2026/2027 Latest Update|Exam
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1. A nurse is assessing the anterior chest of a client. Which of the following
findings should the nurse report?
A. The point of maximal impulse (PMI) located at fifth intercostal space
B. Symmetrical chest movement during inhalation and expiration
C. Absent visible pulsations in the area of the point of maximal impulse (PMI)
D. A forceful chest movement at the midclavicular line in the fourth intercostal space
D. A forceful chest movement at the midclavicular line in the fourth intercostal
space
2. A nurse is assessing a client who reports an increase in their stress level related
to the demands of their job. Which of the following interventions should the
nurse recommend for the client to reduce their stress?
A. Instruct the client to vary the time they go to sleep each night
B. Have the client check their BP daily
C. Discuss the benefits of meditation with the client
D. Have the client limit their exercise program until the stress has decreased
C. Discuss the benefits of meditation with the client
3. A nurse has completed a cardiovascular assessment on a client. Which of the
following findings should the nurse report to the provider?
A. Capillary refill of 3 seconds
B. +2 radial pulse
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, C. Fingernail with 160 degree curvature
D. Oxygen saturation 98%
A. Capillary refill of 3 seconds
4. A nurse is auscultating heart sounds. Identify the location where the apical
pulse is auscultated.
A. 1st intercostal left
B. 1st intercostal right
C. 4th intercostal left
D. 5th intercostal left
D. 5th intercostal left
5. A nurse is teaching a client about behaviors that promote cardiovascular
health. Which of the following client statements indicate an understanding of the
teaching? (Select all that apply.)
A. "I am going to start walking several times a week"
B. "I plan to join a support group to help me stop smoking"
C. "I will be sure to have a blood pressure checked at least every year"
D. "If my HDL cholesterol levels are high, it can hurt my heart"
E. "Eating more low-fiber foods and processed carbohydrates will make my heart
healthier"
A, B, C
6. A nurse is caring for a client who has a peripheral venous ulcer. Which of the
following actions should the nurse take? (Select all that apply.)
A. Instruct the client to sit with their legs uncrossed
B. Encourage the client to avoid tobacco products
C. Instruct the client to cleanse the area with mild soap
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