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Advanced Health Assessment Cardiovascular questions with correct answers
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Advanced Health Assessment Cardiovascular questions with correct answers
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Advanced Health Assessment Cardiovascularquestions with correct answers
What is the first step in the cardiovascular assessment ? Correct Answer-
Supine with HOB 30 degrees:
- JVP
- Carotid Pulses
- Inspect and palpate pericordium
- PMI
Where would you inspect and palpate the pericordium ? Correct
Answer-2nd R/L intercostal spaces
What is the pericordium? Correct Answer-The region of the thorax
directly in front of the heart.
What is another term for the apical pulse Correct Answer-Point of
maximum impulse
What do you measure when assessing the PMI Correct Answer-
diameter, location, amplitude, and duration
How do you measure the PMI Correct Answer-- Lay the patient on their
left, lateral, decubitus
- Listen with the bell of the stethoscope
,What are the six regions of the heart you auscultate with he bell and
diaphragm. Correct Answer-Aortic, pulmonic, erbs, tricuspid (2) and
mitral
What technique is used to auscultate aortic regurgitation Correct
Answer-Sitting the client up and having them lean forward while
exhaling fulling and auscultation with the diaphragm
What last longer, diastole or systole? Correct Answer-diastole
When does cardiac upstroke occur? Correct Answer-During systole
Where is S1 heard the loudest? Correct Answer-apex of the heart
Where is S2 heard the loudest? Correct Answer-base of the heart
What occurs during inspect of the cardiovascular system? Correct
Answer-PMI or apical pulse
Where is the point of maximal impulse? Correct Answer-4th or 5th ICS,
7-9 cm from sternum
, What occurs during palpation of the cardiovascular system? Correct
Answer-- Heaves and Lifts ~ flat palm (rhythmically lift; may indicate
chamber enlargement)
- Thrills ~ ball fo your hand (buzzing or vibratory; underlying turbulent
blood flow ~ auscultate for a murmur if felt.)
- RV impulses ~ subxiphoid region
- S1 and S2 ~ firm pressure on the chest wall
What occurs during auscultation of the cardiovascular system? Correct
Answer-- Diaphragm ~ high pitched sounds (AV and MV regurgitation
and pericardial friction rubs)
- Bell ~ low pithed sounds and highly sensitive (S3 and S4 along with
Mitral stenosis)
Define the grading scale for murmurs Correct Answer-Grade 1-6
1: "tuned in" faint
2: Quiet, head once stethoscope is immediately placed on the chest
3: moderately loud
4: Loud with palpable thrill
5: Loud with palpable thrill, heard with the stethoscope slightly off of
the chest.
6: Loud with palpable thrill, heard with the stethoscope entirely off of
the chest.
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