NU 518 EXAM 2 2025 WITH ACTUAL
CORRECT QUESTIONS AND VERIFIED
DETAILED ANSWERS|FREQUENTLY TESTED
QUESTIONS AND SOLUTIONS |ALREADY
GRADED A+|NEWEST|LATEST
UPDATE|GUARANTEED PASS
During auscultation of the lungs of an adult patient, the nurse notices the presence of
bronchophony. The nurse should assess for signs of which condition?
A Airway obstruction
B Emphysema
C Pulmonary consolidation
D Asthma
C
The nurse is reviewing the characteristics of breath sounds. Which statement about
bronchovesicular breath sounds is true? Bronchovesicular breath sounds are:
a Musical in quality.
b Usually caused by a pathologic disease.
c Expected near the major airways.
d Similar to bronchial sounds except shorter in duration.
C
The nurse is listening to the breath sounds of a patient with severe asthma. Air passing through
narrowed bronchioles would produce which of these adventitious sounds?
a Wheezes
b Bronchial sounds
c Bronchophony
d Whispered pectoriloquy
1|Page
,A
You are performing a thorough cardiac examination. Which of the following chambers of the
heart can you assess by palpation?
A) Left atrium
B) Right atrium
C) Right ventricle
D) Sinus node
C
What is responsible for the inspiratory splitting of S2?
A) Closure of aortic, then pulmonic valves
B) Closure of mitral, then tricuspid valves
C) Closure of aortic, then tricuspid valves
D) Closure of mitral, then pulmonic valves
A
A 25-year-old optical technician comes to your clinic for evaluation of fatigue. As part of your
physical examination, you listen to her heart and hear a murmur only at the cardiac apex. Which
valve is most likely to be involved, based on the location of the murmur?
A) Mitral
B) Tricuspid
C) Aortic
D) Pulmonic
A
A 58-year-old teacher presents to your clinic with a complaint of breathlessness with activity.
The patient has no chronic conditions and does not take any medications, herbs, or
supplements. Which of the following symptoms is appropriate to ask about in the
cardiovascular review of
systems?
A) Abdominal pain
B) Orthopnea
C) Hematochezia
D) Tenesmus
B
You are screening people at the mall as part of a health fair. The first person who comes for
screening has a blood pressure of 132/85. How would you categorize this?
2|Page
,A) Normal
B) Prehypertension
C) Stage 1 hypertension
D) Stage 2 hypertension
B
You are participating in a health fair and performing cholesterol screens. One person has a
cholesterol of 225. She is concerned about her risk for developing heart disease. Which of the
following factors is used to estimate the 10-year risk of developing coronary heart disease?
A) Ethnicity
B) Alcohol intake
C) Gender
D) Asthma
C
You are evaluating a 40-year-old banker for coronary heart disease risk factors. He has a history
of hypertension, which is well-controlled on his current medications. He does not smoke; he
does 45 minutes of aerobic exercise five times weekly. You are calculating his 10-year coronary
heart disease risk. Which of the following conditions is considered to be a coronary
heart disease risk equivalent?
A) Hypertension
B) Peripheral arterial disease
C) Systemic lupus erythematosus
D) Chronic obstructive pulmonary disease (COPD)
B
You are conducting a workshop on the measurement of jugular venous pulsation. As part of
your instruction, you tell the students to make sure that they can distinguish between the
jugular venous pulsation and the carotid pulse. Which one of the following characteristics is
typical of the carotid pulse?
A) Palpable
B) Soft, rapid, undulating quality
C) Pulsation eliminated by light pressure on the vessel
D) Level of pulsation changes with changes in position
A
A 68-year-old mechanic presents to the emergency room for shortness of breath. You are
concerned about a cardiac cause and measure his jugular venous pressure (JVP). It is elevated.
3|Page
, Which one of the following conditions is a potential cause of elevated JVP?
A) Left-sided heart failure
B) Mitral stenosis
C) Constrictive pericarditis
D) Aortic aneurysm
C
You are palpating the apical impulse in a patient with heart disease and find that the amplitude
is diffuse and increased. Which of the following conditions could be a potential cause of an
increase in the amplitude of the impulse?
A) Hypothyroidism
B) Aortic stenosis, with pressure overload of the left ventricle
C) Mitral stenosis, with volume overload of the left atrium
D) Cardiomyopathy
B
You are performing a cardiac examination on a patient with shortness of breath and
palpitations. You listen to the heart with the patient sitting upright, then have him change to a
supine position, and finally have him turn onto his left side in the left lateral decubitus position.
Which of the following valvular defects is best heard in this position?
A) Aortic
B) Pulmonic
C) Mitral
D) Tricuspid
C
You are concerned that a patient has an aortic regurgitation murmur. Which is the best position
to accentuate the murmur?
A) Upright
B) Upright, but leaning forward
C) Supine
D) Left lateral decubitus
B
A 68-year-old retired waiter comes to your clinic for evaluation of fatigue. You perform a cardiac
examination and find that his pulse rate is less than 60. Which of the following conditions could
be responsible for this heart rate?
A) Second-degree A-V block
4|Page
CORRECT QUESTIONS AND VERIFIED
DETAILED ANSWERS|FREQUENTLY TESTED
QUESTIONS AND SOLUTIONS |ALREADY
GRADED A+|NEWEST|LATEST
UPDATE|GUARANTEED PASS
During auscultation of the lungs of an adult patient, the nurse notices the presence of
bronchophony. The nurse should assess for signs of which condition?
A Airway obstruction
B Emphysema
C Pulmonary consolidation
D Asthma
C
The nurse is reviewing the characteristics of breath sounds. Which statement about
bronchovesicular breath sounds is true? Bronchovesicular breath sounds are:
a Musical in quality.
b Usually caused by a pathologic disease.
c Expected near the major airways.
d Similar to bronchial sounds except shorter in duration.
C
The nurse is listening to the breath sounds of a patient with severe asthma. Air passing through
narrowed bronchioles would produce which of these adventitious sounds?
a Wheezes
b Bronchial sounds
c Bronchophony
d Whispered pectoriloquy
1|Page
,A
You are performing a thorough cardiac examination. Which of the following chambers of the
heart can you assess by palpation?
A) Left atrium
B) Right atrium
C) Right ventricle
D) Sinus node
C
What is responsible for the inspiratory splitting of S2?
A) Closure of aortic, then pulmonic valves
B) Closure of mitral, then tricuspid valves
C) Closure of aortic, then tricuspid valves
D) Closure of mitral, then pulmonic valves
A
A 25-year-old optical technician comes to your clinic for evaluation of fatigue. As part of your
physical examination, you listen to her heart and hear a murmur only at the cardiac apex. Which
valve is most likely to be involved, based on the location of the murmur?
A) Mitral
B) Tricuspid
C) Aortic
D) Pulmonic
A
A 58-year-old teacher presents to your clinic with a complaint of breathlessness with activity.
The patient has no chronic conditions and does not take any medications, herbs, or
supplements. Which of the following symptoms is appropriate to ask about in the
cardiovascular review of
systems?
A) Abdominal pain
B) Orthopnea
C) Hematochezia
D) Tenesmus
B
You are screening people at the mall as part of a health fair. The first person who comes for
screening has a blood pressure of 132/85. How would you categorize this?
2|Page
,A) Normal
B) Prehypertension
C) Stage 1 hypertension
D) Stage 2 hypertension
B
You are participating in a health fair and performing cholesterol screens. One person has a
cholesterol of 225. She is concerned about her risk for developing heart disease. Which of the
following factors is used to estimate the 10-year risk of developing coronary heart disease?
A) Ethnicity
B) Alcohol intake
C) Gender
D) Asthma
C
You are evaluating a 40-year-old banker for coronary heart disease risk factors. He has a history
of hypertension, which is well-controlled on his current medications. He does not smoke; he
does 45 minutes of aerobic exercise five times weekly. You are calculating his 10-year coronary
heart disease risk. Which of the following conditions is considered to be a coronary
heart disease risk equivalent?
A) Hypertension
B) Peripheral arterial disease
C) Systemic lupus erythematosus
D) Chronic obstructive pulmonary disease (COPD)
B
You are conducting a workshop on the measurement of jugular venous pulsation. As part of
your instruction, you tell the students to make sure that they can distinguish between the
jugular venous pulsation and the carotid pulse. Which one of the following characteristics is
typical of the carotid pulse?
A) Palpable
B) Soft, rapid, undulating quality
C) Pulsation eliminated by light pressure on the vessel
D) Level of pulsation changes with changes in position
A
A 68-year-old mechanic presents to the emergency room for shortness of breath. You are
concerned about a cardiac cause and measure his jugular venous pressure (JVP). It is elevated.
3|Page
, Which one of the following conditions is a potential cause of elevated JVP?
A) Left-sided heart failure
B) Mitral stenosis
C) Constrictive pericarditis
D) Aortic aneurysm
C
You are palpating the apical impulse in a patient with heart disease and find that the amplitude
is diffuse and increased. Which of the following conditions could be a potential cause of an
increase in the amplitude of the impulse?
A) Hypothyroidism
B) Aortic stenosis, with pressure overload of the left ventricle
C) Mitral stenosis, with volume overload of the left atrium
D) Cardiomyopathy
B
You are performing a cardiac examination on a patient with shortness of breath and
palpitations. You listen to the heart with the patient sitting upright, then have him change to a
supine position, and finally have him turn onto his left side in the left lateral decubitus position.
Which of the following valvular defects is best heard in this position?
A) Aortic
B) Pulmonic
C) Mitral
D) Tricuspid
C
You are concerned that a patient has an aortic regurgitation murmur. Which is the best position
to accentuate the murmur?
A) Upright
B) Upright, but leaning forward
C) Supine
D) Left lateral decubitus
B
A 68-year-old retired waiter comes to your clinic for evaluation of fatigue. You perform a cardiac
examination and find that his pulse rate is less than 60. Which of the following conditions could
be responsible for this heart rate?
A) Second-degree A-V block
4|Page
