NSG6020 Cardiovascular Assessment Master Guide | Heart
Sounds, Murmurs & Clinical Skills Review 2026–2027
A widened pulse pressure greater than or equal to 60 in an older patient is a risk factor for
cardiovascular disease, stroke, and: - correct answers -Renal disease
When screening a patient for peripheral arterial disease (PAD), one risk factor would include a history of:
- correct answers -Smoking
When assessing the heart rate of a healthy 13- month-old child, which one of the following sites is the
most appropriate for this child? - correct answers -Apical pulse between the 3rd and 4th intercostal
space in the left midclavicular line
In order to assess for varicosities in the lower extremities, position the patient: - correct answers -
Standing
A three-week-old infant presents with a generalized lacy, reticulated blue discoloration of the skin. This
is suggestive of: - correct answers -cutis marmorata
Pain with walking or prolonged standing, radiating from the spinal area into the buttocks, thighs, lower
legs, or feet, may be seen with: - correct answers -neurogenic claudication
A patient complains of increased pain in the calf muscles and buttocks especially after walking or riding
his bicycle. He states that the pain stops after he sits still for 2-3 minutes. This condition may be
associated with: - correct answers -Interemittent claudication
1
, When assessing a 3-year-old African American child, the most likely cause of black, dusky mucous
membranes is related to: - correct answers -cyanosis
A characteristic finding in the elderly population is: - correct answers -the development of heart rhythm
changes leading to syncope.
A third hear sound (S3) is audible in a forty-five year old. This S3 sound may be: - correct answers -a sign
of valvular heart disease
A patient complaints of sharp, knifelike pain that begins in the chest and radiates to the tip of the
shoulder and to the neck. This type of chest pain is suggestive of: - correct answers -Pericardititis
A heart rate of 100-180 beats per minute in an adult is considered: - correct answers -sinus tachycardia
Symptoms of orthostatic hypotension include all of the following except: - correct answers -respiratory
rate greater than 30
A sudden, tearing, sharp pain that begins in the chest and radiates to the back or into the neck is usually
associated with: - correct answers -angina pectoris
A disease that may present as indigestion, but is precipitated by exertion and relieved by rest is most
likely: - correct answers -angina
By placing the ball of the examiner's hand firmly on the chest, the examiner would be checking for: -
correct answers -thrills
2
Sounds, Murmurs & Clinical Skills Review 2026–2027
A widened pulse pressure greater than or equal to 60 in an older patient is a risk factor for
cardiovascular disease, stroke, and: - correct answers -Renal disease
When screening a patient for peripheral arterial disease (PAD), one risk factor would include a history of:
- correct answers -Smoking
When assessing the heart rate of a healthy 13- month-old child, which one of the following sites is the
most appropriate for this child? - correct answers -Apical pulse between the 3rd and 4th intercostal
space in the left midclavicular line
In order to assess for varicosities in the lower extremities, position the patient: - correct answers -
Standing
A three-week-old infant presents with a generalized lacy, reticulated blue discoloration of the skin. This
is suggestive of: - correct answers -cutis marmorata
Pain with walking or prolonged standing, radiating from the spinal area into the buttocks, thighs, lower
legs, or feet, may be seen with: - correct answers -neurogenic claudication
A patient complains of increased pain in the calf muscles and buttocks especially after walking or riding
his bicycle. He states that the pain stops after he sits still for 2-3 minutes. This condition may be
associated with: - correct answers -Interemittent claudication
1
, When assessing a 3-year-old African American child, the most likely cause of black, dusky mucous
membranes is related to: - correct answers -cyanosis
A characteristic finding in the elderly population is: - correct answers -the development of heart rhythm
changes leading to syncope.
A third hear sound (S3) is audible in a forty-five year old. This S3 sound may be: - correct answers -a sign
of valvular heart disease
A patient complaints of sharp, knifelike pain that begins in the chest and radiates to the tip of the
shoulder and to the neck. This type of chest pain is suggestive of: - correct answers -Pericardititis
A heart rate of 100-180 beats per minute in an adult is considered: - correct answers -sinus tachycardia
Symptoms of orthostatic hypotension include all of the following except: - correct answers -respiratory
rate greater than 30
A sudden, tearing, sharp pain that begins in the chest and radiates to the back or into the neck is usually
associated with: - correct answers -angina pectoris
A disease that may present as indigestion, but is precipitated by exertion and relieved by rest is most
likely: - correct answers -angina
By placing the ball of the examiner's hand firmly on the chest, the examiner would be checking for: -
correct answers -thrills
2
