NUR 382 EXAM 1 QUESTIONS WITH VERIFIED
ANSWERS
What is happening during S1 phase - Answers - The atrioventricular valve closes
What is happening during S2 phases - Answers - The semilunar valve closes
which phase of the heart cycle is happening from S1 to S2 - Answers - systole
which phase of the heart cycle is happening from S2 to S1 - Answers - diastole
differentiate comprehensive assessment and focused assessment - Answers -
comprehensive involves a full head-to-toe (usually for new patients) and focused is on a
specific complaint
what is SOAP - Answers - (S)ubjective data. (O)bjective data. (A)ssessment. (P)lanning
what are the 4 types of communication styles - Answers - assertive, aggressive,
passive, and passive-aggressive
subjective vs objective data - Answers - subjective is what the patient tells you ( the
symptoms they complain of) and objective is the data that you measure yourself (ex.
vitals, heart sounds, etc)
4 ways of assessment - Answers - inspection, auscultation, percussion, palpation
what is systole - Answers - the heart contracting and ejecting blood out of the ventricles
what is diastole - Answers - the heart relaxing and filling with blood
normal heart range for an adult - Answers - 60-100 beats per min
How can you differentiate a physiologic murmur from a pathologic murmur? - Answers -
A physiologic murmur is usually soft, short, and systolic with no associated symptoms; a
pathologic murmur is often louder, diastolic, or associated with symptoms like fatigue or
cyanosis
What are signs of pathologic jugular vein distension (JVD) - Answers - JVD above 4 cm
at 45° angle may indicate right-sided heart failure
What does a displaced apical impulse indicate? - Answers - It may suggest left
ventricular hypertrophy or cardiomegaly (a pathologic condition)
, What are key components to document after a cardiovascular assessment? - Answers -
Heart rate and rhythm, heart sounds, presence of murmurs, peripheral pulses, capillary
refill, JVD, edema, and any patient-reported symptoms.
How should abnormal findings be documented in the EHR - Answers - Clearly and
objectively, including location, quality, duration, and any associated symptoms or
interventions
What question should you ask to assess for chest pain? - Answers - "Have you
experienced any chest pain or discomfort? Can you describe it?"
What subjective question helps assess for peripheral vascular issues? - Answers -
"Have you noticed any swelling in your legs or feet?"
What would you ask to assess for exercise intolerance? - Answers - "Do you feel short
of breath or unusually tired during physical activity?"
What is an important question related to cardiac history? - Answers - "Do you have a
history of high blood pressure, heart disease, or high cholesterol?"
What are the key components of cardiovascular inspection? - Answers - Observe for
chest wall movement, skin color, JVD, and edema
What landmarks are used to auscultate heart sounds? - Answers - Aortic, Pulmonic,
Erb's point, Tricuspid, and Mitral areas (APE To Man).
How do you assess for a carotid bruit? - Answers - Use the bell of the stethoscope;
have the patient hold their breath while you auscultate over each carotid artery. (you
would hear a swooshing sound is bruit is present and nothing if no bruit is present)
What is the technique for palpating peripheral pulses? - Answers - Use the pads of your
fingers, assess rate, rhythm, and strength bilaterally (e.g., radial, dorsalis pedis,
posterior tibial).
What is one way to promote heart health during an assessment? - Answers - Educate
patients on risk factors such as smoking (5A's), diet, and exercise.
What health screenings are relevant during a cardiovascular assessment? - Answers -
Blood pressure check, lipid panel, glucose testing, and lifestyle assessment (e.g., diet,
physical activity, smoking).
What cardiovascular change may occur with poorly controlled pain? - Answers -
Increased heart rate and blood pressure due to sympathetic nervous system activation.
How can poorly controlled pain affect the respiratory system? - Answers - It may lead to
shallow breathing, hypoventilation, and risk of atelectasis.
ANSWERS
What is happening during S1 phase - Answers - The atrioventricular valve closes
What is happening during S2 phases - Answers - The semilunar valve closes
which phase of the heart cycle is happening from S1 to S2 - Answers - systole
which phase of the heart cycle is happening from S2 to S1 - Answers - diastole
differentiate comprehensive assessment and focused assessment - Answers -
comprehensive involves a full head-to-toe (usually for new patients) and focused is on a
specific complaint
what is SOAP - Answers - (S)ubjective data. (O)bjective data. (A)ssessment. (P)lanning
what are the 4 types of communication styles - Answers - assertive, aggressive,
passive, and passive-aggressive
subjective vs objective data - Answers - subjective is what the patient tells you ( the
symptoms they complain of) and objective is the data that you measure yourself (ex.
vitals, heart sounds, etc)
4 ways of assessment - Answers - inspection, auscultation, percussion, palpation
what is systole - Answers - the heart contracting and ejecting blood out of the ventricles
what is diastole - Answers - the heart relaxing and filling with blood
normal heart range for an adult - Answers - 60-100 beats per min
How can you differentiate a physiologic murmur from a pathologic murmur? - Answers -
A physiologic murmur is usually soft, short, and systolic with no associated symptoms; a
pathologic murmur is often louder, diastolic, or associated with symptoms like fatigue or
cyanosis
What are signs of pathologic jugular vein distension (JVD) - Answers - JVD above 4 cm
at 45° angle may indicate right-sided heart failure
What does a displaced apical impulse indicate? - Answers - It may suggest left
ventricular hypertrophy or cardiomegaly (a pathologic condition)
, What are key components to document after a cardiovascular assessment? - Answers -
Heart rate and rhythm, heart sounds, presence of murmurs, peripheral pulses, capillary
refill, JVD, edema, and any patient-reported symptoms.
How should abnormal findings be documented in the EHR - Answers - Clearly and
objectively, including location, quality, duration, and any associated symptoms or
interventions
What question should you ask to assess for chest pain? - Answers - "Have you
experienced any chest pain or discomfort? Can you describe it?"
What subjective question helps assess for peripheral vascular issues? - Answers -
"Have you noticed any swelling in your legs or feet?"
What would you ask to assess for exercise intolerance? - Answers - "Do you feel short
of breath or unusually tired during physical activity?"
What is an important question related to cardiac history? - Answers - "Do you have a
history of high blood pressure, heart disease, or high cholesterol?"
What are the key components of cardiovascular inspection? - Answers - Observe for
chest wall movement, skin color, JVD, and edema
What landmarks are used to auscultate heart sounds? - Answers - Aortic, Pulmonic,
Erb's point, Tricuspid, and Mitral areas (APE To Man).
How do you assess for a carotid bruit? - Answers - Use the bell of the stethoscope;
have the patient hold their breath while you auscultate over each carotid artery. (you
would hear a swooshing sound is bruit is present and nothing if no bruit is present)
What is the technique for palpating peripheral pulses? - Answers - Use the pads of your
fingers, assess rate, rhythm, and strength bilaterally (e.g., radial, dorsalis pedis,
posterior tibial).
What is one way to promote heart health during an assessment? - Answers - Educate
patients on risk factors such as smoking (5A's), diet, and exercise.
What health screenings are relevant during a cardiovascular assessment? - Answers -
Blood pressure check, lipid panel, glucose testing, and lifestyle assessment (e.g., diet,
physical activity, smoking).
What cardiovascular change may occur with poorly controlled pain? - Answers -
Increased heart rate and blood pressure due to sympathetic nervous system activation.
How can poorly controlled pain affect the respiratory system? - Answers - It may lead to
shallow breathing, hypoventilation, and risk of atelectasis.
