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NUR 6111 Advanced Health Assessment Telehealth
Cardiovascular Exam||Verified Exam!!!|| (Liam
Fitzgerald), 2026/2027 -Question NGN-Aligned
Examination with Verified Rationales
What occurs during palpation of the cardiovascular
system? - 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? - 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 - Answer-Grade 1-6
1: "tuned in" faint
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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.
Differentiate between pitch and quality of murmurs -
Answer-The pitch can be high, medium or low; whereas
the quality can be blowing, harsh, rumbling, and or
musical.
Differentiate between standing and squatting and the
abnormalities that would be more prominent with each. -
Answer-While auscultating you can identify MV prolapse
and distinguish between hypertrophic CMO and AS
standing: increase in intensity for AS
squatting: increase in intensity for MV prolapse and CMO
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LV volume and vascular tone decreases in intensity while
standing and increases while squatting.
Do veins or arteries hold 2/3's of the circulating blood
flow? - Answer-Veins
What pulses are palpable in the arms? - Answer-brachial,
radial, and ulnar
What pulses are palpable in the abdomen? - Answer-
Celiac, superior and inferior iliac.
* bowel ischemia and infarction
What pulses are palpable in the legs? - Answer-femoral,
popliteal, dorsalis, posterior tibial, and pedis
What can easily be mistake for a the patient's pulse while
palpating? - Answer-yours the examiner
NUR 6111 Advanced Health Assessment Telehealth
Cardiovascular Exam||Verified Exam!!!|| (Liam
Fitzgerald), 2026/2027 -Question NGN-Aligned
Examination with Verified Rationales
What occurs during palpation of the cardiovascular
system? - 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? - 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 - Answer-Grade 1-6
1: "tuned in" faint
,2|Page
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.
Differentiate between pitch and quality of murmurs -
Answer-The pitch can be high, medium or low; whereas
the quality can be blowing, harsh, rumbling, and or
musical.
Differentiate between standing and squatting and the
abnormalities that would be more prominent with each. -
Answer-While auscultating you can identify MV prolapse
and distinguish between hypertrophic CMO and AS
standing: increase in intensity for AS
squatting: increase in intensity for MV prolapse and CMO
, 3|Page
LV volume and vascular tone decreases in intensity while
standing and increases while squatting.
Do veins or arteries hold 2/3's of the circulating blood
flow? - Answer-Veins
What pulses are palpable in the arms? - Answer-brachial,
radial, and ulnar
What pulses are palpable in the abdomen? - Answer-
Celiac, superior and inferior iliac.
* bowel ischemia and infarction
What pulses are palpable in the legs? - Answer-femoral,
popliteal, dorsalis, posterior tibial, and pedis
What can easily be mistake for a the patient's pulse while
palpating? - Answer-yours the examiner
