NURS 3320 CORE EXAM MANUAL 2025 QUESTIONS WITH
SOLUTIONS RATED A+
✔✔What is Atrial Kick - ✔✔The last bit of blood pumped into the ventricles by the atria,
passive filling
✔✔What happens in Systole? - ✔✔"UP" Up to Aorta(s) and body- contractions and
emptying of ventricles, SL valves open
✔✔Where is S3 (ventricular gallop) best heard - ✔✔Bell of the stethoscope at APEX
✔✔S3 heart sound is normal in who? - ✔✔Athletes, children, pregnant women
✔✔where are pericardial friction rubs best heard? - ✔✔S4
rubbing sounds of inflamed pericardial sac due to PERICARDITIS, high pitched
✔✔Why is murmur caused? - ✔✔blood flow thru incompetent stenotic valves
-incr velocity
-decr viscosity
(swishing/blowing sound)
✔✔Increased JVP - ✔✔RV failure (add 5cm to sternum)
✔✔What are risk factors for CAD? - ✔✔hyperlipidemia
diabetes
diet (overwight)
hypertension
✔✔In the client with mitral regurgitation the nurse would confirm the presence of a
murmur at which location on the anterior chest? - ✔✔Mitral (THE APEX)
✔✔Which gender is more at risk for heart dz because the lack of symptoms? -
✔✔Women, pain the back flanks, shoulder, indigestion, sleeplessness, palpitations
✔✔Positions of exam of the heart order go: - ✔✔supine---Left Lateral---sitting up
leaning forward
✔✔How to check JVP - ✔✔Supine 30-45 degrees
neck rested and turn to LEFT
use side (tangential) light
check for distension, protrustion or bulging
, ✔✔How to auscultate carotid arteries? - ✔✔Checking for bruits (abnormal) like a
blowing swishing sound
RN stands on Right side
ask pt to hold breath after exhalation then examine
✔✔What do the presence of bruits mean in carotid arteries? - ✔✔Bruits indicate
stenosis, AT RISK FOR TIA----> STROKE
✔✔how to palpate carotid artery - ✔✔One at time, turn head towards side being
assessed
use index and middle finger
✔✔What do you want to avoid when palpating carotid artery? - ✔✔Avoid Vagal
stimulation
✔✔ABN findings with carotid arteries? - ✔✔unequal pulses, weak or bounding pulses
✔✔S3 is a sign of - ✔✔CHF
✔✔CHF s&s - ✔✔orthopnea, crackles, Dilated pupils ASCITES, falling SO2
JVD from FVO and venous congestion, oliguria
✔✔Interuption of blood flow to the heart, so muscles working extremely hard to get
blood supply? - ✔✔Myocardial Infarction, could be caused by atherosclerosis because
build up of plaque
✔✔TX/ S&s for MI - ✔✔1) Aspirin 2) NTG (sL) 3) IV morphine
s&s= angina, n/v, diaphoresis
✔✔T/F
with a patient experiencing MI, once stable you can leave after 10 minutes - ✔✔FALSE,
never leave patient, s&s can be exacerbated
✔✔ABN when inspecting JV pulse? - ✔✔Fully distended when client torso elevated
MORE than 45 degrees
✔✔ABN JVP could indicate? - ✔✔Right Ventricular Failure (RHF), Pulmonary HTN, PE
or cardiac tamponode
✔✔What if there is only one sided JVD? - ✔✔Kink or Aneurysm
SOLUTIONS RATED A+
✔✔What is Atrial Kick - ✔✔The last bit of blood pumped into the ventricles by the atria,
passive filling
✔✔What happens in Systole? - ✔✔"UP" Up to Aorta(s) and body- contractions and
emptying of ventricles, SL valves open
✔✔Where is S3 (ventricular gallop) best heard - ✔✔Bell of the stethoscope at APEX
✔✔S3 heart sound is normal in who? - ✔✔Athletes, children, pregnant women
✔✔where are pericardial friction rubs best heard? - ✔✔S4
rubbing sounds of inflamed pericardial sac due to PERICARDITIS, high pitched
✔✔Why is murmur caused? - ✔✔blood flow thru incompetent stenotic valves
-incr velocity
-decr viscosity
(swishing/blowing sound)
✔✔Increased JVP - ✔✔RV failure (add 5cm to sternum)
✔✔What are risk factors for CAD? - ✔✔hyperlipidemia
diabetes
diet (overwight)
hypertension
✔✔In the client with mitral regurgitation the nurse would confirm the presence of a
murmur at which location on the anterior chest? - ✔✔Mitral (THE APEX)
✔✔Which gender is more at risk for heart dz because the lack of symptoms? -
✔✔Women, pain the back flanks, shoulder, indigestion, sleeplessness, palpitations
✔✔Positions of exam of the heart order go: - ✔✔supine---Left Lateral---sitting up
leaning forward
✔✔How to check JVP - ✔✔Supine 30-45 degrees
neck rested and turn to LEFT
use side (tangential) light
check for distension, protrustion or bulging
, ✔✔How to auscultate carotid arteries? - ✔✔Checking for bruits (abnormal) like a
blowing swishing sound
RN stands on Right side
ask pt to hold breath after exhalation then examine
✔✔What do the presence of bruits mean in carotid arteries? - ✔✔Bruits indicate
stenosis, AT RISK FOR TIA----> STROKE
✔✔how to palpate carotid artery - ✔✔One at time, turn head towards side being
assessed
use index and middle finger
✔✔What do you want to avoid when palpating carotid artery? - ✔✔Avoid Vagal
stimulation
✔✔ABN findings with carotid arteries? - ✔✔unequal pulses, weak or bounding pulses
✔✔S3 is a sign of - ✔✔CHF
✔✔CHF s&s - ✔✔orthopnea, crackles, Dilated pupils ASCITES, falling SO2
JVD from FVO and venous congestion, oliguria
✔✔Interuption of blood flow to the heart, so muscles working extremely hard to get
blood supply? - ✔✔Myocardial Infarction, could be caused by atherosclerosis because
build up of plaque
✔✔TX/ S&s for MI - ✔✔1) Aspirin 2) NTG (sL) 3) IV morphine
s&s= angina, n/v, diaphoresis
✔✔T/F
with a patient experiencing MI, once stable you can leave after 10 minutes - ✔✔FALSE,
never leave patient, s&s can be exacerbated
✔✔ABN when inspecting JV pulse? - ✔✔Fully distended when client torso elevated
MORE than 45 degrees
✔✔ABN JVP could indicate? - ✔✔Right Ventricular Failure (RHF), Pulmonary HTN, PE
or cardiac tamponode
✔✔What if there is only one sided JVD? - ✔✔Kink or Aneurysm
