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NURS 487 Week 1 Questions with Detailed Verified
Answers
Order of cardiac assessment Ans: ✓ ✓ ✓ IPAP: Inspect, Palpate, Auscultate, Percuss
Objective data in a cardiac assessment Ans: ✓ ✓ ✓ BP (both arms), neck vessels (JVD), pulse
(apical, radial, extremities both sides), precordium (heart sounds)
Where are the points to listen during auscultation in a cardiac assessment Ans: ✓ ✓ ✓ Pulmonic
valve (2 intercostal, pt left), Aortic valce (2 intercostal, pt right), mitral valve (5 intercostal nipple
line), tricuspid valve (5 intercostal pt slight left of sternum), erbs point
When to use the bell during cardiac auscultation Ans: ✓ ✓ ✓ Only to hear low pitched sounds not
heard with diaphragm. Minimal pressure
Where and when is S1 heard Ans: ✓ ✓ ✓ Heard with closure of tricuspid and mitral valves.
Beginning of systole.
Where and when is S2 heard Ans: ✓ ✓ ✓ Heard with closure of pulmonic and aortic valves.
Beginning of diastole.
What is S2 split Ans: ✓ ✓ ✓ When aortic valve closes significantly earlier than pulmonic valve. Two
separate sounds.
What is S3 - sound, cause, when Ans: ✓ ✓ ✓ Low intense vibrations caused by ventricular filling.
Ventricles resistant to filling usually due to high fluid state, associated with left ventricular failure.
Immediately after S2.
What is S4 - sound, cause, when Ans: ✓ ✓ ✓ Low frequency vibrations caused by atrial
contraction. Associated with coronary artery disease and systolic overload, outflow obstruction to
ventricle. Just before S1
How are murmurs assessed (3) Ans: ✓ ✓ ✓ Loudness (six grades), timing (diastole or systole), pitch
(low, medium, high)
© Get it right 2025 Getaway - Stuvia US All rights reserved
NURS 487 Week 1 Questions with Detailed Verified
Answers
Order of cardiac assessment Ans: ✓ ✓ ✓ IPAP: Inspect, Palpate, Auscultate, Percuss
Objective data in a cardiac assessment Ans: ✓ ✓ ✓ BP (both arms), neck vessels (JVD), pulse
(apical, radial, extremities both sides), precordium (heart sounds)
Where are the points to listen during auscultation in a cardiac assessment Ans: ✓ ✓ ✓ Pulmonic
valve (2 intercostal, pt left), Aortic valce (2 intercostal, pt right), mitral valve (5 intercostal nipple
line), tricuspid valve (5 intercostal pt slight left of sternum), erbs point
When to use the bell during cardiac auscultation Ans: ✓ ✓ ✓ Only to hear low pitched sounds not
heard with diaphragm. Minimal pressure
Where and when is S1 heard Ans: ✓ ✓ ✓ Heard with closure of tricuspid and mitral valves.
Beginning of systole.
Where and when is S2 heard Ans: ✓ ✓ ✓ Heard with closure of pulmonic and aortic valves.
Beginning of diastole.
What is S2 split Ans: ✓ ✓ ✓ When aortic valve closes significantly earlier than pulmonic valve. Two
separate sounds.
What is S3 - sound, cause, when Ans: ✓ ✓ ✓ Low intense vibrations caused by ventricular filling.
Ventricles resistant to filling usually due to high fluid state, associated with left ventricular failure.
Immediately after S2.
What is S4 - sound, cause, when Ans: ✓ ✓ ✓ Low frequency vibrations caused by atrial
contraction. Associated with coronary artery disease and systolic overload, outflow obstruction to
ventricle. Just before S1
How are murmurs assessed (3) Ans: ✓ ✓ ✓ Loudness (six grades), timing (diastole or systole), pitch
(low, medium, high)
© Get it right 2025 Getaway - Stuvia US All rights reserved
