Advanced Health Assessment Exam 2 Q
] ] ] ] ]
uestions with 100% Correct Answers 20
] ] ]] ] ]]
25-2026
Nurse ]practitioner ]is ]palpating ]for ]the ]apical ]pulse. ]An ]apical ]impulse ]palpated ]beyond ]the ]fifth ]i
ntercostal ]space ]may ]indicate ]- ]correct ]answer: ]Left ]ventricular
]hypertrophy/cardiac ]enlargement
During ]an ]assessment ]of ]a ]68 ]yo ]man ]with ]a ]recent ]onset ]of ]right ]sided ]weakness, ]the ]NP ]hears ]
a ]blowing, ]swishing ]sound ]with ]the ]bell ]of ]the ]stethoscope ]over ]the ]left ]carotid ]artery. ]This ]findi
ng ]would ]indicate ]- ]correct ]answer: ]blood ]flow
]turbulence/atherosclerotic ]disease ]of ]the ]left ]carotid ]artery
the ]patient ]complains ]of ]chest ]pain ]that ]comes ]on ]when ]he ]vacuums ]the ]house ]or ]mows ]the ]law
n. ]it ]comes ]in ]a ]fairly ]consistent ]pattern, ]usually ]lasting ]about ]1 ]minute. ]when ]he ]feels ]it, ]he ]drin
ks ]a ]glass ]of ]water, ]sits ]quietly ]on ]the ]couch, ]and ]it ]typically ]goes ]away. ]What ]is ]the ]most ]likely ]ty
pe ]of ]problem? ]- ]correct ]answer: ]Angina
the ]second ]heart ]sound ]
(S2) ]occurs ]because ]of ]the ]closure ]of ]the ]- ]correct ]answer: ]aortic ]and ]pulmonic ]valves
xanthelasma ]is ]a ]skin ]condition ]that ]should ]alert ]the ]clinician ]to ]- ]correct ]answer: ]familial ]hyperli
pidemia/dyslipidemia ]in ]a ]patient
the ]murmur ]of ]aortic ]stenosis ]is ]best ]heard ]in ]the ]- ]correct ]answer: ]right ]second ]intercostal ]spac
e ]right ]sternal ]border
the ]best ]diagnostic ]test ]that ]allows ]the ]analysis ]of ]a ]heart ]murmur ]is ]- ]correct ]answer: ]an ]echoca
rdiogram
, the ]pain ]associated ]with ]pericarditis ]is ]- ]correct ]answer: ]worse ]with ]inspiration; ]sharp ]and ]stabbi
ng ]chest ]pains, ]pain ]radiating ]into ]the ]left ]shoulder ]and ]arm ]pain ]that ]gets ]worse ]if ]you're ]lying ]d
own ]or ]taking ]deep ]breaths
the ]NP ]is ]assessing ]a ]patient ]with ]possible ]cardiomyopathy ]and ]assess ]the ]hepatojugular ]reflux. ]i
f ]heart ]failure ]is ]present, ]the ]NP ]should ]see ]which ]finding ]while ]pushing ]on ]the ]right ]upper ]quad
rant ]of ]the ]patients ]abdomen ]just ]below ]the ]rib ]cage? ]- ]correct ]answer: ]jugular ]veins ]will ]remain
]elevated, ]>3 ]cm, ]as ]long ]as ]pressure ]on ]the ]abdomen ]is ]maintained
a ]patient ]presents ]with ]tenderness, ]warmth, ]swelling ]of ]his ]left ]calf ]after ]a ]12 ]hour ]flight. ]this ]is ]
most ]likely? ]Or ]the ]question ]could ]be: ]Calf ]tenderness ]and ]warmth, ]swelling ]and ]ankle ]edema, ]a
nd ]an ]otherwise ]unexplained ]fever ]are ]symptoms ]of ]- ]correct ]answer: ]DVT
your ]patient ]complains ]of ]a ]feeling ]of ]heaviness ]in ]the ]lower ]legs ]daily. ]you ]note ]varicosities, ]ede
ma, ]and ]dusky ]color ]of ]both ]ankles ]and ]feet. ]which ]of ]the ]following ]is ]the ]most ]likely ]cause ]for ]t
hese ]symptoms? ]- ]correct ]answer: ]venous
]insufficiency/femoral ]vein ]thrombosis/peripheral ]vascular ]disease
the ]medical ]record ]of ]your ]patient ]lists ]a ]grade ]III ]systolic ]murmur. ]this ]indicates ]the ]patient ]has ]
a ]heart ]murmur ]that ]is ]- ]correct ]answer: ]moderately ]load ]and ]after ]S1
a ]75 ]year ]old ]patient ]c/
o ]pain ]and ]paresthesia's ]in ]the ]right ]foot ]that ]worsens ]with ]exercise ]and ]is ]relieved ]by ]rest. ]on ]P
E, ]you ]note ]pallor ]of ]the ]right ]foot, ]capillary ]refill ]of ]4 ]seconds ]in ]the ]right ]foot, ]
+1 ]dorsalis ]pedis ]pulse ]int ]he ]right ]foot, ]and ]
+2 ]pulse ]in ]the ]left ]foot. ]which ]of ]the ]following ]is ]a ]likely ]cause ]of ]the
]s/s? ]- ]correct ]answer: ]arterial ]insufficiency/intermittent ]claudication
gallop ]is ]commonly ]heard ]in ]- ]correct ]answer: ]young ]or ]athletic ]people
] ] ] ] ]
uestions with 100% Correct Answers 20
] ] ]] ] ]]
25-2026
Nurse ]practitioner ]is ]palpating ]for ]the ]apical ]pulse. ]An ]apical ]impulse ]palpated ]beyond ]the ]fifth ]i
ntercostal ]space ]may ]indicate ]- ]correct ]answer: ]Left ]ventricular
]hypertrophy/cardiac ]enlargement
During ]an ]assessment ]of ]a ]68 ]yo ]man ]with ]a ]recent ]onset ]of ]right ]sided ]weakness, ]the ]NP ]hears ]
a ]blowing, ]swishing ]sound ]with ]the ]bell ]of ]the ]stethoscope ]over ]the ]left ]carotid ]artery. ]This ]findi
ng ]would ]indicate ]- ]correct ]answer: ]blood ]flow
]turbulence/atherosclerotic ]disease ]of ]the ]left ]carotid ]artery
the ]patient ]complains ]of ]chest ]pain ]that ]comes ]on ]when ]he ]vacuums ]the ]house ]or ]mows ]the ]law
n. ]it ]comes ]in ]a ]fairly ]consistent ]pattern, ]usually ]lasting ]about ]1 ]minute. ]when ]he ]feels ]it, ]he ]drin
ks ]a ]glass ]of ]water, ]sits ]quietly ]on ]the ]couch, ]and ]it ]typically ]goes ]away. ]What ]is ]the ]most ]likely ]ty
pe ]of ]problem? ]- ]correct ]answer: ]Angina
the ]second ]heart ]sound ]
(S2) ]occurs ]because ]of ]the ]closure ]of ]the ]- ]correct ]answer: ]aortic ]and ]pulmonic ]valves
xanthelasma ]is ]a ]skin ]condition ]that ]should ]alert ]the ]clinician ]to ]- ]correct ]answer: ]familial ]hyperli
pidemia/dyslipidemia ]in ]a ]patient
the ]murmur ]of ]aortic ]stenosis ]is ]best ]heard ]in ]the ]- ]correct ]answer: ]right ]second ]intercostal ]spac
e ]right ]sternal ]border
the ]best ]diagnostic ]test ]that ]allows ]the ]analysis ]of ]a ]heart ]murmur ]is ]- ]correct ]answer: ]an ]echoca
rdiogram
, the ]pain ]associated ]with ]pericarditis ]is ]- ]correct ]answer: ]worse ]with ]inspiration; ]sharp ]and ]stabbi
ng ]chest ]pains, ]pain ]radiating ]into ]the ]left ]shoulder ]and ]arm ]pain ]that ]gets ]worse ]if ]you're ]lying ]d
own ]or ]taking ]deep ]breaths
the ]NP ]is ]assessing ]a ]patient ]with ]possible ]cardiomyopathy ]and ]assess ]the ]hepatojugular ]reflux. ]i
f ]heart ]failure ]is ]present, ]the ]NP ]should ]see ]which ]finding ]while ]pushing ]on ]the ]right ]upper ]quad
rant ]of ]the ]patients ]abdomen ]just ]below ]the ]rib ]cage? ]- ]correct ]answer: ]jugular ]veins ]will ]remain
]elevated, ]>3 ]cm, ]as ]long ]as ]pressure ]on ]the ]abdomen ]is ]maintained
a ]patient ]presents ]with ]tenderness, ]warmth, ]swelling ]of ]his ]left ]calf ]after ]a ]12 ]hour ]flight. ]this ]is ]
most ]likely? ]Or ]the ]question ]could ]be: ]Calf ]tenderness ]and ]warmth, ]swelling ]and ]ankle ]edema, ]a
nd ]an ]otherwise ]unexplained ]fever ]are ]symptoms ]of ]- ]correct ]answer: ]DVT
your ]patient ]complains ]of ]a ]feeling ]of ]heaviness ]in ]the ]lower ]legs ]daily. ]you ]note ]varicosities, ]ede
ma, ]and ]dusky ]color ]of ]both ]ankles ]and ]feet. ]which ]of ]the ]following ]is ]the ]most ]likely ]cause ]for ]t
hese ]symptoms? ]- ]correct ]answer: ]venous
]insufficiency/femoral ]vein ]thrombosis/peripheral ]vascular ]disease
the ]medical ]record ]of ]your ]patient ]lists ]a ]grade ]III ]systolic ]murmur. ]this ]indicates ]the ]patient ]has ]
a ]heart ]murmur ]that ]is ]- ]correct ]answer: ]moderately ]load ]and ]after ]S1
a ]75 ]year ]old ]patient ]c/
o ]pain ]and ]paresthesia's ]in ]the ]right ]foot ]that ]worsens ]with ]exercise ]and ]is ]relieved ]by ]rest. ]on ]P
E, ]you ]note ]pallor ]of ]the ]right ]foot, ]capillary ]refill ]of ]4 ]seconds ]in ]the ]right ]foot, ]
+1 ]dorsalis ]pedis ]pulse ]int ]he ]right ]foot, ]and ]
+2 ]pulse ]in ]the ]left ]foot. ]which ]of ]the ]following ]is ]a ]likely ]cause ]of ]the
]s/s? ]- ]correct ]answer: ]arterial ]insufficiency/intermittent ]claudication
gallop ]is ]commonly ]heard ]in ]- ]correct ]answer: ]young ]or ]athletic ]people