NURS 6512 Final Exam Review Questions &
Answers 2024/2025
1). Examination findings of a child with kawasaki disease
Ans: Fever, Conjunctival Injection, Strawberry Tongue, and Edema of the Hands and
Feet.
Lymphadenopathy and Polymorphous Nonvesicular Rashes.
2). Peripheral edema
Ans: Grading:
1+ Slight Pitting, no visible distortion, disappears rapidly.
2+ A Somewhat Deeper Pit than in 12+, but again no readily detectable distortion,
disappears in 10-15 seconds.
3+ Noticeably Deep Pit that may last more than a minute; dependent extremity looks fuller
and swollen.
4+ Very Deep Pit that lasts as long as 2-5 min; dependent extremity is grossly distorted.
3). Ammonia in breath odor
Ans: Uremia (ammonia)
4). Grading of pulses
Ans: 4+ Bounding
3+ Full, Increased
2+ Expected
1+ Diminished, barely palpable
0 Absent, not palpable
5). Acute limb ischemia (ali)
Ans: Stage I - Viable - No sensory impairment - No motor impairment - Audible Arterial
Doppler Signal - Audible Venous Dopler Signal
Stage IIa - Marginally Threatened - Minimal Sensory Impairment - No Motor Impairment -
Often inaudible Arterial Doppler Signal - Audible Venous Doppler Signal
Stage IIb - Immediately Threatened - Rest Pain Sensory Impairment - Mild to moderate
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, Motor Impairment - Inaudible Arterial Doppler Signal - Audible Venous Doppler Signal
Stage III - Irreversible - Anesthetic Sensory Impairment - Paralytic/rigor Motor Impairment
- Inaudible Arterial Doppler Signal - Inaudible Venous Doppler Signal
6). Assessment for peripheral arterial disease
Ans: Site of Pain is Distal to the Narrowing.
Note:
Pulses (strong, weak or possibly absent)
Possible systolic bruits over the arteries that may extend through diastole.
Loss of expected body warmth.
Localized pallor and cyanosis.
Collapsed superficial veins, with delay in venous filling.
Thin, atrophied skin; muscle atrophy.
7). Varicosity findings in pregnant women
Ans: With increasing cardiac output beginning in the 1st trimester, the pulse may be
more easily palpated, with an abrupt rise and rapid fall. With increasing blood volume in
the second trimester, jugular a and v waves may be easier to see. JVP should remain
normal. Peripheral edema is a common finding as the pregnancy progresses. Varicose
veins can develop during pregnancy and in the postpartum period.
8). Heart sounds
Ans: S1 - Closure of the mitral and tricuspid (AV) Valves, indicates the beginning of
systole. Best heard toward the apex.
S2 - Closure of the aortic and pulmonic (semilunar) Valves, indicates the end of systole.
Best heard in the aortic and pulmonic areas. Higher pitch and shorter duration.
S3 - Best heard when the patient is in the left lateral decubitus (recumbent) position.
Ventricular Gallup - Ken-Tuck-Y
S4 - Most commonly heard in the older patients, but may be heard at any age when there
is increased resistance to filling because the ventricular walls have lost compliance. Atrial
Gallup - Ten-nes-see
9). Examination technique for the apical pulse
Ans: PMI Point of Maximal Impulse typically noted at the left 5th intercostal space,
midclavicular line in adults, and 4th intercostal space medial to the nipple in children.
If the apical impulse is more vigorous than expected, characterize it as a "heave" or "lift."
Pg 337
10). Grading of heart murmurs
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Answers 2024/2025
1). Examination findings of a child with kawasaki disease
Ans: Fever, Conjunctival Injection, Strawberry Tongue, and Edema of the Hands and
Feet.
Lymphadenopathy and Polymorphous Nonvesicular Rashes.
2). Peripheral edema
Ans: Grading:
1+ Slight Pitting, no visible distortion, disappears rapidly.
2+ A Somewhat Deeper Pit than in 12+, but again no readily detectable distortion,
disappears in 10-15 seconds.
3+ Noticeably Deep Pit that may last more than a minute; dependent extremity looks fuller
and swollen.
4+ Very Deep Pit that lasts as long as 2-5 min; dependent extremity is grossly distorted.
3). Ammonia in breath odor
Ans: Uremia (ammonia)
4). Grading of pulses
Ans: 4+ Bounding
3+ Full, Increased
2+ Expected
1+ Diminished, barely palpable
0 Absent, not palpable
5). Acute limb ischemia (ali)
Ans: Stage I - Viable - No sensory impairment - No motor impairment - Audible Arterial
Doppler Signal - Audible Venous Dopler Signal
Stage IIa - Marginally Threatened - Minimal Sensory Impairment - No Motor Impairment -
Often inaudible Arterial Doppler Signal - Audible Venous Doppler Signal
Stage IIb - Immediately Threatened - Rest Pain Sensory Impairment - Mild to moderate
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, Motor Impairment - Inaudible Arterial Doppler Signal - Audible Venous Doppler Signal
Stage III - Irreversible - Anesthetic Sensory Impairment - Paralytic/rigor Motor Impairment
- Inaudible Arterial Doppler Signal - Inaudible Venous Doppler Signal
6). Assessment for peripheral arterial disease
Ans: Site of Pain is Distal to the Narrowing.
Note:
Pulses (strong, weak or possibly absent)
Possible systolic bruits over the arteries that may extend through diastole.
Loss of expected body warmth.
Localized pallor and cyanosis.
Collapsed superficial veins, with delay in venous filling.
Thin, atrophied skin; muscle atrophy.
7). Varicosity findings in pregnant women
Ans: With increasing cardiac output beginning in the 1st trimester, the pulse may be
more easily palpated, with an abrupt rise and rapid fall. With increasing blood volume in
the second trimester, jugular a and v waves may be easier to see. JVP should remain
normal. Peripheral edema is a common finding as the pregnancy progresses. Varicose
veins can develop during pregnancy and in the postpartum period.
8). Heart sounds
Ans: S1 - Closure of the mitral and tricuspid (AV) Valves, indicates the beginning of
systole. Best heard toward the apex.
S2 - Closure of the aortic and pulmonic (semilunar) Valves, indicates the end of systole.
Best heard in the aortic and pulmonic areas. Higher pitch and shorter duration.
S3 - Best heard when the patient is in the left lateral decubitus (recumbent) position.
Ventricular Gallup - Ken-Tuck-Y
S4 - Most commonly heard in the older patients, but may be heard at any age when there
is increased resistance to filling because the ventricular walls have lost compliance. Atrial
Gallup - Ten-nes-see
9). Examination technique for the apical pulse
Ans: PMI Point of Maximal Impulse typically noted at the left 5th intercostal space,
midclavicular line in adults, and 4th intercostal space medial to the nipple in children.
If the apical impulse is more vigorous than expected, characterize it as a "heave" or "lift."
Pg 337
10). Grading of heart murmurs
PaperStoc.com Page 2 of 9
