Advanced Health
Assessment:
Cardiovascular | Study
Guide, Practice Questions
& Exam Review
|Guaranteed success|
, What is another term for the apical pulse Point of maximum impulse
What do you measure when assessing the PMI diameter, location, amplitude, and duration
How do you measure the PMI - Lay the patient on their left, lateral, decubitus
- Listen with the bell of the stethoscope
What are the six regions of the heart you auscultate Aortic, pulmonic, erbs, tricuspid (2) and mitral
with he bell and diaphragm.
What technique is used to auscultate aortic Sitting the client up and having them lean forward while exhaling fulling and
regurgitation auscultation with the diaphragm
What last longer, diastole or systole? diastole
When does cardiac upstroke occur? During systole
Where is S1 heard the loudest? apex of the heart
Where is S2 heard the loudest? base of the heart
What occurs during inspect of the cardiovascular PMI or apical pulse
system?
Where is the point of maximal impulse? 4th or 5th ICS, 7-9 cm from sternum
What occurs during palpation of the cardiovascular - Heaves and Lifts ~ flat palm (rhythmically lift; may indicate chamber
system? enlargement)
- Thrills ~ ball fo your hand (buzzing or vibratory; underlying turbulent blood
flow ~ auscultate for a murmur if felt.)
- RV impulses ~ subxiphoid region
- S1 and S2 ~ firm pressure on the chest wall
What occurs during auscultation of the cardiovascular - Diaphragm ~ high pitched sounds (AV and MV regurgitation and pericardial
system? friction rubs)
- Bell ~ low pithed sounds and highly sensitive (S3 and S4 along with Mitral
stenosis)
Assessment:
Cardiovascular | Study
Guide, Practice Questions
& Exam Review
|Guaranteed success|
, What is another term for the apical pulse Point of maximum impulse
What do you measure when assessing the PMI diameter, location, amplitude, and duration
How do you measure the PMI - Lay the patient on their left, lateral, decubitus
- Listen with the bell of the stethoscope
What are the six regions of the heart you auscultate Aortic, pulmonic, erbs, tricuspid (2) and mitral
with he bell and diaphragm.
What technique is used to auscultate aortic Sitting the client up and having them lean forward while exhaling fulling and
regurgitation auscultation with the diaphragm
What last longer, diastole or systole? diastole
When does cardiac upstroke occur? During systole
Where is S1 heard the loudest? apex of the heart
Where is S2 heard the loudest? base of the heart
What occurs during inspect of the cardiovascular PMI or apical pulse
system?
Where is the point of maximal impulse? 4th or 5th ICS, 7-9 cm from sternum
What occurs during palpation of the cardiovascular - Heaves and Lifts ~ flat palm (rhythmically lift; may indicate chamber
system? enlargement)
- Thrills ~ ball fo your hand (buzzing or vibratory; underlying turbulent blood
flow ~ auscultate for a murmur if felt.)
- RV impulses ~ subxiphoid region
- S1 and S2 ~ firm pressure on the chest wall
What occurs during auscultation of the cardiovascular - Diaphragm ~ high pitched sounds (AV and MV regurgitation and pericardial
system? friction rubs)
- Bell ~ low pithed sounds and highly sensitive (S3 and S4 along with Mitral
stenosis)
