NURS 612 AHA EXAM 2 | Questions & Answers (100 %Score) Latest Updated 2024/2025
Comprehensive Questions A+ Graded Answers | With Expert Solutions
Subjective data of a client with CP - Substernal chest pain, pain radiating to jaw, pain
radiating to L arm; SOB, fatigue
Objective data of a client with CP - How long has the CP been occuring
What makes the CP better
What makes the CP worse
What can cause heart sounds to be diminished? - Fat, increased muscle, plural or
pericardial fluid
What can cause heart sounds to be increased? - skinny build, positioning forward,
cardiomegaly
How would you palpate the pericardium? - Palpate the apex
Left sternal boarder
Base
Go down to right sternal border
Feel for apical impulse and note distance from the midsternal line,
PMI, 1cm.
Palpate carotid pulse and pericardium at same time. S1 should occur simultaneously
Describe heave or lift, and discuss what it indicates - Apical pulse PMI more vigorous
than expected
Describe feeling for a thrill - fine palpable rushing vibration
Client has a history of IV drug use presents with sudden onset of CHF, SOB, ankle
edema. Objective assessment reveals janeway lesion and ossler nodes - Bacterial
endocarditis
Client presents with orthopnea, exercise intolerance, Crackles and pulmonary edema
on pulmonary exam - CHF
Client presents with tachypnea, exertional dyspnea, cough, hemoptysis; distended neck
veins, loud S2 peripheral edema - Cor Pulmonal
Where are they located on the chest and describe the sounds: Vesicular - low pitched
low intensity heard over all lobes of the lungs short soft expirations
Where are they located on the chest and describe the sounds: Bronchovesicular -
Moderately pitched, moderate intensity, heard over major bronchi. Inspiration equals
expiration
, Where are they located on the chest and describe the sounds: Bronchial - High pitch
high intensity heard over trachea only. Loud and long expirations sometimes longer
than inspiration
pleural friction rub - dry, rubbing, grating should caused by inflammation of pleural
spaces; heard during inspiration and expiration.
Name three conditions in which a pleural friction rub could occur - Pneumonia, pleuritis,
malignancy
Name 3 types of vocal resonance - Bronchophony, whispered pectoriloquy, egophony
Bronchophony description and indication - greater quality and increased loudness of
spoken sound; effusion or consolidation
Whispered pectoriloquy description and indication - clearly heard whisper in severe
consolidation
Egophony description and indication - when the intensity of spoken voice is increased
and there is a nasal quality; any condition that consolidates lung tissue.
What are some common respiratory changes in the elderly population - Kyphosis,
decreased aveolar surface, dry mucous membranes, barrel chest, increased stiffness,
decreased thoracic expansion
During percussion what does hyperresonance mean - Emphysema, asthma,
pneumothorax
How do you differentiate whether a rub is cardiac or respiratory? - Have the patient hold
their breath. Pleural rub will dissapear, cardiac will not
What is a mediastinal crunch; what is it known as; what does it indicate - crunching
rasping sound synchronous with heartbeat heard over pericardium; Hammond's sign;
medistinal emphysema
Coarse crackles are heard with - Atelectasis, bronchiectasis, congestive heart failure,
pulmonary fibrosis ; not cleared by coughing
Name the facial abnormalities - Cushing's Syndrome, Hippocratic facies, Hyperthyroid
facies, Myxedema faces, Butterfly rash, Bell's Palsy, early acromegaly, tics
What is Chovsteck's sign - Hyperactive masseteric reflex that occurs after palpation pf
the masseter muscle indicates hypocalcemia
