WILKES NSG500 EXAM 2/NSG 500 ADVANCED
HEALTH ASSESSMENT EXAM 2 2025/2026
WITH ACTUAL CORRECT QUESTIONS AND
VERIFIED DETAILED ANSWERS
|FREQUENTLY TESTED QUESTIONS AND
SOLUTIONS|ALREADY GRADED
A+|NEWEST|BRAND NEW
VERSION!!!|GUARANTEED PASS
What does a JVP of over 9cm H2O indicate?
increased pressure.
What causes a carotid bruit?
a partially occluded blood vessel
What does a carotid bruit indicate?
Blood flow turbulence and/or vascular disease
What is a bruit?
The sound of turbulent blood flow auscultated over arteries
What tool is a bruit best heard with?
The bell of a stethoscope
What can causes a carotid bruit?
Age
High cholesterol
What risk increases with the carotid bruit?
Stroke
MI
What should provider do when they hear a carotid bruit?
1|Page
,Get an ultrasound to see how blocked the carotids are
Is venous hum normal in children?
No, but it is usually benign.
Does a venous hum have any pathologic significance?
No.
What position can a venous hum in children be heard the best?
Sitting position
What does a venous hum in children indicate?
Turbulence of blood flow in the internal jugular veins
What does venous disease look like?
Warm, thick skin
Ulcers found on the medial or lateral aspects of the lower limbs
What are symptoms of venous disease?
Induration
Dependent edema
Prolonged capillary refill
hyperpigmentation
What does arterial disease look like?
Cool, thin skin
Necrotic feet/toes
What causes arterial disease?
Damage to arteries due to lack of blood flow to tissue.
What are symptoms of arterial disease?
Pain with activity, relieved at rest
What are some symptoms of arterial disease?
Intermittent claudication
angina
What temp does raynaud's disease occur?
2|Page
,cold
What temp does arterial disease occur?
Any temperature
How does blood volume change in pregnancy?
Blood volume increases
What is the purpose of the bell end of the stethoscope?
Best to hear low pitched sounds (S3 and S4)
What are signs and symptoms of Tetralogy of Fallot?
dyspnea with feeding
poor growth
exercise intolerance
cyanosis with crying/agitation
paroxysmal dyspnea with loss of consciousness
What symptoms present in older children that have Tetralogy of Fallot?
Clubbing in fingers and toes
Tetralogy of Fallot: Parasternal heave and precordial prominence
Systolic ejection murmur over the 3rd intercostal space; single S2 is heard.
What could happen is=f Tetralogy of Fallot is not treated?
Heart Failure if not surgically corrected
What caution should you take on pulsating aortas?
Never push on them
Why should you never push on a pulsating aorta?
It may rupture
What should you evaluate on the breast lumps?
Location
Size
Shape
Consistency
3|Page
, Tenderness
Mobility
Delineation of borders and retraction
What is important to ask a woman complaining of a breast lump?
Ask the lump's relationship to menses
Which lumps should be investigated further?
New solitary or dominant masses
What are fibrocystic changes?
Benign fluid filled cysts
What are the characteristics of fibrocystic changes?
Tender
Usually bilateral
soft to firm
tense
round
mobile
well-delineated borders
Why should you ask a woman c/o breast lumps about their menses?
Fibrocystic changes fluctuate with menses
What are fibroadenomas?
benign, painless tumors.
Fibroadenomas: Do they fluctuate with the menstrual cycle?
No.
Fibrocystic changes: Do they fluctuate with the menstrual cycle?
Yes.
What are the characteristics of fibroadenoma?
Round or discoid
Firm
Rubbery
4|Page
HEALTH ASSESSMENT EXAM 2 2025/2026
WITH ACTUAL CORRECT QUESTIONS AND
VERIFIED DETAILED ANSWERS
|FREQUENTLY TESTED QUESTIONS AND
SOLUTIONS|ALREADY GRADED
A+|NEWEST|BRAND NEW
VERSION!!!|GUARANTEED PASS
What does a JVP of over 9cm H2O indicate?
increased pressure.
What causes a carotid bruit?
a partially occluded blood vessel
What does a carotid bruit indicate?
Blood flow turbulence and/or vascular disease
What is a bruit?
The sound of turbulent blood flow auscultated over arteries
What tool is a bruit best heard with?
The bell of a stethoscope
What can causes a carotid bruit?
Age
High cholesterol
What risk increases with the carotid bruit?
Stroke
MI
What should provider do when they hear a carotid bruit?
1|Page
,Get an ultrasound to see how blocked the carotids are
Is venous hum normal in children?
No, but it is usually benign.
Does a venous hum have any pathologic significance?
No.
What position can a venous hum in children be heard the best?
Sitting position
What does a venous hum in children indicate?
Turbulence of blood flow in the internal jugular veins
What does venous disease look like?
Warm, thick skin
Ulcers found on the medial or lateral aspects of the lower limbs
What are symptoms of venous disease?
Induration
Dependent edema
Prolonged capillary refill
hyperpigmentation
What does arterial disease look like?
Cool, thin skin
Necrotic feet/toes
What causes arterial disease?
Damage to arteries due to lack of blood flow to tissue.
What are symptoms of arterial disease?
Pain with activity, relieved at rest
What are some symptoms of arterial disease?
Intermittent claudication
angina
What temp does raynaud's disease occur?
2|Page
,cold
What temp does arterial disease occur?
Any temperature
How does blood volume change in pregnancy?
Blood volume increases
What is the purpose of the bell end of the stethoscope?
Best to hear low pitched sounds (S3 and S4)
What are signs and symptoms of Tetralogy of Fallot?
dyspnea with feeding
poor growth
exercise intolerance
cyanosis with crying/agitation
paroxysmal dyspnea with loss of consciousness
What symptoms present in older children that have Tetralogy of Fallot?
Clubbing in fingers and toes
Tetralogy of Fallot: Parasternal heave and precordial prominence
Systolic ejection murmur over the 3rd intercostal space; single S2 is heard.
What could happen is=f Tetralogy of Fallot is not treated?
Heart Failure if not surgically corrected
What caution should you take on pulsating aortas?
Never push on them
Why should you never push on a pulsating aorta?
It may rupture
What should you evaluate on the breast lumps?
Location
Size
Shape
Consistency
3|Page
, Tenderness
Mobility
Delineation of borders and retraction
What is important to ask a woman complaining of a breast lump?
Ask the lump's relationship to menses
Which lumps should be investigated further?
New solitary or dominant masses
What are fibrocystic changes?
Benign fluid filled cysts
What are the characteristics of fibrocystic changes?
Tender
Usually bilateral
soft to firm
tense
round
mobile
well-delineated borders
Why should you ask a woman c/o breast lumps about their menses?
Fibrocystic changes fluctuate with menses
What are fibroadenomas?
benign, painless tumors.
Fibroadenomas: Do they fluctuate with the menstrual cycle?
No.
Fibrocystic changes: Do they fluctuate with the menstrual cycle?
Yes.
What are the characteristics of fibroadenoma?
Round or discoid
Firm
Rubbery
4|Page
