NR 509 WEEK 4 QUIZ WITH DETAILED ACTUAL
EXAM QUESTIONS AND CORRECT ANSWERS
GRADED A+| CHAMBERLAIN UNIVERSITY
During an assessment of a 68-year-old man with a recent onset of
right-sided weakness, the nurse hears a blowing, swishing sound
with the bell of the stethoscope over the left carotid artery. This
finding would indicate:
a. Valvular disorder.
b. Blood flow turbulence.
c. Fluid volume overload.
d. Ventricular hypertrophy. Correct Answer b. Blood flow
turbulence.
During an inspection of the precordium of an adult patient, the
nurse notices the chest moving in a forceful manner along the
sternal border. This finding most likely suggests a(n):
a. Normal heart.
b. Systolic murmur.
c... Enlargement of the left ventricle.
d. Enlargement of the right ventricle. Correct Answer d.
Enlargement of the right ventricle.
,During an assessment of a healthy adult, where would the nurse
expect to palpate the apical impulse?
a. Third left intercostal space at the midclavicular line
b. Fourth left intercostal space at the sternal border
c. Fourth left intercostal space at the anterior axillary line
d. Fifth left intercostal space at the midclavicular line Correct
Answer d. Fifth left intercostal space at the midclavicular line
The nurse is examining a patient who has possible cardiac
enlargement. Which statement about percussion of the heart is
true?
a. Percussion is a useful tool for outlining the heart's borders.
b. Percussion is easier in patients who are obese.
c. Studies show that percussed cardiac borders do not correlate
well with the true cardiac border.
d. Only expert health care providers should attempt percussion of
the heart. Correct Answer c. Studies show that percussed
cardiac borders do not correlate well with the true cardiac border.
The nurse is preparing to auscultate for heart sounds. Which
technique is correct?
a. Listening to the sounds at the aortic, tricuspid, pulmonic, and
mitral areas
b. Listening by inching the stethoscope in a rough Z pattern, from
the base of the heart across and down, then over to the apex
,c. Listening to the sounds only at the site where the apical pulse
is felt to be the strongest
d. Listening for all possible sounds at a time at each specified
area Correct Answer b. Listening by inching the stethoscope in a
rough Z pattern, from the base of the heart across and down, then
over to the apex
While counting the apical pulse on a 16-year-old patient, the
nurse notices an irregular rhythm. His rate speeds up on
inspiration and slows on expiration. What would be the nurse's
response?
a. Talk with the patient about his intake of caffeine.
b. Perform an electrocardiogram after the examination.
c. No further response is needed because sinus arrhythmia can
occur normally.
d. Refer the patient to a cardiologist for further testing. Correct
Answer c. No further response is needed because sinus
arrhythmia can occur normally.
When listening to heart sounds, the nurse knows that the S1:
a. Is louder than the S2 at the base of the heart.
b. Indicates the beginning of diastole.
c... Coincides with the carotid artery pulse.
d. Is caused by the closure of the semilunar valves. Correct
Answer c... Coincides with the carotid artery pulse.
, During the cardiac auscultation, the nurse hears a sound
immediately occurring after the S2 at the second left intercostal
space. To further assess this sound, what should the nurse do?
a. Have the patient turn to the left side while the nurse listens with
the bell of the stethoscope.
b. Ask the patient to hold his or her breath while the nurse listens
again.
c.. No further assessment is needed because the nurse knows
this sound is an S3.
d. Watch the patient's respirations while listening for the effect on
the sound. Correct Answer d. Watch the patient's respirations
while listening for the effect on the sound.
Which of these findings would the nurse expect to notice during a
cardiac assessment on a 4-year-old child?
a. S3 when sitting up
b. Persistent tachycardia above 150 beats per minute
c. Murmur at the second left intercostal space when supine
d... Palpable apical impulse in the fifth left intercostal space lateral
to midclavicular line Correct Answer c. Murmur at the second left
intercostal space when supine
While auscultating heart sounds on a 7-year-old child for a routine
physical examination, the nurse hears an S3, a soft murmur at the
EXAM QUESTIONS AND CORRECT ANSWERS
GRADED A+| CHAMBERLAIN UNIVERSITY
During an assessment of a 68-year-old man with a recent onset of
right-sided weakness, the nurse hears a blowing, swishing sound
with the bell of the stethoscope over the left carotid artery. This
finding would indicate:
a. Valvular disorder.
b. Blood flow turbulence.
c. Fluid volume overload.
d. Ventricular hypertrophy. Correct Answer b. Blood flow
turbulence.
During an inspection of the precordium of an adult patient, the
nurse notices the chest moving in a forceful manner along the
sternal border. This finding most likely suggests a(n):
a. Normal heart.
b. Systolic murmur.
c... Enlargement of the left ventricle.
d. Enlargement of the right ventricle. Correct Answer d.
Enlargement of the right ventricle.
,During an assessment of a healthy adult, where would the nurse
expect to palpate the apical impulse?
a. Third left intercostal space at the midclavicular line
b. Fourth left intercostal space at the sternal border
c. Fourth left intercostal space at the anterior axillary line
d. Fifth left intercostal space at the midclavicular line Correct
Answer d. Fifth left intercostal space at the midclavicular line
The nurse is examining a patient who has possible cardiac
enlargement. Which statement about percussion of the heart is
true?
a. Percussion is a useful tool for outlining the heart's borders.
b. Percussion is easier in patients who are obese.
c. Studies show that percussed cardiac borders do not correlate
well with the true cardiac border.
d. Only expert health care providers should attempt percussion of
the heart. Correct Answer c. Studies show that percussed
cardiac borders do not correlate well with the true cardiac border.
The nurse is preparing to auscultate for heart sounds. Which
technique is correct?
a. Listening to the sounds at the aortic, tricuspid, pulmonic, and
mitral areas
b. Listening by inching the stethoscope in a rough Z pattern, from
the base of the heart across and down, then over to the apex
,c. Listening to the sounds only at the site where the apical pulse
is felt to be the strongest
d. Listening for all possible sounds at a time at each specified
area Correct Answer b. Listening by inching the stethoscope in a
rough Z pattern, from the base of the heart across and down, then
over to the apex
While counting the apical pulse on a 16-year-old patient, the
nurse notices an irregular rhythm. His rate speeds up on
inspiration and slows on expiration. What would be the nurse's
response?
a. Talk with the patient about his intake of caffeine.
b. Perform an electrocardiogram after the examination.
c. No further response is needed because sinus arrhythmia can
occur normally.
d. Refer the patient to a cardiologist for further testing. Correct
Answer c. No further response is needed because sinus
arrhythmia can occur normally.
When listening to heart sounds, the nurse knows that the S1:
a. Is louder than the S2 at the base of the heart.
b. Indicates the beginning of diastole.
c... Coincides with the carotid artery pulse.
d. Is caused by the closure of the semilunar valves. Correct
Answer c... Coincides with the carotid artery pulse.
, During the cardiac auscultation, the nurse hears a sound
immediately occurring after the S2 at the second left intercostal
space. To further assess this sound, what should the nurse do?
a. Have the patient turn to the left side while the nurse listens with
the bell of the stethoscope.
b. Ask the patient to hold his or her breath while the nurse listens
again.
c.. No further assessment is needed because the nurse knows
this sound is an S3.
d. Watch the patient's respirations while listening for the effect on
the sound. Correct Answer d. Watch the patient's respirations
while listening for the effect on the sound.
Which of these findings would the nurse expect to notice during a
cardiac assessment on a 4-year-old child?
a. S3 when sitting up
b. Persistent tachycardia above 150 beats per minute
c. Murmur at the second left intercostal space when supine
d... Palpable apical impulse in the fifth left intercostal space lateral
to midclavicular line Correct Answer c. Murmur at the second left
intercostal space when supine
While auscultating heart sounds on a 7-year-old child for a routine
physical examination, the nurse hears an S3, a soft murmur at the
