NR509 WEEK 4 ACTUAL EXAM LATEST
TEST WITH ACTUAL EXAM QUESTIONS
AND CORRECT ANSWERS RATED A+
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. Infant's sleeping position
b. Sibling history of eating disorders
c. Amount of background noise when eating
d. Presence of dyspnea or diaphoresis when sucking Correct
Answer d. Presence of dyspnea or diaphoresis when sucking
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. Correct Answer b. Listen with the bell of the
stethoscope to assess for bruits.
,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.
d. Ventricular hypertrophy. Correct Answer b. Blood flow
turbulence.
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. Correct Answer d.
Enlargement of the right ventricle.
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 Correct
Answer d. Fifth left intercostal space at the midclavicular line
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 heart's 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. Correct Answer c. Studies show that percussed cardiac
borders do not correlate well with the true cardiac border.
The nurse is preparing to auscultate for heart sounds. Which
technique is correct?
a. Listening to the sounds at the aortic, tricuspid, pulmonic, and
mitral areas
b. Listening by inching the stethoscope in a rough Z pattern, from
the base of the heart across and down, then over to the apex
c. Listening to the sounds only at the site where the apical pulse
is felt to be the strongest
d. Listening for all possible sounds at a time at each specified
area Correct Answer b. Listening by inching the stethoscope in a
, rough Z pattern, from the base of the heart across and down, then
over to the apex
While counting the apical pulse on a 16-year-old patient, the
nurse notices an irregular rhythm. His rate speeds up on
inspiration and slows on expiration. What would be the nurse's
response?
a. Talk with the patient about his intake of caffeine.
b. Perform an electrocardiogram after the examination.
c. No further response is needed because sinus arrhythmia can
occur normally.
d. Refer the patient to a cardiologist for further testing. Correct
Answer c. No further response is needed because sinus
arrhythmia can occur normally.
When listening to heart sounds, the nurse knows that the S1:
a. Is louder than the S2 at the base of the heart.
b. Indicates the beginning of diastole.
c... Coincides with the carotid artery pulse.
d. Is caused by the closure of the semilunar valves. Correct
Answer c... Coincides with the carotid artery pulse.
During the cardiac auscultation, the nurse hears a sound
immediately occurring after the S2 at the second left intercostal
space. To further assess this sound, what should the nurse do?
TEST WITH ACTUAL EXAM QUESTIONS
AND CORRECT ANSWERS RATED A+
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. Infant's sleeping position
b. Sibling history of eating disorders
c. Amount of background noise when eating
d. Presence of dyspnea or diaphoresis when sucking Correct
Answer d. Presence of dyspnea or diaphoresis when sucking
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. Correct Answer b. Listen with the bell of the
stethoscope to assess for bruits.
,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.
d. Ventricular hypertrophy. Correct Answer b. Blood flow
turbulence.
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. Correct Answer d.
Enlargement of the right ventricle.
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 Correct
Answer d. Fifth left intercostal space at the midclavicular line
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 heart's 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. Correct Answer c. Studies show that percussed cardiac
borders do not correlate well with the true cardiac border.
The nurse is preparing to auscultate for heart sounds. Which
technique is correct?
a. Listening to the sounds at the aortic, tricuspid, pulmonic, and
mitral areas
b. Listening by inching the stethoscope in a rough Z pattern, from
the base of the heart across and down, then over to the apex
c. Listening to the sounds only at the site where the apical pulse
is felt to be the strongest
d. Listening for all possible sounds at a time at each specified
area Correct Answer b. Listening by inching the stethoscope in a
, rough Z pattern, from the base of the heart across and down, then
over to the apex
While counting the apical pulse on a 16-year-old patient, the
nurse notices an irregular rhythm. His rate speeds up on
inspiration and slows on expiration. What would be the nurse's
response?
a. Talk with the patient about his intake of caffeine.
b. Perform an electrocardiogram after the examination.
c. No further response is needed because sinus arrhythmia can
occur normally.
d. Refer the patient to a cardiologist for further testing. Correct
Answer c. No further response is needed because sinus
arrhythmia can occur normally.
When listening to heart sounds, the nurse knows that the S1:
a. Is louder than the S2 at the base of the heart.
b. Indicates the beginning of diastole.
c... Coincides with the carotid artery pulse.
d. Is caused by the closure of the semilunar valves. Correct
Answer c... Coincides with the carotid artery pulse.
During the cardiac auscultation, the nurse hears a sound
immediately occurring after the S2 at the second left intercostal
space. To further assess this sound, what should the nurse do?
