NURS 142 FINAL EXAM NEWEST 2024 ACTUAL EXA
n n n n n n n
M TEST BANK 200 QUESTIONS AND CORRECT DET
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AILED ANSWERS WITH RATIONALES n n n
(VERIFIED ANSWERS) |ALREADY GRADED A n n n n
In what shape do you palpate and auscultate the lungs
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? - ...ANSWER a Z shape (same lung and side to side)
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How does blood flow through the heart starting at the
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superior vena cava? - ...ANSWER right atrium,
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tricuspid valve, right ventricle, pulmonary valve,
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pulmonary arteries, lungs, pulmonary veins, left n n n n n
atrium, mitral valve, left ventricle, aortic valve, aorta
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What are the three reference lines for assessing the h
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eart? - ...ANSWER mid-sternal line, mid-
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clavicular line, and interior axillary line n n n n n
Where is the mid-sternal reference line on the heart?
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- ...ANSWER vertical down the sternum
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Where is the mid- n n n
clavicular line reference line on the heart? - n n n n n n n
n...ANSWER vertical down the middle of the clavicle n n n n n n n
Where is the interior axillary reference line on the hea
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rt? - ...ANSWER vertical down the axilla
n n n n n n
,What are some risk factors for developing heart probl
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ems? - ...ANSWER- smoking
n n n
- sedentary lifestyle n
- obese
- high sodium and high fat diet
n n n n n
- alcohol intake n
What are you looking for when inspecting the precordi
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um? - ...ANSWER skin color, lesions, or masses
n n n n n n n
What areas do you palpate on the heart? -
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...ANSWER apex, left sternal border, and base
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What are you looking for when palpating the precordiu
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m? - n
...ANSWER masses, tenderness, lifts, heaves, thrills, a
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nd PMI
n
What is the PMI - ...ANSWER point of maximal impulse
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Where is the PMI located? - n n n n n
...ANSWER at the apex at the 4th-5th ICS at the MCL
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What are the 5 different areas of the heart to identify?
n n n n n n n n n n
- ...ANSWER1. aortic area n n
2. pulmonic area n
3. erb's point n
4. tricuspid area n
5. mitral area n
,How long do you listen to the apical pulse rate for? -
n n n n n n n n n n n
...ANSWER1 minute n
In what areas will s2 be louder than s1? -
n n n n n n n n n
n...ANSWER aortic area, pulmonic area, and erb's point
n n n n n n n
In what area will s1 and s2 be equal? -
n n n n n n n n n
n...ANSWER tricuspid area n n
In what area will s1 be lower than s2? -
n n n n n n n n n
n...ANSWER mitral area n n
What is the order or the cardiac cycle? -
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n...ANSWER1. S1 n
2. systole
3. S2
4. diastole
5. S1
6. systole
7. S2
8. diastole
What is S1? -
n n n
...ANSWER closure of the tricuspid and mitral valves
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What is S2? -
n n n
...ANSWER closure of the aortic and pulmonic valves
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What are you listening for when auscultating heart sou
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nds? - ...ANSWER rate and rhythm
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, What other two sounds might you hear if the heart is a
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bnormal? - ...ANSWERS 3 and S4 n n n n n
What does an S3 beat sound like? -
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...ANSWER fluid backup, volume overload, regurgit
n n n n n n
ation, wet soundn n
What does an S4 beat sound like? -
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...ANSWER stiffening or atrial gallop
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What can murmurs sound like? -
n n n n n
...ANSWER clicks, sloshing, or wet sound
n n n n n n
How can you describe a murmur? - ...ANSWER-
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ntiming in the cardiac cycle
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- loudness
- pitch
- pattern
- quality
- location
- radiation
- position
Which artery do you assess one at a time? -
n n n n n n n n n
...ANSWER carotid arteries n n
What are you looking for when inspecting and palpatin
n n n n n n n n
g carotid arteries? -
n n n
...ANSWER symmetry and strength bilaterally
n n n n n
n n n n n n n
M TEST BANK 200 QUESTIONS AND CORRECT DET
n n n n n n n
AILED ANSWERS WITH RATIONALES n n n
(VERIFIED ANSWERS) |ALREADY GRADED A n n n n
In what shape do you palpate and auscultate the lungs
n n n n n n n n n
? - ...ANSWER a Z shape (same lung and side to side)
n n n n n n n n n n n
How does blood flow through the heart starting at the
n n n n n n n n n n
superior vena cava? - ...ANSWER right atrium,
n n n n n n
tricuspid valve, right ventricle, pulmonary valve,
n n n n n n
pulmonary arteries, lungs, pulmonary veins, left n n n n n
atrium, mitral valve, left ventricle, aortic valve, aorta
n n n n n n n
What are the three reference lines for assessing the h
n n n n n n n n n
eart? - ...ANSWER mid-sternal line, mid-
n n n n n
clavicular line, and interior axillary line n n n n n
Where is the mid-sternal reference line on the heart?
n n n n n n n n
- ...ANSWER vertical down the sternum
n n n n n
Where is the mid- n n n
clavicular line reference line on the heart? - n n n n n n n
n...ANSWER vertical down the middle of the clavicle n n n n n n n
Where is the interior axillary reference line on the hea
n n n n n n n n n
rt? - ...ANSWER vertical down the axilla
n n n n n n
,What are some risk factors for developing heart probl
n n n n n n n n
ems? - ...ANSWER- smoking
n n n
- sedentary lifestyle n
- obese
- high sodium and high fat diet
n n n n n
- alcohol intake n
What are you looking for when inspecting the precordi
n n n n n n n n
um? - ...ANSWER skin color, lesions, or masses
n n n n n n n
What areas do you palpate on the heart? -
n n n n n n n n
...ANSWER apex, left sternal border, and base
n n n n n n n
What are you looking for when palpating the precordiu
n n n n n n n n
m? - n
...ANSWER masses, tenderness, lifts, heaves, thrills, a
n n n n n n n
nd PMI
n
What is the PMI - ...ANSWER point of maximal impulse
n n n n n n n n n
Where is the PMI located? - n n n n n
...ANSWER at the apex at the 4th-5th ICS at the MCL
n n n n n n n n n n n
What are the 5 different areas of the heart to identify?
n n n n n n n n n n
- ...ANSWER1. aortic area n n
2. pulmonic area n
3. erb's point n
4. tricuspid area n
5. mitral area n
,How long do you listen to the apical pulse rate for? -
n n n n n n n n n n n
...ANSWER1 minute n
In what areas will s2 be louder than s1? -
n n n n n n n n n
n...ANSWER aortic area, pulmonic area, and erb's point
n n n n n n n
In what area will s1 and s2 be equal? -
n n n n n n n n n
n...ANSWER tricuspid area n n
In what area will s1 be lower than s2? -
n n n n n n n n n
n...ANSWER mitral area n n
What is the order or the cardiac cycle? -
n n n n n n n n
n...ANSWER1. S1 n
2. systole
3. S2
4. diastole
5. S1
6. systole
7. S2
8. diastole
What is S1? -
n n n
...ANSWER closure of the tricuspid and mitral valves
n n n n n n n n
What is S2? -
n n n
...ANSWER closure of the aortic and pulmonic valves
n n n n n n n n
What are you listening for when auscultating heart sou
n n n n n n n n
nds? - ...ANSWER rate and rhythm
n n n n n
, What other two sounds might you hear if the heart is a
n n n n n n n n n n n
bnormal? - ...ANSWERS 3 and S4 n n n n n
What does an S3 beat sound like? -
n n n n n n n
...ANSWER fluid backup, volume overload, regurgit
n n n n n n
ation, wet soundn n
What does an S4 beat sound like? -
n n n n n n n
...ANSWER stiffening or atrial gallop
n n n n n
What can murmurs sound like? -
n n n n n
...ANSWER clicks, sloshing, or wet sound
n n n n n n
How can you describe a murmur? - ...ANSWER-
n n n n n n n
ntiming in the cardiac cycle
n n n n
- loudness
- pitch
- pattern
- quality
- location
- radiation
- position
Which artery do you assess one at a time? -
n n n n n n n n n
...ANSWER carotid arteries n n
What are you looking for when inspecting and palpatin
n n n n n n n n
g carotid arteries? -
n n n
...ANSWER symmetry and strength bilaterally
n n n n n
