Galen NSG 3160 Exam 3 – Health
Assessment – Actual Questions & Answers
1+ pitting edema scale - ------------ANS: mild pitting, slight indentation, no perceptible
swelling of the leg
2+ pitting edema scale - ------------ANS: moderate pitting, indentation subsides
rapidly
3+ pitting edema scale - ------------ANS: deep pitting, indentation remains for a short
time, leg looks swollen
4+ pitting edema scale - ------------ANS: very deep pitting, indentation lasts a long
time, leg is grossly swollen and distorted.
An ABI is moderate PAD at... - ------------ANS: .70 to .41
An ABI is severe PAD at... * - ------------ANS: .40 to .30; anything less than .30 is
ischemia with impending loss of tissue.
An ankle-brachial index (ABI) is mild PAD at... - ------------ANS: .90 to .71
barrel chest - ------------ANS: a condition characterized by increased
anterior-posterior chest diameter caused by increased functional residual capacity
due to air trapping from small airway collapse. A barrel chest is frequently seen in
patients with chronic obstructive diseases, such as chronic bronchitis and
emphysema.
Can chest pain have other origins? - ------------ANS: YES. Chest pain also many
have pulmonary, musculoskeletal, or gastrointestinal origin.
Can you see the apical impulse? If so, where at? - ------------ANS: It depends, you
may or may not be able to see the apical impulse. When visible, it occupies the 4th
or 5th intercostal space, at or inside the midclavicular line.
characteristics of bronchial breath sound?* - ------------ANS: pitch: high
amplitude: loud
Duration: inspiration<expiration
quality: harsh, hollow, tubular
normal location: trachea and larynx
characteristics of bronchovesicular breath sound?* - ------------ANS: pitch: moderate
,amplitude: moderate
duration: inspiration=expiration
quality: mixed
normal location: over major bronchi where fewer alveoli are located.
characteristics of vesicular breath sound?* - ------------ANS: Pitch: low
amplitude: soft
duration: inspiration>expiration
quality: rustling, like the sound of the wind in the trees
normal location: over peripheral lung fields where air flows through smaller
bronchioles and alveoli
CHRONIC arterial symptoms (PAD) aggravating factors - ------------ANS: activity
(walking, stairs); elevation (rest pain indicates severe involvement)
CHRONIC arterial symptoms (PAD) location - ------------ANS: Deep muscle pain,
usually in calf, but may be lower leg or dorsum of foot
CHRONIC arterial symptoms (PAD) onset and duration - ------------ANS: chronic
pain, onset gradual after exertion
CHRONIC arterial symptoms (PAD) those at risk - ------------ANS: older and middle
age adults; African Americans have twice the incidence as other racial/ethnic groups;
smoking is strongest risk, also hypertension, diabetes, hypercholesterolemia,
obesity, vascular disease
CHRONIC aterial symptoms (PAD) character - ------------ANS: intermittent
claudication, feels like "cramp" "numbness and tingling" "feeling of cold"
CHRONIC venous symptoms aggravating factors - ------------ANS: prolonged
standing, sitting
CHRONIC venous symptoms associated symptoms - ------------ANS: edema,
varicosities, weeping ulcers at ankles
CHRONIC venous symptoms character - ------------ANS: aching, tiredness, feeling of
fullness
CHRONIC venous symptoms location - ------------ANS: calf, lower leg
CHRONIC venous symptoms onset and duration - ------------ANS: chronic pain,
increases at end of day
, CHRONIC venous symptoms relieving factors - ------------ANS: elevation, lying,
walking
CHRONIC venous symptoms those at risk - ------------ANS: Job with prolonged
standing or sitting; obesity; multiple pregnancies; prolonged bed rest; history of heart
failure, varicosities, or thrombophlebitis; veins crushed by trauma or surgery
Clinical model for predicting probability of DVT scale?* - ------------ANS: 1 to 2 =
moderate probably
3 points or more = high probability of DVT
Combined hormone therapy increases risk for what? - ------------ANS: for breast
cancer; risk is greater with starting hormone therapy AFTER menopause.
Does drinking increase breast cancer risk in women? If so, how much? -
------------ANS: drinking alcohol increases breast cancer risk in women by 7 to 10%
for 1 drink per day, with a 20% higher risk for 2 or 3 drinks per day. Evidence shows
alcohol drinking before the 1st pregnancy may particularly affect risk.
Does the heart size decrease or increase with age? - ------------ANS: NEITHER the
heart size DOES NOT change.
Does the prevalence of peripheral artery disease (PAD) increase or decrease with
age? - ------------ANS: INCREASE
grade 1 of murmur intensity: - ------------ANS: barely audible; heard only in a quiet
room and then with difficulty
grade 2 of murmur intensity: - ------------ANS: clearly audible but faint
grade 3 of murmur intensity: - ------------ANS: moderately loud; easy to hear
grade 4 of murmur intensity: - ------------ANS: loud; associated with a thrill palpable
on the chest wall
grade 5 of murmur intensity: - ------------ANS: very loud; heard with one corner of the
stethoscope lifted off the chest wall; associated thrill
grade 6 of murmur intensity: - ------------ANS: loudest; still heard with entire
stethoscope lifted just off the chest wall; associated thrill
How do you assess the tactile fremitus? - ------------ANS: Fremitus is a palpable
vibration. Use either the palmar base (the ball) of the fingers or the ulnar edge of one
Assessment – Actual Questions & Answers
1+ pitting edema scale - ------------ANS: mild pitting, slight indentation, no perceptible
swelling of the leg
2+ pitting edema scale - ------------ANS: moderate pitting, indentation subsides
rapidly
3+ pitting edema scale - ------------ANS: deep pitting, indentation remains for a short
time, leg looks swollen
4+ pitting edema scale - ------------ANS: very deep pitting, indentation lasts a long
time, leg is grossly swollen and distorted.
An ABI is moderate PAD at... - ------------ANS: .70 to .41
An ABI is severe PAD at... * - ------------ANS: .40 to .30; anything less than .30 is
ischemia with impending loss of tissue.
An ankle-brachial index (ABI) is mild PAD at... - ------------ANS: .90 to .71
barrel chest - ------------ANS: a condition characterized by increased
anterior-posterior chest diameter caused by increased functional residual capacity
due to air trapping from small airway collapse. A barrel chest is frequently seen in
patients with chronic obstructive diseases, such as chronic bronchitis and
emphysema.
Can chest pain have other origins? - ------------ANS: YES. Chest pain also many
have pulmonary, musculoskeletal, or gastrointestinal origin.
Can you see the apical impulse? If so, where at? - ------------ANS: It depends, you
may or may not be able to see the apical impulse. When visible, it occupies the 4th
or 5th intercostal space, at or inside the midclavicular line.
characteristics of bronchial breath sound?* - ------------ANS: pitch: high
amplitude: loud
Duration: inspiration<expiration
quality: harsh, hollow, tubular
normal location: trachea and larynx
characteristics of bronchovesicular breath sound?* - ------------ANS: pitch: moderate
,amplitude: moderate
duration: inspiration=expiration
quality: mixed
normal location: over major bronchi where fewer alveoli are located.
characteristics of vesicular breath sound?* - ------------ANS: Pitch: low
amplitude: soft
duration: inspiration>expiration
quality: rustling, like the sound of the wind in the trees
normal location: over peripheral lung fields where air flows through smaller
bronchioles and alveoli
CHRONIC arterial symptoms (PAD) aggravating factors - ------------ANS: activity
(walking, stairs); elevation (rest pain indicates severe involvement)
CHRONIC arterial symptoms (PAD) location - ------------ANS: Deep muscle pain,
usually in calf, but may be lower leg or dorsum of foot
CHRONIC arterial symptoms (PAD) onset and duration - ------------ANS: chronic
pain, onset gradual after exertion
CHRONIC arterial symptoms (PAD) those at risk - ------------ANS: older and middle
age adults; African Americans have twice the incidence as other racial/ethnic groups;
smoking is strongest risk, also hypertension, diabetes, hypercholesterolemia,
obesity, vascular disease
CHRONIC aterial symptoms (PAD) character - ------------ANS: intermittent
claudication, feels like "cramp" "numbness and tingling" "feeling of cold"
CHRONIC venous symptoms aggravating factors - ------------ANS: prolonged
standing, sitting
CHRONIC venous symptoms associated symptoms - ------------ANS: edema,
varicosities, weeping ulcers at ankles
CHRONIC venous symptoms character - ------------ANS: aching, tiredness, feeling of
fullness
CHRONIC venous symptoms location - ------------ANS: calf, lower leg
CHRONIC venous symptoms onset and duration - ------------ANS: chronic pain,
increases at end of day
, CHRONIC venous symptoms relieving factors - ------------ANS: elevation, lying,
walking
CHRONIC venous symptoms those at risk - ------------ANS: Job with prolonged
standing or sitting; obesity; multiple pregnancies; prolonged bed rest; history of heart
failure, varicosities, or thrombophlebitis; veins crushed by trauma or surgery
Clinical model for predicting probability of DVT scale?* - ------------ANS: 1 to 2 =
moderate probably
3 points or more = high probability of DVT
Combined hormone therapy increases risk for what? - ------------ANS: for breast
cancer; risk is greater with starting hormone therapy AFTER menopause.
Does drinking increase breast cancer risk in women? If so, how much? -
------------ANS: drinking alcohol increases breast cancer risk in women by 7 to 10%
for 1 drink per day, with a 20% higher risk for 2 or 3 drinks per day. Evidence shows
alcohol drinking before the 1st pregnancy may particularly affect risk.
Does the heart size decrease or increase with age? - ------------ANS: NEITHER the
heart size DOES NOT change.
Does the prevalence of peripheral artery disease (PAD) increase or decrease with
age? - ------------ANS: INCREASE
grade 1 of murmur intensity: - ------------ANS: barely audible; heard only in a quiet
room and then with difficulty
grade 2 of murmur intensity: - ------------ANS: clearly audible but faint
grade 3 of murmur intensity: - ------------ANS: moderately loud; easy to hear
grade 4 of murmur intensity: - ------------ANS: loud; associated with a thrill palpable
on the chest wall
grade 5 of murmur intensity: - ------------ANS: very loud; heard with one corner of the
stethoscope lifted off the chest wall; associated thrill
grade 6 of murmur intensity: - ------------ANS: loudest; still heard with entire
stethoscope lifted just off the chest wall; associated thrill
How do you assess the tactile fremitus? - ------------ANS: Fremitus is a palpable
vibration. Use either the palmar base (the ball) of the fingers or the ulnar edge of one
