Health Assessment Exam 3 NSG3160 || Questions and 100%
Accurate Answers.
1. What are the modifiable risks of CAD (coronary artery disease) correct answers Smoking,
obesity, hypertension, high cholesterol, diabetes
2. Does pain always mean cardiac reasons? What should you ask if patient is experiencing chest
pain? correct answers NO - Is it sudden? What brings it on?
3. Signs of pulmonary embolism? correct answers Sharp, stabbing pain that worsens with deep
breath
4. Signs of pneumonia? correct answers Sharp, stabbing, but associated with a cough
5. Signs of pneumothorax? correct answers Acute, sudden, sharp
6. Signs of GI-related? correct answers Burning sensation with eating large meals
7. What is S1 and what causes the sound? correct answers Start of systole and serves as a
reference point for Oming of all cardiac sounds - Caused by the closure of AV valves - LUB
(apex)
8. What causes the sound of S2? correct answers Closure of the semilunar valves - DUB (base)
9. What are summation sounds? correct answers When both the pathological S3 and S4 are
present then a quadruple rhythm is heard
10. What is a murmur? correct answers Occurs with turbulent blood flow in the heart - Blowing,
swooshing sound
11. What is pericardial friction rub? correct answers Inflammation of the pericardium gives rise
to friction rub - High pitched and scratchy, heard with a diaphragm when a person is sitting up
12. What are the locations of the heart valves? correct answers Aortic: second right interspace
-----Pulmonic: second left interspace-------- Erbs: third left interspace----- Tricuspid: left lower
sternal border ----- Mitral: Fifth interspace around the left midclavicular line
13. What should you do when you hear a split S2 and when does it occur? correct answers
Concentrate on the split as you watch the person's chest rise up and down with normal
breathing---Every fourth heartbeat fading in with inhalation and fading out with exhalation
14. What should you NOT do when hearing a split S2? correct answers DO NOT have the person
hold their breath-- Breath-holding only equalizes ejection times in the right and left sides of the
heart and causes the split to go away.
, 15. What is a thrill? correct answers Palpable vibration, feels like the throat of a purring cat
16. What is a thrill caused by? correct answers Turbulent blood flow and directs you to locate the
origin of loud murmurs
18. What is apical impulse and how to assess it? correct answers Palpate left of the sternal border
down the midclavicular line between the 4th and 5th intercoastal space.
19. What position should you have a patient in when estimating jugular venous pressure? correct
answers 45 degrees
20. How much exercise should you teach your patient? correct answers 5 times a week, at least
30 minutes each time
21. Why should patients take low-dose aspirin every day? correct answers Control BP
22. What should you teach if the patient smokes? correct answers Teach about smoking cessation
and exercise
23. What are key expected findings correct answers cardiac-wise, in an older patient?, Increase
in systolic pressure from arteriosclerosis - The presence of supraventricular dysrhythmias
increases - EEG from changes in the conduction system - OrthostaOc hypotension
24. What do you want to educate an older patient about? correct answers Take their time when
moving from sitting to supine and from sitting to standing positions due to orthostatic
hypotension - Put call light on to have staff help get up to prevent falls
25. What is arteriosclerosis? correct answers Thickening/stiffening of arteries caused by collagen
and calcium deposits, loss of elasticity
26. How should you assess carotid pulse? correct answers One at a time to avoid having the
patient pass out.
27. What is a pulse deficit and how do you figure it out? correct answers Difference from apical
and radial pulse = pulse deficit & Irregularity
What are the aggravating and relieving factors of chronic arterial (PAD)? correct answers a.
Aggrivating - activity, elevation
b. Relieving factors - Rest
What are the symptoms of PAD? correct answers a. Low ankle-brachial index, cool pale skin,
diminished pulse, pallor on elevation
What are the aggravating and relieving facts of chronic venous? correct answers a. aggravating -
Prolonged standing and sitting
b. Relieving -Elevation, lying, walking
Accurate Answers.
1. What are the modifiable risks of CAD (coronary artery disease) correct answers Smoking,
obesity, hypertension, high cholesterol, diabetes
2. Does pain always mean cardiac reasons? What should you ask if patient is experiencing chest
pain? correct answers NO - Is it sudden? What brings it on?
3. Signs of pulmonary embolism? correct answers Sharp, stabbing pain that worsens with deep
breath
4. Signs of pneumonia? correct answers Sharp, stabbing, but associated with a cough
5. Signs of pneumothorax? correct answers Acute, sudden, sharp
6. Signs of GI-related? correct answers Burning sensation with eating large meals
7. What is S1 and what causes the sound? correct answers Start of systole and serves as a
reference point for Oming of all cardiac sounds - Caused by the closure of AV valves - LUB
(apex)
8. What causes the sound of S2? correct answers Closure of the semilunar valves - DUB (base)
9. What are summation sounds? correct answers When both the pathological S3 and S4 are
present then a quadruple rhythm is heard
10. What is a murmur? correct answers Occurs with turbulent blood flow in the heart - Blowing,
swooshing sound
11. What is pericardial friction rub? correct answers Inflammation of the pericardium gives rise
to friction rub - High pitched and scratchy, heard with a diaphragm when a person is sitting up
12. What are the locations of the heart valves? correct answers Aortic: second right interspace
-----Pulmonic: second left interspace-------- Erbs: third left interspace----- Tricuspid: left lower
sternal border ----- Mitral: Fifth interspace around the left midclavicular line
13. What should you do when you hear a split S2 and when does it occur? correct answers
Concentrate on the split as you watch the person's chest rise up and down with normal
breathing---Every fourth heartbeat fading in with inhalation and fading out with exhalation
14. What should you NOT do when hearing a split S2? correct answers DO NOT have the person
hold their breath-- Breath-holding only equalizes ejection times in the right and left sides of the
heart and causes the split to go away.
, 15. What is a thrill? correct answers Palpable vibration, feels like the throat of a purring cat
16. What is a thrill caused by? correct answers Turbulent blood flow and directs you to locate the
origin of loud murmurs
18. What is apical impulse and how to assess it? correct answers Palpate left of the sternal border
down the midclavicular line between the 4th and 5th intercoastal space.
19. What position should you have a patient in when estimating jugular venous pressure? correct
answers 45 degrees
20. How much exercise should you teach your patient? correct answers 5 times a week, at least
30 minutes each time
21. Why should patients take low-dose aspirin every day? correct answers Control BP
22. What should you teach if the patient smokes? correct answers Teach about smoking cessation
and exercise
23. What are key expected findings correct answers cardiac-wise, in an older patient?, Increase
in systolic pressure from arteriosclerosis - The presence of supraventricular dysrhythmias
increases - EEG from changes in the conduction system - OrthostaOc hypotension
24. What do you want to educate an older patient about? correct answers Take their time when
moving from sitting to supine and from sitting to standing positions due to orthostatic
hypotension - Put call light on to have staff help get up to prevent falls
25. What is arteriosclerosis? correct answers Thickening/stiffening of arteries caused by collagen
and calcium deposits, loss of elasticity
26. How should you assess carotid pulse? correct answers One at a time to avoid having the
patient pass out.
27. What is a pulse deficit and how do you figure it out? correct answers Difference from apical
and radial pulse = pulse deficit & Irregularity
What are the aggravating and relieving factors of chronic arterial (PAD)? correct answers a.
Aggrivating - activity, elevation
b. Relieving factors - Rest
What are the symptoms of PAD? correct answers a. Low ankle-brachial index, cool pale skin,
diminished pulse, pallor on elevation
What are the aggravating and relieving facts of chronic venous? correct answers a. aggravating -
Prolonged standing and sitting
b. Relieving -Elevation, lying, walking
