Cardiovascular Assessment

Question 1

Obtain BP bilaterally

Answer 1

right arm blood pressure (theirs). left arm blood pressure (theirs). normal is 120/80 bilaterally

Question 2

obtain apical/radial pulse

Answer 2

apical/radial pulse is (theirs)/(theirs), nornal is 60 to 100 bpm (there is a (apical-radial) bmp deficit)

Question 3

state whether rhythm is regular or irregular

Answer 3

pulse is regular

Question 4

inspect face and lips for color

Answer 4

skin and lip color appropriate for ethnicity

Question 5

observe for jugular venous distention (HOB 30 degrees)

Answer 5

jugular venous pulsations present, no distention present with HOB at 30 degrees

Question 6

inspect upper extremities for color

Answer 6

upper extremities color is appropriate for ethnicity bilaterally

Question 7

palpate upper extremities for temperature and capillary refill

Answer 7

skin is warm and dry, capillary refill (theirs) bilaterally, normal is less than 2 seconds bilaterally

Question 8

assess skin turgor bilaterally

Answer 8

turgor is resilient bilaterally

Question 9

palpate carotid pulses bilaterally

Answer 9

carotid pulses equal bilaterally

Question 10

palpate brachial pulses bilaterally, state amplitude

Answer 10

brachial pulses are equal, (theirs)+/4+, normal is 2+/4+ bilaterally

Question 11

palpate radial pulses bilaterally, state amplitude

Answer 11

radial pulses are equal, (theirs)+/4+, normal is 2+/4+ bilaterally

Question 12

inspect chest for masses, bulges, and lifts

Answer 12

no masses, bulges, or lifts noted on inspection

Question 13

palpate the chest for pulsations, thrills, or heaves

Answer 13

no pulsations, thrills, or heaves palpated

Question 14

palpate PMI and state location

Answer 14

PMI at 5th LICS MCL, normal is 5th LICS MCL

Question 15

auscultation cardiac landmarks with diaphragm. note s1 and s2, murmurs, or rubs (aortic, pulmonic, erbs point, tricuspid, mitral)

Answer 15

aortic is at 2nd RICS
pulmonic is at 2nd LICS
Erbs point is at 3rd LICS
tricuspid is at 4th LICS
mitral is at 5th LICS MCL
s1 is loudest at apex, s2 is loudest at base; no s3, s4, murmurs, or rubs auscultated

Question 16

auscultation cardiac landmarks again with bell, note s1 and s2, murmurs, or rubs

Answer 16

s1 is loudest at apex, s2 is loudest at base; no s3, s4, murmurs, or rubs auscultated

Question 17

auscultation carotid artery’s for bruits bilaterally with bell

Answer 17

no bruits heard

Question 18

inspect lower extremities for color, hair distribution, superficial veins

Answer 18

color is appropriate for ethnicity, hair distribution even bilaterally, no superficial veins present bilaterally

Question 19

palpate lower extremities for temperature and capillary refill

Answer 19

skin is warm, capillary refill is (theirs), normal is less than 2 seconds

Question 20

palpate for edema, state whether pitting or non pitting, rate pitting scale 1-4+

Answer 20

no edema present bilaterally

Question 21

palpate pulses bilaterally for symmetry, state amplitude (femoral, popliteal, posterior tibial, and dorsalis pedis)

Answer 21

femoral pulse equal, amplitude (theirs)+/4+ bilaterally
popliteal pulse equal, amplitude (theirs)+/4+ bilaterally
posterior tibial pulse equal, amplitude (theirs)+/4+ bilaterally
dorsalis pedis pulse equal, amplitude (theirs)+/4+ bilaterally