NUR 209 MIDTERM EXCELSIOR COLLEGE NEWEST 2024 ACTUAL EXAM COMPLETE 80 QUESTIONS AND
CORRECT ANSWERS
Carotid Artery Pulse - (answer) - Found between sternomastoid and trachea
- Closely coincides with ventricular systole
- Smooth rapid upstroke, a summit that is rounded and smooth, and gradual downstroke that has a
dicrotic notch caused by closure of aortic valve
- PA: palpate for rate, thythm, amplitude and ausculate for bruit
HNV: Infants and Children - (answer) - Fetal heart beats @ end of 3 week gestation
- Heart position is more horizontal.
- Apex higher (4th left intercostal space)
- by age 6, lymphoid tissue reaches adult size
- lymph nodes relatively large
- respiratory infection and enlarged tonsils
HNV: Pregnant Woman - (answer) - Blood volume increased 30-40% expansion most rapid @ 2nd
semester
- Expansion causes an increase in SV and CO and an increase in pulse rate by 10-15 bpm
- growing unterus obstructs drainage of iliac vein and inferior vena cava; dependant edema
HNV: Older Adults - (answer) - Difficult to isolate.. interrelated factors of lifestyle, habit, and disease
- arteriosclerosis
- atherosclerosis
- increased risk of DVT
HNV: Social Determinants of Health - (answer) -Increse incidence of CVD in Canada for men and wome
- Socioeconomic factors
- High BP
- Smoking
- Serum Cholesterol
- Obesity
,NUR 209 MIDTERM EXCELSIOR COLLEGE NEWEST 2024 ACTUAL EXAM COMPLETE 80 QUESTIONS AND
CORRECT ANSWERS
- Diabetes
HNV: Subjective Data - (answer) - Chest Pain
- Dyspnea
- Orthopnea: # of pillows sleeping
- Cough
- Fatigue
- Cyanosis/pallor
- Edema
- Nocturia
- Cardiac History/Familly History
- Personal Habits
HNV: Normal Findings - (answer) - Apical impulse: should occupy one interspace (4th/5th)
- Carotid artery: contour smooth, rapid upstroke, slower downstroke, moderate strength, same bilat.
- No pulsations on the chest felt
- Second right space(aortic), second left space (pulmonic) fifth space (tricuspid), fifth space midclavicular
(mitral)
- 60-100 bpm, regular rhythm
- S1 louder than S2 @ apex; vice versa @ base normal JVP=2cm or less
- No Bruit
- presence of apical pulse
Jugular Venous Pulse and Pressure - (answer) - Jugular veins empty unoxygenated blood directly into
SVC, give info about activity on the right side of the heart.
- A wave: atrial contraction
- C wave: ventricular contraction
- X: atrial relaxation
- V: passive atrial filling
, NUR 209 MIDTERM EXCELSIOR COLLEGE NEWEST 2024 ACTUAL EXAM COMPLETE 80 QUESTIONS AND
CORRECT ANSWERS
- Y: passive ventricular filling
- PA: Inspect jugular venous pulse, estimate the jugular venous pressure.
Position and Surface Landmarks - (answer) - Heart is located between the 2nd and 5th Intercostal
Spaces
- Precordium: area overlying anterior chest and great vessels
- Great vessels and heart are located between lungs and middle third of thoracic cage (mediastinum),
heart positioned so right side is anterior and left is mostly posterior.
PULMONARY/SYSTEMIC CIRCULATION
- Apex is at bottom of the chest, the base is at top of the chest. apex beats against the chest wall
producing an apical pulse.
- Superior/inferior venae cavae return unoxygenated venous blood to the right side of the heart
- Pulmonary artery carries venous blood to lungs
- Pulmonary veins: return freshly oxygenated blood aorta: carries it out to the body.
Heart Wall, Chambers, Valves - (answer)
Pericardium - (answer) - Tough, fibrous sac that surrounds and protect the heart.
- there are two layers that contain pericardial fluid.
Myocardium - (answer) muscular wall of the heart, does the pumping
ABCDE - (answer) asymmetry, border, color variation, diameter, elevation
Endocardium - (answer) thin layer of the endothelial tissue that lines the inner surface of the hear
chambers and valves
CORRECT ANSWERS
Carotid Artery Pulse - (answer) - Found between sternomastoid and trachea
- Closely coincides with ventricular systole
- Smooth rapid upstroke, a summit that is rounded and smooth, and gradual downstroke that has a
dicrotic notch caused by closure of aortic valve
- PA: palpate for rate, thythm, amplitude and ausculate for bruit
HNV: Infants and Children - (answer) - Fetal heart beats @ end of 3 week gestation
- Heart position is more horizontal.
- Apex higher (4th left intercostal space)
- by age 6, lymphoid tissue reaches adult size
- lymph nodes relatively large
- respiratory infection and enlarged tonsils
HNV: Pregnant Woman - (answer) - Blood volume increased 30-40% expansion most rapid @ 2nd
semester
- Expansion causes an increase in SV and CO and an increase in pulse rate by 10-15 bpm
- growing unterus obstructs drainage of iliac vein and inferior vena cava; dependant edema
HNV: Older Adults - (answer) - Difficult to isolate.. interrelated factors of lifestyle, habit, and disease
- arteriosclerosis
- atherosclerosis
- increased risk of DVT
HNV: Social Determinants of Health - (answer) -Increse incidence of CVD in Canada for men and wome
- Socioeconomic factors
- High BP
- Smoking
- Serum Cholesterol
- Obesity
,NUR 209 MIDTERM EXCELSIOR COLLEGE NEWEST 2024 ACTUAL EXAM COMPLETE 80 QUESTIONS AND
CORRECT ANSWERS
- Diabetes
HNV: Subjective Data - (answer) - Chest Pain
- Dyspnea
- Orthopnea: # of pillows sleeping
- Cough
- Fatigue
- Cyanosis/pallor
- Edema
- Nocturia
- Cardiac History/Familly History
- Personal Habits
HNV: Normal Findings - (answer) - Apical impulse: should occupy one interspace (4th/5th)
- Carotid artery: contour smooth, rapid upstroke, slower downstroke, moderate strength, same bilat.
- No pulsations on the chest felt
- Second right space(aortic), second left space (pulmonic) fifth space (tricuspid), fifth space midclavicular
(mitral)
- 60-100 bpm, regular rhythm
- S1 louder than S2 @ apex; vice versa @ base normal JVP=2cm or less
- No Bruit
- presence of apical pulse
Jugular Venous Pulse and Pressure - (answer) - Jugular veins empty unoxygenated blood directly into
SVC, give info about activity on the right side of the heart.
- A wave: atrial contraction
- C wave: ventricular contraction
- X: atrial relaxation
- V: passive atrial filling
, NUR 209 MIDTERM EXCELSIOR COLLEGE NEWEST 2024 ACTUAL EXAM COMPLETE 80 QUESTIONS AND
CORRECT ANSWERS
- Y: passive ventricular filling
- PA: Inspect jugular venous pulse, estimate the jugular venous pressure.
Position and Surface Landmarks - (answer) - Heart is located between the 2nd and 5th Intercostal
Spaces
- Precordium: area overlying anterior chest and great vessels
- Great vessels and heart are located between lungs and middle third of thoracic cage (mediastinum),
heart positioned so right side is anterior and left is mostly posterior.
PULMONARY/SYSTEMIC CIRCULATION
- Apex is at bottom of the chest, the base is at top of the chest. apex beats against the chest wall
producing an apical pulse.
- Superior/inferior venae cavae return unoxygenated venous blood to the right side of the heart
- Pulmonary artery carries venous blood to lungs
- Pulmonary veins: return freshly oxygenated blood aorta: carries it out to the body.
Heart Wall, Chambers, Valves - (answer)
Pericardium - (answer) - Tough, fibrous sac that surrounds and protect the heart.
- there are two layers that contain pericardial fluid.
Myocardium - (answer) muscular wall of the heart, does the pumping
ABCDE - (answer) asymmetry, border, color variation, diameter, elevation
Endocardium - (answer) thin layer of the endothelial tissue that lines the inner surface of the hear
chambers and valves
