Health Assessment Exam 3 Test Bank
With Question And correct Answers.
,When auscultating the left carotid artery, the nurse notes a swishing sound. The nurse interprets this
finding as suggesting which of the following?
A) Decreased cardiac output
B) Increased central venous pressure
C) A narrowed vessel
D) Right ventricular failure - correct answer-b
Which technique would be most appropriate to use when examining the jugular venous pulse?
A) Perform the exam with the client in a supine position.
B) Have the client look straight ahead with chin slightly lifted.
C) Have the client sit up at a 90-degree angle.
D) Inspect the suprasternal notch or around the clavicles. - correct answer-d
The nurse is preparing to assess a client's apical impulse. The nurse would palpate at which location?
A) Second intercostal space, left sternal border
B) Third intercostal space, left axillary line
C) Fourth intercostal space, left sternal border
D) Fifth intercostal space, left midclavicular line - correct answer-d
A nurse is preparing a presentation for a local community group about coronary artery disease and
culture. Which information would the nurse include?
A) Caucasians take higher lifestyle risks than African Americans.
B) Hypertension is more prevalent in African Americans.
C) Hypertension is seen more in white women than in African-American women.
D) Hispanic Americans have a higher rate of coronary artery disease than white Americans. - correct
answer-b
A nurse auscultates a client's heart sounds and notes an accentuated first heart sound. The nurse would
suspect which of the following?
A) Hypothyroidism
,B) Fever
C) Mitral stenosis
D) Heart murmur - correct answer-c
Which characteristic of the first heart sound would the nurse expect to hear in a client with mitral
insufficiency?
A) Split
B) Diminished
C) Accentuated
D) Varying - correct answer-b
A nurse suspects that a client may have a pericardial friction rub. To ensure that the nurse hears this, the
nurse would place the client in which position?
A) Supine with head of bed elevated 30 degrees
B) Leaning forward while in a sitting position
C) Flat, left lateral
D) Sitting upright in a straight back chair - correct answer-b
While auscultating the heart at the third intercostal space, left sternal border, the nurse notes a high-
pitched, scratchy sound that increases with exhalation with the client leaning forward. The nurse would
document which of the following?
A) Pericardial friction rub
B) Midsystolic click
C) Summation gallop
D) Aortic ejection click - correct answer-A) Pericardial friction rub
During chest auscultation, the nurse hears a quiet murmur immediately upon placing the stethoscope on
the client's chest. The nurse interprets this as which grade?
A) I
B) II
C) III
, D) IV - correct answer-B) II
After teaching a group of students about blood flow through the heart, the instructor determines that
the teaching was successful when the students state that after being received by the atria, the blood
goes to which of the following?
A) Chordae tendineae
B) Ventricles
C) Semilunar valves
D) Precordium - correct answer-B) Ventricles
A group of students is reviewing the structures of the heart, noting that the thickest layer of the heart is
made up of contractile muscle cells. The students are correct in identifying it as which of the following?
A) Myocardium
B) Epicardium
C) Endocardium
D) Pericardium - correct answer-A) Myocardium
A nursing student is reviewing the electrical conduction of the heart. The student is correct in identifying
the sinoatrial node of the heart as which of the following?
A) Bundle of His
B) Purkinje fibers
C) Pacemaker
D) Conduction system - correct answer-C) Pacemaker
The nurse is assessing a client's first heart sound. The nurse interprets this finding as indicating which
heart action?
A) Isometric contraction
B) Closure of the semilunar valves
C) Beginning of diastole
D) Closure of the atrioventricular valves - correct answer-d
With Question And correct Answers.
,When auscultating the left carotid artery, the nurse notes a swishing sound. The nurse interprets this
finding as suggesting which of the following?
A) Decreased cardiac output
B) Increased central venous pressure
C) A narrowed vessel
D) Right ventricular failure - correct answer-b
Which technique would be most appropriate to use when examining the jugular venous pulse?
A) Perform the exam with the client in a supine position.
B) Have the client look straight ahead with chin slightly lifted.
C) Have the client sit up at a 90-degree angle.
D) Inspect the suprasternal notch or around the clavicles. - correct answer-d
The nurse is preparing to assess a client's apical impulse. The nurse would palpate at which location?
A) Second intercostal space, left sternal border
B) Third intercostal space, left axillary line
C) Fourth intercostal space, left sternal border
D) Fifth intercostal space, left midclavicular line - correct answer-d
A nurse is preparing a presentation for a local community group about coronary artery disease and
culture. Which information would the nurse include?
A) Caucasians take higher lifestyle risks than African Americans.
B) Hypertension is more prevalent in African Americans.
C) Hypertension is seen more in white women than in African-American women.
D) Hispanic Americans have a higher rate of coronary artery disease than white Americans. - correct
answer-b
A nurse auscultates a client's heart sounds and notes an accentuated first heart sound. The nurse would
suspect which of the following?
A) Hypothyroidism
,B) Fever
C) Mitral stenosis
D) Heart murmur - correct answer-c
Which characteristic of the first heart sound would the nurse expect to hear in a client with mitral
insufficiency?
A) Split
B) Diminished
C) Accentuated
D) Varying - correct answer-b
A nurse suspects that a client may have a pericardial friction rub. To ensure that the nurse hears this, the
nurse would place the client in which position?
A) Supine with head of bed elevated 30 degrees
B) Leaning forward while in a sitting position
C) Flat, left lateral
D) Sitting upright in a straight back chair - correct answer-b
While auscultating the heart at the third intercostal space, left sternal border, the nurse notes a high-
pitched, scratchy sound that increases with exhalation with the client leaning forward. The nurse would
document which of the following?
A) Pericardial friction rub
B) Midsystolic click
C) Summation gallop
D) Aortic ejection click - correct answer-A) Pericardial friction rub
During chest auscultation, the nurse hears a quiet murmur immediately upon placing the stethoscope on
the client's chest. The nurse interprets this as which grade?
A) I
B) II
C) III
, D) IV - correct answer-B) II
After teaching a group of students about blood flow through the heart, the instructor determines that
the teaching was successful when the students state that after being received by the atria, the blood
goes to which of the following?
A) Chordae tendineae
B) Ventricles
C) Semilunar valves
D) Precordium - correct answer-B) Ventricles
A group of students is reviewing the structures of the heart, noting that the thickest layer of the heart is
made up of contractile muscle cells. The students are correct in identifying it as which of the following?
A) Myocardium
B) Epicardium
C) Endocardium
D) Pericardium - correct answer-A) Myocardium
A nursing student is reviewing the electrical conduction of the heart. The student is correct in identifying
the sinoatrial node of the heart as which of the following?
A) Bundle of His
B) Purkinje fibers
C) Pacemaker
D) Conduction system - correct answer-C) Pacemaker
The nurse is assessing a client's first heart sound. The nurse interprets this finding as indicating which
heart action?
A) Isometric contraction
B) Closure of the semilunar valves
C) Beginning of diastole
D) Closure of the atrioventricular valves - correct answer-d
