NUR 304 FINAL EXAM
NUR 304 FINAL EXAM 1 With 200 Complete
EXAM PRACTICE QUESTIONS AND CORRECT
DETAILED ANSWERS (100% CORRECT) 2025/26
PREP (NEW!)2025 Test Bank with RATIONALES |
A nurse auscultates a client's heart rate and rhythm and finds the rhythm to be irregular. Which of
the following should the nurse do next?
A) Inspect for a lift.
B) Palpate for a thrill.
C) Auscultate for pulse rate deficit.
D) Listen for a ventricular gallop. –
A+ TEST BANK 1
, NUR 304 FINAL EXAM
Correct Answer :C) Auscultate for pulse rate deficit.
The nurse assesses a client's carotid pulse and finds it to be of normal amplitude. The nurse would
document this as which of the following?
A) 1+
B) 2+
C) 3+
D) 4+
- Correct Answer :B) 2+
A nurse is having difficulty identifying a client's heart sounds, specifically S1 and S2. Which of the
following would be most appropriate for the nurse to do?
A) Use the bell of the stethoscope to help distinguish the sounds.
B) Palpate the carotid pulse while auscultating the heart.
C) Determine the pulse deficit.
D) Palpate the apical impulse. –
Correct Answer :B) Palpate the carotid pulse while auscultating the heart.
A nurse is preparing a class for a local community group on coronary heart disease. Which of the
following recommendations should the nurse include as appropriate for reducing a person's risk?
Select all that apply.
A) Avoid eating carbohydrates.
B) Eat foods low in sodium.
C) Walk for at least 30 minutes/day.
D) Limit alcohol intake to 3 drinks per day.
E) Use relaxation techniques to manage stress.
A+ TEST BANK 2
, NUR 304 FINAL EXAM
- Correct Answer :B) Eat foods low in sodium.
C) Walk for at least 30 minutes/day.
E) Use relaxation techniques to manage stress.
A client has sought care with complaints of increasing swelling in her feet and ankles, and the nurse's
assessment confirms the presence of bilateral edema. The nurse's subsequent assessments should
focus on the signs and symptoms of what health problem?
A) Myocardial infarction
B) Heart failure
C) Atherosclerosis
D) Heart block –
Correct Answer :B) Heart failure
The nurse is using the COLDSPA mnemonic to assess a client's history of chest pain. What interview
question addresses the "A" in this assessment model?
A) "Do you have any other symptoms together with your chest pain, such as nausea,
sweating?"
B) "In your experience, what kinds of activities tend to cause your chest pain?"
C) "Would you describe your chest pain as being acute, or is it chronic?"
D) "What changes do you have to make in order to accommodate your chest pain?"
- Correct Answer :A) "Do you have any other symptoms together with your chest pain, such as
nausea,
sweating?"
The nurse has begun the objective assessment of a client's heart and neck vessels and is assessing
the client's jugular veins. What finding would the nurse consider to be normal in a healthy client?
A) The jugular venous pulse is not visible when the client is sitting upright.
A+ TEST BANK 3
, NUR 304 FINAL EXAM
B) The jugular veins are fully distended when the client is in a high Fowler's position.
C) The jugular veins are distended when the client sits at 45 degrees.
D) The jugular venous pulse is visible when the client lies supine. –
Correct Answer :A) The jugular venous pulse is not visible when the client is sitting upright.
The nurse is assessing the carotid arteries of a client with a history of heart disease. What action
should the nurse perform during this assessment?
A) Palpate the client's left and right carotid arteries simultaneously.
B) Palpate the client's carotid arteries prior to auscultation.
C) Instruct the client to inhale and exhale forcefully during auscultation.
D) Palpate the client's carotid arteries gently if an occlusion is audible. –
Correct Answer :D) Palpate the client's carotid arteries gently if an occlusion is audible.
The nurse's auscultation of a 22-year-old client's apical heart rate reveals the presence of S3. When
the client stands upright, the S3 is no longer audible. How should the nurse respond to this
assessment finding?
A) Make a referral to the client's primary care provider promptly.
B) Perform a focused respiratory assessment.
C) Recognize this as an early sign of left-sided heart failure.
D) Recognize this as a normal assessment finding in this client. –
Correct Answer :D) Recognize this as a normal assessment finding in this client.
The nurse is auscultating a client's heart sounds and hears what she believes to be a murmur. How
should the nurse proceed with gathering further assessment data related to the suspected murmur?
A) Auscultate with the bell and then without the stethoscope.
B) Ask the client to ìbear downî (perform the Valsalva maneuver) while auscultating.
A+ TEST BANK 4
NUR 304 FINAL EXAM 1 With 200 Complete
EXAM PRACTICE QUESTIONS AND CORRECT
DETAILED ANSWERS (100% CORRECT) 2025/26
PREP (NEW!)2025 Test Bank with RATIONALES |
A nurse auscultates a client's heart rate and rhythm and finds the rhythm to be irregular. Which of
the following should the nurse do next?
A) Inspect for a lift.
B) Palpate for a thrill.
C) Auscultate for pulse rate deficit.
D) Listen for a ventricular gallop. –
A+ TEST BANK 1
, NUR 304 FINAL EXAM
Correct Answer :C) Auscultate for pulse rate deficit.
The nurse assesses a client's carotid pulse and finds it to be of normal amplitude. The nurse would
document this as which of the following?
A) 1+
B) 2+
C) 3+
D) 4+
- Correct Answer :B) 2+
A nurse is having difficulty identifying a client's heart sounds, specifically S1 and S2. Which of the
following would be most appropriate for the nurse to do?
A) Use the bell of the stethoscope to help distinguish the sounds.
B) Palpate the carotid pulse while auscultating the heart.
C) Determine the pulse deficit.
D) Palpate the apical impulse. –
Correct Answer :B) Palpate the carotid pulse while auscultating the heart.
A nurse is preparing a class for a local community group on coronary heart disease. Which of the
following recommendations should the nurse include as appropriate for reducing a person's risk?
Select all that apply.
A) Avoid eating carbohydrates.
B) Eat foods low in sodium.
C) Walk for at least 30 minutes/day.
D) Limit alcohol intake to 3 drinks per day.
E) Use relaxation techniques to manage stress.
A+ TEST BANK 2
, NUR 304 FINAL EXAM
- Correct Answer :B) Eat foods low in sodium.
C) Walk for at least 30 minutes/day.
E) Use relaxation techniques to manage stress.
A client has sought care with complaints of increasing swelling in her feet and ankles, and the nurse's
assessment confirms the presence of bilateral edema. The nurse's subsequent assessments should
focus on the signs and symptoms of what health problem?
A) Myocardial infarction
B) Heart failure
C) Atherosclerosis
D) Heart block –
Correct Answer :B) Heart failure
The nurse is using the COLDSPA mnemonic to assess a client's history of chest pain. What interview
question addresses the "A" in this assessment model?
A) "Do you have any other symptoms together with your chest pain, such as nausea,
sweating?"
B) "In your experience, what kinds of activities tend to cause your chest pain?"
C) "Would you describe your chest pain as being acute, or is it chronic?"
D) "What changes do you have to make in order to accommodate your chest pain?"
- Correct Answer :A) "Do you have any other symptoms together with your chest pain, such as
nausea,
sweating?"
The nurse has begun the objective assessment of a client's heart and neck vessels and is assessing
the client's jugular veins. What finding would the nurse consider to be normal in a healthy client?
A) The jugular venous pulse is not visible when the client is sitting upright.
A+ TEST BANK 3
, NUR 304 FINAL EXAM
B) The jugular veins are fully distended when the client is in a high Fowler's position.
C) The jugular veins are distended when the client sits at 45 degrees.
D) The jugular venous pulse is visible when the client lies supine. –
Correct Answer :A) The jugular venous pulse is not visible when the client is sitting upright.
The nurse is assessing the carotid arteries of a client with a history of heart disease. What action
should the nurse perform during this assessment?
A) Palpate the client's left and right carotid arteries simultaneously.
B) Palpate the client's carotid arteries prior to auscultation.
C) Instruct the client to inhale and exhale forcefully during auscultation.
D) Palpate the client's carotid arteries gently if an occlusion is audible. –
Correct Answer :D) Palpate the client's carotid arteries gently if an occlusion is audible.
The nurse's auscultation of a 22-year-old client's apical heart rate reveals the presence of S3. When
the client stands upright, the S3 is no longer audible. How should the nurse respond to this
assessment finding?
A) Make a referral to the client's primary care provider promptly.
B) Perform a focused respiratory assessment.
C) Recognize this as an early sign of left-sided heart failure.
D) Recognize this as a normal assessment finding in this client. –
Correct Answer :D) Recognize this as a normal assessment finding in this client.
The nurse is auscultating a client's heart sounds and hears what she believes to be a murmur. How
should the nurse proceed with gathering further assessment data related to the suspected murmur?
A) Auscultate with the bell and then without the stethoscope.
B) Ask the client to ìbear downî (perform the Valsalva maneuver) while auscultating.
A+ TEST BANK 4
