Midterm Exam: NR 509 / NR509 (Latest 2023/ 2024 Update) Advanced Physical Assessment Complete Exam Review | Weeks 1-4 Covered| Questions and Verified Answers -Chamberlain
Midterm Exam: NR 509 / NR509 (Latest
2023/ 2024 Update) Advanced Physical
Assessment Exam Review | Weeks 1-4
Covered| Questions and Verified Answers
QUESTION
Which heart event is the period of ventricular contraction?
Answer:
systole
QUESTION
Which heart event is the period of ventricular relaxation?
Answer:
diastole
QUESTION
What pressure gradient event in the heart corresponds to the systolic blood pressure?
Answer:
maximal left ventricular pressure
QUESTION
Usually, opening of the mitral valve is silent. In what condition might the opening be audible as
an opening snap if valve leaflet motion is restricted?
Answer:
mitral stenosis (occurring right after S2)
QUESTION
In what location would a clinician search for the splitting of S2?
Answer:
second and third left intercostal spaces
QUESTION
Splitting of S1 is considered a normal finding. Why?
Answer:
due to the soft tricuspid component of S1 (heard best at the lower left sternal border)
QUESTION
What does a heart murmur normally indicate?
Answer:
valvular disease
QUESTION
“Innocent” heart murmurs may be normal in which age group?
Answer:
young adults
QUESTION
What is the formula for cardiac output (the volume of blood ejected from each ventricle in 1
min)?
Answer:
SV x HR
QUESTION
What are the factors that affect stroke volume?
Answer:
preload, contractility, afterload
QUESTION
What are the 4 factors that affect blood pressure?
Answer:
left ventricular stroke volume, distensibility of the aorta and large arteries, peripheral vascular
resistance (particularly at the arteriolar level), arterial blood volume
QUESTION
What are the 3 peaks of JVP?
Answer:
a – due to the atria contracting
c – pressure rising in atrium after tricuspid valve shuts (bulges back into atrium).
v – valve bulges again as ventricle reaches peak contraction.
QUESTION
In what conditions may prominent cannon a waves occur when measuring JVP?
Answer:
increased resistance to right atrial contraction (tricuspid stenosis), severe 1st, 2nd, 3rd degree AV
block, SVT, junctional tachycardia, pulmonary hypertension, and pulmonic stenosis
QUESTION
Absent a wave in JVP pulsations indicate_____________?
Answer:
atrial fib
QUESTION
Increased v waves in JVP pulsations occur in ______?
Answer:
tricuspid regurgitation, atrial septal defects, constrictive pericarditis
QUESTION
In acute aortic dissection, how is chest pain described?
Answer:
anterior chest, tearing or ripping and radiating into the back or neck
QUESTION
In what gender and age group are you most likely to see atypical symptoms of acute coronary
syndrome such as upper back, neck, or jaw pain, nausea/vomiting, shortness of breath, PND, and
fatigue?
Answer:
women > 65
QUESTION
Which thyroid disorder is associated with heart palpitations?
Answer:
hyperthyroidism
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