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NSG 214 - Heart and Neck Vessels-Questions with Correct Answers/ Verified/ Latest Update 2024/2025

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absolute refractory - ️️period when the heart can't contract/depolarize bc it just did relative refractory - ️️period after absolute refractory when the cell or node is partially polarized/relaxed and it may contract/depolarize depending on how relaxed it is which lead do we read for ECGs - ️️lead 2 S1 -️️the first heart sound, heard when the atrioventricular (mitral and tricuspid) valves close S2 -️️second heart sound, when the aoritc and pulmonary valves close pace of SA Node - ️️60-100 bpm

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NSG 214 - Heart and Neck Vessels-Questions with Correct Answers/
Verified/ Latest Update 2024/2025
absolute refractory - ✔️✔️period when the heart can't contract/depolarize bc it just did



relative refractory - ✔️✔️period after absolute refractory when the cell or node is partially
polarized/relaxed and it may contract/depolarize depending on how relaxed it is



which lead do we read for ECGs - ✔️✔️lead 2



S1 - ✔️✔️the first heart sound, heard when the atrioventricular (mitral and tricuspid)
valves close



S2 - ✔️✔️second heart sound, when the aoritc and pulmonary valves close



pace of SA Node - ✔️✔️60-100 bpm



pace of AV node - ✔️✔️40-60 bpm



pace of ventricles - ✔️✔️20-40 bpm



PVC - ✔️✔️premature ventricular contraction



systolic murmurs - ✔️✔️- aortic/pulmonic stenosis: narrow valve makes it hard to squeeze
blood
- mitral/bicuspid regurgitation: valve are incompetent



diastolic murmurs - ✔️✔️- Aortic/pulmonic regurgitation
- Mitral stenosis



APE To MAn - ✔️✔️aortic, pulmonic, erb's point, tricuspid, mitral, apex

, ischemia - ✔️✔️- clot in blood vessels and is indicated by a flipped t wave



stemi - ✔️✔️- clot is so big and has been present for so long that the surrounding muscle is
injured
- will cause an elevated ST segment bc the injury has infarted the muscle all the way through



pathological p wave - ✔️✔️- seen after an infarction
-half the height of the r wave



S4 - ✔️✔️an abnormal heart sound heard before systole or after diastole



S3 - ✔️✔️an abnormal heart sounds heard after systole or before diastole



how does v-tach and v-fib differ on how it effects a pt - ✔️✔️a v-tach pt may be conscious
if a pulse is present and a v-fib pt will be unconscious



heart placement - ✔️✔️2nd to the 5th intercostal space from the right border of the
sternum to the left midclavicular line



base of the heart - ✔️✔️top of the heart



apex - ✔️✔️bottom of the heart



precordium - ✔️✔️area of the chest wall overlying the heart and great vessels



Mediastinum - ✔️✔️area between the lungs containing the heart, aorta, venae cavae,
esophagus, and trachea



right and left cardiac borders - ✔️✔️right side is anterior and left side is mostly posterior

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