Health Assessment Exam 3 NSG3160
(latest version verified for accuracy) |
2026 Latest!!
1. What are the modifiable risks of CAD (coronary artery disease) -
Answer--Smoking, obesity, hypertension, high cholesterol, diabetes
2. Does pain always mean cardiac reasons? What should you ask if patient is
experiencing chest pain? - Answer--NO - Is it sudden? What brings it on?
3. Signs of pulmonary embolism? - Answer--Sharp, stabbing pain that worsens with
deep breath
4. Signs of pneumonia? - Answer--Sharp, stabbing, but associated with a cough
5. Signs of pneumothorax? - Answer--Acute, sudden, sharp
6. Signs of GI-related? - Answer--Burning sensation with eating large meals
7. What is S1 and what causes the sound? - Answer--Start of systole and serves as
a reference point for Oming of all cardiac sounds - Caused by the closure of AV
valves - LUB (apex)
8. What causes the sound of S2? - Answer--Closure of the semilunar valves - DUB
(base)
9. What are summation sounds? - Answer--When both the pathological S3 and S4
are present then a quadruple rhythm is heard
10. What is a murmur? - Answer--Occurs with turbulent blood flow in the heart -
Blowing, swooshing sound
11. What is pericardial friction rub? - Answer--Inflammation of the pericardium gives
rise to friction rub - High pitched and scratchy, heard with a diaphragm when a
person is sitting up
12. What are the locations of the heart valves? - Answer--Aortic: second right
interspace -----Pulmonic: second left interspace-------- Erbs: third left interspace-----
, Tricuspid: left lower sternal border ----- Mitral: Fifth interspace around the left
midclavicular line
13. What should you do when you hear a split S2 and when does it occur? -
Answer--Concentrate on the split as you watch the person's chest rise up and down
with normal breathing---Every fourth heartbeat fading in with inhalation and fading
out with exhalation
14. What should you NOT do when hearing a split S2? - Answer--DO NOT have the
person hold their breath-- Breath-holding only equalizes ejection times in the right
and left sides of the heart and causes the split to go away.
15. What is a thrill? - Answer--Palpable vibration, feels like the throat of a purring cat
16. What is a thrill caused by? - Answer--Turbulent blood flow and directs you to
locate the origin of loud murmurs
18. What is apical impulse and how to assess it? - Answer--Palpate left of the sternal
border down the midclavicular line between the 4th and 5th intercoastal space.
19. What position should you have a patient in when estimating jugular venous
pressure? - Answer--45 degrees
20. How much exercise should you teach your patient? - Answer--5 times a week, at
least 30 minutes each time
21. Why should patients take low-dose aspirin every day? - Answer--Control BP
22. What should you teach if the patient smokes? - Answer--Teach about smoking
cessation and exercise
23. What are key expected findings - Answer--cardiac-wise, in an older patient?,
Increase in systolic pressure from arteriosclerosis - The presence of supraventricular
dysrhythmias increases - EEG from changes in the conduction system - OrthostaOc
hypotension
24. What do you want to educate an older patient about? - Answer--Take their time
when moving from sitting to supine and from sitting to standing positions due to
orthostatic hypotension - Put call light on to have staff help get up to prevent falls
25. What is arteriosclerosis? - Answer--Thickening/stiffening of arteries caused by
collagen and calcium deposits, loss of elasticity
(latest version verified for accuracy) |
2026 Latest!!
1. What are the modifiable risks of CAD (coronary artery disease) -
Answer--Smoking, obesity, hypertension, high cholesterol, diabetes
2. Does pain always mean cardiac reasons? What should you ask if patient is
experiencing chest pain? - Answer--NO - Is it sudden? What brings it on?
3. Signs of pulmonary embolism? - Answer--Sharp, stabbing pain that worsens with
deep breath
4. Signs of pneumonia? - Answer--Sharp, stabbing, but associated with a cough
5. Signs of pneumothorax? - Answer--Acute, sudden, sharp
6. Signs of GI-related? - Answer--Burning sensation with eating large meals
7. What is S1 and what causes the sound? - Answer--Start of systole and serves as
a reference point for Oming of all cardiac sounds - Caused by the closure of AV
valves - LUB (apex)
8. What causes the sound of S2? - Answer--Closure of the semilunar valves - DUB
(base)
9. What are summation sounds? - Answer--When both the pathological S3 and S4
are present then a quadruple rhythm is heard
10. What is a murmur? - Answer--Occurs with turbulent blood flow in the heart -
Blowing, swooshing sound
11. What is pericardial friction rub? - Answer--Inflammation of the pericardium gives
rise to friction rub - High pitched and scratchy, heard with a diaphragm when a
person is sitting up
12. What are the locations of the heart valves? - Answer--Aortic: second right
interspace -----Pulmonic: second left interspace-------- Erbs: third left interspace-----
, Tricuspid: left lower sternal border ----- Mitral: Fifth interspace around the left
midclavicular line
13. What should you do when you hear a split S2 and when does it occur? -
Answer--Concentrate on the split as you watch the person's chest rise up and down
with normal breathing---Every fourth heartbeat fading in with inhalation and fading
out with exhalation
14. What should you NOT do when hearing a split S2? - Answer--DO NOT have the
person hold their breath-- Breath-holding only equalizes ejection times in the right
and left sides of the heart and causes the split to go away.
15. What is a thrill? - Answer--Palpable vibration, feels like the throat of a purring cat
16. What is a thrill caused by? - Answer--Turbulent blood flow and directs you to
locate the origin of loud murmurs
18. What is apical impulse and how to assess it? - Answer--Palpate left of the sternal
border down the midclavicular line between the 4th and 5th intercoastal space.
19. What position should you have a patient in when estimating jugular venous
pressure? - Answer--45 degrees
20. How much exercise should you teach your patient? - Answer--5 times a week, at
least 30 minutes each time
21. Why should patients take low-dose aspirin every day? - Answer--Control BP
22. What should you teach if the patient smokes? - Answer--Teach about smoking
cessation and exercise
23. What are key expected findings - Answer--cardiac-wise, in an older patient?,
Increase in systolic pressure from arteriosclerosis - The presence of supraventricular
dysrhythmias increases - EEG from changes in the conduction system - OrthostaOc
hypotension
24. What do you want to educate an older patient about? - Answer--Take their time
when moving from sitting to supine and from sitting to standing positions due to
orthostatic hypotension - Put call light on to have staff help get up to prevent falls
25. What is arteriosclerosis? - Answer--Thickening/stiffening of arteries caused by
collagen and calcium deposits, loss of elasticity
