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WGU D117 / NURS 6810 Final Exam (Advanced Health Assessment) FA Prep 2026 – With Solutions Practice Questions With Answers and Rationales

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Cardiovascular Assessment 1. A patient presents with chest pain that worsens with exertion and improves with rest. Which condition is most likely? A. Pericarditis B. Stable angina C. Pulmonary embolism D. Costochondritis Correct Answer: B. Stable angina Rationale: Stable angina occurs when myocardial oxygen demand exceeds supply during exertion. Symptoms improve with rest or nitroglycerin. Pericarditis pain is positional, pulmonary embolism usually presents with acute dyspnea, and costochondritis is reproducible with palpation. 2. A crescendo-decrescendo systolic murmur heard best at the right upper sternal border is most consistent with: A. Mitral regurgitation B. Aortic stenosis C. Tricuspid regurgitation D. Mitral stenosis Correct Answer: B. Aortic stenosis

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WGU D117 / NURS 6810 Final Exam (Advanced
Health Assessment) FA Prep 2026 – With Solutions
Practice Questions With Answers and Rationales

,Cardiovascular Assessment
1. A patient presents with chest pain that worsens with exertion and improves
with rest. Which condition is most likely?
A. Pericarditis
B. Stable angina
C. Pulmonary embolism
D. Costochondritis
Correct Answer:
B. Stable angina
Rationale:
Stable angina occurs when myocardial oxygen demand exceeds supply during
exertion. Symptoms improve with rest or nitroglycerin. Pericarditis pain is
positional, pulmonary embolism usually presents with acute dyspnea, and
costochondritis is reproducible with palpation.


2. A crescendo-decrescendo systolic murmur heard best at the right upper
sternal border is most consistent with:

, A. Mitral regurgitation
B. Aortic stenosis
C. Tricuspid regurgitation
D. Mitral stenosis
Correct Answer:
B. Aortic stenosis
Rationale:
Aortic stenosis classically presents with a systolic ejection murmur heard best at
the right upper sternal border and may radiate to the carotids.


3. Which finding suggests left-sided heart failure?
A. Hepatomegaly
B. Peripheral edema
C. Crackles in the lungs
D. Ascites
Correct Answer:
C. Crackles in the lungs
Rationale:
Left-sided heart failure causes pulmonary congestion leading to crackles, dyspnea,
and orthopnea. Right-sided failure is more associated with edema, ascites, and
hepatomegaly.


4. Jugular venous pressure is best assessed with the patient positioned at:
A. Flat supine
B. 10 degrees
C. 30–45 degrees
D. Standing upright

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