ADVANCED HEALTH ASSESSMENT CARDIOVASCULAR FREQUENTLY
TESTED ACTUAL QUESTIONS AND ANSWERS
Question 1.
What is the first step in the cardiovascular assessment ?
Correct Answer: Supine with HOB 30 degrees:
- JVP - Carotid Pulses - Inspect and palpate pericordium - PMI
Question 2.
Where would you inspect and palpate the pericordium ?
Correct Answer: 2nd R/L intercostal spaces
Question 3.
What is the pericordium?
Correct Answer: The region of the thorax directly in front of the heart.
Question 4.
What is another term for the apical pulse
Correct Answer: Point of maximum impulse
Question 5.
What do you measure when assessing the PMI
Correct Answer: diameter, location, amplitude, and duration
Question 6.
How do you measure the PMI
Correct Answer: - Lay the patient on their left, lateral, decubitus - Listen with
the bell of the stethoscope
Question 7.
What are the six regions of the heart you auscultate with he bell and diaphragm.
Correct Answer: Aortic, pulmonic, erbs, tricuspid (2) and mitral
Question 8.
What technique is used to auscultate aortic regurgitation
Correct Answer: Sitting the client up and having them lean forward while
exhaling fulling and auscultation with the diaphragm
, Question 9.
What last longer, diastole or systole?
Correct Answer: diastole
Question 10.
When does cardiac upstroke occur?
Correct Answer: During systole
Question 11.
Where is S1 heard the loudest?
Correct Answer: apex of the heart
Question 12.
Where is S2 heard the loudest?
Correct Answer: base of the heart
Question 13.
What occurs during inspect of the cardiovascular system?
Correct Answer: PMI or apical pulse
Question 14.
Where is the point of maximal impulse?
Correct Answer: 4th or 5th ICS, 7-9 cm from sternum
Question 15.
What occurs during palpation of the cardiovascular system?
Correct Answer: - Heaves and Lifts ~ flat palm (rhythmically lift; may indicate
chamber 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
Question 16.
What occurs during auscultation of the cardiovascular system?
Correct Answer: - Diaphragm ~ high pitched sounds (AV and MV regurgitation
and pericardial friction rubs) - Bell ~ low pithed sounds and highly sensitive (S3
and S4 along with Mitral stenosis)
TESTED ACTUAL QUESTIONS AND ANSWERS
Question 1.
What is the first step in the cardiovascular assessment ?
Correct Answer: Supine with HOB 30 degrees:
- JVP - Carotid Pulses - Inspect and palpate pericordium - PMI
Question 2.
Where would you inspect and palpate the pericordium ?
Correct Answer: 2nd R/L intercostal spaces
Question 3.
What is the pericordium?
Correct Answer: The region of the thorax directly in front of the heart.
Question 4.
What is another term for the apical pulse
Correct Answer: Point of maximum impulse
Question 5.
What do you measure when assessing the PMI
Correct Answer: diameter, location, amplitude, and duration
Question 6.
How do you measure the PMI
Correct Answer: - Lay the patient on their left, lateral, decubitus - Listen with
the bell of the stethoscope
Question 7.
What are the six regions of the heart you auscultate with he bell and diaphragm.
Correct Answer: Aortic, pulmonic, erbs, tricuspid (2) and mitral
Question 8.
What technique is used to auscultate aortic regurgitation
Correct Answer: Sitting the client up and having them lean forward while
exhaling fulling and auscultation with the diaphragm
, Question 9.
What last longer, diastole or systole?
Correct Answer: diastole
Question 10.
When does cardiac upstroke occur?
Correct Answer: During systole
Question 11.
Where is S1 heard the loudest?
Correct Answer: apex of the heart
Question 12.
Where is S2 heard the loudest?
Correct Answer: base of the heart
Question 13.
What occurs during inspect of the cardiovascular system?
Correct Answer: PMI or apical pulse
Question 14.
Where is the point of maximal impulse?
Correct Answer: 4th or 5th ICS, 7-9 cm from sternum
Question 15.
What occurs during palpation of the cardiovascular system?
Correct Answer: - Heaves and Lifts ~ flat palm (rhythmically lift; may indicate
chamber 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
Question 16.
What occurs during auscultation of the cardiovascular system?
Correct Answer: - Diaphragm ~ high pitched sounds (AV and MV regurgitation
and pericardial friction rubs) - Bell ~ low pithed sounds and highly sensitive (S3
and S4 along with Mitral stenosis)
