Nur 233 Exam 1 Newest update 2025
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Define Assessment - ANSWER✔✔The collection of data about the individual's
health state
Define Complete database - ANSWER✔✔subjective data, objective data, lab
studies, medical records
What can cause a heart murmur and how do you note the characteristics? -
ANSWER✔✔velocity of blood increases, viscosity of blood decreases, structural
defects in valves
What are the 2 intentional holes in the fetal heart, when do they close? -
ANSWER✔✔PDA, ASD pg 486 pink table
Note the 5 risk factors for (CAD) heart disease and stroke: - ANSWER✔✔HTN,
smoking, cholesterolemia, obesity, DM II, sex differences
Review "SUBJECTIVE" health history questions to ask a patient with heart
problems: - ANSWER✔✔pg 471
Review the following "OBJECTIVE" cardiac assessments:
,Note a carotid pulse for grade. Why do we auscultate the carotid and what would a
carotid bruit signify? - ANSWER✔✔carotid bruit is a benign murmur heard just
above the clavicles
Review the following "OBJECTIVE" cardiac assessments:
What information can we gain from jugular venous pressure? What does a full
jugular reflect? - ANSWER✔✔gives important information on right side of heart
Where is the apical pulse found in a normal adult? What might affect its location or
intensity? Where is the apical pulse found in a young child? - ANSWER✔✔4th or
5th intercostal space at or inside the midclavicular line
4th in infant, 5th in child
Note the difference between a heave/lift (inspection) and a thrill (palpation) across
the precordium: - ANSWER✔✔heave/lift is a sustained forceful thrusting of the
ventricle during systole. Occurs with ventricular hypertrophy as a result of
increased workload...
Remember where to assess S1 and S2 using the Z track method? Where is Erb's
point and what would S1 and S2 sound like? - ANSWER✔✔S1 in between
tricuspid and mitral valve z track sounds - 5th intercostal space near apex - LUB
S2 in between aortic and pulmonary z track sounds - 2nd intercostal space - DUB
...Erbs point...
What causes an S3 sound, when would you hear it? - ANSWER✔✔ventricular
filling sound, early diastole during rapid filling, best heard at apex; you would hear
it right after S2 sound
,Why does S4 occur? Where would you hear it in the cardiac cycle, where can you
hear it best and method of auscultation? - ANSWER✔✔occurs immediately before
S1, occurs when atria contract late in diastole, best heard at apex
What is a pulse deficit? How would you assess it? What could it implicate? -
ANSWER✔✔a pulse deficit signals a weak contraction of the ventricles; it occurs
with atrial fibrillation, premature beats, and heart failure
What does the term sinus arrhythmia mean? Who is this normal for? -
ANSWER✔✔When sinus arrhythmia occurs normally in young adults and
children, the rhythm varies with the person's breathing, increasing at the peak of
the inspiration and slowing with expiration
Define orthostatic hypotension and the factors associated with it: -
ANSWER✔✔sudden drop in blood pressure when rising to sit or stand
Review normal findings for infants, children and the aging adult. - ANSWER✔✔
Review recommendations and guidelines for "Promoting a Healthy Lifestyle"
Heart Truth: Women and Heart Attacks' - ANSWER✔✔
Review the "Clinical Portrait of Heart Failure" from table 19-3 and reflect on the
signs and symptoms a nurse may observe. - ANSWER✔✔
Allen's test: - ANSWER✔✔Used to evaluate the adequacy of collateral circulation
to the hand (perhaps before cannulating the radial artery). This is done by pressing
on the ulnar/radial arteries to block blood flow, and one at a time letting go of
pressure on each to evaluate blood flow.
, Aneurysm - ANSWER✔✔A sac formed by dilation in the artery wall. This
stretches the inner and outer layers and the effect of blood pressure creates the
balloon enlargement. The most common site is the aorta, and the most common
cause is atherosclerosis.
Arrhythmia - ANSWER✔✔improper beating of the heart, either too fast or too
slow
Arteriosclerosis - ANSWER✔✔the thickening and hardening of the walls of the
arteries, occurring typically in old age
Atherosclerosis - ANSWER✔✔A build up of cholesterol plaque in the walls of
arteries causing obstruction of blood flow. Plaques may rupture causing acute
occlusion of the artery by clot.
Bradycardia - ANSWER✔✔Bradycardia: Abnormally slow heart activity
Bruit - ANSWER✔✔Bruit: an audible vascular sound associated with turbulent
blood flow
Homan's sign - ANSWER✔✔Homan's sign: (also known as dorsiflexion sign)
Associated with deep vein thrombosis, positive test result if there is calf pain when
foot is dorsiflexed.
Ischemia - ANSWER✔✔Ischemia: inadequate blood flow to a part of the
body/organ
Actual Complete Questions and
Detailed Answers|100% Guaranteed
A+
Define Assessment - ANSWER✔✔The collection of data about the individual's
health state
Define Complete database - ANSWER✔✔subjective data, objective data, lab
studies, medical records
What can cause a heart murmur and how do you note the characteristics? -
ANSWER✔✔velocity of blood increases, viscosity of blood decreases, structural
defects in valves
What are the 2 intentional holes in the fetal heart, when do they close? -
ANSWER✔✔PDA, ASD pg 486 pink table
Note the 5 risk factors for (CAD) heart disease and stroke: - ANSWER✔✔HTN,
smoking, cholesterolemia, obesity, DM II, sex differences
Review "SUBJECTIVE" health history questions to ask a patient with heart
problems: - ANSWER✔✔pg 471
Review the following "OBJECTIVE" cardiac assessments:
,Note a carotid pulse for grade. Why do we auscultate the carotid and what would a
carotid bruit signify? - ANSWER✔✔carotid bruit is a benign murmur heard just
above the clavicles
Review the following "OBJECTIVE" cardiac assessments:
What information can we gain from jugular venous pressure? What does a full
jugular reflect? - ANSWER✔✔gives important information on right side of heart
Where is the apical pulse found in a normal adult? What might affect its location or
intensity? Where is the apical pulse found in a young child? - ANSWER✔✔4th or
5th intercostal space at or inside the midclavicular line
4th in infant, 5th in child
Note the difference between a heave/lift (inspection) and a thrill (palpation) across
the precordium: - ANSWER✔✔heave/lift is a sustained forceful thrusting of the
ventricle during systole. Occurs with ventricular hypertrophy as a result of
increased workload...
Remember where to assess S1 and S2 using the Z track method? Where is Erb's
point and what would S1 and S2 sound like? - ANSWER✔✔S1 in between
tricuspid and mitral valve z track sounds - 5th intercostal space near apex - LUB
S2 in between aortic and pulmonary z track sounds - 2nd intercostal space - DUB
...Erbs point...
What causes an S3 sound, when would you hear it? - ANSWER✔✔ventricular
filling sound, early diastole during rapid filling, best heard at apex; you would hear
it right after S2 sound
,Why does S4 occur? Where would you hear it in the cardiac cycle, where can you
hear it best and method of auscultation? - ANSWER✔✔occurs immediately before
S1, occurs when atria contract late in diastole, best heard at apex
What is a pulse deficit? How would you assess it? What could it implicate? -
ANSWER✔✔a pulse deficit signals a weak contraction of the ventricles; it occurs
with atrial fibrillation, premature beats, and heart failure
What does the term sinus arrhythmia mean? Who is this normal for? -
ANSWER✔✔When sinus arrhythmia occurs normally in young adults and
children, the rhythm varies with the person's breathing, increasing at the peak of
the inspiration and slowing with expiration
Define orthostatic hypotension and the factors associated with it: -
ANSWER✔✔sudden drop in blood pressure when rising to sit or stand
Review normal findings for infants, children and the aging adult. - ANSWER✔✔
Review recommendations and guidelines for "Promoting a Healthy Lifestyle"
Heart Truth: Women and Heart Attacks' - ANSWER✔✔
Review the "Clinical Portrait of Heart Failure" from table 19-3 and reflect on the
signs and symptoms a nurse may observe. - ANSWER✔✔
Allen's test: - ANSWER✔✔Used to evaluate the adequacy of collateral circulation
to the hand (perhaps before cannulating the radial artery). This is done by pressing
on the ulnar/radial arteries to block blood flow, and one at a time letting go of
pressure on each to evaluate blood flow.
, Aneurysm - ANSWER✔✔A sac formed by dilation in the artery wall. This
stretches the inner and outer layers and the effect of blood pressure creates the
balloon enlargement. The most common site is the aorta, and the most common
cause is atherosclerosis.
Arrhythmia - ANSWER✔✔improper beating of the heart, either too fast or too
slow
Arteriosclerosis - ANSWER✔✔the thickening and hardening of the walls of the
arteries, occurring typically in old age
Atherosclerosis - ANSWER✔✔A build up of cholesterol plaque in the walls of
arteries causing obstruction of blood flow. Plaques may rupture causing acute
occlusion of the artery by clot.
Bradycardia - ANSWER✔✔Bradycardia: Abnormally slow heart activity
Bruit - ANSWER✔✔Bruit: an audible vascular sound associated with turbulent
blood flow
Homan's sign - ANSWER✔✔Homan's sign: (also known as dorsiflexion sign)
Associated with deep vein thrombosis, positive test result if there is calf pain when
foot is dorsiflexed.
Ischemia - ANSWER✔✔Ischemia: inadequate blood flow to a part of the
body/organ
