NUR 220 EXAM 2
FREQUENTLY TESTED ACTUAL QUESTIONS WITH
CORRECT ANSWERS
Question 1.
General health history- perfusion assessment:
ANSWER
- present health status: illness, medications, allergies
- past health history: medical, surgical, cardiac history (if any)
- family history: diabetes, heart disease, hyperlipidemia, hypertension
- personal and psycho-social history: exercise, stress, diet, alcohol, street drugs, caffeine,
smoking
Question 2.
Potassium normal range/value:
ANSWER
3.5-5.0 mEq/L
Question 3.
Chest X-ray
ANSWER
allows for visualization of the heart structures- not very detailed
Question 4.
Respiratory rate more than 20 breaths/min with increased rate and depth
ANSWER
hyperpnea
,Question 5.
Calcium normal range/value:
ANSWER
8.5-10.2 mg/dL
Question 6.
High-pitched musical sound similar to squeak, more common during expiration but can occur on
inspiration
ANSWER
wheeze
Question 7.
Ultrasound
ANSWER
- doppler- used most frequently by nurses- helps to find a pule
- echocardiogram- visualization of the hear- very detailed
Question 8.
Dyspnea/Shortness of breath
ANSWER
- can be respiratory or cardiac in origin
- onset- gradual may be development of hear failure
- aggravating factors. orthopenea- when lying down
- related symptoms- dependent bilaterally in ankles or feet (build up fluid from heart failure)
, Question 9.
Age related variations: Children/Toddlers
ANSWER
- follow same sequence of assessment as adults
- venous hum: right supraclavicular space, medial end of the clavicle. anterior border of the
sternocleidomastoid muscle. use bell of the stethoscope. vibration caused by turbulent blood
flow- NORMAl VARIATION
- stethoscope: may use pediatric or adult, depending on size of child
- vital signs: heart rate increase during inspirations and decrease during expiration. know
normal ranges
Question 10.
Shortness of breath
ANSWER
dyspnea
Question 11.
High-pitched cracking and popping noises heard at the end of inspiration, not cleared by cough
ANSWER
fine crackles
Question 12.
Respiratory rare of 12-20 breaths /min
ANSWER
eupnea
Question 13.
Pattern of spacing between heartbeats
ANSWER
rhythm
FREQUENTLY TESTED ACTUAL QUESTIONS WITH
CORRECT ANSWERS
Question 1.
General health history- perfusion assessment:
ANSWER
- present health status: illness, medications, allergies
- past health history: medical, surgical, cardiac history (if any)
- family history: diabetes, heart disease, hyperlipidemia, hypertension
- personal and psycho-social history: exercise, stress, diet, alcohol, street drugs, caffeine,
smoking
Question 2.
Potassium normal range/value:
ANSWER
3.5-5.0 mEq/L
Question 3.
Chest X-ray
ANSWER
allows for visualization of the heart structures- not very detailed
Question 4.
Respiratory rate more than 20 breaths/min with increased rate and depth
ANSWER
hyperpnea
,Question 5.
Calcium normal range/value:
ANSWER
8.5-10.2 mg/dL
Question 6.
High-pitched musical sound similar to squeak, more common during expiration but can occur on
inspiration
ANSWER
wheeze
Question 7.
Ultrasound
ANSWER
- doppler- used most frequently by nurses- helps to find a pule
- echocardiogram- visualization of the hear- very detailed
Question 8.
Dyspnea/Shortness of breath
ANSWER
- can be respiratory or cardiac in origin
- onset- gradual may be development of hear failure
- aggravating factors. orthopenea- when lying down
- related symptoms- dependent bilaterally in ankles or feet (build up fluid from heart failure)
, Question 9.
Age related variations: Children/Toddlers
ANSWER
- follow same sequence of assessment as adults
- venous hum: right supraclavicular space, medial end of the clavicle. anterior border of the
sternocleidomastoid muscle. use bell of the stethoscope. vibration caused by turbulent blood
flow- NORMAl VARIATION
- stethoscope: may use pediatric or adult, depending on size of child
- vital signs: heart rate increase during inspirations and decrease during expiration. know
normal ranges
Question 10.
Shortness of breath
ANSWER
dyspnea
Question 11.
High-pitched cracking and popping noises heard at the end of inspiration, not cleared by cough
ANSWER
fine crackles
Question 12.
Respiratory rare of 12-20 breaths /min
ANSWER
eupnea
Question 13.
Pattern of spacing between heartbeats
ANSWER
rhythm
