NURS 5220 HEALTH ASSESSMENT
EXAM 2 QUESTIONS AND
ANSWERS 2024/2025 GRADED A+.
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1. What is JVD a sign of?: increased venous pressure; assesses central venous pressure; hearts
efficiency; volume status- HEART FAILURE
2. What is the pericardium?: tough, fibrous, double-walled sac that encloses the heart
3. What is the pacemaker of the heart?: SA node
4. If a person has shortness of breath at night what are some diagnostic tests to run?: sleep apnea,
chest x-ray, pulmonary function testing, and echocardiogra- phy
5. What are the risk factors for heart disease?: high BP, high cholesterol, smok- ing, diet, diabetes,
obesity, sedentary lifestyle
6. How do you listen to a bruit?: If the thyroid gland is enlarged, auscultate it for the presence of a
bruit. This is a soft, pulsatile, whooshing, blowing sound heard best with the bell of the stethoscope.
7. Where do you assess the apical impulse?: he apical impulse should occupy only one interspace,
the 4th or 5th, and be at or medial to the midclavicular line
8. What is the scratchy noise when listening to the heart?: friction rub due to inflammation of
pericardium
9. Which population is most at risk for high BP?: African Americans
10. What to look for in a patient with mitral regurgitation?: loud, blowing murmur heard at the apex;
thrill in sistole at apex
11. What is a bruit? what does it sound like?: turbulent blood flow; occurs with partial occlusion;
blowing/ humming sounds
12. What are the s/s of MI?: pain at rest may radiate down, nitro has no effect, pressure, tightness,
shortness of breath, indigestion, nausea, flushing, perspiration, fatigue
13. What part of the heart controls pumping?: myocardium
14. Where is the dorsalis pedis pulse?: top of foot; Normally it is just lateral to and parallel with the
extensor tendon of the big toe
15. How do you assess venous blood flow?: ultrasound; checking for swelling/ tenderness in legs
16. Arteries: oxygen rich blood vessels that carry blood away from the heart; red in color
17. Veins: Blood vessels that carry blood back to the heart; decreased oxygen; blue in color
18. Patient most at risk for venous disease: prolonged sitting, standing, or bed rest
19. How to assess lymph nodes in pt with infection?: Lymphadenopathy means enlargement of the
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