NUR 631 EXAM 2 COMPREHENSIVE EXAMINATION TEST WITH COMPLETE QUESTIONS AND SOLUTIONS

NUR 631 EXAM 2 COMPREHENSIVE
EXAMINATION TEST WITH COMPLETE
QUESTIONS AND SOLUTIONS


◉ Circulation of blood through the heart. Answer: Vena cava -> RA -
> RV -> pulmonary arteries -> LA -> LV -> aorta -> body


◉ Aortic area location. Answer: Right 2nd ICS closer of aortic valve
s2>s1


◉ pulmonic area. Answer: Left 2nd ICS closer of pulmonic valve
s2>s1


◉ Erb's point. Answer: Left 3rd ICS s1=s2


◉ Tricuspid area. Answer: Left 4th ICS s1>s2


◉ mitral area. Answer: Left 5th ICS mid clavicular line s1>s2
PMI @ apex


◉ S1. Answer: mitral and tricuspid valve closure (AV valves)


◉ S2. Answer: Aortic/pulmonic closure (semilunar valves)

, ◉ S3. Answer: abrupt deceleration of inflow across the mitral valve


◉ S4. Answer: Atrial contraction. Increased left ventricular end
diastolic stiffness which decreased compliance


◉ Grading of cardiac murmurs. Answer: Graded 1-6 1 be the quietest
and 6 being loudest


◉ Grade 1 cardiac murmur. Answer: Barely audible


◉ Grade 4 cardiac murmur. Answer: Loud with thrill


◉ Grade 6 cardiac murmur. Answer: Heart murmur and thrill without
stethoscope


◉ Grade 5 cardiac murmur. Answer: Pronounced thrill


◉ Most common heart disease symptom seen in the elderly. Answer:
Fatigue


◉ Measuring Jugular vein pulse. Answer: Make pt. Comfortable put
head on pillow, raise HOB 30degrees, turn head away from side you
are inspecting, use tangential lighting to inspect both sides of neck,
raise of lower HOB until oscillation point is seen, focus on right
internal jugular vein and distinguish between carotid pulse, find