NURS 3320 UPDATED FINAL EXAMS ALL
QUESTIONS AND ANSWERS SURE A+
✔✔How to check JVP - ✔✔Supine 30-45 degrees
neck rested and turn to LEFT
use side (tangential) light
check for distension, protrustion or bulging
✔✔How to auscultate carotid arteries? - ✔✔Checking for bruits (abnormal) like a
blowing swishing sound
RN stands on Right side
ask pt to hold breath after exhalation then examine
✔✔What do the presence of bruits mean in carotid arteries? - ✔✔Bruits indicate
stenosis, AT RISK FOR TIA----> STROKE
✔✔how to palpate carotid artery - ✔✔One at time, turn head towards side being
assessed
use index and middle finger
✔✔What do you want to avoid when palpating carotid artery? - ✔✔Avoid Vagal
stimulation
, ✔✔ABN findings with carotid arteries? - ✔✔unequal pulses, weak or bounding pulses
✔✔S3 is a sign of - ✔✔CHF
✔✔CHF s&s - ✔✔orthopnea, crackles, Dilated pupils ASCITES, falling SO2
JVD from FVO and venous congestion, oliguria
✔✔Interuption of blood flow to the heart, so muscles working extremely hard to get
blood supply? - ✔✔Myocardial Infarction, could be caused by atherosclerosis because
build up of plaque
✔✔TX/ S&s for MI - ✔✔1) Aspirin 2) NTG (sL) 3) IV morphine
s&s= angina, n/v, diaphoresis
✔✔T/F
with a patient experiencing MI, once stable you can leave after 10 minutes - ✔✔FALSE,
never leave patient, s&s can be exacerbated
✔✔ABN when inspecting JV pulse? - ✔✔Fully distended when client torso elevated
MORE than 45 degrees
✔✔ABN JVP could indicate? - ✔✔Right Ventricular Failure (RHF), Pulmonary HTN, PE
or cardiac tamponode
✔✔What if there is only one sided JVD? - ✔✔Kink or Aneurysm
✔✔What sign is seen in constrictive pericarditits? - ✔✔Kussmaul sign
✔✔Bruits when Auscultating the carotid artery indicates? - ✔✔narrowed vessels, that is
why you hear a blowing swishing sound because blood is being forced to travel in
narrowed vessel due to arthrosclerosis
Key words= (stenosis murmor, TIA, PE, stroke, death)
✔✔T/F
when auscultating the carotid artery for suspected bruit indicated with JVD, we use the
Diaphragm because it is high pitched. - ✔✔FALSE, we use the Bell because the bruit
(blowing, swishing murmur sound) is LOW PITCHED
QUESTIONS AND ANSWERS SURE A+
✔✔How to check JVP - ✔✔Supine 30-45 degrees
neck rested and turn to LEFT
use side (tangential) light
check for distension, protrustion or bulging
✔✔How to auscultate carotid arteries? - ✔✔Checking for bruits (abnormal) like a
blowing swishing sound
RN stands on Right side
ask pt to hold breath after exhalation then examine
✔✔What do the presence of bruits mean in carotid arteries? - ✔✔Bruits indicate
stenosis, AT RISK FOR TIA----> STROKE
✔✔how to palpate carotid artery - ✔✔One at time, turn head towards side being
assessed
use index and middle finger
✔✔What do you want to avoid when palpating carotid artery? - ✔✔Avoid Vagal
stimulation
, ✔✔ABN findings with carotid arteries? - ✔✔unequal pulses, weak or bounding pulses
✔✔S3 is a sign of - ✔✔CHF
✔✔CHF s&s - ✔✔orthopnea, crackles, Dilated pupils ASCITES, falling SO2
JVD from FVO and venous congestion, oliguria
✔✔Interuption of blood flow to the heart, so muscles working extremely hard to get
blood supply? - ✔✔Myocardial Infarction, could be caused by atherosclerosis because
build up of plaque
✔✔TX/ S&s for MI - ✔✔1) Aspirin 2) NTG (sL) 3) IV morphine
s&s= angina, n/v, diaphoresis
✔✔T/F
with a patient experiencing MI, once stable you can leave after 10 minutes - ✔✔FALSE,
never leave patient, s&s can be exacerbated
✔✔ABN when inspecting JV pulse? - ✔✔Fully distended when client torso elevated
MORE than 45 degrees
✔✔ABN JVP could indicate? - ✔✔Right Ventricular Failure (RHF), Pulmonary HTN, PE
or cardiac tamponode
✔✔What if there is only one sided JVD? - ✔✔Kink or Aneurysm
✔✔What sign is seen in constrictive pericarditits? - ✔✔Kussmaul sign
✔✔Bruits when Auscultating the carotid artery indicates? - ✔✔narrowed vessels, that is
why you hear a blowing swishing sound because blood is being forced to travel in
narrowed vessel due to arthrosclerosis
Key words= (stenosis murmor, TIA, PE, stroke, death)
✔✔T/F
when auscultating the carotid artery for suspected bruit indicated with JVD, we use the
Diaphragm because it is high pitched. - ✔✔FALSE, we use the Bell because the bruit
(blowing, swishing murmur sound) is LOW PITCHED
