CV/PV ASSESSMENT CURRENT
EXAM 2026 WITH 340 QUESTIONS
AND CORRECT ANSWERS |
ALREADY GRADED A+ |
GUARANTEED PASS
common areas of health history in PV ROS you would
address? - ANSWER//edema, extremity pain/weakness,
loss of hair, cold extremities, claudication, cyanosis, pallor,
ulcerations, wounds, redness what are common areas of
health history in pulmonary ROS you would address? -
ANSWER//dyspnea, cough, orthopnea, paroxysmal
nocturnal dyspnea what are common areas of health
history in abdominal ROS you would address? -
ANSWER//abd/back pain (could be caused from AAA),
food associated with pain, melena what are the areas
covered in the regional CV/PV assessment? -
ANSWER//pulse/BP, carotid arteries & jugular veins,
precordium, abdominal bruits, upper extremities, lower
extremities if an aortic issue is suspected, how would you
check the BP? - ANSWER//check in both arms, could be
subclavian steel syndrome what two things are you
inspecting on the jugular venous exam? - ANSWER//JV
pressure, JV pulsations how high should the HOB be
elevated to inspect JV pressure? - ANSWER//45 degrees
what would you utilize to locate the highest oscillation
point? - ANSWER//right IJ where should the highest
oscillation point be upon JV pressure inspection? -
ANSWER//in the vicinity of the suprasternal notch place a
card _____ from the oscillation point; place a ruler (cm)
_____ vertically from the angle of louis to form a right
angle with the card - ANSWER//horizontally; vertically
measure the vertical distance on the ruler _____ to
,account for placement above the RA=JVP in cm -
ANSWER//5 what is considered an elevated JV pressure?
- ANSWER//>8cm above the RA or >3cm above the
sternal angle What are two important things to note in an
inspection for JV pulsations? - ANSWER//amplitude and
timing; also check HJR why is the R IJ used in a JV exam?
- ANSWER//because it is a better estimate of pressure as
it relates to volume status of R atrium and its in line with
SVC and RA Turn pt head slightly to the ____ side, if u
have trouble seeing oscillation point u can ellicit HJR by
doing what? - ANSWER//left; pressing on R upper abd
over liver and it will push volume of fluid up towards SVC if
a patient is hypervolemic, which way would you possibly
need to move the HOB? - ANSWER//raise HOB if
hypovolemic pt which way would you possibly need to
move HOB? - ANSWER//a little lower is jugular or carotid
more easily palpable? - ANSWER//carotid; jugular are
rarely palpable what is one way to distinguish carotid vs
jugular pressure? - ANSWER//put fingers over oscillation
point and if you can obliterate with that pressure and point
does change it is jugular; if you cannot obliterate with
pressure and point does not change it is carotid for a
jugular venous exam you are only using what assessment
technique? - ANSWER//inspection For a carotid exam,
you are using which assessment techniques? -
ANSWER//inspection, auscultation and palpation during
the carotid exam, you are inspecting with HOB at ? -
ANSWER//30 degrees why is it so important to auscultate
before palpation during a carotid exam? - ANSWER//if
there is plaque you dont want to push around and risk the
plaque to loosen up the _____ of the stethescope is used
for high grade stenosis. why? - ANSWER//bell; bc of pitch
sound to listen for a carotid bruit, use the ____ of the
stethescope - ANSWER//diaphragm what does a carotid
bruit indicate? - ANSWER//turbulance due to local
vasculature cause (atherosclerosis) Where do you
auscultate a carotid bruit? - ANSWER//at the bifurcation
,How can you eliminate airway sounds during a carotid
exam? - ANSWER//ask patient to hold their breath, you
hold your breath at same time so you dont forget what
would it indicate if the amplitude is variable with
respirations during carotid auscultation? -
ANSWER//tamponade situation where do you gently
palpate during a carotid exam? - ANSWER//medial to the
sternocleidomastoid muscle in the neck What should you
always avoid during a carotid exam? - ANSWER//vagal
stimulation; only palpate one side at a time to avoid vagal
stimulation, should be 2+/4+ thready and bounding are
examples of _____ during carotid palpation -
ANSWER//amplitude brisk, delayed are examples of ____
descriptor during carotid palpation - ANSWER//upstroke
dont forget to palpate for ____ during a carotid exam,
which are common with aortic stenosis - ANSWER//thrills:
a vibratory sensation what are you inspecting in a
precordium assessment? - ANSWER//PMI (apical pulse),
visual scars from any heart sgxs where is the PMI
visualized during inspection? - ANSWER//over the apex in
the supine position What are you palpating in the
precordium exam? - ANSWER//apex, left sternal border,
base, and all over vavlular/precordial regions; lifts/heaves;
thrills; PMI at 5th ICS MCL How do you palpate
lifts/heaves? What do they feel like? What do they signify?
- ANSWER//utilize the palmar surface of the hand; felt as
rhythmic impulses; signify an enlarged LA/LV How do you
palpate thrills? What do they feel like? What do they
signify - ANSWER//utilize ball of the hand; produces a
vibratory sensation; signify presence of valvular
dysfunction is the PMI palpable? What is it produced by?
What position helps with palpating it? Where is it found? -
ANSWER//it may or may not be palpable; produced by LV
contraction against the chest wall; left lateral decubitus
position helps; found at 5th ICS MCL what does lateral
discplacement of the PMI palpation suggest? -
ANSWER//cardiomyopathy, LV enlargement what is an
, acceptable way to write a normal auscultation of s1s2s3s4?
- ANSWER//s1s2 auscultated, no s3s4 murmurs, clicks or
rubs Where is the aortic valve found during auscultation? -
ANSWER//2nd ICS, RSB Where is the pulmonic valve
found during auscultation? - ANSWER//2nd ICS, LSB
where is the tricuspid valve found during auscultation? -
ANSWER//3rd/4th ICS, LLSB Where is the mitral valve
found during auscultation? - ANSWER//5th ICS, MCL s1 is
the beginning of ____. Which valves are open and closed
during s1? Where is it heard the best? - ANSWER//systole;
AV/PV are open, MV/TV closed; loudest at apex but heard
all over split s1 is due to ____ valve closing a little later
than the ____ valve - ANSWER//tricuspid; mitral in what
condition can you hear a split s1? - ANSWER//RBBB due
to one ventricle depolarizing before the other What valve
is between the RA and RV? - ANSWER//tricuspid what
valve is between the LA and LV? - ANSWER//mitral valve
what valve is between the RV and the pulmonary artery? -
ANSWER//pulmonic valve what valve is between the LV
and the aorta? - ANSWER//aortic valve s2 is the
beginning of _____. Which valves are open and closed
during s2? Where is it heard best? - ANSWER//diastole;
MV/TV are open, AV/PV are closed; loudest at base near
the 2nd-3rd ICS Where is the flow of blood during s2? -
ANSWER//the atria are squeezing blood through the
MV/TV into R and L ventricles and the AV/PV are shut
which heart sounds represent the lub and dub? -
ANSWER//s1=lub; s2=dub what can you do if you have
trouble determining systole from diastole? -
ANSWER//palpate regular pulse at same time you are
listening, if you hear it and you feel the pulse at the same
time its systole, if you hear it and you do not feel the pulse
its diastole; can also palpate carotid artery Where can you
hear split s2 and what causes it? - ANSWER//pulmonic
area at end of inspiration; the pulmonic valve is closing
later than the aortic valve, could be BBB, ventricular septal
defects, pshysiological with inspiration name all of the