSAS_14BSAL.wmv" slides="/NURSING2/NURSESASSESMENT/RespiratorySignsSymptoms/xml/4d.xml" quiz="/NURSING2/NURSESASSESMENT/RespiratorySignsSymptoms/quiz/quiz14.xml">Pleural friction rub is:</question>
		<answer value="1"><![CDATA[Indicative of inflamed pleural tissues]]></answer> 
		<answer value="0"><![CDATA[A high-pitched, musical adventitious breath sound]]></answer> 
		<answer value="0"><![CDATA[Indicative of widened terminal airways of the bronchioles]]></answer> 
		<answer value="0"><![CDATA[A soft, grating, musical sound during expiration]]></answer> 
	</query>
	<query>
		<question type="1" course="Assessments of Serious Signs and Symptoms" lesson="Nurse's Assessment V2 - Respiratory Signs and Symptoms" segment="Breath Sounds andamp; Legs" video="NA_RSAS_14BSAL.wmv" slides="/NURSING2/NURSESASSESMENT/RespiratorySignsSymptoms/xml/4d.xml" quiz="/NURSING2/NURSESASSESMENT/RespiratorySignsSymptoms/quiz/quiz14.xml">Pain in the calf during dorsiflexion of a client's foot at the ankle can indicate:</question>
		<answer value="1"><![CDATA[Homan's sign]]></answer> 
		<answer value="0"><![CDATA[Jugular vein distention]]></answer> 
		<answer value="0"><![CDATA[Disseminated intravascular coagulation]]></answer> 
		<answer value="0"><![CDATA[Erythema]]></answer> 
	</query>
	<query>
		<question type="1" course="Assessments of Serious Signs and Symptoms" lesson="Nurse's Assessment V2 - Respiratory Signs and Symptoms" segment="Pulmonary Embolism - Pathophysiology" video="NA_RSAS_15PEI.wmv" slides="/NURSING2/NURSESASSESMENT/RespiratorySignsSymptoms/xml/5.xml" quiz="/NURSING2/NURSESASSESMENT/RespiratorySignsSymptoms/quiz/quiz15.xml">Pulmonary embolism related to deep vein thrombosis may be suspected if assessments show all of the following results, except:</question>
		<answer value="1"><![CDATA[Whispered pectoriloquy]]></answer> 
		<answer value="0"><![CDATA[Pleuritic chest pain]]></answer> 
		<answer value="0"><![CDATA[Hemoptysis]]></answer> 
		<answer value="0"><![CDATA[Tachycardia and hypotension]]></answer> 
	</query>
	<query>
		<question type="1" course="Assessments of Serious Signs and Symptoms" lesson="Nurse's Assessment V2 - Respiratory Signs and Symptoms" segment="Pulmonary Embolism - Pathophysiology" video="NA_RSAS_15PEI.wmv" slides="/NURSING2/NURSESASSESMENT/RespiratorySignsSymptoms/xml/5.xml" quiz="/NURSING2/NURSESASSESMENT/RespiratorySignsSymptoms/quiz/quiz15.xml">Pulmonary embolism commonly occurs when:</question>
		<answer value="1"><![CDATA[A leg vein thrombus leads to an embolus, which then lodges in a pulmonary vessel]]></answer> 
		<answer value="0"><![CDATA[Increased ventilation perfusion causes the necrosis of alveolar cells]]></answer> 
		<answer value="0"><![CDATA[J-receptors are stimulated to increase pressure and resistance in the pulmonary vessels]]></answer> 
		<answer value="0"><![CDATA[Reduced surfactant level causes the collapse of alveoli and the development of atelectasis]]></answer> 
	</query>
	<query>
		<question type="1" course="Assessments of Serious Signs and Symptoms" lesson="Nurse's Assessment V2 - Respiratory Signs and Symptoms" segment="Pulmonary Embolism - Pathophysiology" video="NA_RSAS_15PEI.wmv" slides="/NURSING2/NURSESASSESMENT/RespiratorySignsSymptoms/xml/5.xml" quiz="/NURSING2/NURSESASSESMENT/RespiratorySignsSymptoms/quiz/quiz15.xml">In a client with pulmonary embolism, ventilation-perfusion mismatch usually occurs when:</question>
		<answer value="1"><![CDATA[Gas exchange cannot occur even though lung ventilation is adequate because the carbon dioxide-rich blood cannot reach the lung tissue]]></answer> 
		<answer value="0"><![CDATA[An air bubble or a blood clot lodges in the left ventricle and reduces blood flow to the lungs]]></answer> 
		<answer value="0"><![CDATA[Reduced surfactant level causes the collapse of more alveoli and the development of atelectasis]]></answer> 
		<answer value="0"><![CDATA[J-receptors are stimulated to increase pressure and resistance in the pulmonary vessels]]></answer> 
	</query>
	<query>
		<question type="1" course="Assessments of Serious Signs and Symptoms" lesson="Nurse's Assessment V2 - Respiratory Signs and Symptoms" segment="Pulmonary Embolism - Key Diagnostic Tests" video="NA_RSAS_16PEII.wmv" slides="/NURSING2/NURSESASSESMENT/RespiratorySignsSymptoms/xml/5a.xml" quiz="/NURSING2/NURSESASSESMENT/RespiratorySignsSymptoms/quiz/quiz16.xml">This diagnostic test is performed to evaluate lung ventilation and perfusion in a pulmonary embolism client:</question>
		<answer value="1"><![CDATA[Two-part V/Q scanning]]></answer> 
		<answer value="0"><![CDATA[Pulmonary angiogram]]></answer> 
		<answer value="0"><![CDATA[Ultrasonography]]></answer> 
		<answer value="0"><![CDATA[Echocardiography]]></answer> 
	</query>
	<query>
		<question type="1" course="Assessments of Serious Signs and Symptoms" lesson="Nurse's Assessment V2 - Respiratory Signs and Symptoms" segment="Pulmonary Embolism - Key Diagnostic Tests" video="NA_RSAS_16PEII.wmv" slides="/NURSING2/NURSESASSESMENT/RespiratorySignsSymptoms/xml/5a.xml" quiz="/NURSING2/NURSESASSESMENT/RespiratorySignsSymptoms/quiz/quiz16.xml">In the ventilation part of the V/Q scan, the pulmonary embolism client:</question>
		<answer value="1"><![CDATA[Inhales a radioactive gas then a nuclear scanner checks gas distribution during respiration]]></answer> 
		<answer value="0"><![CDATA[Is injected with an isotope and a nuclear scanner traces radioactive particle uptake in the bronchioles and alveoli]]></answer> 
		<answer value="0"><![CDATA[Is threaded with a catheter into the pulmonary artery while x-rays help visualize pulmonary vessel patency]]></answer> 
		<answer value="0"><![CDATA[Takes a J-receptor stimulator drug then chest x-rays trace radioactive particle uptake in the alveoli]]></answer> 
	</query>
	<query>
		<question type="1" course="Assessments of Serious Signs and Symptoms" lesson="Nurse's Assessment V2 - Respiratory Signs and Symptoms" segment="Pulmonary Embolism - Key Diagnostic Tests" video="NA_RSAS_16PEII.wmv" slides="/NURSING2/NURSESASSESMENT/RespiratorySignsSymptoms/xml/5a.xml" quiz="/NURSING2/NURSESASSESMENT/RespiratorySignsSymptoms/quiz/quiz16.xml">In a pulmonary embolism client, a pulmonary angiogram is performed by:</question>
		<answer value="1"><![CDATA[Threading a catheter into the pulmonary artery and injecting a radio-opaque contrast medium while x-rays help visualize pulmonary vessel patency]]></answer> 
		<answer value="0"><![CDATA[Having the client inhale a radioactive gas, then a nuclear scanner checks gas distribution]]></answer> 
		<answer value="0"><![CDATA[Having the client take a J-receptor stimulator drug, then chest x-rays trace radioactive particle uptake in the alveoli]]></answer> 
		<answer value="0"><![CDATA[Injecting a radioactive isotope into the blood, then a nuclear scanner traces radioactive particle uptake in the pulmonary capillaries]]></answer> 
	</query>
	<query>
		<question type="1" course="Assessments of Serious Signs and Symptoms" lesson="Nurse's Assessment V2 - Respiratory Signs and Symptoms" segment="Nursing Interventions" video="NA_RSAS_17NI.wmv" slides="/NURSING2/NURSESASSESMENT/RespiratorySignsSymptoms/xml/6.xml" quiz="/NURSING2/NURSESASSESMENT/RespiratorySignsSymptoms/quiz/quiz17.xml">Nursing interventions during immediate treatment for pulmonary embolism should include all of the following, except:</question>
		<answer value="1"><![CDATA[Obtaining the client's ECG tracing and ABG levels at least twice every day]]></answer> 
		<answer value="0"><![CDATA[Assessing the client's vital signs at least every 4 hours]]></answer> 
		<answer value="0"><![CDATA[Frequently checking the client's pulse oximetry reading to monitor oxygen saturation]]></answer> 
		<answer value="0"><![CDATA[Auscultating the client's lungs at least every 2 to 4 hours to assess for the resolution of adventitious breath sounds]]></answer> 
	</query>
	<query>
		<question type="1" course="Assessments of Serious Signs and Symptoms" lesson="Nurse's Assessment V2 - Respiratory Signs and Symptoms" segment="Nursing Interventions" video="NA_RSAS_17NI.wmv" slides="/NURSING2/NURSESASSESMENT/RespiratorySignsSymptoms/xml/6.xml" quiz="/NURSING2/NURSESASSESMENT/RespiratorySignsSymptoms/quiz/quiz17.xml">In regard to the immediate treatment for pulmonary embolism, streptokinase is an example of:</question>
		<answer value="1"><![CDATA[A thrombolytic]]></answer> 
		<answer value="0"><![CDATA[An anticoagulant]]></answer> 
		<answer value="0"><![CDATA[An antidiuretic]]></answer> 
		<answer value="0"><![CDATA[An antihistamine]]></answer> 
	</query>
	<query>
		<question type="1" course="Assessments of Serious Signs and Symptoms" lesson="Nurse's Assessment V2 - Respiratory Signs and Symptoms" segment="Nursing Interventions" video="NA_RSAS_17NI.wmv" slides="/NURSING2/NURSESASSESMENT/RespiratorySignsSymptoms/xml/6.xml" quiz="/NURSING2/NURSESASSESMENT/RespiratorySignsSymptoms/quiz/quiz17.xml">These surgical procedures may be indicated to manage pulmonary embolism:</question>
		<answer value="1"><![CDATA[Embolectomy and placement of an inferior vena cava filter]]></answer> 
		<answer value="0"><![CDATA[Bursectomy and allotransplantation]]></answer> 
		<answer value="0"><![CDATA[Chest physiotherapy and endoscopic nasopharyngectomy]]></answer> 
		<answer value="0"><![CDATA[Lung volume reduction surgery and bursectomy]]></answer> 
	</query>
	<query>
		<question type="1" course="Assessments of Serious Signs and Symptoms" lesson="Nurse's Assessment V2 - Vascular Signs and Symptoms" segment="Bruits" video="NA_V_1B.wmv" slides="/NURSING2/NURSESASSESMENT/VascularSignsSymptoms/xml/1.xml" quiz="/NURSING2/NURSESASSESMENT/VascularSignsSymptoms/quiz/quiz1.xml">All of the following are vascular signs and symptoms, except:</question>
		<answer value="1"><![CDATA[Hypothyroidism]]></answer> 
		<answer value="0"><![CDATA[Bruits]]></answer> 
		<answer value="0"><![CDATA[Diminished pulses]]></answer> 
		<answer value="0"><![CDATA[Uncontrolled hypertension]]></answer> 
	</query>
	<query>
		<question type="1" course="Assessments of Serious Signs and Symptoms" lesson="Nurse's Assessment V2 - Vascular Signs and Symptoms" segment="Bruits" video="NA_V_1B.wmv" slides="/NURSING2/NURSESASSESMENT/VascularSignsSymptoms/xml/1.xml" quiz="/NURSING2/NURSESASSESMENT/VascularSignsSymptoms/quiz/quiz1.xml">To minimize the dangerous effects of vascular signs and symptoms, the nurse should do all of the following, except:</question>
		<answer value="1"><![CDATA[Ensure a patent airway]]></answer> 
		<answer value="0"><![CDATA[Assess each sign and symptom in detail]]></answer> 
		<answer value="0"><![CDATA[Pinpoint the probable cause]]></answer> 
		<answer value="0"><![CDATA[Provide high quality nursing care]]></answer> 
	</query>
	<query>
		<question type="1" course="Assessments of Serious Signs and Symptoms" lesson="Nurse's Assessment V2 - Vascular Signs and Symptoms" segment="Bruits" video="NA_V_1B.wmv" slides="/NURSING2/NURSESASSESMENT/VascularSignsSymptoms/xml/1.xml" quiz="/NURSING2/NURSESASSESMENT/VascularSignsSymptoms/quiz/quiz1.xml">Generally, these are the stated nurse's goals in a client with vascular signs and symptoms:</question>
		<answer value="1"><![CDATA[Determine their cause and minimize their dangerous effects]]></answer> 
		<answer value="0"><![CDATA[Treat the symptoms and monitor the client's vital signs]]></answer> 
		<answer value="0"><![CDATA[Determine their cause and treat the symptoms]]></answer> 
		<answer value="0"><![CDATA[Minimize their dangerous effects and continuously monitor the client's vital signs]]></answer> 
	</query>
	<query>
		<question type="1" course="Assessments of Serious Signs and Symptoms" lesson="Nurse's Assessment V2 - Vascular Signs and Symptoms" segment="Focused Assessment" video="NA_V_2FA.wmv" slides="/NURSING2/NURSESASSESMENT/VascularSignsSymptoms/xml/2.xml" quiz="/NURSING2/NURSESASSESMENT/VascularSignsSymptoms/quiz/quiz2.xml">Bruit can be best described as:</question>
		<answer value="1"><![CDATA[A harsh, blowing vascular sound]]></answer> 
		<answer value="0"><![CDATA[The abnormal narrowing of blood vessels]]></answer> 
		<answer value="0"><![CDATA[A condition in which the arterial walls thicken]]></answer> 
		<answer value="0"><![CDATA[A clicking, rattling, or crackling sound heard during systole]]></answer> 
	</query>
	<query>
		<question type="1" course="Assessments of Serious Signs and Symptoms" lesson="Nurse's Assessment V2 - Vascular Signs and Symptoms" segment="Focused Assessment" video="NA_V_2FA.wmv" slides="/NURSING2/NURSESASSESMENT/VascularSignsSymptoms/xml/2.xml" quiz="/NURSING2/NURSESASSESMENT/VascularSignsSymptoms/quiz/quiz2.xml">Carotid artery bruit usually occurs:</question>
		<answer value="1"><![CDATA[During systole]]></answer> 
		<answer value="0"><![CDATA[During diastole]]></answer> 
		<answer value="0"><![CDATA[In late systole]]></answer> 
		<answer value="0"><![CDATA[In late diastole]]></answer> 
	</query>
	<query>
		<question type="1" course="Assessments of Serious Signs and Symptoms" lesson="Nurse's Assessment V2 - Vascular Signs and Symptoms" segment="Focused Assessment" video="NA_V_2FA.wmv" slides="/NURSING2/NURSESASSESMENT/VascularSignsSymptoms/xml/2.xml" quiz="/NURSING2/NURSESASSESMENT/VascularSignsSymptoms/quiz/quiz2.xml">If a client's blood pressure drops during surgery, blood flow to the brain can fall dangerously low and may lead to:</question>
		<answer value="1"><![CDATA[CVA]]></answer> 
		<answer value="0"><![CDATA[Aortic aneurysm]]></answer> 
		<answer value="0"><![CDATA[Cardiac arrest]]></answer> 
		<answer value="0"><![CDATA[Myocardial infarction]]></answer> 
	</query>
	<query>
		<question type="1" course="Assessments of Serious Signs and Symptoms" lesson="Nurse's Assessment V2 - Vascular Signs and Symptoms" segment="Auscultation - Carotid Artery" video="NA_V_3A1.wmv" slides="/NURSING2/NURSESASSESMENT/VascularSignsSymptoms/xml/2a.xml" quiz="/NURSING2/NURSESASSESMENT/VascularSignsSymptoms/quiz/quiz3.xml">The carotid pulse is best heard:</question>
		<answer value="1"><![CDATA[Beside the trachea, halfway between the jaw and the clavicle]]></answer> 
		<answer value="0"><![CDATA[Along the mandible, on a line with the corners of the mouth]]></answer> 
		<answer value="0"><![CDATA[On the temple directly in front of the ear]]></answer> 
		<answer value="0"><![CDATA[Between the lateral wall of the axilla and the clavicle]]></answer> 
	</query>
	<query>
		<question type="1" course="Assessments of Serious Signs and Symptoms" lesson="Nurse's Assessment V2 - Vascular Signs and Symptoms" segment="Auscultation - Carotid Artery" video="NA_V_3A1.wmv" slides="/NURSING2/NURSESASSESMENT/VascularSignsSymptoms/xml/2a.xml" quiz="/NURSING2/NURSESASSESMENT/VascularSignsSymptoms/quiz/quiz3.xml">When auscultating for carotid artery bruits, the nurse should press the stethoscope lightly on the client's skin to avoid all of the following, except:</question>
		<answer value="1"><![CDATA[Client discomfort]]></answer> 
		<answer value="0"><![CDATA[Blocking the artery]]></answer> 
		<answer value="0"><![CDATA[Blocking vascular sounds]]></answer> 
		<answer value="0"><![CDATA[Creating a false bruit]]></answer> 
	</query>
	<query>
		<question type="1" course="Assessments of Serious Signs and Symptoms" lesson="Nurse's Assessment V2 - Vascular Signs and Symptoms" segment="Auscultation - Carotid Artery" video="NA_V_3A1.wmv" slides="/NURSING2/NURSESASSESMENT/VascularSignsSymptoms/xml/2a.xml" quiz="/NURSING2/NURSESASSESMENT/VascularSignsSymptoms/quiz/quiz3.xml">This suggests aortic stenosis:</question>
		<answer value="1"><![CDATA[Harsh, mid-systolic crescendo-decrescendo murmur in the second intercostal space on the right]]></answer> 
		<answer value="0"><![CDATA[Harsh, mid-systolic crescendo-decrescendo murmur in the second intercostal space on the left]]></answer> 
		<answer value="0"><![CDATA[Harsh, mid-systolic crescendo-decrescendo murmur in the third intercostal space on the right]]></answer> 
		<answer value="0"><![CDATA[Harsh, mid-systolic crescendo-decrescendo murmur in the third intercostal space on the left]]></answer> 
	</query>
	<query>
		<question type="1" course="Assessments of Serious Signs and Symptoms" lesson="Nurse's Assessment V2 - Vascular Signs and Symptoms" segment="Auscultation - Bruit vs Venous Hum" video="NA_V_4A2.wmv" slides="/NURSING2/NURSESASSESMENT/VascularSignsSymptoms/xml/3.xml" quiz="/NURSING2/NURSESASSESMENT/VascularSignsSymptoms/quiz/quiz4.xml">All of the following are appropriate techniques to differentiate a bruit from a venous hum, except:</question>
		<answer value="1"><![CDATA[Ask the client to hold his/her breath while listening]]></answer> 
		<answer value="0"><![CDATA[Know the sound characteristics of a venous hum]]></answer> 
		<answer value="0"><![CDATA[Gently occlude the jugular vein with a finger while listening]]></answer> 
		<answer value="0"><![CDATA[Ask the client to bear down while listening]]></answer> 
	</query>
	<query>
		<question type="1" course="Assessments of Serious Signs and Symptoms" lesson="Nurse's Assessment V2 - Vascular Signs and Symptoms" segment="Auscultation - Bruit vs Venous Hum" video="NA_V_4A2.wmv" slides="/NURSING2/NURSESASSESMENT/VascularSignsSymptoms/xml/3.xml" quiz="/NURSING2/NURSESASSESMENT/VascularSignsSymptoms/quiz/quiz4.xml">Venous hum most specifically occurs:</question>
		<answer value="1"><![CDATA[Throughout diastole]]></answer> 
		<answer value="0"><![CDATA[Throughout systole]]></answer> 
		<answer value="0"><![CDATA[In early diastole]]></answer> 
		<answer value="0"><![CDATA[In late systole]]></answer> 
	</query>
	<query>
		<question type="1" course="Assessments of Serious Signs and Symptoms" lesson="Nurse's Assessment V2 - Vascular Signs and Symptoms" segment="Auscultation - Bruit vs Venous Hum" video="NA_V_4A2.wmv" slides="/NURSING2/NURSESASSESMENT/VascularSignsSymptoms/xml/3.xml" quiz="/NURSING2/NURSESASSESMENT/VascularSignsSymptoms/quiz/quiz4.xml">A venous hum is best heard:</question>
		<answer value="1"><![CDATA[At the medial end of the clavicle, anterior to sternocleidomastoid muscle]]></answer> 
		<answer value="0"><![CDATA[At the lateral end of the clavicle, anterior to sternocleidomastoid muscle]]></answer> 
		<answer value="0"><![CDATA[At the medial end of the clavicle, posterior to sternocleidomastoid muscle]]></answer> 
		<answer value="0"><![CDATA[At the lateral end of the clavicle, posterior to sternocleidomastoid muscle]]></answer> 
	</query>
	<query>
		<question type="1" course="Assessments of Serious Signs and Symptoms" lesson="Nurse's Assessment V2 - Vascular Signs and Symptoms" segment="Palpation andamp; Neurologic Assessment" video="NA_V_5PN.wmv" slides="/NURSING2/NURSESASSESMENT/VascularSignsSymptoms/xml/3a.xml" quiz="/NURSING2/NURSESASSESMENT/VascularSignsSymptoms/quiz/quiz5.xml">To avoid disrupting an atherosclerotic plaque when assessing for bruits in the carotid arteries, the nurse should most specifically:</question>
		<answer value="1"><![CDATA[Palpate the arteries gently]]></answer> 
		<answer value="0"><![CDATA[Tilt the client's head when palpating]]></answer> 
		<answer value="0"><![CDATA[Palpate the arteries one at a time]]></answer> 
		<answer value="0"><![CDATA[Palpate the arteries together]]></answer> 
	</query>
	<query>
		<question type="1" course="Assessments of Serious Signs and Symptoms" lesson="Nurse's Assessment V2 - Vascular Signs and Symptoms" segment="Palpation andamp; Neurologic Assessment" video="NA_V_5PN.wmv" slides="/NURSING2/NURSESASSESMENT/VascularSignsSymptoms/xml/3a.xml" quiz="/NURSING2/NURSESASSESMENT/VascularSignsSymptoms/quiz/quiz5.xml">Diminished pulse amplitude in a carotid artery with a bruit can be caused by:</question>
		<answer value="1"><![CDATA[Atherosclerosis]]></answer> 
		<answer value="0"><![CDATA[Hyperthyroidism]]></answer> 
		<answer value="0"><![CDATA[Arteriosclerosis]]></answer> 
		<answer value="0"><![CDATA[Hypothyroidism]]></answer> 
	</query>
	<query>
		<question type="1" course="Assessments of Serious Signs and Symptoms" lesson="Nurse's Assessment V2 - Vascular Signs and Symptoms" segment="Palpation andamp; Neurologic Assessment" video="NA_V_5PN.wmv" slides="/NURSING2/NURSESASSESMENT/VascularSignsSymptoms/xml/3a.xml" quiz="/NURSING2/NURSESASSESMENT/VascularSignsSymptoms/quiz/quiz5.xml">When assessing for bruits, palpating the carotid arteries at the same time may:</question>
		<answer value="1"><![CDATA[Reduce blood flow to the brain]]></answer> 
		<answer value="0"><![CDATA[Diminish the pulse's amplitude]]></answer> 
		<answer value="0"><![CDATA[Disrupt an atherosclerotic plaque]]></answer> 
		<answer value="0"><![CDATA[Prevent the carotid artery from expanding fully]]></answer> 
	</query>
	<query>
		<question type="1" course="Assessments of Serious Signs and Symptoms" lesson="Nurse's Assessment V2 - Vascular Signs and Symptoms" segment="Probable Cause andamp; Nursing Interventions" video="NA_V_6PCN.wmv" slides="/NURSING2/NURSESASSESMENT/VascularSignsSymptoms/xml/4.xml" quiz="/NURSING2/NURSESASSESMENT/VascularSignsSymptoms/quiz/quiz6.xml">This diagnostic test can help confirm carotid artery stenosis as the probable cause of a client's bruit:</question>
		<answer value="1"><![CDATA[Vascular ultrasound]]></answer> 
		<answer value="0"><![CDATA[Computed tomography angiography]]></answer> 
		<answer value="0"><![CDATA[Magnetic resonance imaging]]></answer> 
		<answer value="0"><![CDATA[Arterial Duplex  ultrasound]]></answer> 
	</query>
	<query>
		<question type="1" course="Assessments of Serious Signs and Symptoms" lesson="Nurse's Assessment V2 - Vascular Signs and Symptoms" segment="Probable Cause andamp; Nursing Interventions" video="NA_V_6PCN.wmv" slides="/NURSING2/NURSESASSESMENT/VascularSignsSymptoms/xml/4.xml" quiz="/NURSING2/NURSESASSESMENT/VascularSignsSymptoms/quiz/quiz6.xml">Carotid endarterectomy is a surgical procedure usually performed in clients with carotid artery stenosis most specifically to:</question>
		<answer value="1"><![CDATA[Remove the intimal lining of the artery and relieve stenosis]]></answer> 
		<answer value="0"><![CDATA[Prevent thrombus formation and promote blood flow]]></answer> 
		<answer value="0"><![CDATA[Relieve severe frontal headache and reduce the risk for CAD]]></answer> 
		<answer value="0"><![CDATA[Correct aortic valve disorders as an alternative to aortic valve replacement]]></answer> 
	</query>
	<query>
		<question type="1" course="Assessments of Serious Signs and Symptoms" lesson="Nurse's Assessment V2 - Vascular Signs and Symptoms" segment="Probable Cause andamp; Nursing Interventions" video="NA_V_6PCN.wmv" slides="/NURSING2/NURSESASSESMENT/VascularSignsSymptoms/xml/4.xml" quiz="/NURSING2/NURSESASSESMENT/VascularSignsSymptoms/quiz/quiz6.xml">To assess for CVA or TIA in a client with carotid artery stenosis, the nurse should look for all of the following neurologic signs and symptoms, except:</question>
		<answer value="1"><![CDATA[Hearing impairment]]></answer> 
		<answer value="0"><![CDATA[Vision changes]]></answer> 
		<answer value="0"><![CDATA[ Weakness]]></answer> 
		<answer value="0"><![CDATA[Speech changes]]></answer> 
	</query>
	<query>
		<question type="1" course="Assessments of Serious Signs and Symptoms" lesson="Nurse's Assessment V2 - Vascular Signs and Symptoms" segment="Diminished Pulses" video="NA_V_7DP.wmv" slides="/NURSING2/NURSESASSESMENT/VascularSignsSymptoms/xml/5.xml" quiz="/NURSING2/NURSESASSESMENT/VascularSignsSymptoms/quiz/quiz7.xml">This chronic condition can cause chest pain:</question>
		<answer value="1"><![CDATA[Costochondritis]]></answer> 
		<answer value="0"><![CDATA[Myocardial infarction]]></answer> 
		<answer value="0"><![CDATA[Aortic dissection]]></answer> 
		<answer value="0"><![CDATA[Ulcerative colitis]]></answer> 
	</query>
	<query>
		<question type="1" course="Assessments of Serious Signs and Symptoms" lesson="Nurse's Assessment V2 - Vascular Signs and Symptoms" segment="Diminished Pulses" video="NA_V_7DP.wmv" slides="/NURSING2/NURSESASSESMENT/VascularSignsSymptoms/xml/5.xml" quiz="/NURSING2/NURSESASSESMENT/VascularSignsSymptoms/quiz/quiz7.xml">A chest pain can have an acute cause, such as:</question>
		<answer value="1"><![CDATA[Myocardial infarction or aortic dissection]]></answer> 
		<answer value="0"><![CDATA[Costochondritis or aortic dissection]]></answer> 
		<answer value="0"><![CDATA[Myocardial infarction or ulcerative colitis]]></answer> 
		<answer value="0"><![CDATA[Costochondritis or ulcerative colitis]]></answer> 
	</query>
	<query>
		<question type="1" course="Assessments of Serious Signs and Symptoms" lesson="Nurse's Assessment V2 - Vascular Signs and Symptoms" segment="Diminished Pulses" video="NA_V_7DP.wmv" slides="/NURSING2/NURSESASSESMENT/VascularSignsSymptoms/xml/5.xml" quiz="/NURSING2/NURSESASSESMENT/VascularSignsSymptoms/quiz/quiz7.xml">For a client with sudden, severe and unrelenting chest pain, the nurse should expect the physician to order a/an:</question>
		<answer value="1"><![CDATA[12-lead ECG tracing]]></answer> 
		<answer value="0"><![CDATA[Coronary angiography]]></answer> 
		<answer value="0"><![CDATA[MCG]]></answer> 
		<answer value="0"><![CDATA[Echocardiogram]]></answer> 
	</query>
	<query>
		<question type="1" course="Assessments of Serious Signs and Symptoms" lesson="Nurse's Assessment V2 - Vascular Signs and Symptoms" segment="Peripheral Pulses andamp; Heart Sounds" video="NA_V_8FA1.wmv" slides="/NURSING2/NURSESASSESMENT/VascularSignsSymptoms/xml/5a.xml" quiz="/NURSING2/NURSESASSESMENT/VascularSignsSymptoms/quiz/quiz8.xml">In a client with aortic valve regurgitation, a damaged valve cusp allows blood to flow back into the:</question>
		<answer value="1"><![CDATA[Left ventricle]]></answer> 
		<answer value="0"><![CDATA[Right ventricle]]></answer> 
		<answer value="0"><![CDATA[Left atrium]]></answer> 
		<answer value="0"><![CDATA[Right atrium]]></answer> 
	</query>
	<query>
		<question type="1" course="Assessments of Serious Signs and Symptoms" lesson="Nurse's Assessment V2 - Vascular Signs and Symptoms" segment="Peripheral Pulses andamp; Heart Sounds" video="NA_V_8FA1.wmv" slides="/NURSING2/NURSESASSESMENT/VascularSignsSymptoms/xml/5a.xml" quiz="/NURSING2/NURSESASSESMENT/VascularSignsSymptoms/quiz/quiz8.xml">Arterial occlusion may diminish pulses:</question>
		<answer value="1"><![CDATA[Unilaterally]]></answer> 
		<answer value="0"><![CDATA[Bilaterally]]></answer> 
		<answer value="0"><![CDATA[Peripherally]]></answer> 
		<answer value="0"><![CDATA[Multilaterally]]></answer> 
	</query>
	<query>
		<question type="1" course="Assessments of Serious Signs and Symptoms" lesson="Nurse's Assessment V2 - Vascular Signs and Symptoms" segment="Peripheral Pulses andamp; Heart Sounds" video="NA_V_8FA1.wmv" slides="/NURSING2/NURSESASSESMENT/VascularSignsSymptoms/xml/5a.xml" quiz="/NURSING2/NURSESASSESMENT/VascularSignsSymptoms/quiz/quiz8.xml">A decrescendo heart murmur has:</question>
		<answer value="1"><![CDATA[A gradually decreasing intensity]]></answer> 
		<answer value="0"><![CDATA[A gradually increasing intensity]]></answer> 
		<answer value="0"><![CDATA[A flat intensity throughout systole]]></answer> 
		<answer value="0"><![CDATA[A flat intensity throughout diastole]]></answer> 
	</query>
	<query>
		<question type="1" course="Assessments of Serious Signs and Symptoms" lesson="Nurse's Assessment V2 - Vascular Signs and Symptoms" segment="Circulation, Sensation andamp; Muscle Strength" video="NA_V_9FA2.wmv" slides="/NURSING2/NURSESASSESMENT/VascularSignsSymptoms/xml/5b.xml" quiz="/NURSING2/NURSESASSESMENT/VascularSignsSymptoms/quiz/quiz9.xml">Capillary refill can be falsely delayed if the:</question>
		<answer value="1"><![CDATA[Room is too cold]]></answer> 
		<answer value="0"><![CDATA[Client moves while capillary refill is being checked]]></answer> 
		<answer value="0"><![CDATA[Client has a fever]]></answer> 
		<answer value="0"><![CDATA[Nurse induces too much pressure on the nail bed]]></answer> 
	</query>
	<query>
		<question type="1" course="Assessments of Serious Signs and Symptoms" lesson="Nurse's Assessment V2 - Vascular Signs and Symptoms" segment="Circulation, Sensation andamp; Muscle Strength" video="NA_V_9FA2.wmv" slides="/NURSING2/NURSESASSESMENT/VascularSignsSymptoms/xml/5b.xml" quiz="/NURSING2/NURSESASSESMENT/VascularSignsSymptoms/quiz/quiz9.xml">When checking the capillary refill time of a client, the nail bed normally returns to its normal color within:</question>
		<answer value="1"><![CDATA[2 seconds after the pressure is released]]></answer> 
		<answer value="0"><![CDATA[5 seconds after the pressure is released]]></answer> 
		<answer value="0"><![CDATA[8 seconds after the pressure is released]]></answer> 
		<answer value="0"><![CDATA[6 seconds after the pressure is released]]></answer> 
	</query>
	<query>
		<question type="1" course="Assessments of Serious Signs and Symptoms" lesson="Nurse's Assessment V2 - Vascular Signs and Symptoms" segment="Circulation, Sensation andamp; Muscle Strength" video="NA_V_9FA2.wmv" slides="/NURSING2/NURSESASSESMENT/VascularSignsSymptoms/xml/5b.xml" quiz="/NURSING2/NURSESASSESMENT/VascularSignsSymptoms/quiz/quiz9.xml">Reduced supply of blood and oxygen to muscles and peripheral nerves can cause:</question>
		<answer value="1"><![CDATA[Decreased muscle strength]]></answer> 
		<answer value="0"><![CDATA[Paresthesia]]></answer> 
		<answer value="0"><![CDATA[Aortic dissection]]></answer> 
		<answer value="0"><![CDATA[Neuropathy]]></answer> 
	</query>
	<query>
		<question type="1" course="Assessments of Serious Signs and Symptoms" lesson="Nurse's Assessment V2 - Vascular Signs and Symptoms" segment="Probable Cause" video="NA_V_10PC.wmv" slides="/NURSING2/NURSESASSESMENT/VascularSignsSymptoms/xml/6.xml" quiz="/NURSING2/NURSESASSESMENT/VascularSignsSymptoms/quiz/quiz10.xml">All of the following stated assessment findings may indicate aortic dissection, except:</question>
		<answer value="1"><![CDATA[Paraparesis]]></answer> 
		<answer value="0"><![CDATA[Tachycardia]]></answer> 
		<answer value="0"><![CDATA[Diaphoresis]]></answer> 
		<answer value="0"><![CDATA[Murmur of aortic valve regurgitation]]></answer> 
	</query>
	<query>
		<question type="1" course="Assessments of Serious Signs and Symptoms" lesson="Nurse's Assessment V2 - Vascular Signs and Symptoms" segment="Probable Cause" video="NA_V_10PC.wmv" slides="/NURSING2/NURSESASSESMENT/VascularSignsSymptoms/xml/6.xml" quiz="/NURSING2/NURSESASSESMENT/VascularSignsSymptoms/quiz/quiz10.xml">In a client with aortic dissection, expansion of an aortic hematoma toward the aortic valve can:</question>
		<answer value="1"><![CDATA[Damage one or more valve cusps]]></answer> 
		<answer value="0"><![CDATA[Increase blood flow to the distal arteries]]></answer> 
		<answer value="0"><![CDATA[Reduce blood flow to the proximal arteries]]></answer> 
		<answer value="0"><![CDATA[Lead to vasculitis and MI]]></answer> 
	</query>
	<query>
		<question type="1" course="Assessments of Serious Signs and Symptoms" lesson="Nurse's Assessment V2 - Vascular Signs and Symptoms" segment="Probable Cause" video="NA_V_10PC.wmv" slides="/NURSING2/NURSESASSESMENT/VascularSignsSymptoms/xml/6.xml" quiz="/NURSING2/NURSESASSESMENT/VascularSignsSymptoms/quiz/quiz10.xml">In an aortic dissection client,  blockage of the aortic lumen due to an aortic hematoma can lead to:</question>
		<answer value="1"><![CDATA[Ischemia and diminished pulses]]></answer> 
		<answer value="0"><![CDATA[Ischemia and alveolitis]]></answer> 
		<answer value="0"><![CDATA[MI and vasculitis]]></answer> 
		<answer value="0"><![CDATA[Diminished pulses and vasculitis]]></answer> 
	</query>
	<query>
		<question type="1" course="Assessments of Serious Signs and Symptoms" lesson="Nurse's Assessment V2 - Vascular Signs and Symptoms" segment="Nursing Interventions" video="NA_V_11NI.wmv" slides="/NURSING2/NURSESASSESMENT/VascularSignsSymptoms/xml/7.xml" quiz="/NURSING2/NURSESASSESMENT/VascularSignsSymptoms/quiz/quiz11.xml">In a client with aortic dissection, this helps lower the systolic pressure to around 80 mm Hg:</question>
		<answer value="1"><![CDATA[Sodium nitroprusside]]></answer> 
		<answer value="0"><![CDATA[Metformin]]></answer> 
		<answer value="0"><![CDATA[Sulfonylurea]]></answer> 
		<answer value="0"><![CDATA[Coumadin]]></answer> 
	</query>
	<query>
		<question type="1" course="Assessments of Serious Signs and Symptoms" lesson="Nurse's Assessment V2 - Vascular Signs and Symptoms" segment="Nursing Interventions" video="NA_V_11NI.wmv" slides="/NURSING2/NURSESASSESMENT/VascularSignsSymptoms/xml/7.xml" quiz="/NURSING2/NURSESASSESMENT/VascularSignsSymptoms/quiz/quiz11.xml">A surgical procedure may be performed on a client with aortic dissection to achieve all of the following purposes, except:</question>
		<answer value="1"><![CDATA[To reduce myocardial contractility]]></answer> 
		<answer value="0"><![CDATA[To replace the aortic valve]]></answer> 
		<answer value="0"><![CDATA[To evacuate the hematoma]]></answer> 
		<answer value="0"><![CDATA[To repair the intimal tear]]></answer> 
	</query>
	<query>
		<question type="1" course="Assessments of Serious Signs and Symptoms" lesson="Nurse's Assessment V2 - Vascular Signs and Symptoms" segment="Nursing Interventions" video="NA_V_11NI.wmv" slides="/NURSING2/NURSESASSESMENT/VascularSignsSymptoms/xml/7.xml" quiz="/NURSING2/NURSESASSESMENT/VascularSignsSymptoms/quiz/quiz11.xml">During the continuing assessment of a client with aortic dissection, the nurse should evaluate the client's peripheral pulses at least once every:</question>
		<answer value="1"><![CDATA[30 to 60 minutes]]></answer> 
		<answer value="0"><![CDATA[15 to 30 minutes]]></answer> 
		<answer value="0"><![CDATA[30 to 45 minutes]]></answer> 
		<answer value="0"><![CDATA[15 to 45 minutes]]></answer> 
	</query>
	<query>
		<question type="1" course="Assessments of Serious Signs and Symptoms" lesson="Nurse's Assessment V2 - Vascular Signs and Symptoms" segment="Blood Pressure Assessment" video="NA_V_12UHBPA.wmv" slides="/NURSING2/NURSESASSESMENT/VascularSignsSymptoms/xml/8.xml" quiz="/NURSING2/NURSESASSESMENT/VascularSignsSymptoms/quiz/quiz12.xml">To avoid an auscultatory gap when assessing the blood pressure of a client suspected of having hypertension, the nurse should:</question>
		<answer value="1"><![CDATA[Palpate the systolic pressure first]]></answer> 
		<answer value="0"><![CDATA[Palpate the diastolic pressure first]]></answer> 
		<answer value="0"><![CDATA[Check the respiratory rate first]]></answer> 
		<answer value="0"><![CDATA[Check the tympanic temperature first]]></answer> 
	</query>
	<query>
		<question type="1" course="Assessments of Serious Signs and Symptoms" lesson="Nurse's Assessment V2 - Vascular Signs and Symptoms" segment="Blood Pressure Assessment" video="NA_V_12UHBPA.wmv" slides="/NURSING2/NURSESASSESMENT/VascularSignsSymptoms/xml/8.xml" quiz="/NURSING2/NURSESASSESMENT/VascularSignsSymptoms/quiz/quiz12.xml">Auscultatory gap is:</question>
		<answer value="1"><![CDATA[The period of silence between Korotkoff sounds when auscultating the blood pressure]]></answer> 
		<answer value="0"><![CDATA[Informally known as "Kentucky" gallop and occurs at the beginning of diastole after S<sub>2</sub>]]></answer> 
		<answer value="0"><![CDATA[A sign of a pathologic state, usually a failing left ventricle, but can also be heard in other conditions, such as renal artery stenosis]]></answer> 
		<answer value="0"><![CDATA[The period in which circulating blood exerts pressure on the walls of blood vessels]]></answer> 
	</query>
	<query>
		<question type="1" course="Assessments of Serious Signs and Symptoms" lesson="Nurse's Assessment V2 - Vascular Signs and Symptoms" segment="Blood Pressure Assessment" video="NA_V_12UHBPA.wmv" slides="/NURSING2/NURSESASSESMENT/VascularSignsSymptoms/xml/8.xml" quiz="/NURSING2/NURSESASSESMENT/VascularSignsSymptoms/quiz/quiz12.xml">Hypertensive crisis occurs when:</question>
		<answer value="1"><![CDATA[The diastolic pressure rises rapidly and exceeds 120 mm Hg]]></answer> 
		<answer value="0"><![CDATA[The pulsatile nature of the cardiac output causes the fluctuation of arterial pressure]]></answer> 
		<answer value="0"><![CDATA[VPW is created by the heart during systole and originates in the descending aorta]]></answer> 
		<answer value="0"><![CDATA[The systolic pressure rises to 120 to 139 mm Hg or the diastolic pressure to 80 to 89 mm Hg]]></answer> 
	</query>
	<query>
		<question type="1" course="Assessments of Serious Signs and Symptoms" lesson="Nurse's Assessment V2 - Vascular Signs and Symptoms" segment="Vital Organ Assessment" video="NA_V_13VOA.wmv" slides="/NURSING2/NURSESASSESMENT/VascularSignsSymptoms/xml/8a.xml" quiz="/NURSING2/NURSESASSESMENT/VascularSignsSymptoms/quiz/quiz13.xml">When assessing a hypertensive client's vital organ function, the nurse should start with the:</question>
		<answer value="1"><![CDATA[Client's level of consciousness and orientation]]></answer> 
		<answer value="0"><![CDATA[Client's leg and arm muscle strength]]></answer> 
		<answer value="0"><![CDATA[Client's retinal changes and sensory deficits]]></answer> 
		<answer value="0"><![CDATA[Client's heart rate and blood pressure]]></answer> 
	</query>
	<query>
		<question type="1" course="Assessments of Serious Signs and Symptoms" lesson="Nurse's Assessment V2 - Vascular Signs and Symptoms" segment="Vital Organ Assessment" video="NA_V_13VOA.wmv" slides="/NURSING2/NURSESASSESMENT/VascularSignsSymptoms/xml/8a.xml" quiz="/NURSING2/NURSESASSESMENT/VascularSignsSymptoms/quiz/quiz13.xml">In a hypertensive client, cerebral edema may be indicated by:</question>
		<answer value="1"><![CDATA[A decreased level of consciousness or disorientation]]></answer> 
		<answer value="0"><![CDATA[Retinal changes and sensory deficits]]></answer> 
		<answer value="0"><![CDATA[Severe frontal headache or left-sided hemiparesis]]></answer> 
		<answer value="0"><![CDATA[Severe occipital headache or right-sided hemiparesis]]></answer> 
	</query>
	<query>
		<question type="1" course="Assessments of Serious Signs and Symptoms" lesson="Nurse's Assessment V2 - Vascular Signs and Symptoms" segment="Vital Organ Assessment" video="NA_V_13VOA.wmv" slides="/NURSING2/NURSESASSESMENT/VascularSignsSymptoms/xml/8a.xml" quiz="/NURSING2/NURSESASSESMENT/VascularSignsSymptoms/quiz/quiz13.xml">In a hypertensive client, to protect the brain from excessive pressure, the cerebral arterioles:</question>
		<answer value="1"><![CDATA[Constrict]]></answer> 
		<answer value="0"><![CDATA[Dilate]]></answer> 
		<answer value="0"><![CDATA[Tear]]></answer> 
		<answer value="0"><![CDATA[Extend]]></answer> 
	</query>
	<query>
		<question type="1" course="Assessments of Serious Signs and Symptoms" lesson="Nurse's Assessment V2 - Vascular Signs and Symptoms" segment="Retina Assessment" video="NA_V_14RA.wmv" slides="/NURSING2/NURSESASSESMENT/VascularSignsSymptoms/xml/8b.xml" quiz="/NURSING2/NURSESASSESMENT/VascularSignsSymptoms/quiz/quiz14.xml">Prior to assessing a hypertensive client's retinal structure, these should be administered to dilate the eyes:</question>
		<answer value="1"><![CDATA[Mydriatic and cycloplegic eyedrops]]></answer> 
		<answer value="0"><![CDATA[Miotic and cycloplegic eyedrops]]></answer> 
		<answer value="0"><![CDATA[Miotic and prostaglandin eyedrops]]></answer> 
		<answer value="0"><![CDATA[Miotic and mydriatic eyedrops]]></answer> 
	</query>
	<query>
		<question type="1" course="Assessments of Serious Signs and Symptoms" lesson="Nurse's Assessment V2 - Vascular Signs and Symptoms" segment="Retina Assessment" video="NA_V_14RA.wmv" slides="/NURSING2/NURSESASSESMENT/VascularSignsSymptoms/xml/8b.xml" quiz="/NURSING2/NURSESASSESMENT/VascularSignsSymptoms/quiz/quiz14.xml">In an ophthalmologic examination, all of the following characterize a normal retina, except:</question>
		<answer value="1"><![CDATA[Slightly opaque retinal arteries]]></answer> 
		<answer value="0"><![CDATA[Retinal arteries that cross retinal veins]]></answer> 
		<answer value="0"><![CDATA[Crisp and intact retinal vein borders, without narrowed areas]]></answer> 
		<answer value="0"><![CDATA[Red orange color, without hemorrhage or exudate]]></answer> 
	</query>
	<query>
		<question type="1" course="Assessments of Serious Signs and Symptoms" lesson="Nurse's Assessment V2 - Vascular Signs and Symptoms" segment="Retina Assessment" video="NA_V_14RA.wmv" slides="/NURSING2/NURSESASSESMENT/VascularSignsSymptoms/xml/8b.xml" quiz="/NURSING2/NURSESASSESMENT/VascularSignsSymptoms/quiz/quiz14.xml">Papilledema is:</question>
		<answer value="1"><![CDATA[The swelling of the optic disk]]></answer> 
		<answer value="0"><![CDATA[The painful inflammation of the sclera]]></answer> 
		<answer value="0"><![CDATA[The loss of the surface epithelial layer of the cornea]]></answer> 
		<answer value="0"><![CDATA[A dangerous condition in which the lens become opaque]]></answer> 
	</query>
	<query>
		<question type="1" course="Assessments of Serious Signs and Symptoms" lesson="Nurse's Assessment V2 - Vascular Signs and Symptoms" segment="Palpation andamp; Auscultation" video="NA_V_15PA.wmv" slides="/NURSING2/NURSESASSESMENT/VascularSignsSymptoms/xml/8c.xml" quiz="/NURSING2/NURSESASSESMENT/VascularSignsSymptoms/quiz/quiz15.xml">The apical impulse is located in the:</question>
		<answer value="1"><![CDATA[Fifth intercostal space at the midclavicular line]]></answer> 
		<answer value="0"><![CDATA[Fourth intercostal space at the midclavicular line]]></answer> 
		<answer value="0"><![CDATA[Fifth intercostal space along the substernal notch]]></answer> 
		<answer value="0"><![CDATA[Fourth intercostal space along the substernal notch]]></answer> 
	</query>
	<query>
		<question type="1" course="Assessments of Serious Signs and Symptoms" lesson="Nurse's Assessment V2 - Vascular Signs and Symptoms" segment="Palpation andamp; Auscultation" video="NA_V_15PA.wmv" slides="/NURSING2/NURSESASSESMENT/VascularSignsSymptoms/xml/8c.xml" quiz="/NURSING2/NURSESASSESMENT/VascularSignsSymptoms/quiz/quiz15.xml">S<sub>4</sub> is also known as:</question>
		<answer value="1"><![CDATA[Atrial gallop]]></answer> 
		<answer value="0"><![CDATA[Ventricular gallop]]></answer> 
		<answer value="0"><![CDATA[Summation gallop]]></answer> 
		<answer value="0"><![CDATA[Protodiastolic gallop]]></answer> 
	</query>
	<query>
		<question type="1" course="Assessments of Serious Signs and Symptoms" lesson="Nurse's Assessment V2 - Vascular Signs and Symptoms" segment="Palpation andamp; Auscultation" video="NA_V_15PA.wmv" slides="/NURSING2/NURSESASSESMENT/VascularSignsSymptoms/xml/8c.xml" quiz="/NURSING2/NURSESASSESMENT/VascularSignsSymptoms/quiz/quiz15.xml">In a client with hypertension, S<sub>4</sub> is caused by:</question>
		<answer value="1"><![CDATA[Increased resistance to ventricular filling]]></answer> 
		<answer value="0"><![CDATA[Forceful but short pumping of the left atrium]]></answer> 
		<answer value="0"><![CDATA[Decreased resistance to atrial filling]]></answer> 
		<answer value="0"><![CDATA[Gentle but prolonged pumping of the right atrium]]></answer> 
	</query>
	<query>
		<question type="1" course="Assessments of Serious Signs and Symptoms" lesson="Nurse's Assessment V2 - Vascular Signs and Symptoms" segment="Other Assessments" video="NA_V_16OA.wmv" slides="/NURSING2/NURSESASSESMENT/VascularSignsSymptoms/xml/8d.xml" quiz="/NURSING2/NURSESASSESMENT/VascularSignsSymptoms/quiz/quiz16.xml">When assessing a client with hypertension, the nurse should auscultate for bruits in all of the following arteries, except:</question>
		<answer value="1"><![CDATA[Basilar]]></answer> 
		<answer value="0"><![CDATA[Carotid]]></answer> 
		<answer value="0"><![CDATA[Femoral]]></answer> 
		<answer value="0"><![CDATA[Renal]]></answer> 
	</query>
	<query>
		<question type="1" course="Assessments of Serious Signs and Symptoms" lesson="Nurse's Assessment V2 - Vascular Signs and Symptoms" segment="Other Assessments" video="NA_V_16OA.wmv" slides="/NURSING2/NURSESASSESMENT/VascularSignsSymptoms/xml/8d.xml" quiz="/NURSING2/NURSESASSESMENT/VascularSignsSymptoms/quiz/quiz16.xml">In a hypertensive client, to listen for bruits from the aorta, the nurse should:</question>
		<answer value="1"><![CDATA[Auscultate the epigastric area]]></answer> 
		<answer value="0"><![CDATA[Auscultate the periumbilical area]]></answer> 
		<answer value="0"><![CDATA[Auscultate two inches below the substernal notch]]></answer> 
		<answer value="0"><![CDATA[Inspect and percuss the chest area]]></answer> 
	</query>
	<query>
		<question type="1" course="Assessments of Serious Signs and Symptoms" lesson="Nurse's Assessment V2 - Vascular Signs and Symptoms" segment="Other Assessments" video="NA_V_16OA.wmv" slides="/NURSING2/NURSESASSESMENT/VascularSignsSymptoms/xml/8d.xml" quiz="/NURSING2/NURSESASSESMENT/VascularSignsSymptoms/quiz/quiz16.xml">In a hypertensive client, this is released by the kidneys when blood flow is reduced:</question>
		<answer value="1"><![CDATA[Renin]]></answer> 
		<answer value="0"><![CDATA[Aldosterone]]></answer> 
		<answer value="0"><![CDATA[Sodium]]></answer> 
		<answer value="0"><![CDATA[Glucagon]]></answer> 
	</query>
	<query>
		<question type="1" course="Assessments of Serious Signs and Symptoms" lesson="Nurse's Assessment V2 - Vascular Signs and Symptoms" segment="Probable Cause andamp; Nursing Interventions" video="NA_V_17PCN.wmv" slides="/NURSING2/NURSESASSESMENT/VascularSignsSymptoms/xml/9.xml" quiz="/NURSING2/NURSESASSESMENT/VascularSignsSymptoms/quiz/quiz17.xml">All of the following assessment findings suggest hypertensive crisis possibly caused by renal artery stenosis, except:</question>
		<answer value="1"><![CDATA[S<sub>3</sub> heart sound]]></answer> 
		<answer value="0"><![CDATA[A blood pressure of 220/122 mm Hg or higher]]></answer> 
		<answer value="0"><![CDATA[Severe frontal headache]]></answer> 
		<answer value="0"><![CDATA[Retinal changes]]></answer> 
	</query>
	<query>
		<question type="1" course="Assessments of Serious Signs and Symptoms" lesson="Nurse's Assessment V2 - Vascular Signs and Symptoms" segment="Probable Cause andamp; Nursing Interventions" video="NA_V_17PCN.wmv" slides="/NURSING2/NURSESASSESMENT/VascularSignsSymptoms/xml/9.xml" quiz="/NURSING2/NURSESASSESMENT/VascularSignsSymptoms/quiz/quiz17.xml">This test uses radio-opaque dyes injected into an artery and x-rays visualize the vessel:</question>
		<answer value="1"><![CDATA[Renal arteriogram]]></answer> 
		<answer value="0"><![CDATA[Electrocardiogram]]></answer> 
		<answer value="0"><![CDATA[Mammogram]]></answer> 
		<answer value="0"><![CDATA[Electroencephalogram]]></answer> 
	</query>
	<query>
		<question type="1" course="Assessments of Serious Signs and Symptoms" lesson="Nurse's Assessment V2 - Vascular Signs and Symptoms" segment="Probable Cause andamp; Nursing Interventions" video="NA_V_17PCN.wmv" slides="/NURSING2/NURSESASSESMENT/VascularSignsSymptoms/xml/9.xml" quiz="/NURSING2/NURSESASSESMENT/VascularSignsSymptoms/quiz/quiz17.xml">In the immediate treatment for hypertensive crisis caused by renal artery stenosis, the nurse should prepare the client for this procedure:</question>
		<answer value="1"><![CDATA[Revascularization or balloon angioplasty]]></answer> 
		<answer value="0"><![CDATA[Arthroscopic acromioplasty]]></answer> 
		<answer value="0"><![CDATA[Atrial septostomy or coronary bypass surgery]]></answer> 
		<answer value="0"><![CDATA[CABG or evisceration]]></answer> 
	</query>
</catalog>