Exam 2: NR302 / NR 302 (Latest Update
) Health Assessment I |
Questions & Answers | 100% Correct |
Grade A - Chamberlain
Question 1
What is the best location to auscultate the aortic heart sound?
a. 5th intercostal space, midclavicular line
b. 2nd intercostal space, right sternal border
c. 2nd intercostal space, left sternal border
d. 4th intercostal space, left sternal border
Correct Answer: b
Explanation: The aortic area is best auscultated at the 2nd intercostal space, right sternal border,
where the aortic valve is closest to the chest wall. Nursing Relevance: Use the diaphragm of the
stethoscope to hear high-pitched S1 and S2 sounds.
Question 2
What is a normal finding when auscultating the pulmonic heart sound?
a. S3 heart sound
b. Clear S1 and S2 sounds
c. Murmur
d. S4 heart sound
Correct Answer: b
Explanation: Clear S1 and S2 sounds are normal at the pulmonic area (2nd intercostal space, left
sternal border). Nursing Relevance: Document abnormal sounds like murmurs for further
evaluation.
Question 3
What does a loud, high-pitched holosystolic murmur suggest?
a. Normal heart function
b. Mitral regurgitation
,c. Aortic stenosis
d. Pericarditis
Correct Answer: b
Explanation: A holosystolic murmur, loud and high-pitched, suggests mitral regurgitation due to
blood flow back into the left atrium. Nursing Relevance: Auscultate at the apex and refer for
echocardiography.
Question 4
What is the purpose of palpating the precordium?
a. To assess lung sounds
b. To detect thrills or heaves
c. To measure respiratory rate
d. To evaluate skin turgor
Correct Answer: b
Explanation: Palpating the precordium detects thrills (vibrations from murmurs) or heaves
(abnormal cardiac lifts). Nursing Relevance: Use fingertips to assess for abnormalities over the
heart.
Question 5
What is a normal finding when assessing the carotid pulse?
a. Weak, thready pulse (1+)
b. Bounding pulse (4+)
c. Moderate pulse (2+)
d. Absent pulse (0)
Correct Answer: c
Explanation: A moderate pulse (2+) is normal for the carotid artery, indicating adequate
perfusion. Nursing Relevance: Palpate one carotid at a time to avoid reducing cerebral blood
flow.
Question 6
What does jugular vein distention (JVD) suggest when assessed at a 45-degree angle?
a. Hypovolemia
b. Right-sided heart failure
, c. Pneumothorax
d. Normal finding
Correct Answer: b
Explanation: JVD at 45 degrees indicates increased venous pressure, often due to right-sided
heart failure. Nursing Relevance: Measure JVD and assess for peripheral edema.
Question 7
What is the normal finding when percussing the lungs?
a. Dullness
b. Resonance
c. Hyperresonance
d. Tympany
Correct Answer: b
Explanation: Resonance is the normal sound over air-filled lungs during percussion. Nursing
Relevance: Note dullness (fluid) or hyperresonance (air) as abnormal findings.
Question 8
What lung sound is associated with asthma?
a. Crackles
b. Wheezes
c. Rhonchi
d. Pleural friction rub
Correct Answer: b
Explanation: Wheezes, high-pitched sounds, occur in asthma due to narrowed airways. Nursing
Relevance: Auscultate bilaterally and document changes after bronchodilator use.
Question 9
What is a normal finding when auscultating the posterior lung fields?
a. Bronchial breath sounds
b. Vesicular breath sounds
c. Bronchovesicular breath sounds
d. Adventitious sounds
) Health Assessment I |
Questions & Answers | 100% Correct |
Grade A - Chamberlain
Question 1
What is the best location to auscultate the aortic heart sound?
a. 5th intercostal space, midclavicular line
b. 2nd intercostal space, right sternal border
c. 2nd intercostal space, left sternal border
d. 4th intercostal space, left sternal border
Correct Answer: b
Explanation: The aortic area is best auscultated at the 2nd intercostal space, right sternal border,
where the aortic valve is closest to the chest wall. Nursing Relevance: Use the diaphragm of the
stethoscope to hear high-pitched S1 and S2 sounds.
Question 2
What is a normal finding when auscultating the pulmonic heart sound?
a. S3 heart sound
b. Clear S1 and S2 sounds
c. Murmur
d. S4 heart sound
Correct Answer: b
Explanation: Clear S1 and S2 sounds are normal at the pulmonic area (2nd intercostal space, left
sternal border). Nursing Relevance: Document abnormal sounds like murmurs for further
evaluation.
Question 3
What does a loud, high-pitched holosystolic murmur suggest?
a. Normal heart function
b. Mitral regurgitation
,c. Aortic stenosis
d. Pericarditis
Correct Answer: b
Explanation: A holosystolic murmur, loud and high-pitched, suggests mitral regurgitation due to
blood flow back into the left atrium. Nursing Relevance: Auscultate at the apex and refer for
echocardiography.
Question 4
What is the purpose of palpating the precordium?
a. To assess lung sounds
b. To detect thrills or heaves
c. To measure respiratory rate
d. To evaluate skin turgor
Correct Answer: b
Explanation: Palpating the precordium detects thrills (vibrations from murmurs) or heaves
(abnormal cardiac lifts). Nursing Relevance: Use fingertips to assess for abnormalities over the
heart.
Question 5
What is a normal finding when assessing the carotid pulse?
a. Weak, thready pulse (1+)
b. Bounding pulse (4+)
c. Moderate pulse (2+)
d. Absent pulse (0)
Correct Answer: c
Explanation: A moderate pulse (2+) is normal for the carotid artery, indicating adequate
perfusion. Nursing Relevance: Palpate one carotid at a time to avoid reducing cerebral blood
flow.
Question 6
What does jugular vein distention (JVD) suggest when assessed at a 45-degree angle?
a. Hypovolemia
b. Right-sided heart failure
, c. Pneumothorax
d. Normal finding
Correct Answer: b
Explanation: JVD at 45 degrees indicates increased venous pressure, often due to right-sided
heart failure. Nursing Relevance: Measure JVD and assess for peripheral edema.
Question 7
What is the normal finding when percussing the lungs?
a. Dullness
b. Resonance
c. Hyperresonance
d. Tympany
Correct Answer: b
Explanation: Resonance is the normal sound over air-filled lungs during percussion. Nursing
Relevance: Note dullness (fluid) or hyperresonance (air) as abnormal findings.
Question 8
What lung sound is associated with asthma?
a. Crackles
b. Wheezes
c. Rhonchi
d. Pleural friction rub
Correct Answer: b
Explanation: Wheezes, high-pitched sounds, occur in asthma due to narrowed airways. Nursing
Relevance: Auscultate bilaterally and document changes after bronchodilator use.
Question 9
What is a normal finding when auscultating the posterior lung fields?
a. Bronchial breath sounds
b. Vesicular breath sounds
c. Bronchovesicular breath sounds
d. Adventitious sounds
