Cardiovascular/Peripheral/Respiratory

Question 1

Subjective Data

Answer 1

Asks 5 questions

Question 2

Vital Signs

Answer 2

Temp
HR and the rhythm
RR and the rhythm
respiratory effort ( labored or non-labored)
BP
SpO2

Question 3

Facial Expression

Answer 3

Describes smiling, frowning, etc

Question 4

Notes position for breathing

Answer 4

yes

Question 5

Assesses level on consciousness

Answer 5

Conscious awake and alert

Question 6

Inspects chest for accessory muscle use

Answer 6

No accessory muscle use

Question 7

Inspects chest for face and skin color

Answer 7

Pink skin color

Question 8

Neck

Answer 8

Inspects for venous pulsation/JVP
Auscultate carotid pulses for fruits
Palpates carotid pulses unilaterally and grades bilaterally

Question 9

Palpates upper and lower extremities

Answer 9

Upper extremity temp
Upper extremity texture
Lower extremity temp
Lower extremity texture

Question 10

Inspect nails and nail beds

Answer 10

Fingers- nail bed color, clubbing, capillary refill
Toes- nail bed color, clubbing, capillary refill

Question 11

Assess chest and thorax

Answer 11

Thoracic shape (AP: lateral)
Inspects for visible PMI (if visible note location)
Palpates PMI
assess for chest heaves

Question 12

Auscultation of heart

Answer 12

Aortic (RSB, 2nd ICS)
Pulmonic (LSB 2nd ICS)
Tricuspid (LSB, 5th ICS)
Mitral (MCL, 5th ICS)
Apical heart rate
comment on apical rhythm
Identify location where S1 APEX and S2 BASE
Comment on auscultation or absence of other heart sounds

Question 13

Palpate for thrills

Answer 13

Aortic valve
Pulmonic valve
Tricuspid valve
Mitral valve

Question 14

Assess chest expansion posteriorly

Question 15

Palpates for tactile remits posteriorly