NR509 Advanced Physical Assessment Week 4 Midterm
Exam 2026 /2027 Actual Exam Questions & Detailed
Answers
SECTION 1: CARDIAC (1–35)
### 1. The S1 heart sound is produced by:
A. Closure of semilunar valves
B. Closure of AV valves
C. Opening of AV valves
D. Ventricular filling
✅ **Answer: B**
---
### 2. The normal PMI location in an adult is:
A. 2nd ICS, right sternal border
B. 5th ICS, midclavicular line
C. 4th ICS, left sternal border
D. 6th ICS, anterior axillary line
✅ **Answer: B**
---
, ### 3. A third heart sound (S3) in adults indicates:
A. Normal finding
B. Dehydration
C. Heart failure
D. Hypertension
✅ **Answer: C**
---
### 4. Which position enhances auscultation of mitral stenosis?
A. Sitting upright
B. Left lateral decubitus
C. Supine
D. Standing
✅ **Answer: B**
---
### 5. Jugular venous distention suggests:
A. Left-sided HF
B. Right-sided HF
C. Hypovolemia
D. Anemia
Exam 2026 /2027 Actual Exam Questions & Detailed
Answers
SECTION 1: CARDIAC (1–35)
### 1. The S1 heart sound is produced by:
A. Closure of semilunar valves
B. Closure of AV valves
C. Opening of AV valves
D. Ventricular filling
✅ **Answer: B**
---
### 2. The normal PMI location in an adult is:
A. 2nd ICS, right sternal border
B. 5th ICS, midclavicular line
C. 4th ICS, left sternal border
D. 6th ICS, anterior axillary line
✅ **Answer: B**
---
, ### 3. A third heart sound (S3) in adults indicates:
A. Normal finding
B. Dehydration
C. Heart failure
D. Hypertension
✅ **Answer: C**
---
### 4. Which position enhances auscultation of mitral stenosis?
A. Sitting upright
B. Left lateral decubitus
C. Supine
D. Standing
✅ **Answer: B**
---
### 5. Jugular venous distention suggests:
A. Left-sided HF
B. Right-sided HF
C. Hypovolemia
D. Anemia
