NUR 2092 HEALTH ASSESSMENT EXAM
2 QUESTIONS AND ANSWERS 100%
VERIFIED BY EXPERTS. 2026/2027
1. When auscultating the heart, the nurse notes a high-pitched, scratchy sound that is heard
best with the diaphragm when the patient is leaning forward. This likely represents:
A. Ejection click
B. Grade III Mitral Stenosis
C. Physiological S3 gallop
D. Pericardial friction rub
Answer: D
Conceptual Explanation: A pericardial friction rub is a high-pitched, scratchy sound
caused by inflammation of the pericardial sac, best heard at the apex or lower left sternal
border when the patient is leaning forward.
2. A patient presents with a ‘ripping’ chest pain radiating to the back and a blood pressure
difference of 25 mmHg between the right and left arms. The nurse should prioritize
assessment for:
A. Myocardial Infarction
B. Aortic Dissection
,C. Pulmonary Embolism
D. Pleurisy
Answer: B
Conceptual Explanation: Aortic dissection typically presents with tearing/ripping pain
and a significant discrepancy in blood pressure between the upper extremities.
3. During a cardiovascular assessment, the nurse notes a palpable vibration over the
precordium at the 2nd right intercostal space. This finding is documented as a:
A. Heave
B. Lift
C. Bruit
D. Thrill
Answer: D
Conceptual Explanation: A thrill is a palpable vibration that signifies turbulent blood flow
and accompanies loud murmurs.
4. Which heart sound occurs during the early rapid filling phase of ventricular diastole and is
often a sign of fluid overload in older adults?
A. S3
B. S2
C. S1
, D. S4
Answer: A
Conceptual Explanation: S3, or the ventricular gallop, occurs just after S2 during early
diastole. In older adults, it frequently indicates heart failure or fluid volume overload.
5. When assessing for Jugular Venous Distention (JVD), the nurse should position the head of
the bed at:
A. 0 degrees (Flat)
B. Reverse Trendelenburg
C. 60 to 90 degrees
D. 30 to 45 degrees
Answer: D
Conceptual Explanation: JVD is accurately assessed with the patient supine and the head
of the bed elevated between 30 and 45 degrees to visualize the internal jugular pulsations.
6. A patient with chronic obstructive pulmonary disease (COPD) presents with an increased
anteroposterior-to-transverse diameter. The nurse documents this as:
A. Pectus excavatum
B. Pectus carinatum
C. Barrel chest
D. Kyphosis
2 QUESTIONS AND ANSWERS 100%
VERIFIED BY EXPERTS. 2026/2027
1. When auscultating the heart, the nurse notes a high-pitched, scratchy sound that is heard
best with the diaphragm when the patient is leaning forward. This likely represents:
A. Ejection click
B. Grade III Mitral Stenosis
C. Physiological S3 gallop
D. Pericardial friction rub
Answer: D
Conceptual Explanation: A pericardial friction rub is a high-pitched, scratchy sound
caused by inflammation of the pericardial sac, best heard at the apex or lower left sternal
border when the patient is leaning forward.
2. A patient presents with a ‘ripping’ chest pain radiating to the back and a blood pressure
difference of 25 mmHg between the right and left arms. The nurse should prioritize
assessment for:
A. Myocardial Infarction
B. Aortic Dissection
,C. Pulmonary Embolism
D. Pleurisy
Answer: B
Conceptual Explanation: Aortic dissection typically presents with tearing/ripping pain
and a significant discrepancy in blood pressure between the upper extremities.
3. During a cardiovascular assessment, the nurse notes a palpable vibration over the
precordium at the 2nd right intercostal space. This finding is documented as a:
A. Heave
B. Lift
C. Bruit
D. Thrill
Answer: D
Conceptual Explanation: A thrill is a palpable vibration that signifies turbulent blood flow
and accompanies loud murmurs.
4. Which heart sound occurs during the early rapid filling phase of ventricular diastole and is
often a sign of fluid overload in older adults?
A. S3
B. S2
C. S1
, D. S4
Answer: A
Conceptual Explanation: S3, or the ventricular gallop, occurs just after S2 during early
diastole. In older adults, it frequently indicates heart failure or fluid volume overload.
5. When assessing for Jugular Venous Distention (JVD), the nurse should position the head of
the bed at:
A. 0 degrees (Flat)
B. Reverse Trendelenburg
C. 60 to 90 degrees
D. 30 to 45 degrees
Answer: D
Conceptual Explanation: JVD is accurately assessed with the patient supine and the head
of the bed elevated between 30 and 45 degrees to visualize the internal jugular pulsations.
6. A patient with chronic obstructive pulmonary disease (COPD) presents with an increased
anteroposterior-to-transverse diameter. The nurse documents this as:
A. Pectus excavatum
B. Pectus carinatum
C. Barrel chest
D. Kyphosis
