NRNP 6665 ADVANCED HEALTH ASSESSMENT FINAL EXAM 2026
ACTUAL TEST EXAM APPROVED QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES (CORRECT VERIFIED
SOLUTIONS) A NEW UPDATED VERSION |GUARANTEED PASS A+
(BRAND NEW!) FULL REVISED EXAM
Total Questions: 75
Which heart sound is normally associated with early diastole and may indicate
heart failure in adults over 40?
a) S1
b) S2
c) S3
d) S4
Correct answer: s3
Rationale: S3, or “ventricular gallop,” occurs just after S2 in early diastole and can
indicate volume overload or heart failure in adults over 40. In children, it may be
normal.
A patient present with a systolic murmur best heard at the apex with radiation to
the axilla. Which condition is most likely?
a) Aortic stenosis
b) Pulmonic stenosis
c) Mitral regurgitation
d) Tricuspid stenosis
Correct answer: mitral regurgitation
,Rationale: Mitral regurgitation produces a holosystolic murmur at the apex, often
radiating to the axilla due to retrograde blood flow into the left atrium.
Which physical exam finding is most indicative of peripheral arterial disease?
a) Warm, pink skin
b) Intermittent claudication and diminished pulses
c) Edema with pitting
d) Jugular venous distention
Correct answer: intermittent claudication and diminished pulses
Rationale: PAD typically presents with leg pain on exertion (claudication) and
diminished distal pulses due to arterial narrowing.
During a cardiovascular assessment, which maneuver is used to accentuate right-
sided heart sounds?
a) Valsalva strain phase
b) Standing
c) Inspiration
d) Expiration
Correct answer: inspiration
Rationale: Right-sided heart sounds increase with inspiration (Carballo’s sign) due
to increased venous return to the right heart.
Which of the following findings suggests jugular venous distention?
a) Palpable thrill at the apex
b) Visible elevation of the jugular vein above the sternal angle
, c) Systolic murmur at the second intercostal space
d) Peripheral edema
Correct answer: visible elevation of the jugular vein above the sternal angle
Rationale: JVD reflects elevated right atrial pressure and is observed as a visible
neck vein elevation >3 cm above the sternal angle.
A 65-year-old patient has an irregularly irregular pulse. Which arrhythmia is most
likely?
a) Sinus tachycardia
b) Atrial flutter
c) Atrial fibrillation
d) Ventricular tachycardia
Correct answer: atrial fibrillation
Rationale: Atrial fibrillation produces an irregularly irregular rhythm with no
discernible P waves on ECG.
Which of the following is a hallmark sign of aortic stenosis?
a) Continuous murmur
b) Crescendo-decrescendo systolic murmur at the right upper sternal border
c) Diastolic murmur at the apex
d) Holosystolic murmur at the apex
Correct answer: crescendo-decrescendo systolic murmur at the right upper sternal
border
ACTUAL TEST EXAM APPROVED QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES (CORRECT VERIFIED
SOLUTIONS) A NEW UPDATED VERSION |GUARANTEED PASS A+
(BRAND NEW!) FULL REVISED EXAM
Total Questions: 75
Which heart sound is normally associated with early diastole and may indicate
heart failure in adults over 40?
a) S1
b) S2
c) S3
d) S4
Correct answer: s3
Rationale: S3, or “ventricular gallop,” occurs just after S2 in early diastole and can
indicate volume overload or heart failure in adults over 40. In children, it may be
normal.
A patient present with a systolic murmur best heard at the apex with radiation to
the axilla. Which condition is most likely?
a) Aortic stenosis
b) Pulmonic stenosis
c) Mitral regurgitation
d) Tricuspid stenosis
Correct answer: mitral regurgitation
,Rationale: Mitral regurgitation produces a holosystolic murmur at the apex, often
radiating to the axilla due to retrograde blood flow into the left atrium.
Which physical exam finding is most indicative of peripheral arterial disease?
a) Warm, pink skin
b) Intermittent claudication and diminished pulses
c) Edema with pitting
d) Jugular venous distention
Correct answer: intermittent claudication and diminished pulses
Rationale: PAD typically presents with leg pain on exertion (claudication) and
diminished distal pulses due to arterial narrowing.
During a cardiovascular assessment, which maneuver is used to accentuate right-
sided heart sounds?
a) Valsalva strain phase
b) Standing
c) Inspiration
d) Expiration
Correct answer: inspiration
Rationale: Right-sided heart sounds increase with inspiration (Carballo’s sign) due
to increased venous return to the right heart.
Which of the following findings suggests jugular venous distention?
a) Palpable thrill at the apex
b) Visible elevation of the jugular vein above the sternal angle
, c) Systolic murmur at the second intercostal space
d) Peripheral edema
Correct answer: visible elevation of the jugular vein above the sternal angle
Rationale: JVD reflects elevated right atrial pressure and is observed as a visible
neck vein elevation >3 cm above the sternal angle.
A 65-year-old patient has an irregularly irregular pulse. Which arrhythmia is most
likely?
a) Sinus tachycardia
b) Atrial flutter
c) Atrial fibrillation
d) Ventricular tachycardia
Correct answer: atrial fibrillation
Rationale: Atrial fibrillation produces an irregularly irregular rhythm with no
discernible P waves on ECG.
Which of the following is a hallmark sign of aortic stenosis?
a) Continuous murmur
b) Crescendo-decrescendo systolic murmur at the right upper sternal border
c) Diastolic murmur at the apex
d) Holosystolic murmur at the apex
Correct answer: crescendo-decrescendo systolic murmur at the right upper sternal
border
