CNUR 107 Cardiac Exam Questions with All Correct Answers
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Course
CNUR 107 Cardiac
Institution
CNUR 107 Cardiac
CNUR 107 Cardiac Exam Questions with All Correct Answers
When inspecting the anterior chest how is the pt positioned - Answer- Patient is in supine position with head of bed elevated
How to inspect anterior chest - Answer- •You stand on Right of patient
check for color
•Then shine li...
CNUR 107 Cardiac Exam
Questions with All Correct
Answers
When inspecting the anterior chest how is the pt positioned - Answer- Patient is in
supine position with head of bed elevated
How to inspect anterior chest - Answer- •You stand on Right of patient
check for color
•Then shine lighting across the chest - check for pulsations
• May see apical impulse which may be visible in 4th or 5th intercostal space
Is movement in other areas normal - Answer- no
How is the pt positioned when palpating precordium - Answer- supine
What are we using to palpate percordium - Answer- fingers-palmar aspect
What are we palpating - Answer- apex
- left sternal border
- base
- feeling over the valves
What are we feeling for - Answer- pulsations
What is it called if you feel a vibration - Answer- thrill
What does a thrill indicate - Answer- turbulent blood flow
What does turbulent blood flow indicate - Answer- regurgitation stensosis
What is the position of the pt during auscultation of the precordium - Answer- supine
and with head of bed elevated
Do we listen with the bell or diaphragm first - Answer- diaphragm
, When we are Auscultating pre cordium - Answer- We want to identify & assess &
determine:
a) Heart rate - listen for the number of beats
b) Rhythm of the heart rate - is it regular or irregular
c) Determine S1 and S2
what does APE To Man stand for - Answer- aortic, pulmonic, erb's point, tricuspid, mitral
what is the pattern for auscultation - Answer- Z shape
what are we assessing when auscultate - Answer- •Listen over each area for rate and
rhythm
mitral valve = - Answer- apical pulse
how long do we listen to the mitral valve - Answer- 30 sec or 1 min
Auscultate S1 - Answer- •mitral & tricuspid valves close
•louder at apex - listen over mitral valve area
•signals beginning of systole
•S1 coincides with carotid artery pulse
auscultate S2 - Answer- •Pulmonic & aortic valves close
•loudest at base - listen over aortic valve area
•signals end of systole
what do we do after we listen to all areas with diaphragm - Answer- listen with bell
what are we listening for when we are auscultating with the bell - Answer- assessing for
any extra heart sounds or murmurs
what are some developmental considerations of the aging adult - Answer- •gradual
increase in systolic BP and pulse pressure
•calcification of arterial walls
•Left ventricular wall thickens
•Increase of arrhythmias
Which of the following can cause a false low blood pressure? Select all that apply.
a.Faulty technique
b.Arm below the level of the heart
c.Pushing stethoscope too hard on brachial artery
d.Taking blood pressure when someone is angry
e.Nothing causes a false low blood pressure - Answer- a.Faulty technique
c.Pushing stethoscope too hard on brachial artery
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