NURS 612 ADVANCED HEALTH ASSESSMENT
EXAM 3 2025-2026 QUESTIONS AND ANSWERS
GRADED A+ MARYVILLE
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.
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
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
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.
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.
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
b
Which technique would be most appropriate to use when examining the jugular
venous pulse?
A) Perform the exam with the client in a supine position.
B) Have the client look straight ahead with chin slightly lifted.
C) Have the client sit up at a 90-degree angle.
D) Inspect the suprasternal notch or around the clavicles.
d
The nurse is preparing to assess a client's apical impulse. The nurse would palpate
at which location?
A) Second intercostal space, left sternal border
B) Third intercostal space, left axillary line
C) Fourth intercostal space, left sternal border
D) Fifth intercostal space, left midclavicular line
d
, While auscultating the heart at the third intercostal space, left sternal border, the
nurse notes a high-pitched, scratchy sound that increases with exhalation with the
client leaning forward. The nurse would document which of the following?
A) Pericardial friction rub
B) Midsystolic click
C) Summation gallop
D) Aortic ejection click
A) Pericardial friction rub
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
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
EXAM 3 2025-2026 QUESTIONS AND ANSWERS
GRADED A+ MARYVILLE
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.
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
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
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.
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.
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
b
Which technique would be most appropriate to use when examining the jugular
venous pulse?
A) Perform the exam with the client in a supine position.
B) Have the client look straight ahead with chin slightly lifted.
C) Have the client sit up at a 90-degree angle.
D) Inspect the suprasternal notch or around the clavicles.
d
The nurse is preparing to assess a client's apical impulse. The nurse would palpate
at which location?
A) Second intercostal space, left sternal border
B) Third intercostal space, left axillary line
C) Fourth intercostal space, left sternal border
D) Fifth intercostal space, left midclavicular line
d
, While auscultating the heart at the third intercostal space, left sternal border, the
nurse notes a high-pitched, scratchy sound that increases with exhalation with the
client leaning forward. The nurse would document which of the following?
A) Pericardial friction rub
B) Midsystolic click
C) Summation gallop
D) Aortic ejection click
A) Pericardial friction rub
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
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
