NURSING 251 EXAM 3 2026/2027 | NURSING 251 EXAM 3 QUESTIONS,
STUDY GUIDE & REVIEW
During a head to toe assessment of a patient the nurse discovers a vascular ulcer at the distal
right great toe. This is most likely caused by which of the following conditions? - ANS✔✔
Arterial insufficiency
A patient is diagnosed with hypertrophic cardiomyopathy - -a disease leading to an enlarged
heart. While palpating the apical pulse or point of maximal impulse (PMI) for this patient, the
nurse may note which of the following findings? The PMI is located at the . . . - ANS✔✔ Sixth
ICS, just medial to the AAL
A nurse is having difficulty separating the first heart sound, S1, from other adventitious sounds
while auscultating a patient's heart sounds. What can the nurse do to assist in determining S1? -
ANS✔✔ Palpate the carotid pulse while listening for S1
How would you characterize a Grade VI cardiac murmur? - ANS✔✔ Very loud, audible with
stethoscope not in direct contact with chest
Edema of the lower leg which creates an indentation which persists 30 seconds or more when
prodded by your finger may be classified as which of the following? - ANS✔✔ +4 pitting edema
Where does the nurse palpate to assess a patient's posterior tibial pulse? - ANS✔✔ Medial
ankle
When palpating for the apical pulse of a patient, where should the "normal" location be? -
ANS✔✔ 5th ICS, MCL
Which of the following are indicative of a left Deep Vein Thrombosis (DVT) in a patient? -
ANS✔✔ Edema, redness, and warmth of the left leg
, May be an early sign of heart failure in an older adult patient - ANS✔✔ s3
Located in the 5th ICS, MCL - ANS✔✔ mitral area
Corresponds with the carotid pulse - ANS✔✔ s1
Located in the 2nd ICS, right of the sternum - ANS✔✔ aortic area
Located in the 3rd ICS, just left of the sternum - ANS✔✔ erb's point
Located in the 2nd ICS, left of the sternum - ANS✔✔ pulmonic area
Located in the 5th ICS, left of the sternum - ANS✔✔ tricuspid area
Caused by the closure of the semilunar valves - ANS✔✔ s2
Warm, pink right foot with pedal pulse of +2 - ANS✔✔ normal
PMI located at the 6th ICS, AAL - ANS✔✔ abnormal
Muffled, indistinct S1 and S2 auscultated - ANS✔✔ abnormal
Pedal pulses +1 bilaterally in a diabetic patient - ANS✔✔ abnormal
Swishing sound auscultated between S1 and S2 - ANS✔✔ abnormal
STUDY GUIDE & REVIEW
During a head to toe assessment of a patient the nurse discovers a vascular ulcer at the distal
right great toe. This is most likely caused by which of the following conditions? - ANS✔✔
Arterial insufficiency
A patient is diagnosed with hypertrophic cardiomyopathy - -a disease leading to an enlarged
heart. While palpating the apical pulse or point of maximal impulse (PMI) for this patient, the
nurse may note which of the following findings? The PMI is located at the . . . - ANS✔✔ Sixth
ICS, just medial to the AAL
A nurse is having difficulty separating the first heart sound, S1, from other adventitious sounds
while auscultating a patient's heart sounds. What can the nurse do to assist in determining S1? -
ANS✔✔ Palpate the carotid pulse while listening for S1
How would you characterize a Grade VI cardiac murmur? - ANS✔✔ Very loud, audible with
stethoscope not in direct contact with chest
Edema of the lower leg which creates an indentation which persists 30 seconds or more when
prodded by your finger may be classified as which of the following? - ANS✔✔ +4 pitting edema
Where does the nurse palpate to assess a patient's posterior tibial pulse? - ANS✔✔ Medial
ankle
When palpating for the apical pulse of a patient, where should the "normal" location be? -
ANS✔✔ 5th ICS, MCL
Which of the following are indicative of a left Deep Vein Thrombosis (DVT) in a patient? -
ANS✔✔ Edema, redness, and warmth of the left leg
, May be an early sign of heart failure in an older adult patient - ANS✔✔ s3
Located in the 5th ICS, MCL - ANS✔✔ mitral area
Corresponds with the carotid pulse - ANS✔✔ s1
Located in the 2nd ICS, right of the sternum - ANS✔✔ aortic area
Located in the 3rd ICS, just left of the sternum - ANS✔✔ erb's point
Located in the 2nd ICS, left of the sternum - ANS✔✔ pulmonic area
Located in the 5th ICS, left of the sternum - ANS✔✔ tricuspid area
Caused by the closure of the semilunar valves - ANS✔✔ s2
Warm, pink right foot with pedal pulse of +2 - ANS✔✔ normal
PMI located at the 6th ICS, AAL - ANS✔✔ abnormal
Muffled, indistinct S1 and S2 auscultated - ANS✔✔ abnormal
Pedal pulses +1 bilaterally in a diabetic patient - ANS✔✔ abnormal
Swishing sound auscultated between S1 and S2 - ANS✔✔ abnormal
