1|P age
CARDIOVASCULAR exam 2027
Questions And ANSWERS Latest UPDATE
The FNP knows that the correct ausculatory site for the
aortic area is the - ANSWER-right second interspace
close to the sternum
The FNP is performing a physical exam on a healthy adult
male. On auscultation the stethoscope would be placed in
what areas to best hear the characteristic heart sounds S1
and S2? - ANSWER-S1 on the apex, S2 on the Base
The FNP is auscultating the carotids. What is the correct
procedure? - ANSWER-Use the bell of the stethoscope
,2|P age
On general assessment of an adult patient, the FNP
determines the presence of the apical impulse at the PMI
on the patients chest wall. Where on the chest wall is the
PMI normally found? - ANSWER-Left side at the fifth
intercostal space on the midclavicular line
When inspecting the precordium, the FNP is checking for
- ANSWER-Pulsations and retractions
While examining the patient the patient in the left lateral
position, the FNP auscultates a third heart sound. The
FNP knows - ANSWER-this sound is considered normal
in children/young adults and pregnant women
The FNP should include which statement in patient
teaching when ordering a lipid panel - eat a typical diet
over the week and - ANSWER-Fast for 12 hours before
the lipid profile is drawn
When auscultating the heart sounds of a 72 yearold-
patient with a history of HTN, the FNP notes an s4. This
,3|P age
finding could indicate - ANSWER-Normal variant in
people 65 years and older
Which of the following is an appropriate blood BP goal
for a 65 year old male with no comorbidities - ANSWER-
less than 140/90
The FNP is examining a patient with history of rheumatic
fever who is being followed for the development of
carditis. During cardiac auscultation where on the chest
wall is the stethoscope placed to determine the most
common murmur associated with condition - ANSWER-
The fifth intercostal space at the midclavicular line on the
left is where closure of the mitral valve is found
A patient presents with unusual coolness in the left hand
compared with the right. What is the next step in the
exam? - ANSWER-Feel the forearms with back of the
fingers then check radial pulse
S1 and S2 are identified when the FNP auscultates for
cardiac sounds. The physiology responsible for the
, 4|P age
production of these heart sounds is - ANSWERClosure of
AV valves produces s1
Closure of semilunar valves forms s2
The FNP is assessing a cardiac patient who is
experiencing an atrial dysrhythmia. The pulse rate is
irregular at 110 beats per minute, and there is concern
regarding a pulse deficit - ANSWER-The apical pulse and
radial at the same time; pulse deficit will show apical as
higher
The FNP notes a grade V murmur while examining a
patients precordium. Which characteristics describe this
type of murmur - ANSWER-Heard with the stethoscope
partly off the chest
Normal physiologic changes in the geriatric population
that affect conductivity and contractility of the
myocardium include: - ANSWER-decreased automaticity
and contractility
CARDIOVASCULAR exam 2027
Questions And ANSWERS Latest UPDATE
The FNP knows that the correct ausculatory site for the
aortic area is the - ANSWER-right second interspace
close to the sternum
The FNP is performing a physical exam on a healthy adult
male. On auscultation the stethoscope would be placed in
what areas to best hear the characteristic heart sounds S1
and S2? - ANSWER-S1 on the apex, S2 on the Base
The FNP is auscultating the carotids. What is the correct
procedure? - ANSWER-Use the bell of the stethoscope
,2|P age
On general assessment of an adult patient, the FNP
determines the presence of the apical impulse at the PMI
on the patients chest wall. Where on the chest wall is the
PMI normally found? - ANSWER-Left side at the fifth
intercostal space on the midclavicular line
When inspecting the precordium, the FNP is checking for
- ANSWER-Pulsations and retractions
While examining the patient the patient in the left lateral
position, the FNP auscultates a third heart sound. The
FNP knows - ANSWER-this sound is considered normal
in children/young adults and pregnant women
The FNP should include which statement in patient
teaching when ordering a lipid panel - eat a typical diet
over the week and - ANSWER-Fast for 12 hours before
the lipid profile is drawn
When auscultating the heart sounds of a 72 yearold-
patient with a history of HTN, the FNP notes an s4. This
,3|P age
finding could indicate - ANSWER-Normal variant in
people 65 years and older
Which of the following is an appropriate blood BP goal
for a 65 year old male with no comorbidities - ANSWER-
less than 140/90
The FNP is examining a patient with history of rheumatic
fever who is being followed for the development of
carditis. During cardiac auscultation where on the chest
wall is the stethoscope placed to determine the most
common murmur associated with condition - ANSWER-
The fifth intercostal space at the midclavicular line on the
left is where closure of the mitral valve is found
A patient presents with unusual coolness in the left hand
compared with the right. What is the next step in the
exam? - ANSWER-Feel the forearms with back of the
fingers then check radial pulse
S1 and S2 are identified when the FNP auscultates for
cardiac sounds. The physiology responsible for the
, 4|P age
production of these heart sounds is - ANSWERClosure of
AV valves produces s1
Closure of semilunar valves forms s2
The FNP is assessing a cardiac patient who is
experiencing an atrial dysrhythmia. The pulse rate is
irregular at 110 beats per minute, and there is concern
regarding a pulse deficit - ANSWER-The apical pulse and
radial at the same time; pulse deficit will show apical as
higher
The FNP notes a grade V murmur while examining a
patients precordium. Which characteristics describe this
type of murmur - ANSWER-Heard with the stethoscope
partly off the chest
Normal physiologic changes in the geriatric population
that affect conductivity and contractility of the
myocardium include: - ANSWER-decreased automaticity
and contractility
