ADVANCED HEALTH ASSESSMENT OF
WOMEN FINAL PAPER 2026 TESTED
QUESTIONS FULL SOLUTION AND EXPERT
RATIONALES
⩥ During chest auscultation, the nurse hears a quiet murmur
immediately upon placing the stethoscope on the client's chest. The
nurse interprets this as which grade?
A) I
B) II
C) III
D) IV. Answer: B) II
⩥ After teaching a group of students about blood flow through the heart,
the instructor determines that the teaching was successful when the
students state that after being received by the atria, the blood goes to
which of the following?
A) Chordae tendineae
B) Ventricles
C) Semilunar valves
D) Precordium. Answer: B) Ventricles
,⩥ A group of students is reviewing the structures of the heart, noting that
the thickest layer of the heart is made up of contractile muscle cells. The
students are correct in identifying it as which of the following?
A) Myocardium
B) Epicardium
C) Endocardium
D) Pericardium. Answer: A) Myocardium
⩥ A nursing student is reviewing the electrical conduction of the heart.
The student is correct in identifying the sinoatrial node of the heart as
which of the following?
A) Bundle of His
B) Purkinje fibers
C) Pacemaker
D) Conduction system. Answer: C) Pacemaker
⩥ The nurse is assessing a client's first heart sound. The nurse interprets
this finding as indicating which heart action?
A) Isometric contraction
B) Closure of the semilunar valves
C) Beginning of diastole
D) Closure of the atrioventricular valves. Answer: d
,⩥ A nurse assesses a client's jugular venous pulse to gather information
about which of the following?
A) Left arterial pressure.
B) Left ventricular diastolic filling.
C) Right ventricular pressure.
D) Hemodynamics of the right side of the heart.. Answer: d
⩥ On examination, the nurse would expect what finding if a client is in
right-sided failure?
A) Increased jugular venous pressure
B) Decreased right-sided volume
C) Decreased central venous pressure
D) Decreased stroke volume. Answer: a
⩥ A client presents with chest pain described as a pressure and
squeezing sensation that is steady and severe. The nurse would suspect
which system as the most likely source?
A) Cardiac
B) Gastrointestinal
C) Musculoskeletal
D) Pulmonary. Answer: a
, ⩥ A client complains of palpitations and a feeling of anxiety. Which of
the following would be most appropriate for the nurse to keep in mind?
A) This is a normal response by the heart's conduction system.
B) This is the body's response to an increase in cardiac output.
C) The heart is attempting to increase cardiac output.
D) The heart is responding to increased renal perfusion.. Answer: c
⩥ Which of the following would the nurse suspect when a client with a
cardiac condition complains of not sleeping well and having to get up
frequently at night to urinate?
A) This indicates the heart is working efficiently.
B) Increased urination at rest may indicate heart failure.
C) The client has decreased performance levels of activities of daily
living.
D) The client most likely sleeps without a pillow at night.. Answer: b
⩥ When auscultating the left carotid artery, the nurse notes a swishing
sound. The nurse interprets this finding as suggesting which of the
following?
A) Decreased cardiac output
B) Increased central venous pressure
C) A narrowed vessel
D) Right ventricular failure. Answer: b
WOMEN FINAL PAPER 2026 TESTED
QUESTIONS FULL SOLUTION AND EXPERT
RATIONALES
⩥ During chest auscultation, the nurse hears a quiet murmur
immediately upon placing the stethoscope on the client's chest. The
nurse interprets this as which grade?
A) I
B) II
C) III
D) IV. Answer: B) II
⩥ After teaching a group of students about blood flow through the heart,
the instructor determines that the teaching was successful when the
students state that after being received by the atria, the blood goes to
which of the following?
A) Chordae tendineae
B) Ventricles
C) Semilunar valves
D) Precordium. Answer: B) Ventricles
,⩥ A group of students is reviewing the structures of the heart, noting that
the thickest layer of the heart is made up of contractile muscle cells. The
students are correct in identifying it as which of the following?
A) Myocardium
B) Epicardium
C) Endocardium
D) Pericardium. Answer: A) Myocardium
⩥ A nursing student is reviewing the electrical conduction of the heart.
The student is correct in identifying the sinoatrial node of the heart as
which of the following?
A) Bundle of His
B) Purkinje fibers
C) Pacemaker
D) Conduction system. Answer: C) Pacemaker
⩥ The nurse is assessing a client's first heart sound. The nurse interprets
this finding as indicating which heart action?
A) Isometric contraction
B) Closure of the semilunar valves
C) Beginning of diastole
D) Closure of the atrioventricular valves. Answer: d
,⩥ A nurse assesses a client's jugular venous pulse to gather information
about which of the following?
A) Left arterial pressure.
B) Left ventricular diastolic filling.
C) Right ventricular pressure.
D) Hemodynamics of the right side of the heart.. Answer: d
⩥ On examination, the nurse would expect what finding if a client is in
right-sided failure?
A) Increased jugular venous pressure
B) Decreased right-sided volume
C) Decreased central venous pressure
D) Decreased stroke volume. Answer: a
⩥ A client presents with chest pain described as a pressure and
squeezing sensation that is steady and severe. The nurse would suspect
which system as the most likely source?
A) Cardiac
B) Gastrointestinal
C) Musculoskeletal
D) Pulmonary. Answer: a
, ⩥ A client complains of palpitations and a feeling of anxiety. Which of
the following would be most appropriate for the nurse to keep in mind?
A) This is a normal response by the heart's conduction system.
B) This is the body's response to an increase in cardiac output.
C) The heart is attempting to increase cardiac output.
D) The heart is responding to increased renal perfusion.. Answer: c
⩥ Which of the following would the nurse suspect when a client with a
cardiac condition complains of not sleeping well and having to get up
frequently at night to urinate?
A) This indicates the heart is working efficiently.
B) Increased urination at rest may indicate heart failure.
C) The client has decreased performance levels of activities of daily
living.
D) The client most likely sleeps without a pillow at night.. Answer: b
⩥ When auscultating the left carotid artery, the nurse notes a swishing
sound. The nurse interprets this finding as suggesting which of the
following?
A) Decreased cardiac output
B) Increased central venous pressure
C) A narrowed vessel
D) Right ventricular failure. Answer: b
