NUR 504 FINAL EXAM 2026
COMPREHENSIVE PRACTICE QUESTIONS
AND VERIFIED CORRECT ANSWERS
ADVANCED PATHOPHYSIOLOGY,
EVIDENCE BASED NURSING, CLINICAL
DECISION-MAKING, PATIENT CARE AND
NURSING FINAL EXAM STUDY GUIDE
GRADE A+ STUDY RESOURCE
What is the palpable vibration of the chest wall resulting from speech?
a. Fremitus
b. Thoracic expansion
c. Diaphragmatic excursion
d. Lordosis - CORRECT ANSWER -a. Fremitus
Which type of breath sound can be described as hollow and low-pitched?
a. Vesicular
b. Bronchovesicular
c. Bronchial
d. Amphoric - CORRECT ANSWER -d. Amphoric
,In the third trimester of pregnancy, a woman's costal angle is about how
many degrees greater than it typically was before pregnancy?
a. 35 degrees
b. 103 degrees
c. 45 degrees
d. 27 degrees - CORRECT ANSWER -a. 35 degrees
A pregnant patient's tidal volume typically changes by how much?
a. Decreases by 20%
b. Increases by 40%
c. Doubles
d. Is halved - CORRECT ANSWER -b. Increases by 40%
Respiration is a four-step process: two inhalation steps and two exhalation
steps. - CORRECT ANSWER -False
If sputum onset is acute, the cause is probably an infection. - CORRECT
ANSWER -True
Hepatitis, Marburg, yellow fever, cholera, and meningitis are all travel-
related diseases. - CORRECT ANSWER -True
It is considered normal for the trachea to have a slight deviation to the
patient's right side - CORRECT ANSWER -True
,Emphysema is associated with barrel chest and absent fremitus. - CORRECT
ANSWER -True
Because their respiratory systems are not fully developed, the breath
sounds of young pediatric patients are often quieter, higher-pitched, and
more nasal than those of an adult. - CORRECT ANSWER -False
Which of the following is true of the cardiac cycle?
a. The ventricles are nearly emptied during the systole.
b. S1 and S2 are related to diastole; S3 and S4 are related to systole.
c. Atrial contraction occurs late in the systole.
d. During the diastole, the atria fill with blood. - CORRECT ANSWER -a. The
ventricles are nearly emptied during the systole.
Which of the following layers of cardiac muscle is the thin, outermost
protective layer of the heart?
a. Bronchocardium
b. Endocardium
c. Myocardium
d. Epicardium - CORRECT ANSWER -d. Epicardium
Which of the following waveforms on an ECG represents the wave of
depolarization?
a. P
b. PR
c. QRS complex
, d. ST segment - CORRECT ANSWER -a. P
The patient complains of chest pain that comes on when he vacuums the
house or mows the lawn. It comes in a fairly consistent pattern, usually
lasting about 1 minute. When he feels it, he drinks a glass of water, sits
quietly on the couch, and it typically goes away. What is the most likely type
of problem?
a. Anginal
b. Musculoskeletal
c. Pleural
d. Gastrointestinal - CORRECT ANSWER -a. Anginal
Calf tenderness and warmth, swelling and ankle edema, and an otherwise
unexplained fever are symptoms of what?
a. Congestive heart failure
b. Deep vein thrombosis
c. Arteriosclerosis
d. Obstructed cardiac valves - CORRECT ANSWER -b. Deep vein thrombosis
Which of the following examples of JVP activity is related to the tricuspid
opening normally?
a. The Y descent
b. Prominent V wave
c. Large A wave
d. C wave - CORRECT ANSWER -a. The Y descent
COMPREHENSIVE PRACTICE QUESTIONS
AND VERIFIED CORRECT ANSWERS
ADVANCED PATHOPHYSIOLOGY,
EVIDENCE BASED NURSING, CLINICAL
DECISION-MAKING, PATIENT CARE AND
NURSING FINAL EXAM STUDY GUIDE
GRADE A+ STUDY RESOURCE
What is the palpable vibration of the chest wall resulting from speech?
a. Fremitus
b. Thoracic expansion
c. Diaphragmatic excursion
d. Lordosis - CORRECT ANSWER -a. Fremitus
Which type of breath sound can be described as hollow and low-pitched?
a. Vesicular
b. Bronchovesicular
c. Bronchial
d. Amphoric - CORRECT ANSWER -d. Amphoric
,In the third trimester of pregnancy, a woman's costal angle is about how
many degrees greater than it typically was before pregnancy?
a. 35 degrees
b. 103 degrees
c. 45 degrees
d. 27 degrees - CORRECT ANSWER -a. 35 degrees
A pregnant patient's tidal volume typically changes by how much?
a. Decreases by 20%
b. Increases by 40%
c. Doubles
d. Is halved - CORRECT ANSWER -b. Increases by 40%
Respiration is a four-step process: two inhalation steps and two exhalation
steps. - CORRECT ANSWER -False
If sputum onset is acute, the cause is probably an infection. - CORRECT
ANSWER -True
Hepatitis, Marburg, yellow fever, cholera, and meningitis are all travel-
related diseases. - CORRECT ANSWER -True
It is considered normal for the trachea to have a slight deviation to the
patient's right side - CORRECT ANSWER -True
,Emphysema is associated with barrel chest and absent fremitus. - CORRECT
ANSWER -True
Because their respiratory systems are not fully developed, the breath
sounds of young pediatric patients are often quieter, higher-pitched, and
more nasal than those of an adult. - CORRECT ANSWER -False
Which of the following is true of the cardiac cycle?
a. The ventricles are nearly emptied during the systole.
b. S1 and S2 are related to diastole; S3 and S4 are related to systole.
c. Atrial contraction occurs late in the systole.
d. During the diastole, the atria fill with blood. - CORRECT ANSWER -a. The
ventricles are nearly emptied during the systole.
Which of the following layers of cardiac muscle is the thin, outermost
protective layer of the heart?
a. Bronchocardium
b. Endocardium
c. Myocardium
d. Epicardium - CORRECT ANSWER -d. Epicardium
Which of the following waveforms on an ECG represents the wave of
depolarization?
a. P
b. PR
c. QRS complex
, d. ST segment - CORRECT ANSWER -a. P
The patient complains of chest pain that comes on when he vacuums the
house or mows the lawn. It comes in a fairly consistent pattern, usually
lasting about 1 minute. When he feels it, he drinks a glass of water, sits
quietly on the couch, and it typically goes away. What is the most likely type
of problem?
a. Anginal
b. Musculoskeletal
c. Pleural
d. Gastrointestinal - CORRECT ANSWER -a. Anginal
Calf tenderness and warmth, swelling and ankle edema, and an otherwise
unexplained fever are symptoms of what?
a. Congestive heart failure
b. Deep vein thrombosis
c. Arteriosclerosis
d. Obstructed cardiac valves - CORRECT ANSWER -b. Deep vein thrombosis
Which of the following examples of JVP activity is related to the tricuspid
opening normally?
a. The Y descent
b. Prominent V wave
c. Large A wave
d. C wave - CORRECT ANSWER -a. The Y descent
