1
NSG
NSG3160 / NSG 3160 E XAM 3: (NEW 2025/
2026 UPDATE) HEALTH ASSESSMENT REVIEW |
QUESTIONS & ANSWERS| GRADE A| 100%
CORRECT (VERIFIED SOLUTIONS)- GALEN
1. Inspecting the Jugular Venous Pulse - ANS ✓-position person supine at 45 degree
angle where you can best see pulsations
-remove pillow, turn head away from self
-hold ruler VERTICAL to sternal angle, straight edge like tongue depressor.
-if JVD or heart failure suspected, THEN perform abdominojugular test
2. THRILL - ANS ✓palpable vibration. feels like throat of purring cat. Signifies
turbulent blood flow, can be felt with pulmonary stenosis
3. Acute heart failure - ANS ✓following a myocardial infarction, when contractibility
has been damaged
4. Chronic heart failure - ANS ✓as w/HTN, when the ventricles must pump against
chronically increased pressure
5. aortic stenosis - ANS ✓Calcification of the aortic valve cusps that restricts forward
flow of the blood during systole; Left Ventricular hypertrophy develops.
◦Subjective: fatigue, DOE, palpitations, dizziness, fainting, anginal pain
◦Objective Data: Pallor, slow diminished radial pulse, low BP. Thrill in systole over 2nd and
3rd right interspaces and right side of the neck.
◦Murmur: loud, harsh, midsystolic, loudest at 2nd right intercostal space
6. pulmonic stenosis - ANS ✓calcification of pulmonic valve restricts forward flow of
blood.
◦Objective Data: Thrill in systole at 2nd and 3rd interspaces
NSG3160
, 2
NSG
◦Murmur: Systolic, Medium Pitch, Coarse
◦Best heard: 2nd left interspace
7. mitral regurgitation - ANS ✓stream of blood regurgitates back into the left atria
during systole through an incompetent mitral valve. In diastole, blood passes back
into the left ventricle again along with new flow; results in left ventricle dilation and
hypertrophy
◦Subjective Data: Fatigue, palpitation, orthopnea
◦Objective: you may palpate a thrill & lift at the left 5th intercostal space midclavicular line
◦Murmur: Pansystolic, often loud, blowing, swishing sound right after S1
◦Best heard: at the Apex
8. tricuspid regurgitation - ANS ✓backflow of blood through incompetent tricuspid
valve into the right atria
◦Objective: Engorged pulsating neck veins, liver enlarged.
◦Murmur: Pansystolic
◦Best Heard: left lower sternal border
9. mitral stenosis - ANS ✓Calcified mitral valve does not open properly, impedes
forward flow of blood into left ventricle during diastole. Results in left atria enlarged
and left atria pressure increased.
◦Subjective: fatigue, palpitations, DOE, orthopnea or pulmonary edema
◦Objective: diminished, often irregular arterial pulse. Lift at Apex, diastolic thrill common at
Apex.
◦Murmur: Low-Pitched diastolic rumble
◦Best Heard: at the Apex with the patient in the left lateral position
10. tricuspid stenosis - ANS ✓Calcification of the Tricuspid Valve that impedes forward
flow into right ventricle during diastole.
◦Objective: diminished arterial pulse, jugular venous pulse is prominent
◦Murmur: Diastolic rumble
◦Best Heard: at the Left Lower Sternal Border
NSG3160
, 3
NSG
11. aortic regurgitation - ANS ✓Stream of blood regurgitates back through incompetent
aortic valve into left ventricle during diastole. Left ventricular dilation and
hypertrophy caused by increased left ventricle stroke volume
◦Subjective: only minor symptoms for many years, then rapid deterioration; DOE, PND,
angina, dizziness
◦Objective: bounding "water-hammer" pulse in carotid, brachial and femoral arteries. Blood
pressure has wide pulse pressure.
◦Murmur: starts almost simultaneously with S2; soft, high pitched, blowing diastolic
◦Best Heard: at 3rd left interspace at base as person sits up and leans forward
12. pulmonic regurgitation - ANS ✓backflow of blood through incompetent pulmonic
valve from pulmonary artery to right ventricle
◦* Murmur has same timing and characteristics as that of aortic regurgitation, and is hard to
distinguish on physical examination
13. If a patient suffered from myocardial infarction (MI)... - ANS ✓the patient may
have suffer from inflammation of the precordium, which sounds high-pitched or even
scratchy in sound. Heart sounds are normal when client in the supine position, but
when they lean forward the abnormal heart sounds are heard. BEST heard in the
APEX.
14. Ankle-Brachial Index (ABI) - ANS ✓Exam with the use of a Doppler stethoscope
◦Highly specific, non-invasive, and readily available way to determine the extent of
peripheral arterial disease (PAD)
◦People w/Diabetes (DM), or Chronic Kidney Disease (CKD) may have calcified arteries that
are occasionally non-compressible and give a falsely high ankle pressure. Thus the presence
or severity of PAD may be underestimated
15. peripheral vascular disease (PVD): Peripheral Artery Disease (PAD) and Venous
Disease - ANS ✓◦With PAD: blood flow cannot match muscle demand during
exercise; therefore, people feel muscle fatigue and/or pain when walking
(claudication). But only 10% of those with PAD have this classic symptom.
◦Claudication Distance: number of blocks walked or stairs climbed to produce pain
NSG3160
NSG
NSG3160 / NSG 3160 E XAM 3: (NEW 2025/
2026 UPDATE) HEALTH ASSESSMENT REVIEW |
QUESTIONS & ANSWERS| GRADE A| 100%
CORRECT (VERIFIED SOLUTIONS)- GALEN
1. Inspecting the Jugular Venous Pulse - ANS ✓-position person supine at 45 degree
angle where you can best see pulsations
-remove pillow, turn head away from self
-hold ruler VERTICAL to sternal angle, straight edge like tongue depressor.
-if JVD or heart failure suspected, THEN perform abdominojugular test
2. THRILL - ANS ✓palpable vibration. feels like throat of purring cat. Signifies
turbulent blood flow, can be felt with pulmonary stenosis
3. Acute heart failure - ANS ✓following a myocardial infarction, when contractibility
has been damaged
4. Chronic heart failure - ANS ✓as w/HTN, when the ventricles must pump against
chronically increased pressure
5. aortic stenosis - ANS ✓Calcification of the aortic valve cusps that restricts forward
flow of the blood during systole; Left Ventricular hypertrophy develops.
◦Subjective: fatigue, DOE, palpitations, dizziness, fainting, anginal pain
◦Objective Data: Pallor, slow diminished radial pulse, low BP. Thrill in systole over 2nd and
3rd right interspaces and right side of the neck.
◦Murmur: loud, harsh, midsystolic, loudest at 2nd right intercostal space
6. pulmonic stenosis - ANS ✓calcification of pulmonic valve restricts forward flow of
blood.
◦Objective Data: Thrill in systole at 2nd and 3rd interspaces
NSG3160
, 2
NSG
◦Murmur: Systolic, Medium Pitch, Coarse
◦Best heard: 2nd left interspace
7. mitral regurgitation - ANS ✓stream of blood regurgitates back into the left atria
during systole through an incompetent mitral valve. In diastole, blood passes back
into the left ventricle again along with new flow; results in left ventricle dilation and
hypertrophy
◦Subjective Data: Fatigue, palpitation, orthopnea
◦Objective: you may palpate a thrill & lift at the left 5th intercostal space midclavicular line
◦Murmur: Pansystolic, often loud, blowing, swishing sound right after S1
◦Best heard: at the Apex
8. tricuspid regurgitation - ANS ✓backflow of blood through incompetent tricuspid
valve into the right atria
◦Objective: Engorged pulsating neck veins, liver enlarged.
◦Murmur: Pansystolic
◦Best Heard: left lower sternal border
9. mitral stenosis - ANS ✓Calcified mitral valve does not open properly, impedes
forward flow of blood into left ventricle during diastole. Results in left atria enlarged
and left atria pressure increased.
◦Subjective: fatigue, palpitations, DOE, orthopnea or pulmonary edema
◦Objective: diminished, often irregular arterial pulse. Lift at Apex, diastolic thrill common at
Apex.
◦Murmur: Low-Pitched diastolic rumble
◦Best Heard: at the Apex with the patient in the left lateral position
10. tricuspid stenosis - ANS ✓Calcification of the Tricuspid Valve that impedes forward
flow into right ventricle during diastole.
◦Objective: diminished arterial pulse, jugular venous pulse is prominent
◦Murmur: Diastolic rumble
◦Best Heard: at the Left Lower Sternal Border
NSG3160
, 3
NSG
11. aortic regurgitation - ANS ✓Stream of blood regurgitates back through incompetent
aortic valve into left ventricle during diastole. Left ventricular dilation and
hypertrophy caused by increased left ventricle stroke volume
◦Subjective: only minor symptoms for many years, then rapid deterioration; DOE, PND,
angina, dizziness
◦Objective: bounding "water-hammer" pulse in carotid, brachial and femoral arteries. Blood
pressure has wide pulse pressure.
◦Murmur: starts almost simultaneously with S2; soft, high pitched, blowing diastolic
◦Best Heard: at 3rd left interspace at base as person sits up and leans forward
12. pulmonic regurgitation - ANS ✓backflow of blood through incompetent pulmonic
valve from pulmonary artery to right ventricle
◦* Murmur has same timing and characteristics as that of aortic regurgitation, and is hard to
distinguish on physical examination
13. If a patient suffered from myocardial infarction (MI)... - ANS ✓the patient may
have suffer from inflammation of the precordium, which sounds high-pitched or even
scratchy in sound. Heart sounds are normal when client in the supine position, but
when they lean forward the abnormal heart sounds are heard. BEST heard in the
APEX.
14. Ankle-Brachial Index (ABI) - ANS ✓Exam with the use of a Doppler stethoscope
◦Highly specific, non-invasive, and readily available way to determine the extent of
peripheral arterial disease (PAD)
◦People w/Diabetes (DM), or Chronic Kidney Disease (CKD) may have calcified arteries that
are occasionally non-compressible and give a falsely high ankle pressure. Thus the presence
or severity of PAD may be underestimated
15. peripheral vascular disease (PVD): Peripheral Artery Disease (PAD) and Venous
Disease - ANS ✓◦With PAD: blood flow cannot match muscle demand during
exercise; therefore, people feel muscle fatigue and/or pain when walking
(claudication). But only 10% of those with PAD have this classic symptom.
◦Claudication Distance: number of blocks walked or stairs climbed to produce pain
NSG3160
