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AHN 568 Test 1 AHN 568 Exam 2 Cardiac Assessment Questions with 100% Correct Answers
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AHN 568 Test 1 AHN 568 Exam 2 Cardiac Assessment Questions with 100% Correct Answers
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AHN 568 Test 1 AHN 568 Exam 2 CardiacAssessment Questions with 100% Correct
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The 7 variables you should consider when assessing the presence of a murmur - ✔️✔️1. Timing
(VIP) - systolic - early, mid, late, or pansystolic
- diastole - early, mid, late, or pandiastolic
2. Loudness - grades 1-6
3. Pitch - high, medial, or low (remember low pitch use bell)
4. Quality - blowing, rumbling, harsh, raspy, musical
5. Location (VIP) - where area of the chest is heard best
6. Radiation - does it radiate to the neck, back, or left axillae (remember only systolic murmurs
radiate)
7. Posture - does the murmur disappear or get louder with changes in position; inspiration or
expiration
Early diastolic murmurs are caused from incompetently closed semilunar valves and involve
which two murmurs? - ✔️✔️Aortic Regurgitation and Pulmonic Regurgitation
Diastolic rumbling murmurs include - ✔️✔️Mitral Stenosis & tricuspid stenosis
Mid-Systolic Ejection murmurs are caused from obstructed flow of blood through the semilunar
valves. These two murmurs are? - ✔️✔️Aortic Stenosis & Pulmonic Stenosis
Pansystolic murmurs include - ✔️✔️Mitral Regurgitation & Tricuspid Reguritation
This murmur is heard best in the 2nd ICS right sternal border after S2 is
- Aortic Stenosis
, - Pulmonic Regurg
- Aortic Regurg
- Mitral Stenosis - ✔️✔️Aortic Regurgitation - remember if it occurs after S2 then it's a diastolic
murmur. (Lub-dub-murmur). During diastole the aortic valve should be closed, but if you hear a
murmur there then it is due to the backward flow of blood into the left ventricle causing a
murmur.
You are assessing a patient with COPD and a known history of aortic regurgitation. You are
having trouble auscultating his heart. Where and which position would you ask the patient to
assume to better auscultate his heart? - ✔️✔️2nd ICS right sternal border and ask patient to sit
up lean forward and hold their breath.
A patient has a history of mitral stenosis, as an advanced nurse practitioner you know to use
the bell or diaphragm of your stethoscope - ✔️✔️Bell
Mitral stenosis is best heard during which phase of the cardiac cycle. Systole or diastole? -
✔️✔️Diastole - mitral stenosis is a rumbling diastolic murmur.
Mitral stenosis may be preceded by an _________, because of the calcified mitral valve
- S4
- opening snap
- Aortic ejection snap - ✔️✔️opening snap
During palpation of the pericardium you feel a thrill in the apex area late in diastole, you know
that this finding is consistent with which murmur?
- Aortic Stenosis
- Pulmonic Stenosis
- Mitral Stenosis
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