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NU 518 EXAM 1 INCLUDES ACCURATE AND VERIFIED
QUESTIONS COVERING ADVANCED CONCEPTS IN
THEORETICAL FOUNDATIONS OF NURSING PRACTICE.
TOPICS MAY INCLUDE NURSING THEORY DEVELOPMENT,
CONCEPTUAL MODELS, EVIDENCE-BASED PRACTICE
INTEGRATION / QUESTIONS WITH DETAILED VERIFIED
ANSWERS / EXAM QUESTIONS AND VERIFIED ANSWERS
|ALREADY GRADED A+|
You are performing a cardiac examination on a patient with
shortness of breath and palpitations. You listen to the heart with
the patient sitting upright, then have him change to a supine
position, and finally have him turn onto his left side in the left
lateral decubitus position. Which of the following valvular defects
is best heard in this position? - ANSWER-A) Aortic
B) Pulmonic
*C) Mitral
D) Tricuspid
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You are concerned that a patient has an aortic regurgitation
murmur. Which is the best position to accentuate the murmur? -
ANSWER-A) Upright
*B) Upright, but leaning forward
C) Supine
D) Left lateral decubitus
A 68-year-old retired waiter comes to your clinic for evaluation of
fatigue. You perform a cardiac examination and find that his pulse
rate is less than 60. Which of the following conditions could be
responsible for this heart rate? - ANSWER-*A) Second-degree A-
V block
B) Atrial flutter
C) Sinus arrhythmia
D) Atrial fibrillation
Where is the point of maximal impulse (PMI) normally located? -
ANSWER-*A) In the left 5th intercostal space, 7 to 9 cm lateral to
the sternum
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B) In the left 5th intercostal space, 10 to 12 cm lateral to the
sternum
C) In the left 5th intercostal space, in the anterior axillary line
D) In the left 5th intercostal space, in the midaxillary line
Which of the following events occurs at the start of diastole? -
ANSWER-A) Closure of the tricuspid valve
B) Opening of the pulmonic valve
*C) Closure of the aortic valve
D) Production of the first heart sound (S1)
Which is true of a third heart sound (S3)? - ANSWER-A) It marks
atrial contraction.
B) It reflects normal compliance of the left ventricle.
*C) It is caused by rapid deceleration of blood against the
ventricular wall.
D) It is not heard in atrial fibrillation.
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Which is true of splitting of the second heart sound? - ANSWER-
*A) It is best heard over the pulmonic area with the bell of the
stethoscope.
B) It normally increases with exhalation.
C) It is best heard over the apex.
D) It does not vary with respiration.
Which of the following is true of jugular venous pressure (JVP)
measurement? - ANSWER-A) It is measured with the patient at a
45-degree angle.
*B) The vertical height of the blood column in centimeters, plus 5
cm, is the JVP.
C) A JVP below 9 cm is abnormal.
D) It is measured above the sternal notch.
Which of the following regarding jugular venous pulsations is a
systolic phenomenon? - ANSWER-A) The "y" descent
*B) The "x" descent
C) The upstroke of the "a" wave
D) The downstroke of the "v" wave
NU 518 EXAM 1 INCLUDES ACCURATE AND VERIFIED
QUESTIONS COVERING ADVANCED CONCEPTS IN
THEORETICAL FOUNDATIONS OF NURSING PRACTICE.
TOPICS MAY INCLUDE NURSING THEORY DEVELOPMENT,
CONCEPTUAL MODELS, EVIDENCE-BASED PRACTICE
INTEGRATION / QUESTIONS WITH DETAILED VERIFIED
ANSWERS / EXAM QUESTIONS AND VERIFIED ANSWERS
|ALREADY GRADED A+|
You are performing a cardiac examination on a patient with
shortness of breath and palpitations. You listen to the heart with
the patient sitting upright, then have him change to a supine
position, and finally have him turn onto his left side in the left
lateral decubitus position. Which of the following valvular defects
is best heard in this position? - ANSWER-A) Aortic
B) Pulmonic
*C) Mitral
D) Tricuspid
, Page |2
You are concerned that a patient has an aortic regurgitation
murmur. Which is the best position to accentuate the murmur? -
ANSWER-A) Upright
*B) Upright, but leaning forward
C) Supine
D) Left lateral decubitus
A 68-year-old retired waiter comes to your clinic for evaluation of
fatigue. You perform a cardiac examination and find that his pulse
rate is less than 60. Which of the following conditions could be
responsible for this heart rate? - ANSWER-*A) Second-degree A-
V block
B) Atrial flutter
C) Sinus arrhythmia
D) Atrial fibrillation
Where is the point of maximal impulse (PMI) normally located? -
ANSWER-*A) In the left 5th intercostal space, 7 to 9 cm lateral to
the sternum
, Page |3
B) In the left 5th intercostal space, 10 to 12 cm lateral to the
sternum
C) In the left 5th intercostal space, in the anterior axillary line
D) In the left 5th intercostal space, in the midaxillary line
Which of the following events occurs at the start of diastole? -
ANSWER-A) Closure of the tricuspid valve
B) Opening of the pulmonic valve
*C) Closure of the aortic valve
D) Production of the first heart sound (S1)
Which is true of a third heart sound (S3)? - ANSWER-A) It marks
atrial contraction.
B) It reflects normal compliance of the left ventricle.
*C) It is caused by rapid deceleration of blood against the
ventricular wall.
D) It is not heard in atrial fibrillation.
, Page |4
Which is true of splitting of the second heart sound? - ANSWER-
*A) It is best heard over the pulmonic area with the bell of the
stethoscope.
B) It normally increases with exhalation.
C) It is best heard over the apex.
D) It does not vary with respiration.
Which of the following is true of jugular venous pressure (JVP)
measurement? - ANSWER-A) It is measured with the patient at a
45-degree angle.
*B) The vertical height of the blood column in centimeters, plus 5
cm, is the JVP.
C) A JVP below 9 cm is abnormal.
D) It is measured above the sternal notch.
Which of the following regarding jugular venous pulsations is a
systolic phenomenon? - ANSWER-A) The "y" descent
*B) The "x" descent
C) The upstroke of the "a" wave
D) The downstroke of the "v" wave
