MEDSURG 2 NUR 265 EXAM 3
CERTIFICATION STUDY GUIDE 2026
COMPLETE VERIFIED ANSWERS GRADED
A+
⩥ Define precordium. Answer: Chest area in front of heart
⩥ S1 is the closing sound of what valves?. Answer: Mitral and tricuspid
(AV) (lub)
⩥ S2 is the closing sound of what valves?. Answer: Pulmonic and aortic
(SL) (dub)
⩥ Where is S1 best heard at?. Answer: Apex
⩥ Where is S2 best heard at?. Answer: Base
⩥ What does S3 indicate?. Answer: Volume overload problem ---> turn
patient to left side to hear better
⩥ Where is S3 heard in the cardiac cycle?. Answer: Early diastole
,⩥ What does S4 indicate?. Answer: Stiff ventricles ---> lay patient
lateral to hear better
⩥ Where do you hear S4 in the cardiac cycle?. Answer: Immediately
before S1
⩥ Which side of the stethoscope is used to listen to extra heart sounds?.
Answer: Bell
⩥ S3 is also called what?. Answer: A ventricular gallop
⩥ Where do you hear a murmur and where do you hear a bruit? What do
they sound like?. Answer: Blowing swooshing sound
Murmur - heart
Bruit - neck
⩥ What is a lift/heave?. Answer: - seen on inspection
- see chest/heart move
- d/t enlarged heart
⩥ What is a thrill?. Answer: Vibration
⩥ What is all included in a cardiac hx/interview?. Answer: - pain
, - sob
- sleep position
- dizzy/lightheaded
- cough
- cyanosis/pallor
- fatigue
- edema
- nocturia
- meds
⩥ What else should be assessed for a cardiac interview for infants?.
Answer: - what was the mothers health during pregnancy?
- cyanosis (breastfeeding, crying?)
- eating without tiring?
- meeting growth milestones?
- how many naps? how long?
⩥ What else should be assessed for a cardiac interview for children?.
Answer: - meeting growth milestones?
- any blue coloring during activity?
- able to keep up with age mates?
- squatting to rest or knee-chest position while sleeping
CERTIFICATION STUDY GUIDE 2026
COMPLETE VERIFIED ANSWERS GRADED
A+
⩥ Define precordium. Answer: Chest area in front of heart
⩥ S1 is the closing sound of what valves?. Answer: Mitral and tricuspid
(AV) (lub)
⩥ S2 is the closing sound of what valves?. Answer: Pulmonic and aortic
(SL) (dub)
⩥ Where is S1 best heard at?. Answer: Apex
⩥ Where is S2 best heard at?. Answer: Base
⩥ What does S3 indicate?. Answer: Volume overload problem ---> turn
patient to left side to hear better
⩥ Where is S3 heard in the cardiac cycle?. Answer: Early diastole
,⩥ What does S4 indicate?. Answer: Stiff ventricles ---> lay patient
lateral to hear better
⩥ Where do you hear S4 in the cardiac cycle?. Answer: Immediately
before S1
⩥ Which side of the stethoscope is used to listen to extra heart sounds?.
Answer: Bell
⩥ S3 is also called what?. Answer: A ventricular gallop
⩥ Where do you hear a murmur and where do you hear a bruit? What do
they sound like?. Answer: Blowing swooshing sound
Murmur - heart
Bruit - neck
⩥ What is a lift/heave?. Answer: - seen on inspection
- see chest/heart move
- d/t enlarged heart
⩥ What is a thrill?. Answer: Vibration
⩥ What is all included in a cardiac hx/interview?. Answer: - pain
, - sob
- sleep position
- dizzy/lightheaded
- cough
- cyanosis/pallor
- fatigue
- edema
- nocturia
- meds
⩥ What else should be assessed for a cardiac interview for infants?.
Answer: - what was the mothers health during pregnancy?
- cyanosis (breastfeeding, crying?)
- eating without tiring?
- meeting growth milestones?
- how many naps? how long?
⩥ What else should be assessed for a cardiac interview for children?.
Answer: - meeting growth milestones?
- any blue coloring during activity?
- able to keep up with age mates?
- squatting to rest or knee-chest position while sleeping
