Examl 2:l NU650/l NUl 650l (Latestl 2025/l
2026l Update)l Advancedl Healthl
Assessmentl Nursingl Review|l Questionsl &l
Answers|l Gradel A|l 100%l Correctl
(Verifiedl Solutions)-l Regis
Q:l Howl tol appropriatelyl measurel bloodl pressure?
Answer:
position:l seatedl withl arml supportl onl al tablel justl abovel thel patient'sl waist,l orl roughlyl
levell withl thel fourthl interspacel atl itsl junctionl withl thel sternum
consideration:l avoidl smoking/caffeienl 30l minutesl prior.l patientl shouldl bel restingl forl atl
leastl 5l minutes.l waitl 2l minutesl betweenl readings,l takel atl leastl onel readingl onl eachl
arml
Estimatel by:l palpatingl radiall artery,l rapidlyl inflatel cuffl untill pulsel disappears,l thenl addl
30mmHg
Take:l placel cuffl 2.5l cml abovel anticubitall crease.l Rapidlyl inflate,l deflatel atl ratel ofl 2-3l
mmHgl perl second.l
systolicl -l hearl atl leastl 2l consecutivel beats
diastolicl -l disappearancel point
Q:l Howl arel cardiovascularl findingsl properlyl documented?
Answer:
example:l
JVPl isl 3cml abovel sternall anglel withl HOBl 30l degrees.l Carotidl upstrokesl arel brisk,l
withoutl bruits.l PMIl tapping,l 1cml laterall tol midclavicularl linel atl 5thl intercostall space.l
Crispl S1l andl S2,l S1l louderl thanl S2l atl thel base.l Nol murmursl orl extral sounds
Q:l Howl dol youl properlyl documentl al normall peripherall vascularl assessment?
Answer:
,Example:
"extremitiesl arel warml andl withoutl edema.l Nol varicositiesl orl stasisl changes.l calvesl arel
supplel andl nontender.l Nol femorall orl abdominall bruits.l Brachial,l radial,l femoral,l
popliteal,l DP,l andl PTl pulsesl atl 2+l andl symmetrical.
Q:l Whatl arel routinel peripherall vascularl screenings/healthl maintenance?
Answer:
Screeningl forl PADl basedl onl Riskl factors:l Agel >65,l Agel >50l withl al historyl ofl
smokingl orl diabetes,l legl symptomsl withl exertion,l non-healingl wounds.l
Screeningl forl AAA:l recommendedl one-timel screeningl byl u/sl inl menl 65-75l withl al
historyl ofl "ever"l smoking.l
otherl risksl forl AAA:l CAD,l PAD,l HTN,l familyl hx,l smoking,l HLD.
Q:l Whatl arel systolicl heartl murmurs?
Answer:
Murmursl thatl coincidel withl carotidl upstrokesl andl falll betweenl S1l andl S2
Causedl by:l Aorticl stenosis,l mitrall regurgitation,l mitrall valvel prolapse
Q:l Whatl arel diastolicl heartl murmurs?
Answer:
Murmursl thatl falll betweenl S2l andl thel Nextl S1,l fallingl beforel orl afterl thel carotidl
upstrokel
Cause:l Aorticl regurgitation,l mitrall stenosis
Q:l howl tol youl gradel thel intensityl ofl al heartl murmur?
Answer:
documentedl asl numeratorl (intensityl atl it'sl loudestl point)l overl al denominatorl ofl 6
Gradel 1:l veryl faint,l onlyl heardl afterl listenerl hasl "tunedl inl -l Mightl notl hearl inl alll
positions
Gradel 2:l quiet,l butl heardl immediately
Gradel 3:l moderatelyl loud,l easilyl heard
,Gradesl 4:l loudl withl associatedl thrill
Gradel 5:l heardl withl portionl ofl stethoscopel liftedl offl chest
Gradel 6:l heardl withl stethoscopel completelyl liftedl offl chest.
Q:l Howl dol youl ratel thel pitchl ofl heartl murmurs?
Answer:
Highl -l blowingl sounds
mediuml
lowl pitchl -l hummingl sounds
Q:l Howl dol youl describel al heartl murmursl shapel orl pattern?
Answer:
Crescendo-decrescendo:l diamondl shape,l firstl risesl thenl falls.l (aorticl stenosis)
Decrescendo:l startsl loudl andl growsl softersl (aorticl regurgitation)
Crescendo:l startsl soft,l growsl louderl (mitrall stenosis)
Plateaul hasl thel samel intensityl throughoutl (mitrall regurgitation)
Q:l Howl dol youl describel al heartl murmursl locationl ofl maximall intensity?
Answer:
Determinedl byl thel sitel ofl origin
Explorel thel areal wherel thel murmurl isl loudest
Describel wherel itl isl heardl bestl inl termsl ofl interspace
Describel it'sl positionl relativel tol sternum,l apex,l orl mid-sternall orl mid-clavicular,l orl onel
ofl thel axillaryl lines
Q:l Howl dol youl describel al heartl murmursl radiation?
Answer:
Reflectsl thel sitel ofl originl andl thel intensityl ofl thel murmurl andl thel directionl ofl bloodl
flow
Auscultatel thel areal aroundl thel murmurl andl determinel wherel elsel youl canl hearl it
, Q:l Howl dol youl describel al heartl murmursl quality?
Answer:
Harshl
Blowingl (aorticl regurgitation)
Musicall (somel murmursl ofl MVP)
Rumblingl (mitrall stenosis)
Q:l Howl dol youl describel al heartl murmursl position?
Answer:
Howl isl thel patientl positionedl forl youl tol hearl thel heartl murmurl thel loudest?
Q:l whatl isl al midsystolicl murmur?
Answer:
beginsl afterl S1l andl stopsl beforel S2
causes:l innocentl murmurs,l physiologicl murmursl duel tol increasedl flow,l aorticl stenosis,l
hypertrophicl cardiomyopathy,l pulmonicl stenosis
Q:l Whatl isl al pansystolicl murmur?
Answer:
murmurl obscuresl thel heartl sounds
causes:l mitrall regurgitation,l tricuspidl regurgitation,l ventricularl septall defect
Q:l whatl isl anl earlyl diastolicl murmur?
Answer:
Startsl immediatelyl afterl S2l andl usuallyl fadesl intol silencel beforel S1
causes:l aorticl regurgitation
2026l Update)l Advancedl Healthl
Assessmentl Nursingl Review|l Questionsl &l
Answers|l Gradel A|l 100%l Correctl
(Verifiedl Solutions)-l Regis
Q:l Howl tol appropriatelyl measurel bloodl pressure?
Answer:
position:l seatedl withl arml supportl onl al tablel justl abovel thel patient'sl waist,l orl roughlyl
levell withl thel fourthl interspacel atl itsl junctionl withl thel sternum
consideration:l avoidl smoking/caffeienl 30l minutesl prior.l patientl shouldl bel restingl forl atl
leastl 5l minutes.l waitl 2l minutesl betweenl readings,l takel atl leastl onel readingl onl eachl
arml
Estimatel by:l palpatingl radiall artery,l rapidlyl inflatel cuffl untill pulsel disappears,l thenl addl
30mmHg
Take:l placel cuffl 2.5l cml abovel anticubitall crease.l Rapidlyl inflate,l deflatel atl ratel ofl 2-3l
mmHgl perl second.l
systolicl -l hearl atl leastl 2l consecutivel beats
diastolicl -l disappearancel point
Q:l Howl arel cardiovascularl findingsl properlyl documented?
Answer:
example:l
JVPl isl 3cml abovel sternall anglel withl HOBl 30l degrees.l Carotidl upstrokesl arel brisk,l
withoutl bruits.l PMIl tapping,l 1cml laterall tol midclavicularl linel atl 5thl intercostall space.l
Crispl S1l andl S2,l S1l louderl thanl S2l atl thel base.l Nol murmursl orl extral sounds
Q:l Howl dol youl properlyl documentl al normall peripherall vascularl assessment?
Answer:
,Example:
"extremitiesl arel warml andl withoutl edema.l Nol varicositiesl orl stasisl changes.l calvesl arel
supplel andl nontender.l Nol femorall orl abdominall bruits.l Brachial,l radial,l femoral,l
popliteal,l DP,l andl PTl pulsesl atl 2+l andl symmetrical.
Q:l Whatl arel routinel peripherall vascularl screenings/healthl maintenance?
Answer:
Screeningl forl PADl basedl onl Riskl factors:l Agel >65,l Agel >50l withl al historyl ofl
smokingl orl diabetes,l legl symptomsl withl exertion,l non-healingl wounds.l
Screeningl forl AAA:l recommendedl one-timel screeningl byl u/sl inl menl 65-75l withl al
historyl ofl "ever"l smoking.l
otherl risksl forl AAA:l CAD,l PAD,l HTN,l familyl hx,l smoking,l HLD.
Q:l Whatl arel systolicl heartl murmurs?
Answer:
Murmursl thatl coincidel withl carotidl upstrokesl andl falll betweenl S1l andl S2
Causedl by:l Aorticl stenosis,l mitrall regurgitation,l mitrall valvel prolapse
Q:l Whatl arel diastolicl heartl murmurs?
Answer:
Murmursl thatl falll betweenl S2l andl thel Nextl S1,l fallingl beforel orl afterl thel carotidl
upstrokel
Cause:l Aorticl regurgitation,l mitrall stenosis
Q:l howl tol youl gradel thel intensityl ofl al heartl murmur?
Answer:
documentedl asl numeratorl (intensityl atl it'sl loudestl point)l overl al denominatorl ofl 6
Gradel 1:l veryl faint,l onlyl heardl afterl listenerl hasl "tunedl inl -l Mightl notl hearl inl alll
positions
Gradel 2:l quiet,l butl heardl immediately
Gradel 3:l moderatelyl loud,l easilyl heard
,Gradesl 4:l loudl withl associatedl thrill
Gradel 5:l heardl withl portionl ofl stethoscopel liftedl offl chest
Gradel 6:l heardl withl stethoscopel completelyl liftedl offl chest.
Q:l Howl dol youl ratel thel pitchl ofl heartl murmurs?
Answer:
Highl -l blowingl sounds
mediuml
lowl pitchl -l hummingl sounds
Q:l Howl dol youl describel al heartl murmursl shapel orl pattern?
Answer:
Crescendo-decrescendo:l diamondl shape,l firstl risesl thenl falls.l (aorticl stenosis)
Decrescendo:l startsl loudl andl growsl softersl (aorticl regurgitation)
Crescendo:l startsl soft,l growsl louderl (mitrall stenosis)
Plateaul hasl thel samel intensityl throughoutl (mitrall regurgitation)
Q:l Howl dol youl describel al heartl murmursl locationl ofl maximall intensity?
Answer:
Determinedl byl thel sitel ofl origin
Explorel thel areal wherel thel murmurl isl loudest
Describel wherel itl isl heardl bestl inl termsl ofl interspace
Describel it'sl positionl relativel tol sternum,l apex,l orl mid-sternall orl mid-clavicular,l orl onel
ofl thel axillaryl lines
Q:l Howl dol youl describel al heartl murmursl radiation?
Answer:
Reflectsl thel sitel ofl originl andl thel intensityl ofl thel murmurl andl thel directionl ofl bloodl
flow
Auscultatel thel areal aroundl thel murmurl andl determinel wherel elsel youl canl hearl it
, Q:l Howl dol youl describel al heartl murmursl quality?
Answer:
Harshl
Blowingl (aorticl regurgitation)
Musicall (somel murmursl ofl MVP)
Rumblingl (mitrall stenosis)
Q:l Howl dol youl describel al heartl murmursl position?
Answer:
Howl isl thel patientl positionedl forl youl tol hearl thel heartl murmurl thel loudest?
Q:l whatl isl al midsystolicl murmur?
Answer:
beginsl afterl S1l andl stopsl beforel S2
causes:l innocentl murmurs,l physiologicl murmursl duel tol increasedl flow,l aorticl stenosis,l
hypertrophicl cardiomyopathy,l pulmonicl stenosis
Q:l Whatl isl al pansystolicl murmur?
Answer:
murmurl obscuresl thel heartl sounds
causes:l mitrall regurgitation,l tricuspidl regurgitation,l ventricularl septall defect
Q:l whatl isl anl earlyl diastolicl murmur?
Answer:
Startsl immediatelyl afterl S2l andl usuallyl fadesl intol silencel beforel S1
causes:l aorticl regurgitation
