NSG 6020 - Advanced Health Assessment - Week 4
Cardiovascular – 2026/2027 Edition – Actual Questions with
100% Verified Correct Answers
Questions with Step-by-Step Answers | 100% Verified | A+ Graded Review
OVERVIEW:
NSG 6020 - Advanced Health Assessment - Week 4 Cardiovascular – 2026/2027
covers comprehensive cardiac assessment including JVP measurement, carotid
pulse, PMI location, heart sounds S1-S2 splitting, S3/S4, murmur grading, timing,
and positioning maneuvers, valve areas, blood pressure classification,
Framingham risk, metabolic syndrome, exercise prescription, and emergency
signs like pulsus alternans and bounding pulses for advanced practice nursing
evaluation preparation.
Answers are in bold Green, with rationales after.
1. You are performing a thorough cardiac examination. Which of the following
chambers of the heart can you assess by palpation?
A) Left atrium
B) Right atrium
C) Right ventricle
D) Sinus node
, Rationale: The right ventricle forms most of the anterior surface and lies behind
sternum. RV heaves/lifts palpable at left sternal border. Atria and sinus node not
palpable; left atrium is posterior.
2. What is responsible for the inspiratory splitting of S2?
A) Closure of aortic, then pulmonic valves
B) Closure of mitral, then tricuspid valves
C) Closure of aortic, then tricuspid valves
D) Closure of mitral, then pulmonic valves
Rationale: S2 = closure of semilunar valves. Aortic closes before pulmonic. Inspiration
increases venous return to right heart, prolongs RV ejection, delays P2, causing
audible splitting (A2 then P2).
3. A 25-year-old optical technician comes to your clinic for evaluation of fatigue. As
part of your physical examination, you listen to her heart and hear a murmur only at
the cardiac apex. Which valve is most likely to be involved, based on the location of
the murmur?
A) Mitral
B) Tricuspid
C) Aortic
D) Pulmonic
Rationale: Apex (5th ICS, MCL) = mitral area. Murmur best at apex = mitral valve.
Aortic = right 2nd ICS, pulmonic = left 2nd ICS, tricuspid = left lower sternal border.
4. A 58-year-old teacher presents to your clinic with a complaint of breathlessness
with activity. The patient has no chronic conditions and does not take any
medications, herbs, or supplements. Which of the following symptoms is appropriate
to ask about in the cardiovascular review of systems?
Cardiovascular – 2026/2027 Edition – Actual Questions with
100% Verified Correct Answers
Questions with Step-by-Step Answers | 100% Verified | A+ Graded Review
OVERVIEW:
NSG 6020 - Advanced Health Assessment - Week 4 Cardiovascular – 2026/2027
covers comprehensive cardiac assessment including JVP measurement, carotid
pulse, PMI location, heart sounds S1-S2 splitting, S3/S4, murmur grading, timing,
and positioning maneuvers, valve areas, blood pressure classification,
Framingham risk, metabolic syndrome, exercise prescription, and emergency
signs like pulsus alternans and bounding pulses for advanced practice nursing
evaluation preparation.
Answers are in bold Green, with rationales after.
1. You are performing a thorough cardiac examination. Which of the following
chambers of the heart can you assess by palpation?
A) Left atrium
B) Right atrium
C) Right ventricle
D) Sinus node
, Rationale: The right ventricle forms most of the anterior surface and lies behind
sternum. RV heaves/lifts palpable at left sternal border. Atria and sinus node not
palpable; left atrium is posterior.
2. What is responsible for the inspiratory splitting of S2?
A) Closure of aortic, then pulmonic valves
B) Closure of mitral, then tricuspid valves
C) Closure of aortic, then tricuspid valves
D) Closure of mitral, then pulmonic valves
Rationale: S2 = closure of semilunar valves. Aortic closes before pulmonic. Inspiration
increases venous return to right heart, prolongs RV ejection, delays P2, causing
audible splitting (A2 then P2).
3. A 25-year-old optical technician comes to your clinic for evaluation of fatigue. As
part of your physical examination, you listen to her heart and hear a murmur only at
the cardiac apex. Which valve is most likely to be involved, based on the location of
the murmur?
A) Mitral
B) Tricuspid
C) Aortic
D) Pulmonic
Rationale: Apex (5th ICS, MCL) = mitral area. Murmur best at apex = mitral valve.
Aortic = right 2nd ICS, pulmonic = left 2nd ICS, tricuspid = left lower sternal border.
4. A 58-year-old teacher presents to your clinic with a complaint of breathlessness
with activity. The patient has no chronic conditions and does not take any
medications, herbs, or supplements. Which of the following symptoms is appropriate
to ask about in the cardiovascular review of systems?
