1
NSG 6320 AGNP BOARD CARDIOVASCULAR
ASSESSMENT EXAM WELL EXPLAINED
[2025/26 LATEST]
THIS STUDY GUIDE MATCH WITH ACTUAL 2025/26 EXAM
Question:
To auscultate the heart sounds arising from the pulmonic valve in an adult patient,
place thestethoscope:
near the apex of the heart between the 5th and 6th intercostal spaces in
the mid-clavicularline.
between the 2nd and 3rd intercostal spaces at the right upper sternal
border. between the 2nd and 3rd intercostal spaces at the left sternal
border. Correct between the 3rd, 4th, 5th, and 6th intercostal spaces
at the left lower sternal border.
Explanation:
Auscultation should proceed in a logical manner over 4 general areas on the
anterior chest, beginning with the patient in the supine position and using the
diaphragm of the stethoscope. Themitral listening point is near the apex of the
heart between the 5th and 6th intercostal spaces in the mid-clavicular line. The
aortic listening point is between the 2nd and 3rd intercostal spaces at the right
upper sternal border (RUSB). The pulmonic listening point is located between the
2nd and 3rd intercostal spaces at the left sternal border (LUSB). The tricuspid
2022/2023 Update NSG 6320 AGNP BOARD EXAM
QUESTIONS Cardiovascular Assessment (107
Questions and Answers)
,2
listening point is between the 3rd, 4th, 5th, and 6th intercostal spaces at the left
lower sternal border (LLSB).
Question:
A sudden, tearing, sharp pain that begins in the chest and radiates to the back or
into the neck isusually associated with:
angina pectoris.
a myocardial infarction.
an aortic dissection. Correct
pericarditis.
Explanation:
Assessing chest pain can be very difficult but a thorough patient history and
physical exam can help the clinician determine a likely cause. A sudden sharp
pain that radiates to the back or into the neck is usually associated with aortic
dissection. Exertional pain can be angina pectoris.
Symptoms most often seen with myocardial infarction include a retrosternal type
pain that oftenradiates up to the neck, shoulder, and jaw and down to the ulnar
aspect of the left arm. Pain associated with pericarditis may radiate to the tip of
the shoulder and to the neck and presents with a sharp knifelike pain. Any pain in
the chest is cardiac until proven otherwise.
Question:
A 68-year-old man with uncontrolled hypertension presents with sudden, intense
left lower abdominal pain that radiates to the back. The pain is associated with a
2022/2023 Update NSG 6320 AGNP BOARD EXAM
QUESTIONS Cardiovascular Assessment (107
Questions and Answers)
,3
tearing sensation. Thesefindings are MOST likely associated with:
cholecystitis.
an abdominal aortic aneurysm (AAA).
Correctperforated gastroesophageal
(GI) ulcer. nephrolithiasis.
Explanation:
Sudden, intense left lower abdominal pain that radiates to the back with a
“tearing” sensation are symptoms of abdominal aortic aneurysm (AAA). For the
diagnosis of a possible rupturing AAA, outpatient CT scan, abdominal ultrasound,
and angiography testing are NOT recommended. The patient should be referred
to the emergency department for acute assessment and treatment.
Question:
A condition that usually presents with numbness or tingling in the distal portions of
one or morefingers aggravated by cold or emotional stress may be associated with:
neurogenic
claudication.
intermittent
claudication.
atherosclerotic peripheral vascular
disease.Raynaud's disease. Correct
Explanation:
Raynaud's disease may present with numbness or tingling in the distal portions
2022/2023 Update NSG 6320 AGNP BOARD EXAM
QUESTIONS Cardiovascular Assessment (107
Questions and Answers)
, 4
of one or morefingers aggravated by cold or emotional stress. Pain or cramping
in the legs that occurs with exertion and is relieved by rest is termed
intermittent claudication. Atherosclerotic peripheral
artery disease presents with symptomatic limb ischemia with exertion. Pain
with walking or prolonged standing, radiating from the spinal area into the
buttocks, thighs, lower legs, or feet,may be seen in neurogenic claudication.
Question:
A twelve-month-old has a history of heart failure related to his congenital heart
defect. He is receiving aldactone (Spironolactone), enalapril (Vasotec), furosemide
(Lasix), and acetaminophen (Tylenol). The infant's potassium level is 3.1 meq/l.
Which medication is mostlikely decreasing his potassium level?
Aldactone
(Spironolactone)
Furosemide (Lasix)
CorrectEnalapril
(Vasotec)
Acetaminophen
(Tylenol)
Explanation:
Loop diuretics can produce decreased potassium levels. Lasix is a loop diuretic.
Potassium levelsconsidered WNL by most labs range between 3.5 and 5.3 meq/l;
so 3.1 meq/l is considered low and may need to be adjusted. The other
2022/2023 Update NSG 6320 AGNP BOARD EXAM
QUESTIONS Cardiovascular Assessment (107
Questions and Answers)
NSG 6320 AGNP BOARD CARDIOVASCULAR
ASSESSMENT EXAM WELL EXPLAINED
[2025/26 LATEST]
THIS STUDY GUIDE MATCH WITH ACTUAL 2025/26 EXAM
Question:
To auscultate the heart sounds arising from the pulmonic valve in an adult patient,
place thestethoscope:
near the apex of the heart between the 5th and 6th intercostal spaces in
the mid-clavicularline.
between the 2nd and 3rd intercostal spaces at the right upper sternal
border. between the 2nd and 3rd intercostal spaces at the left sternal
border. Correct between the 3rd, 4th, 5th, and 6th intercostal spaces
at the left lower sternal border.
Explanation:
Auscultation should proceed in a logical manner over 4 general areas on the
anterior chest, beginning with the patient in the supine position and using the
diaphragm of the stethoscope. Themitral listening point is near the apex of the
heart between the 5th and 6th intercostal spaces in the mid-clavicular line. The
aortic listening point is between the 2nd and 3rd intercostal spaces at the right
upper sternal border (RUSB). The pulmonic listening point is located between the
2nd and 3rd intercostal spaces at the left sternal border (LUSB). The tricuspid
2022/2023 Update NSG 6320 AGNP BOARD EXAM
QUESTIONS Cardiovascular Assessment (107
Questions and Answers)
,2
listening point is between the 3rd, 4th, 5th, and 6th intercostal spaces at the left
lower sternal border (LLSB).
Question:
A sudden, tearing, sharp pain that begins in the chest and radiates to the back or
into the neck isusually associated with:
angina pectoris.
a myocardial infarction.
an aortic dissection. Correct
pericarditis.
Explanation:
Assessing chest pain can be very difficult but a thorough patient history and
physical exam can help the clinician determine a likely cause. A sudden sharp
pain that radiates to the back or into the neck is usually associated with aortic
dissection. Exertional pain can be angina pectoris.
Symptoms most often seen with myocardial infarction include a retrosternal type
pain that oftenradiates up to the neck, shoulder, and jaw and down to the ulnar
aspect of the left arm. Pain associated with pericarditis may radiate to the tip of
the shoulder and to the neck and presents with a sharp knifelike pain. Any pain in
the chest is cardiac until proven otherwise.
Question:
A 68-year-old man with uncontrolled hypertension presents with sudden, intense
left lower abdominal pain that radiates to the back. The pain is associated with a
2022/2023 Update NSG 6320 AGNP BOARD EXAM
QUESTIONS Cardiovascular Assessment (107
Questions and Answers)
,3
tearing sensation. Thesefindings are MOST likely associated with:
cholecystitis.
an abdominal aortic aneurysm (AAA).
Correctperforated gastroesophageal
(GI) ulcer. nephrolithiasis.
Explanation:
Sudden, intense left lower abdominal pain that radiates to the back with a
“tearing” sensation are symptoms of abdominal aortic aneurysm (AAA). For the
diagnosis of a possible rupturing AAA, outpatient CT scan, abdominal ultrasound,
and angiography testing are NOT recommended. The patient should be referred
to the emergency department for acute assessment and treatment.
Question:
A condition that usually presents with numbness or tingling in the distal portions of
one or morefingers aggravated by cold or emotional stress may be associated with:
neurogenic
claudication.
intermittent
claudication.
atherosclerotic peripheral vascular
disease.Raynaud's disease. Correct
Explanation:
Raynaud's disease may present with numbness or tingling in the distal portions
2022/2023 Update NSG 6320 AGNP BOARD EXAM
QUESTIONS Cardiovascular Assessment (107
Questions and Answers)
, 4
of one or morefingers aggravated by cold or emotional stress. Pain or cramping
in the legs that occurs with exertion and is relieved by rest is termed
intermittent claudication. Atherosclerotic peripheral
artery disease presents with symptomatic limb ischemia with exertion. Pain
with walking or prolonged standing, radiating from the spinal area into the
buttocks, thighs, lower legs, or feet,may be seen in neurogenic claudication.
Question:
A twelve-month-old has a history of heart failure related to his congenital heart
defect. He is receiving aldactone (Spironolactone), enalapril (Vasotec), furosemide
(Lasix), and acetaminophen (Tylenol). The infant's potassium level is 3.1 meq/l.
Which medication is mostlikely decreasing his potassium level?
Aldactone
(Spironolactone)
Furosemide (Lasix)
CorrectEnalapril
(Vasotec)
Acetaminophen
(Tylenol)
Explanation:
Loop diuretics can produce decreased potassium levels. Lasix is a loop diuretic.
Potassium levelsconsidered WNL by most labs range between 3.5 and 5.3 meq/l;
so 3.1 meq/l is considered low and may need to be adjusted. The other
2022/2023 Update NSG 6320 AGNP BOARD EXAM
QUESTIONS Cardiovascular Assessment (107
Questions and Answers)
