NR 302 Week 6 Edapt
Complete Quiz Review
(Questions & Solutions)
2025
1
, 1. MCQ
Mr. Larsen (78) is supine at 45 °. The nurse measures an internal jugular
venous pulsation 7 cm above the sternal angle. What is the estimated
central venous pressure (CVP)?
A. 5 cm H₂O
B. 7 cm H₂O
C. 9 cm H₂O
D. 12 cm H₂O
ANS: D
Rationale: Add the vertical height above the sternal angle (7 cm) to the
constant 5 cm representing the distance to the right atrium → CVP ≈ 12
cm H₂O, which is elevated.
---
2. T/F
A split S₂ that widens on inspiration and merges on expiration is a normal
(“physiologic”) finding in healthy young adults.
ANS: True
Rationale: Inspiration delays pulmonic valve closure, producing the
physiologic split; it disappears with expiration.
---
3. FITB
A resting ankle–brachial index (ABI) of 0.55 indicates ________ -
grade peripheral arterial disease.
ANS: moderate
Rationale: ABI 0.41–0.70 = moderate PAD; <0.40 = severe, 0.71–0.90 =
2
, mild, 1.00–1.40 = normal.
---
4. MR – Select all that apply
Which physical findings, when clustered, most strongly suggest right-
sided heart failure ?
[ ] A. Bilateral dependent pitting edema
[ ] B. Crackles in posterior lung bases
[ ] C. Positive hepatojugular reflux
[ ] D. Displaced PMI at 6th ICS L anterior axillary line
[ ] E. Ascites with shifting dullness
ANSs: A, C, E
Rationale: Systemic venous congestion causes peripheral edema,
sustained JVP rise (hepatojugular reflux), and abdominal fluid; pulmonary
crackles and lateral PMI shift point to left-sided or global failure.
---
5. MCQ
During carotid auscultation on a 65-year-old with TIA history, the nurse
hears a late-systolic, high-pitched “whoosh.” Next priority?
A. Document as expected in older adults
B. Palpate both carotids simultaneously to confirm thrill
C. Notify the provider; schedule duplex ultrasound
D. Immediately administer 325 mg aspirin
ANS: C
Rationale: A bruit signals turbulent flow from significant stenosis;
imaging is warranted. Bilateral palpation risks syncope, and medication
changes need provider order.
---
3
Complete Quiz Review
(Questions & Solutions)
2025
1
, 1. MCQ
Mr. Larsen (78) is supine at 45 °. The nurse measures an internal jugular
venous pulsation 7 cm above the sternal angle. What is the estimated
central venous pressure (CVP)?
A. 5 cm H₂O
B. 7 cm H₂O
C. 9 cm H₂O
D. 12 cm H₂O
ANS: D
Rationale: Add the vertical height above the sternal angle (7 cm) to the
constant 5 cm representing the distance to the right atrium → CVP ≈ 12
cm H₂O, which is elevated.
---
2. T/F
A split S₂ that widens on inspiration and merges on expiration is a normal
(“physiologic”) finding in healthy young adults.
ANS: True
Rationale: Inspiration delays pulmonic valve closure, producing the
physiologic split; it disappears with expiration.
---
3. FITB
A resting ankle–brachial index (ABI) of 0.55 indicates ________ -
grade peripheral arterial disease.
ANS: moderate
Rationale: ABI 0.41–0.70 = moderate PAD; <0.40 = severe, 0.71–0.90 =
2
, mild, 1.00–1.40 = normal.
---
4. MR – Select all that apply
Which physical findings, when clustered, most strongly suggest right-
sided heart failure ?
[ ] A. Bilateral dependent pitting edema
[ ] B. Crackles in posterior lung bases
[ ] C. Positive hepatojugular reflux
[ ] D. Displaced PMI at 6th ICS L anterior axillary line
[ ] E. Ascites with shifting dullness
ANSs: A, C, E
Rationale: Systemic venous congestion causes peripheral edema,
sustained JVP rise (hepatojugular reflux), and abdominal fluid; pulmonary
crackles and lateral PMI shift point to left-sided or global failure.
---
5. MCQ
During carotid auscultation on a 65-year-old with TIA history, the nurse
hears a late-systolic, high-pitched “whoosh.” Next priority?
A. Document as expected in older adults
B. Palpate both carotids simultaneously to confirm thrill
C. Notify the provider; schedule duplex ultrasound
D. Immediately administer 325 mg aspirin
ANS: C
Rationale: A bruit signals turbulent flow from significant stenosis;
imaging is warranted. Bilateral palpation risks syncope, and medication
changes need provider order.
---
3
