Page 1 of 69
NUR 216 EXAM 3 PRACTICE*** QUESTIONS AND
ANSWERS | VERIFIED AND WELL DETAILED
ANSWERS |DOWNLOAD AND PASS | LATEST
EXAM UPDATE 2026/2027
A nurse identifies jugular venous distention during
assessment. Which interpretation is most appropriate?
A. Expected finding in healthy adults
B. Suggests increased central venous pressure
C. Indicates dehydration
D. Indicates normal venous return
Correct Answer
B. Suggests increased central venous pressure
Rationale
• Jugular venous distention is an abnormal finding that
may indicate elevated central venous pressure.
,Page 2 of 69
Why the Others Are Incorrect
• A: JVD is not expected.
• C: Dehydration usually causes flat neck veins.
• D: JVD indicates impaired venous return rather than
normal return.
Professor Tip
JVD = Think fluid overload or increased venous pressure.
The nurse is documenting a cardiovascular assessment.
Which entry is best?
A. Heart sounds normal.
B. Cardiac assessment unremarkable.
C. S1 and S2 auscultated with regular rhythm. No
murmurs extra heart sounds thrills or heaves noted.
D. Heart appears healthy.
,Page 3 of 69
Correct Answer
C. S1 and S2 auscultated with regular rhythm. No
murmurs extra heart sounds thrills or heaves noted.
Rationale
• Documentation should be objective specific and
describe actual assessment findings.
Why the Others Are Incorrect
• A: Too vague.
• B: Nonspecific.
• D: Subjective and not objective documentation.
Professor Tip
Chart exactly what you assessed—not conclusions such as
"normal" or "healthy."
, Page 4 of 69
A nurse is assessing a client with peripheral arterial
disease (PAD). Which assessment finding requires
immediate follow-up?
A. Intermittent claudication relieved with rest
B. Hair loss on the lower legs
C. Cool pale foot with an absent dorsalis pedis pulse
D. Delayed capillary refill of 3 seconds
Correct Answer
C. Cool pale foot with an absent dorsalis pedis pulse
Rationale
• An absent pulse with a cool pale extremity suggests
severely impaired arterial perfusion and requires
immediate intervention.
Why the Others Are Incorrect
NUR 216 EXAM 3 PRACTICE*** QUESTIONS AND
ANSWERS | VERIFIED AND WELL DETAILED
ANSWERS |DOWNLOAD AND PASS | LATEST
EXAM UPDATE 2026/2027
A nurse identifies jugular venous distention during
assessment. Which interpretation is most appropriate?
A. Expected finding in healthy adults
B. Suggests increased central venous pressure
C. Indicates dehydration
D. Indicates normal venous return
Correct Answer
B. Suggests increased central venous pressure
Rationale
• Jugular venous distention is an abnormal finding that
may indicate elevated central venous pressure.
,Page 2 of 69
Why the Others Are Incorrect
• A: JVD is not expected.
• C: Dehydration usually causes flat neck veins.
• D: JVD indicates impaired venous return rather than
normal return.
Professor Tip
JVD = Think fluid overload or increased venous pressure.
The nurse is documenting a cardiovascular assessment.
Which entry is best?
A. Heart sounds normal.
B. Cardiac assessment unremarkable.
C. S1 and S2 auscultated with regular rhythm. No
murmurs extra heart sounds thrills or heaves noted.
D. Heart appears healthy.
,Page 3 of 69
Correct Answer
C. S1 and S2 auscultated with regular rhythm. No
murmurs extra heart sounds thrills or heaves noted.
Rationale
• Documentation should be objective specific and
describe actual assessment findings.
Why the Others Are Incorrect
• A: Too vague.
• B: Nonspecific.
• D: Subjective and not objective documentation.
Professor Tip
Chart exactly what you assessed—not conclusions such as
"normal" or "healthy."
, Page 4 of 69
A nurse is assessing a client with peripheral arterial
disease (PAD). Which assessment finding requires
immediate follow-up?
A. Intermittent claudication relieved with rest
B. Hair loss on the lower legs
C. Cool pale foot with an absent dorsalis pedis pulse
D. Delayed capillary refill of 3 seconds
Correct Answer
C. Cool pale foot with an absent dorsalis pedis pulse
Rationale
• An absent pulse with a cool pale extremity suggests
severely impaired arterial perfusion and requires
immediate intervention.
Why the Others Are Incorrect
