ASSESSMENT EXAM WITH VERIFIED
QUESTIONS AND ANSWERS|| ALREADY
GRADED A+ || GUARANTEED PASS || LATEST
VERSION 2025
Syncope is caused by _______. - ANSWER-A drop in heart rate and blood
pressure
An occlusion is _______. - ANSWER-Blockage of a vessel (Artery or vein)
Atherosclerosis is indicated by ________. - ANSWER-Diminished or unequal
carotid pulsations
A(n) ________ is the blowing sound caused by turbulence in a narrowed section
of a blood vessel. - ANSWER-Bruit
Explain the steps the nurse would use to assess venous pressure. (5) -
ANSWER-1. Place the patient in semi-Fowler position
2. Expose the neck; align the head
3. Lean the patient back into a supine position; the level of venous pulsations
begins to rise as the patient reaches 45-degree angle
4. Use two rulers to measure
5. Repeat the same measurement on the other side
Complete the following table by listing the signs of venous and arterial
insufficiency.
,Assessment Criterion: Color
Venous: ?
Arterial: ? - ANSWER-Venous: Normal or cyanotic
Arterial: Pale; worsened by elevation of extremity; dusky red when extremity is
lowered
Complete the following table by listing the signs of venous and arterial
insufficiency.
Assessment Criterion: Temperature
Venous: ?
Arterial: ? - ANSWER-Venous: Normal
Arterial: Cool (blood flow blocked to extremity)
Complete the following table by listing the signs of venous and arterial
insufficiency.
Assessment Criterion: Pulse
Venous: ?
Arterial: ? - ANSWER-Venous: Normal
Arterial: Decreased or absent
Complete the following table by listing the signs of venous and arterial
insufficiency.
Assessment Criterion: Edema
Venous: ?
Arterial: ? - ANSWER-Venous: Often marked
Arterial: Absent or mild
What about the pulse are we assessing? - ANSWER-rate, rhythm, and force
(amplitude)
,+3 = bounding, +2 = normal, +1 = weak, thready, +0 = absent
What are we looking for when inspecting the thorax and lungs? - ANSWER-
normal chest is when the AP diameter < transverse
What is a barrel chest? - ANSWER-AP is about the same as the transverse
could mean COPD or emphysema
How do we determine respiratory distress? - ANSWER-watch for use of
accessory muscles or tripod position
What are we watching for while counting respirations? - ANSWER-symmetry
and rate (normal: 12-20/min)
What is tactile fremitus? - ANSWER-use palms while patient says "ninety-nine"
What does a high fremitus indicate? - ANSWER-consolidation (pneumonia)
What does a low fremitus indicate? - ANSWER-pleural effusion,
pneumothorax, emphysema
What is the chest expansion test? - ANSWER-hands at T9-T10 and both sides
should move symmetrically
What is the normal sound for percussion of the lungs? - ANSWER-resonance
(low-pitched, hollow)
What is an abnormal percussion sound for the lungs that could indicate
pneumonia or effusion? - ANSWER-dullness
, What is an abnormal percussion sound for the lungs that could indicate
emphysema or pneumothorax? - ANSWER-hyperresonance
Vesicular breath sounds - ANSWER-normal, soft/low, inspiration > expiration,
peripheral lungs
What do we do for an irregular pulse? - ANSWER-count for a full minute and
compare radial vs apical
Sinus arrhythmias - ANSWER-normal in children; the rate goes up with
inspiration and down with expiration
What influences our heart rate? - ANSWER-exercise, fever, and stress make it
go up; beta-blockers and fitness make it go down
Normal resting heart rate for athletes - ANSWER-<60 bpm
What is the normal range for respirations in a healthy adult? - ANSWER-12-20
breaths per minute, regular and effortless
How do we count respirations? - ANSWER-the patient should be unaware that
you are counting respirations
What is tachypnea? - ANSWER->20 breaths per minute; could be caused by
fever, anxiety, pain, metabolic acidosis
What is bradypnea? - ANSWER-<12 breaths per minute; could be caused by
CNS depression, opioids, sleep, increased ICP
What a common pattern of RR in older adults? - ANSWER-a shallower
breathing pattern