Exam 3: NSG121/ NSG 121 (Latest 2024/ 2025 Update) Health Assessment | Review with Questions and Verified Answers| 100% Correct| Grade A- Herzing
Exam 3: NSG121/ NSG 121 (Latest 2024/
2025 Update) Health Assessment | Review
with Questions and Verified Answers| 100%
Correct| Grade A- Herzing
Q: List 3 ways blood flow is regular through the venous system
Answer:
- Valves in the veins
- Skeletal muscles contraction
- Respirations
Q: Conduction system of the heart:
Answer: - SA Node
- Atria Contract
- Bundle of His
- Bundle Branches
- Purkinje Fibers
- Ventricles Contract
Q: What 3 things drain into the left lymphatic duct?
Answer: - Iliac nodes
- Thoracic duct
- Mesenteric nodes
Q: What 4 things drain into the right lymphatic duct?
Answer:
- The right thorax
- Upper Limbs
- Head
- Neck
Q: TRUE/FALSE
In increased activity in an elderly person they will exhibit elevated HR, bounding pulses, &
shortness of breath
Answer:
False
Decreased Response
Q: List 3 risk factors most commonly associated with Peripheral Arteriole Disease (PAD)
Answer: - Diabetes
- Smoking
- Age
Q: Cardinal Sign of PAD
Answer:
Intermittent claudication, pain on exertion and done on rest
Q: 3 Common Signs of Heart Disease
Answer: - Edema
- Shortness of breath
- Decreased cardiac output
Q: Symptoms of Deep Vein Thrombosis
Answer:
Unilateral acute pain one leg only, swelling, and erythema
Q: First Step in Deep Vein Thrombosis Patient
Answer:
Measure the swelling
Q: Should you massage the leg of a DVT patient to help clot dissolve?
Answer:
No, it could disloge the clot
Q: Symptoms of Chronic Venous Insufficiency
Answer:
If a patient has dull aching pain that is chronic and also has edema & is warm
Q: The 7 P’s indicate what? Pain, paralysis, pallor, pulse, perfusion, paresthesia
Answer:
Acute Arteriole Occulsion
Q: Acute MI
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What are the landmarks used to auscultate the pulmonic valve? 2nd ICS Left Sternal Border
What is the landmark to auscultate the tricuspid valve? 4th ICS Left Sternal Border
Where is the landmark to auscultate the aortic valve? 2nd ICS Right Sternal Border
Where is the landmark to auscultate the mitral valve? 5th ICS Left Medial to MCL
Which sound represents closure of the AV Valves: S1S2
List 3 ways blood flow is regular through the venous system 1. Valves in the veins2. Skeletal muscles contraction3. Respirations
Conduction system of the heart: 1. SA Node2. Atria Contract3. Bundle of His4. Bundle Branches5. Purkinje Fibers6. Ventricles Contract
What 3 things drain into the left lymphatic duct? 1. Iliac nodes2. Thoracic duct3. Mesenteric nodes
What 4 things drain into the right lymphatic duct? 1. The right thorax2. Upper Limbs3. Head4. Neck
TRUE/FALSE In increased activity in an elderly person they will exhibit elevated HR, bounding pulses, & shortness of breath FalseDecreased Response
List 3 risk factors most commonly associated with Peripheral Arteriole Disease (PAD) 1. Diabetes2. Smoking3. Age
Cardinal Sign of PAD Intermittent claudication, pain on exertion and done on rest
3 Common Signs of Heart Disease 1. Edema2. Shortness of breath3. Decreased cardiac output
Symptoms of Deep Vein Thrombosis Unilateral acute pain one leg only, swelling, and erythema
First Step in Deep Vein Thrombosis Patient Measure the swelling
Should you massage the leg of a DVT patient to help clot dissolve? No, it could disloge the clot
Symptoms of Chronic Venous Insufficiency If a patient has dull aching pain that is chronic and also has edema & is warm
The 7 P’s indicate what? Pain, paralysis, pallor, pulse, perfusion, paresthesia Acute Arteriole Occulsion
Acute MI Over 20 min of chest painDiaphoresis & Nausea
Stable Angina Chest pain less than 20 min with activityRelieved with rest
2 Signs of Fluid Volume Overload 1. Edema in legs, bilaterally2. Jugular vein distention
6 Things Involved in Routine Cardiac Assessment 1. Jugular veins assessment2. Listen to heart sounds3. Check PMI4. Listening to carotid arteries5. Pulse6. Palpating Pericardium
What do you assess carotid arteries for? How? BruitUse the bell of stethoscope
When assessing jugular veins what angle should the head of the patient’s bed be at? 30-45 degrees
S1 S1: Closure of Aortic Valve, Beginning of Systole
S2 S2: Closure of Pulmonary Valve, Beginning of Diastole
S3 S3: Ventricular Gallop
S4 S4: Atrial Gallop, Pathological, Ventricles are stiff
What is documented with murmurs? IntensityPitch PatternLocation
How to assess a pulse in an extremity that is hard to find? Move distal to proximal.Start at hands/wrists and move towards heart.
Symptoms of Lymphedema 1. Swelling2. Redness3. Pain4. Usually, one sided
TRUE/FALSE A doppler device can be used to detect all pulses True
Functions of the Kidneys 1. Filtration2. Regulates renin & BP3. Erythropoietin
What is the prepuce? Foreskin in uncircumcised male
What shape is the prostate? Chestnut
Location of Prostate Surrounding urethra
Ovary Function Produce OvaStore Ova
3 Places That Produce Female Hormones 1. Pituitary Gland2. Hypothalamus3. Ovaries
4 GI changes in an older adult 1. Decreased metabolism2. Peristalsis is decreases3. Stomach produces less acid4. Saliva decreases
Main Disease Concern for Native Americans Diabetes
What impacts sexual function in males? MedicationsAntidepressantsAntihypertensivesCholesterol Meds
Traveling is risk for which hepatitis? Hepatitis A
Main Risk for Testicular Cancer Undescended testicles
How to auscultate the abdomen 1. RLQ, RUQ, LUQ, LLQ2. Use Diaphragm3. One minute per quad
How to stop patient from guarding during abdominal exam? 5 ways 1. Having patient hand on your hand2. Guided imagery3. Hands at lower level4. Pillow under the knees5. Take deep breaths (palpate on exhale)
Is pain normal during deep palpation over the cecum? Yes
What is Ascites? Fluid in abdomen
How to assess ascites? Big, distended stomach, look for fluid wave
What does a positive Murphy’s sign indicate? Inflammation of Gallbladder
Should the scrotum every have fluid? No
If testicles are not equal in height, what is the other normal way for testicles to be? Left Lower than Right
2 Ways Male Client Positioned for Rectal Exam StandingLaying on Left Side
Is it normal for a patient to have to urinate during a prostate exam? Yes
Can blood from menstration cycle affect results of Pap smear? Yes
Ligaments Connect bone to boneStabilize JointsLimit Movement
Cartilage Helps bones to slide over one another, reduce friction
Meniscuses Disk that aborbs shock in the knee
Hinge Joint Example KneeElbow
Ball and Socket Joint HipShoulder
Adbuction Movement away from the body
Adduction Movement towards middle of the body
Vitamin D & Calcium Help Bone Growth
How to help prevent further bone loss? Weight bearing exercise like walking
What to assess in patient with arthritis Ability to preform ADLs
What is important to assess in a teenager who plays sports? Safety habitsInjury history
2 Main Causes for Subluxation of Shoulder 1. Stroke2. Scoliosis
Can carrying a heavy purse or backpack on one shoulder cause scoliosis? Yes
Assessment of Balance Romberg TestStanding with eyes closed and feet together
Assessment of Coordination Put hands on thighs and rapidly turn over their hands and lift them off their thighs
Spasticity Definition Stiffening of muscles
Vesiculation Definition Involuntary twitching of muscle fibers
Tremor Definition Uncontrolled Muscle Contraction
Assessment of Quad Strength Hands on patient’s quads and have them push up
Assessment of Hamstring Strength Hands behind patient’s calves and push back on hands
Unequal Shoulder Height Shows ScoliosisRotator Cuff Tear
Assessment of Lateral Flexion of Cervical Vertebre Ear to Shoulder
Assessment of Flexion of Cervical Vertebre Chin to Chest
Assessment of Extension of Cervical Vertebre Head to Sky
The tricuspid valve can be described as Right AV Valve
Normal size of apical pulse 2cm
First step in auscultating the heart identify S1 and S2
A murmur heard after S1 and before S2 is classified as: systolic (possibly benign)
Function of Venous System to hold more blood when blood volume increases
Is it normal to not be able to palpate the popliteal pulse? yes
Atrophic skin changes that occur with peripheral arterial insufficiency include: thin, shiny skin with loss of hair
Major risk for venous ulcer obesity
intermittent claudication muscular pain brought on by exercise
When thinking about the conduction system of the heart, the BLANM generates initial impulses SA Node
The BLANK initiate the cardiac contraction in the conduction system Purkinjie Fibers