Maryville NURS612 Exam 1 Cardiac Questions With 100% Correct Answers

Maryville NURS612 Exam 1 Cardiac Questions With 100% Correct Answers Where is the apical impulse? - answermidclavicular line at 5th ICS Lift or heave - answerapical impulse is more vigors than expect; seen on inspect associated with right ventricular hypertrophy What are the 3 steps of palpating the precordium? - answer1. Apex 2. Left sternal border 3. Base Thrill - answerPalpable murmur; blood rushing vibration Carotid artery is synchronous with? - answerS1 sound the cardiac border is marked by what during percussion? - answerChange from Resonant to dull Where is the aortic valve area? - answer2nd Right ICS at right sternal border Where is the pulmonic valve area? - answer2nd left ICS at left sternal border Where is ERB's point? (Second pulmonic area) - answer3rd left iCS at left sternal border Where is the tricuspid area? - answer4th left ICS at left sternal border Where the mitral/apical area? - answerapex of heart; 5th ICS at midclavicular line The bell hears what? - answerLow-frequency sounds The diaphragm hears what? - answerHigh-frequency sounds What is the order of valves? - answer1. Tricuspid (from R atria to R ventricle) 2. Pulmonic (from R ventricle to pulmonary artery to lungs) 3. Mitral (from L atria to Left ventricle) 4. Aortic (from Left ventricle to aorta and body) Try Pulling My Arm What are are the AV valves? - answerTricuspid and Mitral valves What are the semilunar valves? - answerPulmonic and aortic valves What sound does S1 make? - answerLub What does S1 mean? - answerSystole Closure of the AV valves Ventricles contract and eject blood into the pulmonary artery or aorta Systole marks what Heart sound? - answerS1 How does S1 and S2 sound in pulmonary HTN? - answerDecreased intensity of S1 Increased intensity of S2 What does S1 coincide with? - answerThe upswing (rise) of the carotid pulse Where is S1 best heard? - answerThe Apex/Mitral valve What does S2 mean? - answerDiastole Closure of the semilunar valves Ventricles dilate and draw blood into them as the atria contract (filling of ventricles) What sound does S2 make? - answerDub Where is S2 best heard? - answerPulmonic and aortic regions (base of heart) How does S2 sound compared to S1? - answerS2 is higher pitch and of shorter duration than S1 What do you instruct the pt to do when auscultating heart sounds? - answerInstruct pt to breathe normally and then HOLD breathe in expiration