NSG 3160 Exam 3 (Lab manual) questions
& answers
The precordium is:
A. A synonym for the mediastinum.
B. The area on the chest where the apical impulse is felt.
C. The area on the anterior chest overlying the heart and great vessels.
D. A synonym for the area where the superior and inferior venae cavae return
deoxygenated venous blood to the right of the heart.
C. The area on the anterior chest overlying the heart and great vessels.
Select the best description of the tricuspid valve.
A. Left semilunar valve.
B. Right atrioventricular valve.
C. Left atrioventricular valve.
D. Right semilunar valve.
B. Right atrioventricular valve.
The function of the pulmonic valve is to:
A. Divide the left atrium and left ventricle.
B. Guard the opening between the right atrium and right ventricle.
C. Protect the orifice between the right ventricle and the pulmonary artery.
D. Guard the entrance to the aorta from the left ventricle.
C. Protect the orifice between the right ventricle and the pulmonary artery.
Atrial systole occurs:
A. During ventricular systole.
B. During ventricular diastole.
C. Concurrently with ventricular systole.
D. Independently of ventricular function.
B. During ventricular diastole.
,The second heart sound is the result of:
A. Opening of the mitral and tricuspid valves.
B. Closing of the mitral and tricuspid valves.
C. Opening of the aortic and pulmonic valves.
D. Closing of the aortic and pulmonic valves.
D. Closing of the aortic and pulmonic valves.
The examiner has estimated the jugular venous pressure. Identify the finding that
is abnormal.
A. Patient elevated to 30 degrees, internal jugular vein pulsation at 1 cm above
sternal angle.
B. Patient elevated to 30 degrees, internal jugular vein pulsation at 2 cm above
sternal angle.
C. Patient elevated to 40 degrees, internal jugular vein pulsation at 1 cm above
sternal angle.
D. Patient elevated to 45 degrees, internal jugular vein pulsation at 4 cm above
sternal angle.
D. Patient elevated to 45 degrees, internal jugular vein pulsation at 4 cm above
sternal angle.
The examiner is palpating the apical impulse. Which is a normal-sized impulse?
A. Less that 1 cm.
B. Approximately 1 x 2 cm.
C. 3 cm.
D. Varies depending on the size of the person.
B. Approximately 1 x 2 cm.
The nurse auscultates the pulmonic valve area in which region?
A. Second right interspace.
B. Second left interspace.
C. Left lower sternal border.
D. Fifth interspace, left midclavicular line.
, B. Second left interspace.
Which description would differentiate a split S2 from S3?
A. S3 is lower pitched and is heard at the apex.
B. S2 is heard at the left lower sternal boarder.
C. The timing of S2 varies with respirations.
D. S3 is heard at the base; the timing varies with respirations.
A. S3 is lower pitched and is heard at the apex.
You auscultate a patient to rule out a pericardial friction rub. Which assessment
technique is most appropriate?
A. Listen with the diaphragm, patient sitting up and leaning forward, breath held
in expiration.
B. Listen using the bell with the patient leaning forward.
C. Listen at the base during normal respirations.
D. Listen with the diaphragm, patient turned to the left side.
A. Listen with the diaphragm, patient sitting up and leaning forward, breath held
in expiration.
When the auscultating the heart, your first step is to:
A. Identify S1 and S2.
B. Listen for S3 and S4.
C. Listen for murmurs.
D. Identify all four sounds on the first round.
A. Identify S1 and S2.
You will hear a split S2 most clearly in which area?
A. Apical.
B. Pulmonic.
C. Tricuspid.
D. Aortic.
B. Pulmonic.
& answers
The precordium is:
A. A synonym for the mediastinum.
B. The area on the chest where the apical impulse is felt.
C. The area on the anterior chest overlying the heart and great vessels.
D. A synonym for the area where the superior and inferior venae cavae return
deoxygenated venous blood to the right of the heart.
C. The area on the anterior chest overlying the heart and great vessels.
Select the best description of the tricuspid valve.
A. Left semilunar valve.
B. Right atrioventricular valve.
C. Left atrioventricular valve.
D. Right semilunar valve.
B. Right atrioventricular valve.
The function of the pulmonic valve is to:
A. Divide the left atrium and left ventricle.
B. Guard the opening between the right atrium and right ventricle.
C. Protect the orifice between the right ventricle and the pulmonary artery.
D. Guard the entrance to the aorta from the left ventricle.
C. Protect the orifice between the right ventricle and the pulmonary artery.
Atrial systole occurs:
A. During ventricular systole.
B. During ventricular diastole.
C. Concurrently with ventricular systole.
D. Independently of ventricular function.
B. During ventricular diastole.
,The second heart sound is the result of:
A. Opening of the mitral and tricuspid valves.
B. Closing of the mitral and tricuspid valves.
C. Opening of the aortic and pulmonic valves.
D. Closing of the aortic and pulmonic valves.
D. Closing of the aortic and pulmonic valves.
The examiner has estimated the jugular venous pressure. Identify the finding that
is abnormal.
A. Patient elevated to 30 degrees, internal jugular vein pulsation at 1 cm above
sternal angle.
B. Patient elevated to 30 degrees, internal jugular vein pulsation at 2 cm above
sternal angle.
C. Patient elevated to 40 degrees, internal jugular vein pulsation at 1 cm above
sternal angle.
D. Patient elevated to 45 degrees, internal jugular vein pulsation at 4 cm above
sternal angle.
D. Patient elevated to 45 degrees, internal jugular vein pulsation at 4 cm above
sternal angle.
The examiner is palpating the apical impulse. Which is a normal-sized impulse?
A. Less that 1 cm.
B. Approximately 1 x 2 cm.
C. 3 cm.
D. Varies depending on the size of the person.
B. Approximately 1 x 2 cm.
The nurse auscultates the pulmonic valve area in which region?
A. Second right interspace.
B. Second left interspace.
C. Left lower sternal border.
D. Fifth interspace, left midclavicular line.
, B. Second left interspace.
Which description would differentiate a split S2 from S3?
A. S3 is lower pitched and is heard at the apex.
B. S2 is heard at the left lower sternal boarder.
C. The timing of S2 varies with respirations.
D. S3 is heard at the base; the timing varies with respirations.
A. S3 is lower pitched and is heard at the apex.
You auscultate a patient to rule out a pericardial friction rub. Which assessment
technique is most appropriate?
A. Listen with the diaphragm, patient sitting up and leaning forward, breath held
in expiration.
B. Listen using the bell with the patient leaning forward.
C. Listen at the base during normal respirations.
D. Listen with the diaphragm, patient turned to the left side.
A. Listen with the diaphragm, patient sitting up and leaning forward, breath held
in expiration.
When the auscultating the heart, your first step is to:
A. Identify S1 and S2.
B. Listen for S3 and S4.
C. Listen for murmurs.
D. Identify all four sounds on the first round.
A. Identify S1 and S2.
You will hear a split S2 most clearly in which area?
A. Apical.
B. Pulmonic.
C. Tricuspid.
D. Aortic.
B. Pulmonic.
