Advanced Assessment Exam 2 Study guide
Module 4 Heart & Blood Vessels with answers
Latest Update 2025-2026 Exam 120 Questions
with 100% Verified Correct Answers Guaranteed
A+
after hearing an adventitious sound while auscultating the precordium, why would you
ask a pt to sit up and lean forward? - CORRECT ANSWER: it makes some murmurs
more evident, esp aortic regurgitation
how do you asses interstitial fluid? - CORRECT ANSWER: skin turgor, mucous
membrane, tongue
how do you asses intravascular fluid? - CORRECT ANSWER: BP, HR, CFT/CRT
(cathode ray tube?), UO (urine output), LOC
how do you auscultate the heart sounds over the precordium? - CORRECT ANSWER: -
identify ausculatory areas (indicated by the 4 valve areas)
-"Ape To Man"
-listen first with diaphragm, then the bell
-identify S1 and S2; assess separately
-listen for extra heart sounds (S3, S4)
-listen for murmurs
-note rate/rhythm
how do you grade the force/amplitude while palpating the peripheral pulses? -
CORRECT ANSWER: -+4 bounding
-+3 increased
,-+2 normal
-+1 weak (d/t not enough volume in vascular space)
-0 absent
how do you inspect the precordium? - CORRECT ANSWER: inspect for pulsations: may
or may not see the apical pulse. the left vent rotates against the chest wall during
systole
how do you palpate across the precordium? - CORRECT ANSWER: use the palmar
aspects of fingers searching for any other pulsations (usually none)
how do you palpate the apical pulse? - CORRECT ANSWER: locate the intercostal
space (ICS) between the 4th and 5th rib.
how do you test for turgor of skin? - CORRECT ANSWER: pinch pts skin; normally it
returns back to original shape
how should you inspect a pts arms and legs? - CORRECT ANSWER: -note color of skin
and nail beds
-check capillary refill time
-presence of lesions, edema, or clubbing
-temperature, texture, and turgor of skin
how should you palpate a pts carotid arteries? - CORRECT ANSWER: AFTER
auscultating them, palpate each carotid artery one at a time avoiding excessive carotid
sinus pressure
if a pt begins to aspirate, which lung will it most likely be occurring in? - CORRECT
ANSWER: right lung
, if a pt is in the supine position while you're auscultating the precordium and you hear an
adventitious sound (ie S3, S4, murmur), how would you position the pt to further
analyze the sound? - CORRECT ANSWER: -roll pt to lateral left side and listen
OR
-ask pt to sit up and lean forward
if a pt presents with a lift or heave pulsation while you're palpating across the
precordium, what does it mean? - CORRECT ANSWER: sustained forceful thrusting of
the ventricle. due to ventricular hypertrophy resulting from increased workload of the
heart
if a pt presents with a thrill vibrating pulsation while you're palpating across the
precordium, what does it mean? - CORRECT ANSWER: it indicates turbulent blood flow
if a pts turgor of the skin does not go back to its original shape, what does this indicate
to you about the pt? - CORRECT ANSWER: -pt is dehydrated
-pt is older (normal)
if you hear a heart murmur in a pt, what should you pay attention to? - CORRECT
ANSWER: if it is louder during systole or during diastole
if you hear an apical pulse better toward a pts side, what 2 things would this indicate to
you? - CORRECT ANSWER: pt is either a runner or has increased HTN
if you hear an irregular pulse while you're auscultating a pt, what should you check for?
- CORRECT ANSWER: pulse deficit
interstitial fluid - CORRECT ANSWER: -24% TBW
-fluid between/around cells (aka 3rd space)
Module 4 Heart & Blood Vessels with answers
Latest Update 2025-2026 Exam 120 Questions
with 100% Verified Correct Answers Guaranteed
A+
after hearing an adventitious sound while auscultating the precordium, why would you
ask a pt to sit up and lean forward? - CORRECT ANSWER: it makes some murmurs
more evident, esp aortic regurgitation
how do you asses interstitial fluid? - CORRECT ANSWER: skin turgor, mucous
membrane, tongue
how do you asses intravascular fluid? - CORRECT ANSWER: BP, HR, CFT/CRT
(cathode ray tube?), UO (urine output), LOC
how do you auscultate the heart sounds over the precordium? - CORRECT ANSWER: -
identify ausculatory areas (indicated by the 4 valve areas)
-"Ape To Man"
-listen first with diaphragm, then the bell
-identify S1 and S2; assess separately
-listen for extra heart sounds (S3, S4)
-listen for murmurs
-note rate/rhythm
how do you grade the force/amplitude while palpating the peripheral pulses? -
CORRECT ANSWER: -+4 bounding
-+3 increased
,-+2 normal
-+1 weak (d/t not enough volume in vascular space)
-0 absent
how do you inspect the precordium? - CORRECT ANSWER: inspect for pulsations: may
or may not see the apical pulse. the left vent rotates against the chest wall during
systole
how do you palpate across the precordium? - CORRECT ANSWER: use the palmar
aspects of fingers searching for any other pulsations (usually none)
how do you palpate the apical pulse? - CORRECT ANSWER: locate the intercostal
space (ICS) between the 4th and 5th rib.
how do you test for turgor of skin? - CORRECT ANSWER: pinch pts skin; normally it
returns back to original shape
how should you inspect a pts arms and legs? - CORRECT ANSWER: -note color of skin
and nail beds
-check capillary refill time
-presence of lesions, edema, or clubbing
-temperature, texture, and turgor of skin
how should you palpate a pts carotid arteries? - CORRECT ANSWER: AFTER
auscultating them, palpate each carotid artery one at a time avoiding excessive carotid
sinus pressure
if a pt begins to aspirate, which lung will it most likely be occurring in? - CORRECT
ANSWER: right lung
, if a pt is in the supine position while you're auscultating the precordium and you hear an
adventitious sound (ie S3, S4, murmur), how would you position the pt to further
analyze the sound? - CORRECT ANSWER: -roll pt to lateral left side and listen
OR
-ask pt to sit up and lean forward
if a pt presents with a lift or heave pulsation while you're palpating across the
precordium, what does it mean? - CORRECT ANSWER: sustained forceful thrusting of
the ventricle. due to ventricular hypertrophy resulting from increased workload of the
heart
if a pt presents with a thrill vibrating pulsation while you're palpating across the
precordium, what does it mean? - CORRECT ANSWER: it indicates turbulent blood flow
if a pts turgor of the skin does not go back to its original shape, what does this indicate
to you about the pt? - CORRECT ANSWER: -pt is dehydrated
-pt is older (normal)
if you hear a heart murmur in a pt, what should you pay attention to? - CORRECT
ANSWER: if it is louder during systole or during diastole
if you hear an apical pulse better toward a pts side, what 2 things would this indicate to
you? - CORRECT ANSWER: pt is either a runner or has increased HTN
if you hear an irregular pulse while you're auscultating a pt, what should you check for?
- CORRECT ANSWER: pulse deficit
interstitial fluid - CORRECT ANSWER: -24% TBW
-fluid between/around cells (aka 3rd space)
