NURS 314- EXAM 1 STUDY GUIDE QUESTIONS
AND CORRECT DETAILED ANSWERS
Abdominal Regions... - correct answer- 9 Regions:
Right Hypochondriac Region
Right Lumbar Region
Right Iliac (Inguinal) Region
Epigastric Region
Umbilical Region
Hypogastric Region (aka Suprapubic Region)
Left Hypochondriac Region
Left Lumbar Region
Left Iliac (Inguinal) Region
Abnormal Heart sounds - correct answer- Extra heart
sounds
Third heart sound (S3)—a ventricular filling sound occurring in
early diastole with rapid filling
,Fourth heart sound (S4)—ventricular filling sound occurring with
atrial contraction late in systole
Any sound other than Lub-dub or Lub-da dub is an abnormal
heart sound and needs to be reported. You will have to know
where the sound occurs in the cardiac cycle but not know the
cause and significance of the sound
Anatomy: Structure of skin and nails - correct answer-
Need to know these structures...
Epidermis
Dermis
Adipose
Subcutaneous tissue
Sebaceous glands
Appropriate assessment techniques for anterior and posterior
chest and what you are assessing with each technique -
correct answer- For smooth choreography in a complete
examination, begin the respiratory examination just after
palpating thyroid gland when you are standing behind person
,Perform inspection, palpation, percussion, and auscultation on
posterior and lateral thorax
Then move to face person and repeat four maneuvers on
anterior chest
Palpate: Symmetric expansion, tactile fremitus (say 99),
Auscultory areas - correct answer- Check at APEToMan:
-Aortic Area
-Pulmonic Area
-Erb's Point
-Tricuspid Area
-Mitral Area
Mnemonic: All Physicians Eagerly Take Money
Be able to differentiate between the MMSE and MSE - correct
answer- Mental Status Exam (MSE) - quick but thorough
assessment of mental function
Mini Mental Status Exam (MMSE) - quick screen of cognitive
impairment typically used with older adults
, BP: Effects of big BP cuff, little cuff - correct answer- Little
Cuff- false high BP reading
Big Cuff- false low BP reading
Cardiac conduction - correct answer- 1 Sinoatrial node
(Pacemaker) (S/A Node)
2 Atrioventricular node
3 Atrioventricular Bundle (Bundle of His)
4 Left & Right Bundle branches (which fire separately)
5 Bundle Branches
Heart has unique ability: automaticity
Can contract by itself, independent of any signals or stimulation
from body
Contracts in response to an electrical current conveyed by a
conduction system
AND CORRECT DETAILED ANSWERS
Abdominal Regions... - correct answer- 9 Regions:
Right Hypochondriac Region
Right Lumbar Region
Right Iliac (Inguinal) Region
Epigastric Region
Umbilical Region
Hypogastric Region (aka Suprapubic Region)
Left Hypochondriac Region
Left Lumbar Region
Left Iliac (Inguinal) Region
Abnormal Heart sounds - correct answer- Extra heart
sounds
Third heart sound (S3)—a ventricular filling sound occurring in
early diastole with rapid filling
,Fourth heart sound (S4)—ventricular filling sound occurring with
atrial contraction late in systole
Any sound other than Lub-dub or Lub-da dub is an abnormal
heart sound and needs to be reported. You will have to know
where the sound occurs in the cardiac cycle but not know the
cause and significance of the sound
Anatomy: Structure of skin and nails - correct answer-
Need to know these structures...
Epidermis
Dermis
Adipose
Subcutaneous tissue
Sebaceous glands
Appropriate assessment techniques for anterior and posterior
chest and what you are assessing with each technique -
correct answer- For smooth choreography in a complete
examination, begin the respiratory examination just after
palpating thyroid gland when you are standing behind person
,Perform inspection, palpation, percussion, and auscultation on
posterior and lateral thorax
Then move to face person and repeat four maneuvers on
anterior chest
Palpate: Symmetric expansion, tactile fremitus (say 99),
Auscultory areas - correct answer- Check at APEToMan:
-Aortic Area
-Pulmonic Area
-Erb's Point
-Tricuspid Area
-Mitral Area
Mnemonic: All Physicians Eagerly Take Money
Be able to differentiate between the MMSE and MSE - correct
answer- Mental Status Exam (MSE) - quick but thorough
assessment of mental function
Mini Mental Status Exam (MMSE) - quick screen of cognitive
impairment typically used with older adults
, BP: Effects of big BP cuff, little cuff - correct answer- Little
Cuff- false high BP reading
Big Cuff- false low BP reading
Cardiac conduction - correct answer- 1 Sinoatrial node
(Pacemaker) (S/A Node)
2 Atrioventricular node
3 Atrioventricular Bundle (Bundle of His)
4 Left & Right Bundle branches (which fire separately)
5 Bundle Branches
Heart has unique ability: automaticity
Can contract by itself, independent of any signals or stimulation
from body
Contracts in response to an electrical current conveyed by a
conduction system
