Maryville NURS 612 Exam 1 STUDY
GUIDE 2026/2027 ACCURATE
QUESTIONS WITH CORRECT
DETAILED SOLUTIONS || 100%
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Description: A comprehensive set of 100 multiple-choice questions covering Advanced
Health Assessment for NURS 612 Exam 1, including cardiovascular, respiratory,
neurological, HEENT, and clinical reasoning topics.
Keywords: NURS 612, Advanced Health Assessment, Maryville University, Exam 1,
Physical Examination, Diagnostic Reasoning, Clinical Decision-Making.
Section 1: Cardiovascular Assessment
1. When performing a cardiovascular assessment, which of the following is the
best location to auscultate the aortic valve?
A) Left lower sternal border
B) Right second intercostal space at the sternal border
,C) Left fifth intercostal space at the midclavicular line
D) Right lower sternal border
Answer: B ✅
Rationale: The aortic valve is best auscultated at the right second intercostal space
adjacent to the sternum, where the valve sounds are most clearly transmitted .
2. The pulmonic valve is best auscultated at which location?
A) Left second intercostal space at the sternal border
B) Right second intercostal space at the sternal border
C) Left fifth intercostal space at the midclavicular line
D) Erb's point
Answer: A ✅
Rationale: The pulmonic valve is heard at the left second intercostal space at the sternal
border.
3. The tricuspid valve is best auscultated at which location?
A) Left second intercostal space
B) Right second intercostal space
C) Left lower sternal border
D) Apex of the heart
Answer: C ✅
Rationale: The tricuspid valve is best heard at the left lower sternal border.
4. The mitral valve is best auscultated at which location?
A) Left lower sternal border
B) Right second intercostal space
C) Left fifth intercostal space at the midclavicular line
D) Left second intercostal space
,Answer: C ✅
Rationale: The mitral valve (apex) is auscultated at the left fifth intercostal space at the
midclavicular line.
5. What is the normal duration of capillary refill time in a healthy adult?
A) Less than 2 seconds
B) 3-5 seconds
C) 6-8 seconds
D) More than 10 seconds
Answer: A ✅
Rationale: Capillary refill time under 2 seconds indicates adequate peripheral perfusion.
Prolonged refill suggests circulatory or perfusion problems .
6. Which finding is most consistent with peripheral arterial disease?
A) Warm, swollen extremities
B) Bounding pulses
C) Diminished or absent pedal pulses
D) Rapid capillary refill
Answer: C ✅
Rationale: Peripheral arterial disease results in diminished or absent pulses due to
decreased blood flow.
7. A patient presents with unilateral leg swelling, warmth, and erythema. Which
condition should be suspected?
A) Peripheral arterial disease
B) Deep vein thrombosis
C) Venous stasis ulcer
D) Lymphedema
, Answer: B ✅
Rationale: Unilateral swelling, warmth, and erythema are classic signs of deep vein
thrombosis.
8. Which of the following is a normal finding when palpating the radial pulse?
A) 1+ (weak, thready)
B) 2+ (normal)
C) 3+ (bounding)
D) 4+ (aneurysmal)
Answer: B ✅
Rationale: A 2+ pulse is considered normal. 1+ is diminished, 3+ is increased, and 4+ is
bounding.
9. What is the normal range for adult resting heart rate?
A) 40-60 beats per minute
B) 60-100 beats per minute
C) 100-120 beats per minute
D) 120-140 beats per minute
Answer: B ✅
Rationale: Normal adult resting heart rate is 60-100 beats per minute.
10. Which heart sound is best heard with the bell of the stethoscope?
A) S1 (first heart sound)
B) S2 (second heart sound)
C) S3 (third heart sound)
D) Murmurs of aortic stenosis
Answer: C ✅
Rationale: The bell is used to detect low-frequency sounds such as S3 and S4 gallops.
GUIDE 2026/2027 ACCURATE
QUESTIONS WITH CORRECT
DETAILED SOLUTIONS || 100%
GUARANTEED PASS NEWEST
VERSION
Description: A comprehensive set of 100 multiple-choice questions covering Advanced
Health Assessment for NURS 612 Exam 1, including cardiovascular, respiratory,
neurological, HEENT, and clinical reasoning topics.
Keywords: NURS 612, Advanced Health Assessment, Maryville University, Exam 1,
Physical Examination, Diagnostic Reasoning, Clinical Decision-Making.
Section 1: Cardiovascular Assessment
1. When performing a cardiovascular assessment, which of the following is the
best location to auscultate the aortic valve?
A) Left lower sternal border
B) Right second intercostal space at the sternal border
,C) Left fifth intercostal space at the midclavicular line
D) Right lower sternal border
Answer: B ✅
Rationale: The aortic valve is best auscultated at the right second intercostal space
adjacent to the sternum, where the valve sounds are most clearly transmitted .
2. The pulmonic valve is best auscultated at which location?
A) Left second intercostal space at the sternal border
B) Right second intercostal space at the sternal border
C) Left fifth intercostal space at the midclavicular line
D) Erb's point
Answer: A ✅
Rationale: The pulmonic valve is heard at the left second intercostal space at the sternal
border.
3. The tricuspid valve is best auscultated at which location?
A) Left second intercostal space
B) Right second intercostal space
C) Left lower sternal border
D) Apex of the heart
Answer: C ✅
Rationale: The tricuspid valve is best heard at the left lower sternal border.
4. The mitral valve is best auscultated at which location?
A) Left lower sternal border
B) Right second intercostal space
C) Left fifth intercostal space at the midclavicular line
D) Left second intercostal space
,Answer: C ✅
Rationale: The mitral valve (apex) is auscultated at the left fifth intercostal space at the
midclavicular line.
5. What is the normal duration of capillary refill time in a healthy adult?
A) Less than 2 seconds
B) 3-5 seconds
C) 6-8 seconds
D) More than 10 seconds
Answer: A ✅
Rationale: Capillary refill time under 2 seconds indicates adequate peripheral perfusion.
Prolonged refill suggests circulatory or perfusion problems .
6. Which finding is most consistent with peripheral arterial disease?
A) Warm, swollen extremities
B) Bounding pulses
C) Diminished or absent pedal pulses
D) Rapid capillary refill
Answer: C ✅
Rationale: Peripheral arterial disease results in diminished or absent pulses due to
decreased blood flow.
7. A patient presents with unilateral leg swelling, warmth, and erythema. Which
condition should be suspected?
A) Peripheral arterial disease
B) Deep vein thrombosis
C) Venous stasis ulcer
D) Lymphedema
, Answer: B ✅
Rationale: Unilateral swelling, warmth, and erythema are classic signs of deep vein
thrombosis.
8. Which of the following is a normal finding when palpating the radial pulse?
A) 1+ (weak, thready)
B) 2+ (normal)
C) 3+ (bounding)
D) 4+ (aneurysmal)
Answer: B ✅
Rationale: A 2+ pulse is considered normal. 1+ is diminished, 3+ is increased, and 4+ is
bounding.
9. What is the normal range for adult resting heart rate?
A) 40-60 beats per minute
B) 60-100 beats per minute
C) 100-120 beats per minute
D) 120-140 beats per minute
Answer: B ✅
Rationale: Normal adult resting heart rate is 60-100 beats per minute.
10. Which heart sound is best heard with the bell of the stethoscope?
A) S1 (first heart sound)
B) S2 (second heart sound)
C) S3 (third heart sound)
D) Murmurs of aortic stenosis
Answer: C ✅
Rationale: The bell is used to detect low-frequency sounds such as S3 and S4 gallops.
