NSG6020 Week 4 Quiz | Cardiovascular Assessment
Practice Questions & Advanced Health Assessment Review
2026–2027
which of the following is the most important question to ask during cardiovascular health history -
correct answers -sudden death of a family member
a key symptom of ischemic heart disease is chest pain. However, angina equivalents may include
exertional dyspnea. Angina equivalenstare important because - correct answers -A and B (Women with
ischemic heart disease/some patients may have no symptoms)
A 55 year old post menopausal woman with a history of hypertension complains of jaw pain on heavy
exertion. There were no complaints of chest pain. Her ECG indicates normal sinus rhythm without ST
segment abnormalities. Your plan may include - correct answers -exercise test
Jenny is a 24 year old graduate student that presents to the clinic today with complaints of fever, mid
sternal chest pain and generalized fatigue for the past two days. She denies any cough or sputum
production. She states that when she takes ibuprofen and rest that the chest pain does seem to ease
off. Upon examination the patient presents looking very ill. She is leaning forward and states that this is
the most comfortable position for her. Temp is 102, BP 100/70, heart rate is 120/min and regular. Upon
auscultation a friction rub is audible. Her lungs sounds clear. With these presenting symptoms your
initial diagnosis would be - correct answers -pericarditis
which symptom is more characteristic of non-cardiac chest pain - correct answers -pain tends to occur
with movement stretching or palpation
what is the most common valvular heart disease in the older adult - correct answers -aortic stenosis
1. Jeff, 48 years old, presents to the clinic complaining of fleeting chest pain, fatigue, palpitations,
lightheadedness, and shortness of breath. The pain comes and goes and is not associated with activity or
1
, exertion. Food does not exacerbate or relieve the pain. The pain is usually located under the left nipple.
Jeff is concerned because his father has cardiac disease and underwent a CABG at age 65. The ANP
examines Jeff and hears a mid-systolic click at the 4th ICS mid-clavicular area. The ANP knows that this is
a hallmark sign of: - correct answers -mitral valve prolapse
The aging process causes what normal physiological changes in the heart? - correct answers -the heart
valve thickens and becomes rigid, secondary to fibrosis and sclerosis
Dan G., a 65-year-old man, presents to your primary care office for the evaluation of chest pain and left-
sided shoulder pain. Pain begins after strenuous activity, including walking. Pain is characterized as dull,
aching; 8/10 during activity, otherwise 0/10. Began a few months ago, intermittent, aggravated by
exercise, and relieved by rest. Has occasional nausea. Pain is retrosternal, radiating to left shoulder,
definitely affects quality of life by limiting activity. Pain is worse today; did not go away after he stopped
walking. BP 120/80. Pulse 72 and regular. Normal heart sounds, S1 and S2, no murmurs. Which of the
following differential diagnoses would be most likely - correct answers -Coronary artery disease with
angina pectoris
a common auscultatory finding in advanced CHF is - correct answers -S3 gallop rhythm
Your 35-year-old female patient complains of feeling palpitations on occasion. The clinician should
recognize that palpitations are often a sign of - correct answers -all of the above
The best way to diagnose structural heart disease/dysfunction non-invasively is - correct answers -
echocardiogram
During auscultation of the chest, your exam reveals a loud grating sound at the lower anterolateral lung
fields, at full inspiration and early expiration. This finding is consistent with: - correct answers -A and B
(pneumonia/pleuritis)
A 75-year-old patient complains of pain and paresthesias in the right foot that worsens with exercise
and is relieved by rest. On physical examination you note pallor of the right foot, capillary refill of 4
2
Practice Questions & Advanced Health Assessment Review
2026–2027
which of the following is the most important question to ask during cardiovascular health history -
correct answers -sudden death of a family member
a key symptom of ischemic heart disease is chest pain. However, angina equivalents may include
exertional dyspnea. Angina equivalenstare important because - correct answers -A and B (Women with
ischemic heart disease/some patients may have no symptoms)
A 55 year old post menopausal woman with a history of hypertension complains of jaw pain on heavy
exertion. There were no complaints of chest pain. Her ECG indicates normal sinus rhythm without ST
segment abnormalities. Your plan may include - correct answers -exercise test
Jenny is a 24 year old graduate student that presents to the clinic today with complaints of fever, mid
sternal chest pain and generalized fatigue for the past two days. She denies any cough or sputum
production. She states that when she takes ibuprofen and rest that the chest pain does seem to ease
off. Upon examination the patient presents looking very ill. She is leaning forward and states that this is
the most comfortable position for her. Temp is 102, BP 100/70, heart rate is 120/min and regular. Upon
auscultation a friction rub is audible. Her lungs sounds clear. With these presenting symptoms your
initial diagnosis would be - correct answers -pericarditis
which symptom is more characteristic of non-cardiac chest pain - correct answers -pain tends to occur
with movement stretching or palpation
what is the most common valvular heart disease in the older adult - correct answers -aortic stenosis
1. Jeff, 48 years old, presents to the clinic complaining of fleeting chest pain, fatigue, palpitations,
lightheadedness, and shortness of breath. The pain comes and goes and is not associated with activity or
1
, exertion. Food does not exacerbate or relieve the pain. The pain is usually located under the left nipple.
Jeff is concerned because his father has cardiac disease and underwent a CABG at age 65. The ANP
examines Jeff and hears a mid-systolic click at the 4th ICS mid-clavicular area. The ANP knows that this is
a hallmark sign of: - correct answers -mitral valve prolapse
The aging process causes what normal physiological changes in the heart? - correct answers -the heart
valve thickens and becomes rigid, secondary to fibrosis and sclerosis
Dan G., a 65-year-old man, presents to your primary care office for the evaluation of chest pain and left-
sided shoulder pain. Pain begins after strenuous activity, including walking. Pain is characterized as dull,
aching; 8/10 during activity, otherwise 0/10. Began a few months ago, intermittent, aggravated by
exercise, and relieved by rest. Has occasional nausea. Pain is retrosternal, radiating to left shoulder,
definitely affects quality of life by limiting activity. Pain is worse today; did not go away after he stopped
walking. BP 120/80. Pulse 72 and regular. Normal heart sounds, S1 and S2, no murmurs. Which of the
following differential diagnoses would be most likely - correct answers -Coronary artery disease with
angina pectoris
a common auscultatory finding in advanced CHF is - correct answers -S3 gallop rhythm
Your 35-year-old female patient complains of feeling palpitations on occasion. The clinician should
recognize that palpitations are often a sign of - correct answers -all of the above
The best way to diagnose structural heart disease/dysfunction non-invasively is - correct answers -
echocardiogram
During auscultation of the chest, your exam reveals a loud grating sound at the lower anterolateral lung
fields, at full inspiration and early expiration. This finding is consistent with: - correct answers -A and B
(pneumonia/pleuritis)
A 75-year-old patient complains of pain and paresthesias in the right foot that worsens with exercise
and is relieved by rest. On physical examination you note pallor of the right foot, capillary refill of 4
2
