NR-302 Health Assessment Midterm 3
Exam Questions and Answers with
Rationales 2025 Chamberlain University
1. When auscultating heart sounds, the nurse identifies S1 as:
A. The sound caused by aortic and pulmonic valve closure
B. The sound caused by mitral and tricuspid valve closure
C. The result of ventricular filling
D. A murmur caused by regurgitation
Rationale: S1 is produced by the closing of the mitral and tricuspid valves at the
beginning of systole.
2. A patient with COPD will likely present with which chest configuration?
A. Funnel chest
B. Barrel chest
C. Pigeon chest
D. Kyphosis
Rationale: A barrel chest is common in COPD due to hyperinflation of the lungs.
,3. The best location to assess for the apical impulse is:
A. Right 2nd intercostal space
B. Left midclavicular line, 2nd ICS
C. Left midclavicular line, 5th ICS
D. Epigastric region
Rationale: The apical impulse (PMI) is found at the 5th intercostal space,
midclavicular line.
4. Which breath sound is normal over the peripheral lung fields?
A. Bronchial
B. Vesicular
C. Bronchovesicular
D. Tracheal
Rationale: Vesicular breath sounds are soft, low-pitched and heard over most of
the lungs.
5. Which finding suggests arterial insufficiency in the lower extremities?
A. Warm, reddish skin
B. Cool, pale skin
C. Brown discoloration
D. Pitting edema
Rationale: Cool, pale skin indicates poor arterial perfusion due to lack of
oxygenated blood.
, 6. You auscultate a bruit over the carotid artery. This suggests:
A. Turbulent blood flow due to narrowing
B. Normal blood flow
C. A venous insufficiency
D. Tracheal deviation
Rationale: A bruit indicates turbulence, often due to atherosclerosis or narrowing
of the artery.
7. A positive Murphy’s sign indicates:
A. Appendicitis
B. Cholecystitis
C. Pancreatitis
D. Gastritis
Rationale: Murphy’s sign is pain on inspiration during palpation of the gallbladder,
suggesting inflammation.
8. What is the expected percussion tone over the lungs?
A. Resonance
B. Dullness
C. Flatness
D. Tympany
Exam Questions and Answers with
Rationales 2025 Chamberlain University
1. When auscultating heart sounds, the nurse identifies S1 as:
A. The sound caused by aortic and pulmonic valve closure
B. The sound caused by mitral and tricuspid valve closure
C. The result of ventricular filling
D. A murmur caused by regurgitation
Rationale: S1 is produced by the closing of the mitral and tricuspid valves at the
beginning of systole.
2. A patient with COPD will likely present with which chest configuration?
A. Funnel chest
B. Barrel chest
C. Pigeon chest
D. Kyphosis
Rationale: A barrel chest is common in COPD due to hyperinflation of the lungs.
,3. The best location to assess for the apical impulse is:
A. Right 2nd intercostal space
B. Left midclavicular line, 2nd ICS
C. Left midclavicular line, 5th ICS
D. Epigastric region
Rationale: The apical impulse (PMI) is found at the 5th intercostal space,
midclavicular line.
4. Which breath sound is normal over the peripheral lung fields?
A. Bronchial
B. Vesicular
C. Bronchovesicular
D. Tracheal
Rationale: Vesicular breath sounds are soft, low-pitched and heard over most of
the lungs.
5. Which finding suggests arterial insufficiency in the lower extremities?
A. Warm, reddish skin
B. Cool, pale skin
C. Brown discoloration
D. Pitting edema
Rationale: Cool, pale skin indicates poor arterial perfusion due to lack of
oxygenated blood.
, 6. You auscultate a bruit over the carotid artery. This suggests:
A. Turbulent blood flow due to narrowing
B. Normal blood flow
C. A venous insufficiency
D. Tracheal deviation
Rationale: A bruit indicates turbulence, often due to atherosclerosis or narrowing
of the artery.
7. A positive Murphy’s sign indicates:
A. Appendicitis
B. Cholecystitis
C. Pancreatitis
D. Gastritis
Rationale: Murphy’s sign is pain on inspiration during palpation of the gallbladder,
suggesting inflammation.
8. What is the expected percussion tone over the lungs?
A. Resonance
B. Dullness
C. Flatness
D. Tympany
