NR545 HEALTH ASSESSMENT
CHAMBERLAIN EXAM QUESTIONS AND
ANSWERS
thrill - Answer--turbulent blood flow from a large vessel to a small vessel
S1 - Answer-LUB
-systolic
-pushing blood out
-av valves close
S2 - Answer-DUB
-diastolic
-filling
2nd ICS RSB - Answer-Aortic S2>S1
2nd ICS LSB - Answer-Pulmonic S2>S1
3rd ICS LSB - Answer-Erb's point S2=S1
4th ICS LSB - Answer-Tricuspid S1>S2
5th ICS LSB - Answer-Mitral(apex) S1>S2
PMI - Answer--point of maximal impulse
-point of maximum intensity
APEX - Answer--same as PMI
-5th ICS midclavicular line
-mitral S1>S2
pulse deficit - Answer-when the nurse lays u on your left side, you should hear heart
rate and pulse in wrist at the same time. If not you have a pulse deficit. Count heart rate
for full minute, then count wrist pulse for full minute. Subtract, then you have pulse
deficit. If heart rate and pulse rate aren't the same, it's a pule deficit.
enlarged heart - Answer--dull 6th ICS LMCL
V tach - Answer--lower chambers of the heart(ventricles) beat very quickly
-chest pain, fainting, dizziness, SOB
-problem with the heart's electrical impulses due to MI or other heart condition
-fast but regular rhythm
, -can lead to V fib
V fib - Answer--heartbeats are so fast and irregular that the heart stops pumping blood
-rapid, inadequate heartbeat due to disordered impulses
-leading cause of sudden cardiac death
tachycardia - Answer-heartbeat over 100 bpm
bradycardia - Answer-heartbeat under 60 bpm
atrial fibrillation - Answer--when atrium quivers
-number one cause of stroke
-caused from heart problems
-blood sits in atrium and accumulates begins clots
-clots spread through body
-Left atrium to body
-Right atrium to lungs, pulmonary embolism
-irregular, fast, 120 bpms
left sided heart failure - Answer--Left ventricle> left atrium> pulmonary vein> lungs
-left can cause right
-AKA CHF
-pulmonary edema occurs
-breath sounds diminished or absent, shortness of breath, orthopnea, patient needs to
sit up to breath, pink frothy sputum
right sided heart failure - Answer--Right ventricle>right atrium>vena cava>body
-causes peripheral edema, weight gain of more 2 lbs in 24 hours, fluid retention in body,
no urination
-JVD, jugular vein bulge: distention: NO BRUIT
JVD - Answer-jugular venous distension
-when blood flow refluxes(flows backward) from the right atrium into the jugular veins
-found with right heart failure
carotid arteries - Answer--blood flow from heart to brain
-one on each side
swooshing in artery indicated a bruit
-palpate with fingertips, one at a time
valley fever - Answer—coccidiodomycosis: spores in dust, winds
-can cause permanent scaring in lungs
-looks like TB
-The initial form is often mild, with few symptoms. When symptoms do occur, they may
resemble those of the flu, including fever, cough, chills, and chest pain
-usually resolves on own, antifungal meds
CHAMBERLAIN EXAM QUESTIONS AND
ANSWERS
thrill - Answer--turbulent blood flow from a large vessel to a small vessel
S1 - Answer-LUB
-systolic
-pushing blood out
-av valves close
S2 - Answer-DUB
-diastolic
-filling
2nd ICS RSB - Answer-Aortic S2>S1
2nd ICS LSB - Answer-Pulmonic S2>S1
3rd ICS LSB - Answer-Erb's point S2=S1
4th ICS LSB - Answer-Tricuspid S1>S2
5th ICS LSB - Answer-Mitral(apex) S1>S2
PMI - Answer--point of maximal impulse
-point of maximum intensity
APEX - Answer--same as PMI
-5th ICS midclavicular line
-mitral S1>S2
pulse deficit - Answer-when the nurse lays u on your left side, you should hear heart
rate and pulse in wrist at the same time. If not you have a pulse deficit. Count heart rate
for full minute, then count wrist pulse for full minute. Subtract, then you have pulse
deficit. If heart rate and pulse rate aren't the same, it's a pule deficit.
enlarged heart - Answer--dull 6th ICS LMCL
V tach - Answer--lower chambers of the heart(ventricles) beat very quickly
-chest pain, fainting, dizziness, SOB
-problem with the heart's electrical impulses due to MI or other heart condition
-fast but regular rhythm
, -can lead to V fib
V fib - Answer--heartbeats are so fast and irregular that the heart stops pumping blood
-rapid, inadequate heartbeat due to disordered impulses
-leading cause of sudden cardiac death
tachycardia - Answer-heartbeat over 100 bpm
bradycardia - Answer-heartbeat under 60 bpm
atrial fibrillation - Answer--when atrium quivers
-number one cause of stroke
-caused from heart problems
-blood sits in atrium and accumulates begins clots
-clots spread through body
-Left atrium to body
-Right atrium to lungs, pulmonary embolism
-irregular, fast, 120 bpms
left sided heart failure - Answer--Left ventricle> left atrium> pulmonary vein> lungs
-left can cause right
-AKA CHF
-pulmonary edema occurs
-breath sounds diminished or absent, shortness of breath, orthopnea, patient needs to
sit up to breath, pink frothy sputum
right sided heart failure - Answer--Right ventricle>right atrium>vena cava>body
-causes peripheral edema, weight gain of more 2 lbs in 24 hours, fluid retention in body,
no urination
-JVD, jugular vein bulge: distention: NO BRUIT
JVD - Answer-jugular venous distension
-when blood flow refluxes(flows backward) from the right atrium into the jugular veins
-found with right heart failure
carotid arteries - Answer--blood flow from heart to brain
-one on each side
swooshing in artery indicated a bruit
-palpate with fingertips, one at a time
valley fever - Answer—coccidiodomycosis: spores in dust, winds
-can cause permanent scaring in lungs
-looks like TB
-The initial form is often mild, with few symptoms. When symptoms do occur, they may
resemble those of the flu, including fever, cough, chills, and chest pain
-usually resolves on own, antifungal meds
