NUR 2092 Health Assessment Exam 2 Quiz Bank
Rasmussen College Actual Exam 2026/2027
Complete Exam-Style Questions with Detailed
Rationales | 100% Verified | Pass Guaranteed –
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Part I: Cardiovascular & Peripheral Vascular Assessment
(Questions 1-19)
Q1: A nursing student is preparing to assess a patient's
cardiovascular system. Before beginning the physical
examination, which action should the nurse perform FIRST?
A. Position the patient in a left lateral decubitus position
B. Ask the patient about any history of heart disease or chest
pain
C. Warm the stethoscope diaphragm in their hands for at least 30
seconds
D. Palpate the radial pulse to determine heart rate and rhythm
C. Ask the patient about any history of heart disease or chest
pain [CORRECT]
Correct Answer: C
,2
Rationale: The best answer is to gather relevant health history
information before starting the hands-on assessment. This
follows the standard health assessment framework taught in
NUR 2092 where you complete (or review) the health history
prior to physical examination, allowing you to tailor your
assessment approach based on the patient's reported symptoms
and risk factors.
Q2: A nurse is auscultating the heart sounds of a 45-year-old
patient at the mitral area (apex). Which sound should the nurse
identify as S1 ("lub")?
A. A low-pitched sound heard best with the bell of the
stethoscope at the left lower sternal border
B. A higher-pitched sound occurring at the beginning of systole,
heard best at the apex
C. A sound that coincides with the carotid artery upstroke and is
heard best at the base
D. A soft, low-pitched sound heard immediately after S2 during
early diastole
B. A higher-pitched sound occurring at the beginning of systole,
heard best at the apex [CORRECT]
,3
Correct Answer: B
Rationale: This choice is correct because S1 is caused by closure
of the mitral and tricuspid valves at the beginning of systole, and
it is typically louder and higher-pitched at the apex (mitral area)
where the mitral valve closes most forcefully. S2, not S1,
coincides with the carotid upstroke and is best heard at the base.
Q3: During a routine health assessment, a nurse notes that a
patient's S2 heart sound is louder than normal at the upper right
sternal border (aortic area). What does this finding MOST likely
indicate?
A. Mitral valve regurgitation
B. Systemic hypertension
C. Ventricular hypertrophy
D. Atrial septal defect
B. Systemic hypertension [CORRECT]
Correct Answer: B
, 4
Rationale: The best answer is systemic hypertension because
increased pressure in the systemic circulation causes the aortic
valve to close more forcefully, producing a loud A2 component
of S2 at the aortic area. This is a classic clinical correlation
taught in cardiovascular assessment—loud S2 at the upper right
sternal border should always make you think about elevated
blood pressure.
Q4: A nurse is assessing a 68-year-old patient who reports
occasional dizziness upon standing. After the patient has been
lying supine for 5 minutes, the nurse obtains these vital signs:
BP 128/82 mmHg, HR 72 bpm. The patient then stands, and
after 1 minute the vital signs are: BP 110/70 mmHg, HR 88
bpm. After 3 minutes standing: BP 108/68 mmHg, HR 92 bpm.
How should the nurse interpret these findings?
A. Normal orthostatic vital sign response
B. Orthostatic hypotension without compensatory tachycardia
C. Orthostatic hypotension with appropriate compensatory
tachycardia
D. Inadequate technique—the patient should have stood for 5
minutes
C. Orthostatic hypotension with appropriate compensatory
tachycardia [CORRECT]