NURS 612 Advanced health assessment EXAM 1
2025/2026 ACTUAL COMPLETE REAL EXAM QUESTIONS
AND CORRECT ANSWERS (VERIFIED ANSWERS) ALREADY
GRADED A+ / NEWEST EXAM / JUST RELEASED!! Maryville
University of Saint Louis
What are abnormal findings when palpating the precordium?
if the PMI is more vigorous than expected then it may indicate increased
cardiac output or left ventricular hypertrophy. A lift along the left sternal
border may be caused by right ventricular hypertrophy. A loss of thrust
be may be due to air or fluid beneath the sternum. A displacement of
impulse to the right side may indicate dextrodardia, diaphragmatic
hernia, distended stomach, or pulmonary abnormality.
How do you palpate the carotid artery?
Use the opposite hand from the one palpating the precordium and
place a finger to the neck just medial to and below the angle of the jaw,
pressing lightly. Do not check both sides at once. S1 and carotid pulse
should be synchronous.
,How do you percuss the heart?
begin by tapping anterior axillary line and move medially along the
intercostal spaces toward the sternal border. A change from resonant to
dull marks the cardiac border and note these points with a pen.
What is the most accurate way to estimate the size of the heart?
by chest xray
How do you auscultate the 5 cardiac areas on the chest?
Use the diaphragm on the stethoscope to hear high pitched sounds with
firm pressure and use the bell with light pressure to hear the low
frequency sounds. Listen to the aortic valve area which is the 2nd right
intercostal space at the right sternal border. Listen to the pulmonic valve
area which is the 2nd left intercostal space at the left sternal border.
Listen to the second pulmonic area at the 3rd left intercostal space left
sternal border. Listen to the tricuspid area at the 4th left intercostal
space along lower left sternal border. And listen to the mitral area which
is the apex of the heart at the 5th left intercostal space midclavicular line
What does S1 indicate in the cardiac cycle?
it is the sound produced by the initiation of systole due to the closing of
the mitral and tricuspid valves. It should be synonymous with the carotid
pulse.
,What does S2 indicate in the cardiac cycle?
it is the sound produced by the initiation of diastole due to the closure
of the pulmonic and aortic valves
What is S3 heart sound?
it may occur during passive filling of the ventricles due vibration on the
ventricular walls and is a low-pitched sound (kentucky)
What are the concepts of developing a relationship with the patient?
See the patient as a unique individual
Let them know that you really want to know all that is needed Be open and
flexible
Explain boundaries Be honest
, What is the primary objective when developing a relationship with the
patient?
To discover the details about a patient's concern, explore expectations,
display interest, and partnership
What does establishing a positive relationship with the patient depend
on?
Communication built on courtesy, comfort, connection, and
confirmation.
What are direct questions?
Those that seek specific information. Such as "How long ago did that
happen?" or "Where does it hurt?"
2025/2026 ACTUAL COMPLETE REAL EXAM QUESTIONS
AND CORRECT ANSWERS (VERIFIED ANSWERS) ALREADY
GRADED A+ / NEWEST EXAM / JUST RELEASED!! Maryville
University of Saint Louis
What are abnormal findings when palpating the precordium?
if the PMI is more vigorous than expected then it may indicate increased
cardiac output or left ventricular hypertrophy. A lift along the left sternal
border may be caused by right ventricular hypertrophy. A loss of thrust
be may be due to air or fluid beneath the sternum. A displacement of
impulse to the right side may indicate dextrodardia, diaphragmatic
hernia, distended stomach, or pulmonary abnormality.
How do you palpate the carotid artery?
Use the opposite hand from the one palpating the precordium and
place a finger to the neck just medial to and below the angle of the jaw,
pressing lightly. Do not check both sides at once. S1 and carotid pulse
should be synchronous.
,How do you percuss the heart?
begin by tapping anterior axillary line and move medially along the
intercostal spaces toward the sternal border. A change from resonant to
dull marks the cardiac border and note these points with a pen.
What is the most accurate way to estimate the size of the heart?
by chest xray
How do you auscultate the 5 cardiac areas on the chest?
Use the diaphragm on the stethoscope to hear high pitched sounds with
firm pressure and use the bell with light pressure to hear the low
frequency sounds. Listen to the aortic valve area which is the 2nd right
intercostal space at the right sternal border. Listen to the pulmonic valve
area which is the 2nd left intercostal space at the left sternal border.
Listen to the second pulmonic area at the 3rd left intercostal space left
sternal border. Listen to the tricuspid area at the 4th left intercostal
space along lower left sternal border. And listen to the mitral area which
is the apex of the heart at the 5th left intercostal space midclavicular line
What does S1 indicate in the cardiac cycle?
it is the sound produced by the initiation of systole due to the closing of
the mitral and tricuspid valves. It should be synonymous with the carotid
pulse.
,What does S2 indicate in the cardiac cycle?
it is the sound produced by the initiation of diastole due to the closure
of the pulmonic and aortic valves
What is S3 heart sound?
it may occur during passive filling of the ventricles due vibration on the
ventricular walls and is a low-pitched sound (kentucky)
What are the concepts of developing a relationship with the patient?
See the patient as a unique individual
Let them know that you really want to know all that is needed Be open and
flexible
Explain boundaries Be honest
, What is the primary objective when developing a relationship with the
patient?
To discover the details about a patient's concern, explore expectations,
display interest, and partnership
What does establishing a positive relationship with the patient depend
on?
Communication built on courtesy, comfort, connection, and
confirmation.
What are direct questions?
Those that seek specific information. Such as "How long ago did that
happen?" or "Where does it hurt?"
