HEALTH ASSESSMENT
EXAM 3 NSG3160
1. What are the modifiable risks of CAD (coronary artery disease) - CORRECT ANSWER -
Smoking, obesity, hypertension, high cholesterol, diabetes
2. Does pain always mean cardiac reasons? What should you ask if patient is experiencing
chest pain? - CORRECT ANSWER -NO - Is it sudden? What brings it on?
3. Signs of pulmonary embolism? - CORRECT ANSWER -Sharp, stabbing pain that worsens
with deep breath
4. Signs of pneumonia? - CORRECT ANSWER -Sharp, stabbing, but associated with a cough
5. Signs of pneumothorax? - CORRECT ANSWER -Acute, sudden, sharp
6. Signs of GI-related? - CORRECT ANSWER -Burning sensation with eating large meals
7. What is S1 and what causes the sound? - CORRECT 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? - CORRECT ANSWER -Closure of the semilunar valves -
DUB (base)
9. What are summation sounds? - CORRECT ANSWER -When both the pathological S3 and
S4 are present then a quadruple rhythm is heard
, 10. What is a murmur? - CORRECT ANSWER -Occurs with turbulent blood flow in the heart
- Blowing, swooshing sound
11. What is pericardial friction rub? - CORRECT 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? - CORRECT 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? - CORRECT
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? - CORRECT 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? - CORRECT ANSWER -Palpable vibration, feels like the throat of a
purring cat
16. What is a thrill caused by? - CORRECT ANSWER -Turbulent blood flow and directs you
to locate the origin of loud murmurs
18. What is apical impulse and how to assess it? - CORRECT 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? -
CORRECT ANSWER -45 degrees
EXAM 3 NSG3160
1. What are the modifiable risks of CAD (coronary artery disease) - CORRECT ANSWER -
Smoking, obesity, hypertension, high cholesterol, diabetes
2. Does pain always mean cardiac reasons? What should you ask if patient is experiencing
chest pain? - CORRECT ANSWER -NO - Is it sudden? What brings it on?
3. Signs of pulmonary embolism? - CORRECT ANSWER -Sharp, stabbing pain that worsens
with deep breath
4. Signs of pneumonia? - CORRECT ANSWER -Sharp, stabbing, but associated with a cough
5. Signs of pneumothorax? - CORRECT ANSWER -Acute, sudden, sharp
6. Signs of GI-related? - CORRECT ANSWER -Burning sensation with eating large meals
7. What is S1 and what causes the sound? - CORRECT 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? - CORRECT ANSWER -Closure of the semilunar valves -
DUB (base)
9. What are summation sounds? - CORRECT ANSWER -When both the pathological S3 and
S4 are present then a quadruple rhythm is heard
, 10. What is a murmur? - CORRECT ANSWER -Occurs with turbulent blood flow in the heart
- Blowing, swooshing sound
11. What is pericardial friction rub? - CORRECT 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? - CORRECT 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? - CORRECT
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? - CORRECT 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? - CORRECT ANSWER -Palpable vibration, feels like the throat of a
purring cat
16. What is a thrill caused by? - CORRECT ANSWER -Turbulent blood flow and directs you
to locate the origin of loud murmurs
18. What is apical impulse and how to assess it? - CORRECT 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? -
CORRECT ANSWER -45 degrees
