Health Assessment II

Question 1

receives venous blood from the superior and inferior vena cava and pump into the right ventricle

Answer 1

right atrium

Question 2

serves to pump the un-oxygenated blood to the pulmonary circulation and lunges where fresh oxygen is available

Answer 2

right ventricle

Question 3

receives oxygenated blood from the pulmonary veins and pumps this blood into the left ventricle

Answer 3

left atrium

Question 4

pumps oxygenated blood (arterial blood) to all areas of the body to maintain tissue oxygenation

Answer 4

left ventricle

Question 5

Heart sound locations

Answer 5

Aortic 
Pulmonic
Erbs point (where murmurs are heard)
Tricuspid 
Mitral

Question 6

dull low pitch sound occurs when the mitral and tricupsid valve closes. (heard best at mitral area)

Answer 6

Lub (S1)

Question 7

high pitch sound occurs when the aortic and pulmonic valve closes. (heard best at pulmonic area)

Answer 7

Dub (S2)

Question 8

occurs because blood is not flowing correctly from the atrium into the ventricle so it’s basically impaired ventricular filling.

Answer 8

Gallop sounds

Question 9

occurs during rapid ventricular filing ; common in children and young adults (kentuckY)

Answer 9

S3

Question 10

heard during atrial contraction (may be heard in the elderly with hypertension) TENessee

Answer 10

S4

Question 11

created by turbulent blood flow due to a defective valve, congenital defect, increased blood flow (heard best at Erb’s Point (third intercostal space))

Answer 11

Murmur

Question 12

grating sound heard when pericardial layers rub against each other; percariditis

Answer 12

Percaridal Friction Rub

Question 13

When assessing the abdmonial what order should you do it in?

Answer 13

Inspect, Auscultate, Palpate, Purcuss

look, listen, then feel

Question 14

How do bowel sounds typically sound?

Answer 14

high pitch, gurgly type noises

Question 15

one gurgle high pitch sound per minute; decreased mobility in the bowel

Answer 15

hypoactive , less active

Question 16

one gurgle high pitch sound per 3 seconds ; increased mobility in the bowel

Answer 16

hyperactive ; over active

Question 17

what major organs are in the right upper quadrant

Answer 17

liver, gallbladder, duodedum

Question 18

what major organs are in the right lower quandrant

Answer 18

appendix

Question 19

what major organs are in the left upper quadrant?

Answer 19

stomach, spleen, pancreas

Question 20

what major organs are in the left lower quadrant ?

Answer 20

sigmoid colon

Question 21

one gurgle high pitch sound every 5-10 seconds

Answer 21

normal bowel sounds

Question 22

without urine output

Answer 22

anuric

Question 23

less than 30 mL of output in an hour

Answer 23

oliguric

Question 24

abnormal urine colors

Answer 24

pink-tinged, bloody (red), light brown, dark yellow, orange, blue or green

Question 25

no control over urine output

Answer 25

incontinent urine

Question 26

what is edema typically caused by?

Answer 26

cardiac problems

Question 27

information coming from the nurse only

Answer 27

primary

Question 28

information coming form anyone else

Answer 28

secondary

Question 29

larger part of the stethoscope that best hears high pitch sounds

Answer 29

diaphragm

Question 30

smaller part of the stethoscope that best hears low pith sounds

Answer 30

bell

Question 31

Newborn       80 - 180 
1 year             80 - 140    
5-8 years       75 - 120   
10 years          50 - 90  
Teen               50 - 90
Adult               60-100
Older Adult     60 - 100

Answer 31

Normal Pulse Range

Question 32

Newborn      30 - 80 
1 year            20 - 40
5-8 years      15 - 25
10 years        15 - 25 
Teen              15 - 20
Adult              12 - 20 
Older Adult    15 -20

Answer 32

Normal Respiration Range

Question 33

Newborn 50 - 80 25 -55
1 year 94 - 103 49 - 56
5-8 years 103 - 112 65 - 70
10 years 111 - 119 73 - 78
Teen 120 - 131 76 - 81
Adult <120 <80
Older Adult <120 <80

Answer 33

Normal Blood Pressure Range

Question 34

normal is 95 - 100%

Answer 34

Normal Oxygen Saturatoin Level