NURS 6512 ADVANCED HEALTH ASSESSMENT MIDTERM REVIEW
FALL 2025 LATEST UPDATED
Examination Findings of a child with Kawasaki disease - (answers)Fever, Conjunctival Injection,
Strawberry Tongue, and Edema of the Hands and Feet.
Lymphadenopathy and Polymorphous Nonvesicular Rashes.
Peripheral Edema - (answers)Grading:
1+ Slight Pitting, no visible distortion, disappears rapidly.
2+ A Somewhat Deeper Pit than in 12+, but again no readily detectable distortion, disappears in
10-15 seconds.
3+ Noticeably Deep Pit that may last more than a minute; dependent extremity looks fuller and
swollen.
4+ Very Deep Pit that lasts as long as 2-5 min; dependent extremity is grossly distorted.
Ammonia in breath odor - (answers)Uremia
眼睛”主题的中文文章？ (ammonia)
Grading of Pulses - (answers)4+ Bounding
3+ Full, Increased
2+ Expected
1+ Diminished, barely palpable
0 Absent, not palpable
Acute Limb Ischemia (ALI) - (answers)Stage I - Viable - No sensory impairment - No motor
impairment - Audible Arterial Doppler Signal - Audible Venous Dopler Signal
Stage IIa - Marginally Threatened - Minimal Sensory Impairment - No Motor Impairment -
Often inaudible Arterial Doppler Signal - Audible Venous Doppler Signal
Stage IIb - Immediately Threatened - Rest Pain Sensory Impairment - Mild to moderate Motor
Impairment - Inaudible Arterial Doppler Signal - Audible Venous Doppler Signal
, Stage III - Irreversible - Anesthetic Sensory Impairment - Paralytic/rigor Motor Impairment -
Inaudible Arterial Doppler Signal - Inaudible Venous Doppler Signal
Assessment for Peripheral Arterial Disease - (answers)Site of Pain is Distal to the Narrowing.
Note:
Pulses (strong, weak or possibly absent)
Possible systolic bruits over the arteries that may extend through diastole.
Loss of expected body warmth.
Localized pallor and cyanosis.
Collapsed superficial veins, with delay in venous filling.
Thin, atrophied skin; muscle atrophy.
Varicosity Findings In Pregnant Women - (answers)With increasing cardiac output beginning in
the 1st trimester, the pulse may be more easily palpated, with an abrupt rise and rapid fall. With
increasing blood volume in the second trimester, jugular a and v waves may be easier to see. JVP
should remain normal. Peripheral edema is a common finding as the pregnancy progresses.
Varicose veins can develop during pregnancy and in the postpartum period.
眼睛”主题的中文文章？
Heart Sounds - (answers)S1 - Closure of the mitral and tricuspid (AV) Valves, indicates the
beginning of systole. Best heard toward the apex.
S2 - Closure of the aortic and pulmonic (semilunar) Valves, indicates the end of systole. Best
heard in the aortic and pulmonic areas. Higher pitch and shorter duration.
S3 - Best heard when the patient is in the left lateral decubitus (recumbent) position. Ventricular
Gallup - Ken-Tuck-Y
S4 - Most commonly heard in the older patients, but may be heard at any age when there is
increased resistance to filling because the ventricular walls have lost compliance. Atrial Gallup -
Ten-nes-see
Examination Technique for the Apical Pulse - (answers)PMI Point of Maximal Impulse typically
noted at the left 5th intercostal space, midclavicular line in adults, and 4th intercostal space
medial to the nipple in children.
If the apical impulse is more vigorous than expected, characterize it as a "heave" or "lift." Pg 337
FALL 2025 LATEST UPDATED
Examination Findings of a child with Kawasaki disease - (answers)Fever, Conjunctival Injection,
Strawberry Tongue, and Edema of the Hands and Feet.
Lymphadenopathy and Polymorphous Nonvesicular Rashes.
Peripheral Edema - (answers)Grading:
1+ Slight Pitting, no visible distortion, disappears rapidly.
2+ A Somewhat Deeper Pit than in 12+, but again no readily detectable distortion, disappears in
10-15 seconds.
3+ Noticeably Deep Pit that may last more than a minute; dependent extremity looks fuller and
swollen.
4+ Very Deep Pit that lasts as long as 2-5 min; dependent extremity is grossly distorted.
Ammonia in breath odor - (answers)Uremia
眼睛”主题的中文文章？ (ammonia)
Grading of Pulses - (answers)4+ Bounding
3+ Full, Increased
2+ Expected
1+ Diminished, barely palpable
0 Absent, not palpable
Acute Limb Ischemia (ALI) - (answers)Stage I - Viable - No sensory impairment - No motor
impairment - Audible Arterial Doppler Signal - Audible Venous Dopler Signal
Stage IIa - Marginally Threatened - Minimal Sensory Impairment - No Motor Impairment -
Often inaudible Arterial Doppler Signal - Audible Venous Doppler Signal
Stage IIb - Immediately Threatened - Rest Pain Sensory Impairment - Mild to moderate Motor
Impairment - Inaudible Arterial Doppler Signal - Audible Venous Doppler Signal
, Stage III - Irreversible - Anesthetic Sensory Impairment - Paralytic/rigor Motor Impairment -
Inaudible Arterial Doppler Signal - Inaudible Venous Doppler Signal
Assessment for Peripheral Arterial Disease - (answers)Site of Pain is Distal to the Narrowing.
Note:
Pulses (strong, weak or possibly absent)
Possible systolic bruits over the arteries that may extend through diastole.
Loss of expected body warmth.
Localized pallor and cyanosis.
Collapsed superficial veins, with delay in venous filling.
Thin, atrophied skin; muscle atrophy.
Varicosity Findings In Pregnant Women - (answers)With increasing cardiac output beginning in
the 1st trimester, the pulse may be more easily palpated, with an abrupt rise and rapid fall. With
increasing blood volume in the second trimester, jugular a and v waves may be easier to see. JVP
should remain normal. Peripheral edema is a common finding as the pregnancy progresses.
Varicose veins can develop during pregnancy and in the postpartum period.
眼睛”主题的中文文章？
Heart Sounds - (answers)S1 - Closure of the mitral and tricuspid (AV) Valves, indicates the
beginning of systole. Best heard toward the apex.
S2 - Closure of the aortic and pulmonic (semilunar) Valves, indicates the end of systole. Best
heard in the aortic and pulmonic areas. Higher pitch and shorter duration.
S3 - Best heard when the patient is in the left lateral decubitus (recumbent) position. Ventricular
Gallup - Ken-Tuck-Y
S4 - Most commonly heard in the older patients, but may be heard at any age when there is
increased resistance to filling because the ventricular walls have lost compliance. Atrial Gallup -
Ten-nes-see
Examination Technique for the Apical Pulse - (answers)PMI Point of Maximal Impulse typically
noted at the left 5th intercostal space, midclavicular line in adults, and 4th intercostal space
medial to the nipple in children.
If the apical impulse is more vigorous than expected, characterize it as a "heave" or "lift." Pg 337
