CARDIOVASCULAR - NURS 190 PHYSICAL ASSESSMENT
QUESTIONS WITH ACCURATE ANSWERS
(Ethnic group) females between age 25-54 are at greater risk for coronary heart
disease than other groups correct answer African American
(Ethnic group) females between ages 65-74 have a higher incidence of
cardiovascular disease than African American females correct answer Caucasian
(Ethnic group) over age 35 have twice the heart disease mortality of other groups
correct answer Native Americans
(Ethnic group) with heart failure have higher mortality rates than Caucasians
correct answer African Americans
Abnormal chest palpation findings correct answer -Pulsations
-Heaves (feels like abnormally large beating of heart)
-Thrills (soft vibratory sensation)
Indicate valvular disease, increased pressure, or heart enlargement.
Absence of pulsation seen in correct answer Arterial obstruction
African Americans and Hispanics have a higher incidence of correct answer
Hypertension
Obesity
Diabetes
,Smoking
Afterload correct answer The force or resistance against which the heart pumps.
Aortic Regurgitation correct answer (Aortic insufficiency) Incompetent aortic valve
that allows backward flow of blood into left ventricle during diastole
Aortic Stenosis correct answer Narrowing of the aorta that reduces the flow of
blood into this large vessel, which causes the left ventricle to work harder than
normal
Apical pulse greater than carotid rate indicates correct answer pulse deficit
Atrial fibrillation is irregular/regular? correct answer Always irregular
Atrial Flutter correct answer Rate:Atrial 250-350
Ventricular: 100 -175
P: Irregular or absent, often "saw tooth"
QRS: Normal
Conduction: AV Block (2:1 > 3:1, 4:1)
Rhythm: Regular (usually)
- Often underlying cardiac disease
Carotid massage: increases block
Atrial flutter is irregular/regular correct answer Can be regular or irregular
, Atrial septal defect (ASD) correct answer An opening in the septum separating the
atria
Atrioventricular (AV) node correct answer A node of specialized heart muscle
located in the septal wall of the right atrium; receives impulses from the sinoatrial
node and transmits them to the atrioventricular bundle
Auscultation of aortic regurgitation correct answer -Soft blowing early diastolic
decrescendo murmur
-Heard best at the left 2nd ICS
-Does not radiate
Auscultation of aortic stenosis correct answer -Harsh, late-peaking crescendo-
decrescendo systolic murmur
-Heard best at LSB 2nd ICS
-Radiates to carotid arteries
-Abnormal carotid pulse
Auscultation of carotid arteries correct answer 1. Listen with diaphragm and bell
of stethoscope
2. Have patient hold breath briefly
3. Compare apical pulse to carotid pulse
Auscultation of mitral regurgitation correct answer -Blowing holosystolic murmur
-Heard best at the apex
QUESTIONS WITH ACCURATE ANSWERS
(Ethnic group) females between age 25-54 are at greater risk for coronary heart
disease than other groups correct answer African American
(Ethnic group) females between ages 65-74 have a higher incidence of
cardiovascular disease than African American females correct answer Caucasian
(Ethnic group) over age 35 have twice the heart disease mortality of other groups
correct answer Native Americans
(Ethnic group) with heart failure have higher mortality rates than Caucasians
correct answer African Americans
Abnormal chest palpation findings correct answer -Pulsations
-Heaves (feels like abnormally large beating of heart)
-Thrills (soft vibratory sensation)
Indicate valvular disease, increased pressure, or heart enlargement.
Absence of pulsation seen in correct answer Arterial obstruction
African Americans and Hispanics have a higher incidence of correct answer
Hypertension
Obesity
Diabetes
,Smoking
Afterload correct answer The force or resistance against which the heart pumps.
Aortic Regurgitation correct answer (Aortic insufficiency) Incompetent aortic valve
that allows backward flow of blood into left ventricle during diastole
Aortic Stenosis correct answer Narrowing of the aorta that reduces the flow of
blood into this large vessel, which causes the left ventricle to work harder than
normal
Apical pulse greater than carotid rate indicates correct answer pulse deficit
Atrial fibrillation is irregular/regular? correct answer Always irregular
Atrial Flutter correct answer Rate:Atrial 250-350
Ventricular: 100 -175
P: Irregular or absent, often "saw tooth"
QRS: Normal
Conduction: AV Block (2:1 > 3:1, 4:1)
Rhythm: Regular (usually)
- Often underlying cardiac disease
Carotid massage: increases block
Atrial flutter is irregular/regular correct answer Can be regular or irregular
, Atrial septal defect (ASD) correct answer An opening in the septum separating the
atria
Atrioventricular (AV) node correct answer A node of specialized heart muscle
located in the septal wall of the right atrium; receives impulses from the sinoatrial
node and transmits them to the atrioventricular bundle
Auscultation of aortic regurgitation correct answer -Soft blowing early diastolic
decrescendo murmur
-Heard best at the left 2nd ICS
-Does not radiate
Auscultation of aortic stenosis correct answer -Harsh, late-peaking crescendo-
decrescendo systolic murmur
-Heard best at LSB 2nd ICS
-Radiates to carotid arteries
-Abnormal carotid pulse
Auscultation of carotid arteries correct answer 1. Listen with diaphragm and bell
of stethoscope
2. Have patient hold breath briefly
3. Compare apical pulse to carotid pulse
Auscultation of mitral regurgitation correct answer -Blowing holosystolic murmur
-Heard best at the apex
