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Health Assessment Exam 3 Review Questions and Answers | 250 Nursing Practice Questions on Cardiac, Peripheral Vascular, Breast & Respiratory Assessment | NURS 202 | Chamberlain University

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This comprehensive Health Assessment Exam 3 study guide contains approximately 250 detailed nursing practice questions with accurate answers focused on advanced cardiovascular, peripheral vascular, lymphatic, breast, and respiratory assessment concepts commonly tested in nursing programs and NCLEX-style examinations. The document provides extensive review of cardiac anatomy and physiology, heart sounds, murmurs, cardiac conduction pathways, pulse assessment, peripheral circulation, lymphatic system disorders, breast assessment techniques, respiratory examination findings, and pulmonary disease recognition. Students will strengthen clinical judgment and diagnostic reasoning skills through high-yield NCLEX-style questions covering normal versus abnormal assessment findings, evidence-based nursing interventions, and interpretation of cardiovascular and respiratory assessment abnormalities. The cardiovascular section thoroughly reviews cardiac blood flow, atrial kick, jugular venous pressure assessment, heart valve function, S1, S2, S3, and S4 heart sounds, carotid bruits, thrills, murmurs, pulse deficits, fetal circulation, preload and afterload, congenital heart defects, heart failure, myocardial infarction, hypertension, coronary artery disease, mitral regurgitation, and age-related cardiovascular changes. Students will also review important cardiovascular assessment techniques including auscultation landmarks, jugular venous pulse analysis, hepatojugular reflux, apical impulse evaluation, pulse amplitude grading, and recognition of abnormal hemodynamic findings associated with cardiac disease processes. The peripheral vascular and lymphatic system sections provide detailed review of arterial and venous circulation, peripheral pulse assessment, capillary refill, ankle-brachial index interpretation, claudication, venous insufficiency, arterial insufficiency, Raynaud disease, varicose veins, lymphedema, edema grading, Doppler assessment, deep-vein thrombosis, peripheral arterial disease, and lymph node examination techniques. The guide also reinforces understanding of vascular risk factors, venous return physiology, collateral circulation, and interpretation of abnormal peripheral vascular findings in older adults and high-risk patient populations. Additionally, the breast and respiratory assessment sections emphasize evidence-based examination techniques and recognition of clinically significant abnormalities. Students will review breast anatomy, breast cancer risk factors, breast self-examination, nipple discharge assessment, gynecomastia, mastitis, breast masses, peau d’orange, breast asymmetry, lymph node assessment, and patient education regarding early breast cancer detection. The respiratory assessment content includes lung anatomy, breath sounds, tactile fremitus, percussion findings, respiratory aging changes, asthma, COPD, pneumonia, pulmonary edema, tuberculosis, pneumothorax, crackles, wheezes, bronchophony, orthopnea, and paroxysmal nocturnal dyspnea. Questions focus heavily on clinical interpretation of respiratory findings and differentiation of common pulmonary disorders. This resource is highly beneficial for Bachelor of Science in Nursing (BSN), Associate Degree Nursing (ADN), Licensed Practical Nursing (LPN), Nurse Practitioner (NP), and pre-licensure nursing students preparing for Health Assessment exams, Adult Health Nursing courses, ATI testing, HESI exams, NCLEX-RN preparation, simulation checkoffs, and clinical competency evaluations. It is especially useful for students enrolled in advanced health assessment, cardiovascular nursing, respiratory nursing, pathophysiology, and medical-surgical nursing courses who require focused and high-yield review material to improve examination performance and bedside assessment confidence. The nursing and clinical concepts included in this document are supported by evidence-based nursing standards and authoritative healthcare literature, including Jarvis’s Physical Examination and Health Assessment (9th Edition), Bates’ Guide to Physical Examination and History Taking, Lewis’s Medical-Surgical Nursing, Brunner & Suddarth’s Textbook of Medical-Surgical Nursing, and current recommendations published by the American Heart Association (AHA), American Nurses Association (ANA), National Council of State Boards of Nursing (NCSBN), and Centers for Disease Control and Prevention (CDC). Keywords health assessment exam 3, health assessment review questions, NURS 202, cardiovascular assessment, cardiac assessment nursing, peripheral vascular assessment, lymphatic assessment, breast assessment nursing, respiratory assessment, heart sounds, S1 S2 S3 S4, cardiac murmurs, jugular venous pressure, pulse deficit, cardiac output, preload and afterload, congenital heart defects, heart failure nursing, myocardial infarction, hypertension nursing, coronary artery disease, carotid bruit, apical impulse, pulse assessment, ankle brachial index, claudication, peripheral arterial disease, venous insufficiency, arterial insufficiency, Raynaud disease, lymphedema, varicose veins, edema assessment, Doppler assessment, breast cancer assessment, breast self examination, gynecomastia, mastitis, breast mass assessment, peau d orange, lung assessment, breath sounds, tactile fremitus, percussion assessment, crackles and wheezes, COPD nursing, asthma assessment, pulmonary edema, tuberculosis nursing, pneumothorax, bronchophony, orthopnea, respiratory nursing assessment, advanced health assessment, adult health nursing, medical surgical nursing, ATI nursing review, HESI nursing exam, NCLEX assessment questions, nursing study guide, bedside assessment skills, evidence based nursing, clinical nursing skills, nursing exam questions

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Health Assessment Review
Questions for Exam 3 2026
Exam Questions and Answers |
100% Pass



The sac that surrounds and protects the heart is called the:




a. Pericardium.

b. Myocardium.

c. Endocardium.


d. Pleural space. - ANSWER ✔✔a. Pericardium

,The direction of blood flow through the heart is best described by which

of these? - ANSWER ✔✔Right atrium right ventricle pulmonary artery

lungs pulmonary vein left atrium left ventricle

The nurse is reviewing the anatomy and physiologic functioning of the

heart. Which statement best describes what is meant by atrial kick? -

ANSWER ✔✔the atria contract toward the end of diastole and push

the remaining blood into the ventricles.

When listening to heart sounds, the nurse knows the valve closures that

can be heard best at the base of the heart are: - ANSWER ✔✔Aortic

and pulmonic.

Which of these statements describes the closure of the valves in a

normal cardiac circle?




a. The aortic valve closes slightly before the tricuspid valve.

b. The pulmonic valve closes slightly before the aortic valve.

c. The tricuspid valve closes slightly later than the mitral valve.

d. Both the tricuspid and pulmonic valves close at the same time. -

ANSWER ✔✔c. The tricuspid valve closes slightly later than the

mitral valve.

,The component of the conduction system referred to as the pacemaker

of the heart is the:




a. Atrioventricular (AV) node.

b. Sinoatrial (SA) node.

c. Bundle of His.


d. Bundle branches. - ANSWER ✔✔b. Sinoatrial (SA) node


The electrical stimulus of the cardiac cycle follows which sequence? -

ANSWER ✔✔AV node SA node bundle of His bundle branches


The findings from an assessment of a 70-year-old patient with swelling

in his ankle include jugular venous pulsations 5 cm above the sternal

angle when the head of his bed is elevated 45 degrees. The nurse

knows that this findings indicate: - ANSWER ✔✔Elevated pressure

related to heart failure

When assessing a newborn infant who is 5 minutes old, the nurse knows

which of these statements to be true?




a. The left ventricle is larger and weighs more than the right ventricle



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3

, b. The circulation of a newborn is identical to that of an adult.

c. Blood can flow into the left side of the heart through an opening in the

atrial septum.

d. The foramen ovale closes just minutes before birth, and the ductus

arteriosus closes immediately after. - ANSWER ✔✔c. Blood can flow

into the left side of the heart through an opening in the atrial septum.

A 25-year-old woman in her fifth month of pregnancy has a blood

pressure of 100/70 mm Hg. In reviewing her previous examination. the

nurse notes that her blood pressure in her second month was 124/80

mm Hg. In evaluating this change, what does the nurse know to be true?




a. This decline in blood pressure is the result of peripheral vasodilatation

and is an expected change.

b. Because of increased cardiac output, the blood pressure should be

higher at this time.

c. This change in blood pressure is not an expected finding because it

means a decrease in cardiac.

d. This decline in blood pressure means a decrease in circulating blood

volume, which is dangerous for the fetus. - ANSWER ✔✔a. This

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