Health Assessment Exam 3 NSG3160
Questions With Complete Solutions
1. During a cardiac assessment, the nurse knows that the first heart sound (S1) is caused
by the:
a. Closure of the semilunar valves
b. Closure of the atrioventricular (AV) valves
c. Opening of the aortic valve
d. Filling of the ventricles
Answer: b
2. To auscultate the aortic valve area, the nurse should place the stethoscope at the:
a. Second right intercostal space at the upper right sternal border
b. Second left intercostal space at the upper left sternal border
c. Fifth intercostal space at the left midclavicular line
d. Fourth left intercostal space at the left lower sternal border
Answer: a
, 3. Which heart sound is considered a "ventricular gallop" and is often an early sign of
heart failure in older adults?
a. S1
b. S2
c. S3
d. S4
Answer: c
4. The apex of the heart is located at the:
a. Second intercostal space
b. Fifth intercostal space, left midclavicular line
c. Third intercostal space, right sternal border
d. Subxiphoid process
Answer: b
5. When assessing jugular venous distension (JVD), the patient should be positioned:
a. Flat on their back
b. Supine with the head of the bed at a 30–45 degree angle
c. Sitting upright at 90 degrees
d. Left lateral recumbent
Answer: b
6. A "bruit" heard during carotid artery auscultation indicates:
a. Normal blood flow
b. Turbulent blood flow, possibly due to narrowing (atherosclerosis)
c. Increased cardiac output
, d. Aortic stenosis
Answer: b
7. What are the modifiable risk factors for coronary artery disease (CAD)?
a. Age, gender, and family history
b. Smoking, obesity, hypertension, high cholesterol, and diabetes
c. Race, ethnicity, and socioeconomic status
d. Sedentary lifestyle only
Answer: b
8. A patient with peripheral artery disease (PAD) should avoid:
a. Exercise
b. Elevating the legs
c. Compression stockings
d. Smoking cessation
Answer: c
9. What does a pulse deficit indicate?
a. The radial pulse is stronger than the apical pulse
b. The apical pulse is greater than the radial pulse
c. Both pulses are equal
d. The radial pulse is irregular
Answer: b
Questions With Complete Solutions
1. During a cardiac assessment, the nurse knows that the first heart sound (S1) is caused
by the:
a. Closure of the semilunar valves
b. Closure of the atrioventricular (AV) valves
c. Opening of the aortic valve
d. Filling of the ventricles
Answer: b
2. To auscultate the aortic valve area, the nurse should place the stethoscope at the:
a. Second right intercostal space at the upper right sternal border
b. Second left intercostal space at the upper left sternal border
c. Fifth intercostal space at the left midclavicular line
d. Fourth left intercostal space at the left lower sternal border
Answer: a
, 3. Which heart sound is considered a "ventricular gallop" and is often an early sign of
heart failure in older adults?
a. S1
b. S2
c. S3
d. S4
Answer: c
4. The apex of the heart is located at the:
a. Second intercostal space
b. Fifth intercostal space, left midclavicular line
c. Third intercostal space, right sternal border
d. Subxiphoid process
Answer: b
5. When assessing jugular venous distension (JVD), the patient should be positioned:
a. Flat on their back
b. Supine with the head of the bed at a 30–45 degree angle
c. Sitting upright at 90 degrees
d. Left lateral recumbent
Answer: b
6. A "bruit" heard during carotid artery auscultation indicates:
a. Normal blood flow
b. Turbulent blood flow, possibly due to narrowing (atherosclerosis)
c. Increased cardiac output
, d. Aortic stenosis
Answer: b
7. What are the modifiable risk factors for coronary artery disease (CAD)?
a. Age, gender, and family history
b. Smoking, obesity, hypertension, high cholesterol, and diabetes
c. Race, ethnicity, and socioeconomic status
d. Sedentary lifestyle only
Answer: b
8. A patient with peripheral artery disease (PAD) should avoid:
a. Exercise
b. Elevating the legs
c. Compression stockings
d. Smoking cessation
Answer: c
9. What does a pulse deficit indicate?
a. The radial pulse is stronger than the apical pulse
b. The apical pulse is greater than the radial pulse
c. Both pulses are equal
d. The radial pulse is irregular
Answer: b
