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NURS 3320 Exam 2 UTA 2026 – 250 Questions and Answers on Cardiac Assessment, Vascular Disorders, Breast Exam & Musculoskeletal Evaluation

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This document contains approximately 250 comprehensive NURS 3320 Exam 2 UTA 2026 questions with verified answers covering advanced cardiovascular assessment, peripheral vascular evaluation, breast examination, musculoskeletal assessment, mental status screening, and cultural competence principles . The content begins with detailed cardiac anatomy and physiology including heart layers (pericardium, myocardium, endocardium), valve function (AV vs semilunar), conduction pathway (SA node to Purkinje fibers), heart sounds (S1, S2, S3, S4), systole versus diastole, ECG wave interpretation (P wave, QRS, T wave), murmur etiology, and positioning techniques for auscultation (supine, left lateral, leaning forward). It also covers jugular venous pressure assessment, carotid bruits, pulse deficit evaluation, sinus arrhythmias, cardiac output ranges, and myocardial infarction interventions (aspirin, nitroglycerin, morphine). Extensive peripheral vascular assessment content includes arterial versus venous insufficiency differentiation, intermittent claudication, Raynaud syndrome, ankle-brachial index (ABI 1.0–1.4 normal), PAD and PVD risk factors, varicose vein etiology, lymphedema (unilateral, non-pitting), compartment syndrome findings, Homans sign for DVT, and Trendelenburg testing for valve competence. The document reinforces clinical interpretation of capillary refill, pallor, edema patterns (bilateral systemic vs unilateral localized), jugular venous distention causes, and pulmonary edema indicators. Breast assessment topics include benign versus malignant mass characteristics (movable vs fixed, round vs irregular, UOQ risk area), fibroadenoma, fibrocystic changes, Paget’s disease, peau d’orange findings, nipple discharge causes, BRCA1/BRCA2 risk factors, BSE timing (3–7 days post-menses), mammogram guidelines (age 40+), and implant-related evaluation considerations. Musculoskeletal assessment sections address ROM (active vs passive), crepitus, RA versus osteoarthritis differences, Boutonniere deformity, kyphosis, lordosis, rotator cuff tear limitations, Phalen and Tinel tests for carpal tunnel, TMJ evaluation (CN V involvement), epicondylitis, and Ballottement test for knee effusion. Mental status and pain assessment coverage includes Glasgow Coma Scale scoring, LOC stages (lethargy, obtunded, stupor), SLUMS dementia screening, CAGE tool, SAD PERSONS suicide risk assessment, pain scales (NRS, VAS, FLACC, facial scale), chronic versus acute pain indicators, and physiologic responses to pain. Cultural competence concepts such as acculturation, assimilation, and the ASKED model (Awareness, Skill, Knowledge, Encounters, Desire) are also integrated. Structured in a concise Q&A format, this resource aligns with upper-division BSN health assessment coursework and reinforces abnormal finding recognition, pathophysiology correlation, and exam-level clinical reasoning required for NURS 3320 Exam 2 at UTA. This document may concern: • NURS 3320 Health Assessment II • Advanced Physical Examination • Cardiovascular and Peripheral Vascular Assessment • Breast and Musculoskeletal Assessment • Community and Cultural Nursing Concepts • BSN Health Assessment Lab It is particularly relevant for: • BSN nursing students at UTA • Second-year nursing students • Students preparing for cardiovascular and MSK assessment exams • Students completing clinical check-offs • Pre-NCLEX nursing candidates Keywords: NURS 3320 exam 2 UTA 2026, heart sounds S1 S2 S3 S4 differences, systole vs diastole filling emptying, conduction pathway SA AV bundle His Purkinje, jugular venous pressure assessment 45 degrees, carotid bruit bell auscultation, ankle brachial index 1.0 1.4 normal, arterial vs venous insufficiency signs, intermittent claudication PAD, lymphedema unilateral non pitting, pulmonary edema dyspnea assessment, fibroadenoma vs malignant breast mass, peau d orange breast cancer, BRCA1 BRCA2 risk factors, Phalen Tinel carpal tunnel test, rheumatoid arthritis morning stiffness, osteoarthritis worse with movement, Glasgow Coma Scale 15 normal, SLUMS dementia screening score ranges, CAGE alcohol screening tool, ASKED cultural competence model

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NURS 3320 Exam 2 UTA 2026
Exam Questions and Answers |
A+ Score Assured



FIXED and non movalbe nodes are _________. - 🧠 ANSWER

✔✔Malignant, tender and non movable


Heart goes from ___ ICS to the ___ ICS - 🧠 ANSWER ✔✔2nd ICS (base)

to the 5th ICS (apex)


Pericardium - 🧠 ANSWER ✔✔Outer, double walled, sac w/ Fluid

,Myocardium - 🧠 ANSWER ✔✔middle muscle layer, muscle=contraction


Endocardium - 🧠 ANSWER ✔✔inner, thin layer


AV valves include the _________ valves & the ________ valves. - 🧠

ANSWER ✔✔Tricuspid (R) valves & the Bicuspid (L) valves.


T/F


The AV Valves are the Entrance ventricles. - 🧠 ANSWER ✔✔TRUE,

SL=exit & AV=entrance

T/F


The Semilunar Valves are the exit Ventricles - 🧠 ANSWER ✔✔TRUE,

SL=exit & AV=entrance


Pulmonary Valve location - 🧠 ANSWER ✔✔between right ventricle and

pulmonary artery


Aortic Valve location - 🧠 ANSWER ✔✔between left ventricle and aorta


Systole is ________ by contraction of ventricles. - 🧠 ANSWER

✔✔Empyting


Diastole is __________ by relaxation of ventricles. - 🧠 ANSWER ✔✔Filling

,P wave is - 🧠 ANSWER ✔✔atrial depolarization


QRS wave is - 🧠 ANSWER ✔✔ventricle depolarization


T wave - 🧠 ANSWER ✔✔ventricular repolarization


S1 sound - 🧠 ANSWER ✔✔"lubb" caused by the closing of the AV valves


S2 sound - 🧠 ANSWER ✔✔Dubb, closure of the Aortic/Pulm SL valves


ST wave - 🧠 ANSWER ✔✔ventricular depolarization--->ventricular

repolarization


S3 - 🧠 ANSWER ✔✔ventricular gallop


S4 - 🧠 ANSWER ✔✔Atrial gallop


After Lubb (S1) what occurs? - 🧠 ANSWER ✔✔Beginning of systole


After Dubb (S2) what occurs? - 🧠 ANSWER ✔✔Beginning of diastole


What happens in Diastole - 🧠 ANSWER ✔✔"Down, blood moving down

D=Diastole" Relaxation and FILLING of Ventricles




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3

, AV (atrioventricular) valves open because higher pressure in ATRIA and

blood rushes into ventricles


What is Atrial Kick - 🧠 ANSWER ✔✔The last bit of blood pumped into the

ventricles by the atria, passive filling


What happens in Systole? - 🧠 ANSWER ✔✔"UP" Up to Aorta(s) and body-

contractions and emptying of ventricles, SL valves open


Where is S3 (ventricular gallop) best heard - 🧠 ANSWER ✔✔Bell of the

stethoscope at APEX


S3 heart sound is normal in who? - 🧠 ANSWER ✔✔Athletes, children,

pregnant women


where are pericardial friction rubs best heard? - 🧠 ANSWER ✔✔S4


rubbing sounds of inflamed pericardial sac due to PERICARDITIS, high

pitched


Why is murmur caused? - 🧠 ANSWER ✔✔blood flow thru incompetent

stenotic valves

-incr velocity

-decr viscosity

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