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NU 518 EXAM 2|| ACTUAL EXAM VERSION 1-3
WITH QUESTIONS AND 100% COORECT ANSWERS
WITH RATIONALES ALREADY GRADED A+||
LATEST AND CMPLETE UPDATE 2024-2025 WITH
EXPERT SOLUTIONS|| ASSURED PASS
The findings from an assessment of a 70-year-old patient with swelling in his
ankles include jugular venous pulsations 5 cm above the sternal angle when the
head of his bed is elevated 45 degrees. The nurse knows that this finding indicates:
a Decreased fluid volume.
B Increased cardiac output.
C Narrowing of jugular veins.
D Elevated pressure related to heart failure. - ANSWER: D
When assessing a newborn infant who is 5 minutes old, the nurse knows which of
these statements to be true?
A The left ventricle is larger and weighs more than the right ventricle.
B The circulation of a newborn is identical to that of an adult.
C Blood can flow into the left side of the heart through an opening in the atrial
septum.
D The foramen ovale closes just minutes before birth, and the ductus arteriosus
closes immediately after. - ANSWER: C
A 25-year-old woman in her fifth month of pregnancy has a blood pressure of
100/70 mm Hg. In reviewing her previous examination, the nurse notes that her
blood pressure in her second month was 124/80 mm Hg. In evaluating this change,
what does the nurse know to be true?
A This decline in blood pressure is the result of peripheral vasodilatation and is an
expected change.
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B Because of increased cardiac output, the blood pressure should be higher at this
time.
C This change in blood pressure is not an expected finding because it means a
decrease in cardiac output.
D This decline in blood pressure means a decrease in circulating blood volume,
which is dangerous for the fetus. - ANSWER: A
In assessing a 70-year-old man, the nurse finds the following: blood pressure
140/100 mm Hg; heart rate 104 beats per minute and slightly irregular; and the
split S2 heart sound. Which of these findings can be explained by expected
hemodynamic changes related to age?
A Increase in resting heart rate
B Increase in systolic blood pressure
C Decrease in diastolic blood pressure
D Increase in diastolic blood pressure - ANSWER: B
A 45-year-old man is in the clinic for a routine physical examination. During the
recording of his health history, the patient states that he has been having difficulty
sleeping. Ill be sleeping great, and then I wake up and feel like I cant get my
breath. The nurses best response to this would be:
a When was your last electrocardiogram?
B Its probably because its been so hot at night.
C Do you have any history of problems with your heart?
D Have you had a recent sinus infection or upper respiratory infection? -
ANSWER: C
In assessing a patients major risk factors for heart disease, which would the nurse
want to include when taking a history?
A Family history, hypertension, stress, and age
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B Personality type, high cholesterol, diabetes, and smoking
C Smoking, hypertension, obesity, diabetes, and high cholesterol
D Alcohol consumption, obesity, diabetes, stress, and high cholesterol -
ANSWER: C
The mother of a 3-month-old infant states that her baby has not been gaining
weight. With further questioning, the nurse finds that the infant falls asleep after
nursing and wakes up after a short time, hungry again. What other information
would the nurse want to have?
A Infants sleeping position
B Sibling history of eating disorders
C Amount of background noise when eating
D Presence of dyspnea or diaphoresis when sucking - ANSWER: D
In assessing the carotid arteries of an older patient with cardiovascular disease, the
nurse would:
a Palpate the artery in the upper one third of the neck.
B Listen with the bell of the stethoscope to assess for bruits.
C Simultaneously palpate both arteries to compare amplitude.
D Instruct the patient to take slow deep breaths during auscultation. - ANSWER:
B
During an assessment of a 68-year-old man with a recent onset of right-sided
weakness, the nurse hears a blowing, swishing sound with the bell of the
stethoscope over the left carotid artery. This finding would indicate:
a Valvular disorder.
B Blood flow turbulence.
C Fluid volume overload.
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D Ventricular hypertrophy. - ANSWER: B
During an inspection of the precordium of an adult patient, the nurse notices the
chest moving in a forceful manner along the sternal border. This finding most
likely suggests a(n):
a Normal heart.
B Systolic murmur.
C Enlargement of the left ventricle.
D Enlargement of the right ventricle. - ANSWER: D
During an assessment of a healthy adult, where would the nurse expect to palpate
the apical impulse?
A Third left intercostal space at the midclavicular line
B Fourth left intercostal space at the sternal border
C Fourth left intercostal space at the anterior axillary line
D Fifth left intercostal space at the midclavicular line - ANSWER: D
The nurse is examining a patient who has possible cardiac enlargement. Which
statement about percussion of the heart is true?
A Percussion is a useful tool for outlining the hearts borders.
B Percussion is easier in patients who are obese.
C Studies show that percussed cardiac borders do not correlate well with the true
cardiac border.
D Only expert health care providers should attempt percussion of the heart. -
ANSWER: C
The nurse is preparing to auscultate for heart sounds. Which technique is correct?
NU 518 EXAM 2|| ACTUAL EXAM VERSION 1-3
WITH QUESTIONS AND 100% COORECT ANSWERS
WITH RATIONALES ALREADY GRADED A+||
LATEST AND CMPLETE UPDATE 2024-2025 WITH
EXPERT SOLUTIONS|| ASSURED PASS
The findings from an assessment of a 70-year-old patient with swelling in his
ankles include jugular venous pulsations 5 cm above the sternal angle when the
head of his bed is elevated 45 degrees. The nurse knows that this finding indicates:
a Decreased fluid volume.
B Increased cardiac output.
C Narrowing of jugular veins.
D Elevated pressure related to heart failure. - ANSWER: D
When assessing a newborn infant who is 5 minutes old, the nurse knows which of
these statements to be true?
A The left ventricle is larger and weighs more than the right ventricle.
B The circulation of a newborn is identical to that of an adult.
C Blood can flow into the left side of the heart through an opening in the atrial
septum.
D The foramen ovale closes just minutes before birth, and the ductus arteriosus
closes immediately after. - ANSWER: C
A 25-year-old woman in her fifth month of pregnancy has a blood pressure of
100/70 mm Hg. In reviewing her previous examination, the nurse notes that her
blood pressure in her second month was 124/80 mm Hg. In evaluating this change,
what does the nurse know to be true?
A This decline in blood pressure is the result of peripheral vasodilatation and is an
expected change.
,2|Pag e
B Because of increased cardiac output, the blood pressure should be higher at this
time.
C This change in blood pressure is not an expected finding because it means a
decrease in cardiac output.
D This decline in blood pressure means a decrease in circulating blood volume,
which is dangerous for the fetus. - ANSWER: A
In assessing a 70-year-old man, the nurse finds the following: blood pressure
140/100 mm Hg; heart rate 104 beats per minute and slightly irregular; and the
split S2 heart sound. Which of these findings can be explained by expected
hemodynamic changes related to age?
A Increase in resting heart rate
B Increase in systolic blood pressure
C Decrease in diastolic blood pressure
D Increase in diastolic blood pressure - ANSWER: B
A 45-year-old man is in the clinic for a routine physical examination. During the
recording of his health history, the patient states that he has been having difficulty
sleeping. Ill be sleeping great, and then I wake up and feel like I cant get my
breath. The nurses best response to this would be:
a When was your last electrocardiogram?
B Its probably because its been so hot at night.
C Do you have any history of problems with your heart?
D Have you had a recent sinus infection or upper respiratory infection? -
ANSWER: C
In assessing a patients major risk factors for heart disease, which would the nurse
want to include when taking a history?
A Family history, hypertension, stress, and age
,3|Pag e
B Personality type, high cholesterol, diabetes, and smoking
C Smoking, hypertension, obesity, diabetes, and high cholesterol
D Alcohol consumption, obesity, diabetes, stress, and high cholesterol -
ANSWER: C
The mother of a 3-month-old infant states that her baby has not been gaining
weight. With further questioning, the nurse finds that the infant falls asleep after
nursing and wakes up after a short time, hungry again. What other information
would the nurse want to have?
A Infants sleeping position
B Sibling history of eating disorders
C Amount of background noise when eating
D Presence of dyspnea or diaphoresis when sucking - ANSWER: D
In assessing the carotid arteries of an older patient with cardiovascular disease, the
nurse would:
a Palpate the artery in the upper one third of the neck.
B Listen with the bell of the stethoscope to assess for bruits.
C Simultaneously palpate both arteries to compare amplitude.
D Instruct the patient to take slow deep breaths during auscultation. - ANSWER:
B
During an assessment of a 68-year-old man with a recent onset of right-sided
weakness, the nurse hears a blowing, swishing sound with the bell of the
stethoscope over the left carotid artery. This finding would indicate:
a Valvular disorder.
B Blood flow turbulence.
C Fluid volume overload.
, 4|Pag e
D Ventricular hypertrophy. - ANSWER: B
During an inspection of the precordium of an adult patient, the nurse notices the
chest moving in a forceful manner along the sternal border. This finding most
likely suggests a(n):
a Normal heart.
B Systolic murmur.
C Enlargement of the left ventricle.
D Enlargement of the right ventricle. - ANSWER: D
During an assessment of a healthy adult, where would the nurse expect to palpate
the apical impulse?
A Third left intercostal space at the midclavicular line
B Fourth left intercostal space at the sternal border
C Fourth left intercostal space at the anterior axillary line
D Fifth left intercostal space at the midclavicular line - ANSWER: D
The nurse is examining a patient who has possible cardiac enlargement. Which
statement about percussion of the heart is true?
A Percussion is a useful tool for outlining the hearts borders.
B Percussion is easier in patients who are obese.
C Studies show that percussed cardiac borders do not correlate well with the true
cardiac border.
D Only expert health care providers should attempt percussion of the heart. -
ANSWER: C
The nurse is preparing to auscultate for heart sounds. Which technique is correct?
