Examl 2:l NU650/l NUl 650l (Latestl 2025/l
2026l Update)l Advancedl Healthl Assessmentl Nursingl Review|l Questionsl &l Answers|l Gradel A|l 100%l Correctl (Verifiedl Solutions)-l Regis
Q:l Howl tol appropriatelyl measurel bloodl pressure?
Answer:
position:l seatedl withl arml supportl onl al tablel justl abovel thel patient'sl waist,l orl roughlyl levell withl thel fourthl interspacel atl itsl junctionl withl thel sternum consideration:l avoidl smoking/caffeienl 30l minutesl prior.l patientl shouldl bel restingl forl atl leastl 5l minutes.l waitl 2l minutesl betweenl readings,l takel atl leastl onel readingl onl eachl arml Estimatel by:l palpatingl radiall artery,l rapidlyl inflatel cuffl untill pulsel disappears,l thenl addl 30mmHg Take:l placel cuffl 2.5l cml abovel anticubitall crease.l Rapidlyl inflate,l deflatel atl ratel ofl 2-3l mmHgl perl second.l systolicl -l hearl atl leastl 2l consecutivel beats diastolicl -l disappearancel point
Q:l Howl arel cardiovascularl findingsl properlyl documented?
Answer:
example:l
JVPl isl 3cml abovel sternall anglel withl HOBl 30l degrees.l Carotidl upstrokesl arel brisk,l withoutl bruits.l PMIl tapping,l 1cml laterall tol midclavicularl linel atl 5thl intercostall space.l Crispl S1l andl S2,l S1l louderl thanl S2l atl thel base.l Nol murmursl orl extral sounds
Q:l Howl dol youl properlyl documentl al normall peripherall vascularl assessment?
Answer: 1 / 4
Example:
"extremitiesl arel warml andl withoutl edema.l Nol varicositiesl orl stasisl changes.l calvesl arel supplel andl nontender.l Nol femorall orl abdominall bruits.l Brachial,l radial,l femoral,l popliteal,l DP,l andl PTl pulsesl atl 2+l andl symmetrical.
Q:l Whatl arel routinel peripherall vascularl screenings/healthl maintenance?
Answer:
Screeningl forl PADl basedl onl Riskl factors:l Agel >65,l Agel >50l withl al historyl ofl smokingl orl diabetes,l legl symptomsl withl exertion,l non-healingl wounds.l Screeningl forl AAA:l recommendedl one-timel screeningl byl u/sl inl menl 65-75l withl al historyl ofl "ever"l smoking.l
otherl risksl forl AAA:l CAD,l PAD,l HTN,l familyl hx,l smoking,l HLD.
Q:l Whatl arel systolicl heartl murmurs?
Answer:
Murmursl thatl coincidel withl carotidl upstrokesl andl falll betweenl S1l andl S2
Causedl by:l Aorticl stenosis,l mitrall regurgitation,l mitrall valvel prolapse
Q:l Whatl arel diastolicl heartl murmurs?
Answer:
Murmursl thatl falll betweenl S2l andl thel Nextl S1,l fallingl beforel orl afterl thel carotidl upstrokel
Cause:l Aorticl regurgitation,l mitrall stenosis
Q:l howl tol youl gradel thel intensityl ofl al heartl murmur?
Answer:
documentedl asl numeratorl (intensityl atl it'sl loudestl point)l overl al denominatorl ofl 6 Gradel 1:l veryl faint,l onlyl heardl afterl listenerl hasl "tunedl inl -l Mightl notl hearl inl alll positions
Gradel 2:l quiet,l butl heardl immediately
Gradel 3:l moderatelyl loud,l easilyl heard 2 / 4
Gradesl 4:l loudl withl associatedl thrill
Gradel 5:l heardl withl portionl ofl stethoscopel liftedl offl chest
Gradel 6:l heardl withl stethoscopel completelyl liftedl offl chest.
Q:l Howl dol youl ratel thel pitchl ofl heartl murmurs?
Answer:
Highl -l blowingl sounds mediuml lowl pitchl -l hummingl sounds
Q:l Howl dol youl describel al heartl murmursl shapel orl pattern?
Answer:
Crescendo-decrescendo:l diamondl shape,l firstl risesl thenl falls.l (aorticl stenosis)
Decrescendo:l startsl loudl andl growsl softersl (aorticl regurgitation)
Crescendo:l startsl soft,l growsl louderl (mitrall stenosis)
Plateaul hasl thel samel intensityl throughoutl (mitrall regurgitation)
Q:l Howl dol youl describel al heartl murmursl locationl ofl maximall intensity?
Answer:
Determinedl byl thel sitel ofl origin Explorel thel areal wherel thel murmurl isl loudest Describel wherel itl isl heardl bestl inl termsl ofl interspace Describel it'sl positionl relativel tol sternum,l apex,l orl mid-sternall orl mid-clavicular,l orl onel ofl thel axillaryl lines
Q:l Howl dol youl describel al heartl murmursl radiation?
Answer:
Reflectsl thel sitel ofl originl andl thel intensityl ofl thel murmurl andl thel directionl ofl bloodl flow Auscultatel thel areal aroundl thel murmurl andl determinel wherel elsel youl canl hearl it
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Q:l Howl dol youl describel al heartl murmursl quality?
Answer:
Harshl Blowingl (aorticl regurgitation) Musicall (somel murmursl ofl MVP) Rumblingl (mitrall stenosis)
Q:l Howl dol youl describel al heartl murmursl position?
Answer:
Howl isl thel patientl positionedl forl youl tol hearl thel heartl murmurl thel loudest?
Q:l whatl isl al midsystolicl murmur?
Answer:
beginsl afterl S1l andl stopsl beforel S2 causes:l innocentl murmurs,l physiologicl murmursl duel tol increasedl flow,l aorticl stenosis,l hypertrophicl cardiomyopathy,l pulmonicl stenosis
Q:l Whatl isl al pansystolicl murmur?
Answer:
murmurl obscuresl thel heartl sounds causes:l mitrall regurgitation,l tricuspidl regurgitation,l ventricularl septall defect
Q:l whatl isl anl earlyl diastolicl murmur?
Answer:
Startsl immediatelyl afterl S2l andl usuallyl fadesl intol silencel beforel S1
causes:l aorticl regurgitation
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