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