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HEALTH ASSESSMENT I FINAL EXAM
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Johns Hopkins University
School of Nursing
HIGH YIELDS QUESTIONS
NEWEST MODEL 2026 EXAM LATEST
VERSION SOLVED QUESTIONS &
ANSWERS VERIFIED 100 %
Exam
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HEALTH ASSESSMENT FINAL EXAM REVIEW QUESTIONS
1. While auscultating the client's heart at the third intercostal space and on the
left sternal border, the nurse notes a high-pitched, scratchy sound that
increases with exhalation with the client leaning forward. The nurse should
document which of the following?
A) Pericardial friction rub
B) Midsystolic click
C) Summation gallop
D) Aortic ejection click
A) Pericardial friction rub
2. 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) 1
B) 2
C) 3
D) 4
B) 2
3. 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 this layer as which of the following?
A) Myocardium
B) Epicardium
C) Endocardium
D) Pericardium
A) Myocardium
4. A nurse is reviewing the electrical conduction system of the heart in
preparation for assessing a client with a conduction problem. The nurse
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should be aware that the electrical signal originates in which of the following
locations?
A) Bundle of His
B) Purkinje fibers
C) Sinoatrial node
D) AV node
C) Sinoatrial node
5. The nurse is analyzing the data from the assessment of a client's heart and
neck vessels. The client's first heart sound corresponds with what event in the
cardiac cycle?
A) Isometric contraction
B) Closure of the semilunar valves
C) Beginning of diastole
D) Closure of the atrioventricular valves
D) Closure of the atrioventricular valves
6. The nurse is assessing a client who is in uncompensated right-sided heart
failure. What assessment finding should the nurse anticipate?
A) Increased jugular venous pressure
B) Bradycardia
C) Decreased blood pressure
D) Dysrhythmias
A) Increased jugular venous pressure
7. The nurse is assessing a client with a cardiac condition who complains of
not sleeping well and of having to get up frequently at night to urinate. The
nurse should recognize what implication of this statement?
A) The client may have developed a cardiac conduction problem.
B) The client may be experiencing symptoms of heart failure.
C) The client's cardiac problem is being adequately compensated for.
D) The client may be at increased risk for myocardial infarction.
B) The client may be experiencing symptoms of heart failure.
8. The nurse is assessing a client's heart and neck vessels. Which technique
would be most appropriate to use when examining the client's jugular venous
pulse?
A) Perform the exam with the client in a supine position.
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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) Inspect the suprasternal notch or around the clavicles.
9. The nurse is preparing to assess a client's apical impulse. The nurse should
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) Fifth intercostal space, left midclavicular line
10. A nurse is preparing a health education session for a local community
group. When addressing the relationship between coronary artery disease
(CAD) and culture, which information would the nurse include?
A) Caucasians usually possess greater lifestyle risks for CAD than African
Americans.
B) Hypertension is more prevalent in African Americans than among
Caucasians.
C) Hypertension is seen more in white women than in African-American
women.
D) Hispanic Americans have a higher rate of CAD than white Americans.
B) Hypertension is more prevalent in African Americans than among Caucasians.
11. The nurse is assessing a client with mitral insufficiency. Which
characteristic of the first heart sound should the nurse expect to hear?
A) Split
B) Diminished
C) Accentuated
D) Varying
B) Diminished
12. The nurse is assessing a client who has a complex cardiac history. The
nurse has asked the client to lean forward while in a sitting position. This
position will allow the nurse to do which of the following?
A) Assess the client's heart sounds while preventing shortness of breath.
B) Identify heart sounds that may be inaudible in other positions.
HEALTH ASSESSMENT I FINAL EXAM
Download now
Johns Hopkins University
School of Nursing
HIGH YIELDS QUESTIONS
NEWEST MODEL 2026 EXAM LATEST
VERSION SOLVED QUESTIONS &
ANSWERS VERIFIED 100 %
Exam
, Page 2 of 125
HEALTH ASSESSMENT FINAL EXAM REVIEW QUESTIONS
1. While auscultating the client's heart at the third intercostal space and on the
left sternal border, the nurse notes a high-pitched, scratchy sound that
increases with exhalation with the client leaning forward. The nurse should
document which of the following?
A) Pericardial friction rub
B) Midsystolic click
C) Summation gallop
D) Aortic ejection click
A) Pericardial friction rub
2. 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) 1
B) 2
C) 3
D) 4
B) 2
3. 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 this layer as which of the following?
A) Myocardium
B) Epicardium
C) Endocardium
D) Pericardium
A) Myocardium
4. A nurse is reviewing the electrical conduction system of the heart in
preparation for assessing a client with a conduction problem. The nurse
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should be aware that the electrical signal originates in which of the following
locations?
A) Bundle of His
B) Purkinje fibers
C) Sinoatrial node
D) AV node
C) Sinoatrial node
5. The nurse is analyzing the data from the assessment of a client's heart and
neck vessels. The client's first heart sound corresponds with what event in the
cardiac cycle?
A) Isometric contraction
B) Closure of the semilunar valves
C) Beginning of diastole
D) Closure of the atrioventricular valves
D) Closure of the atrioventricular valves
6. The nurse is assessing a client who is in uncompensated right-sided heart
failure. What assessment finding should the nurse anticipate?
A) Increased jugular venous pressure
B) Bradycardia
C) Decreased blood pressure
D) Dysrhythmias
A) Increased jugular venous pressure
7. The nurse is assessing a client with a cardiac condition who complains of
not sleeping well and of having to get up frequently at night to urinate. The
nurse should recognize what implication of this statement?
A) The client may have developed a cardiac conduction problem.
B) The client may be experiencing symptoms of heart failure.
C) The client's cardiac problem is being adequately compensated for.
D) The client may be at increased risk for myocardial infarction.
B) The client may be experiencing symptoms of heart failure.
8. The nurse is assessing a client's heart and neck vessels. Which technique
would be most appropriate to use when examining the client's jugular venous
pulse?
A) Perform the exam with the client in a supine position.
, Page 4 of 125
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) Inspect the suprasternal notch or around the clavicles.
9. The nurse is preparing to assess a client's apical impulse. The nurse should
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) Fifth intercostal space, left midclavicular line
10. A nurse is preparing a health education session for a local community
group. When addressing the relationship between coronary artery disease
(CAD) and culture, which information would the nurse include?
A) Caucasians usually possess greater lifestyle risks for CAD than African
Americans.
B) Hypertension is more prevalent in African Americans than among
Caucasians.
C) Hypertension is seen more in white women than in African-American
women.
D) Hispanic Americans have a higher rate of CAD than white Americans.
B) Hypertension is more prevalent in African Americans than among Caucasians.
11. The nurse is assessing a client with mitral insufficiency. Which
characteristic of the first heart sound should the nurse expect to hear?
A) Split
B) Diminished
C) Accentuated
D) Varying
B) Diminished
12. The nurse is assessing a client who has a complex cardiac history. The
nurse has asked the client to lean forward while in a sitting position. This
position will allow the nurse to do which of the following?
A) Assess the client's heart sounds while preventing shortness of breath.
B) Identify heart sounds that may be inaudible in other positions.
