NU 518 EXAM 2 AND PRACTICE EXAM NEWEST ACTUAL EXAM COMPLETE 400 QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) ALREADY GRADED A+.pdf

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NU 518 EXAM 2|| ACTUAL EXAM VERSION 1-
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3 WITH QUESTIONS AND 100% COORECT ANSWER
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S WITH RATIONALES ALREADY GRADED A+|| LAT
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EST AND CMPLETE UPDATE 2024-
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2025 WITH EXPERT SOLUTIONS|| ASSURED PASS
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The findings from an assessment of a 70-year-
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old patient with swelling in his ankles include jugular venous pulsations 5 cm abo
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ve the sternal angle when the head of his bed is elevated 45 degrees. The nurse kn
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ows that this finding indicates:
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a Decreased fluid volume.
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B Increased cardiac output.
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C Narrowing of jugular veins.
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D Elevated pressure related to heart failure. - ANSWER: D
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When assessing a newborn infant who is 5 minutes old, the nurse knows which of
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these statements to be true?
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A The left ventricle is larger and weighs more than the right ventricle.
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B The circulation of a newborn is identical to that of an adult.
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C Blood can flow into the left side of the heart through an opening in the atrial se
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ptum.
D The foramen ovale closes just minutes before birth, and the ductus arteriosus cl
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oses immediately after. - ANSWER: C
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A 25-year-
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old woman in her fifth month of pregnancy has a blood pressure of 100/70 mm H
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g. In reviewing her previous examination, the nurse notes that her blood pressure i
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n her second month was 124/80 mm Hg. In evaluating this change, what does the
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nurse know to be true?
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A This decline in blood pressure is the result of peripheral vasodilatation and is an
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expected change.
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B Because of increased cardiac output, the blood pressure should be higher at this
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time.
C This change in blood pressure is not an expected finding because it means a dec
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rease in cardiac output.
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D This decline in blood pressure means a decrease in circulating blood volume, w
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hich is dangerous for the fetus. - ANSWER: A
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In assessing a 70-year-
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old man, the nurse finds the following: blood pressure 140/100 mm Hg; heart rate
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104 beats per minute and slightly irregular; and the split S2 heart sound. Which of
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mthese findings can be explained by expected hemodynamic changes related to age
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?
A Increase in resting heart rate
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B Increase in systolic blood pressure
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C Decrease in diastolic blood pressure
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D Increase in diastolic blood pressure - ANSWER: B
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A 45-year-
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old man is in the clinic for a routine physical examination. During the recording o
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f his health history, the patient states that he has been having difficulty sleeping. Il
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l be sleeping great, and then I wake up and feel like I cant get my breath. The nurs
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es best response to this would be:
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a When was your last electrocardiogram?
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B Its probably because its been so hot at night.
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C Do you have any history of problems with your heart?
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D Have you had a recent sinus infection or upper respiratory infection? -
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ANSWER: C
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In assessing a patients major risk factors for heart disease, which would the nurse
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want to include when taking a history?
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A Family history, hypertension, stress, and age
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B Personality type, high cholesterol, diabetes, and smoking
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C Smoking, hypertension, obesity, diabetes, and high cholesterol
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D Alcohol consumption, obesity, diabetes, stress, and high cholesterol -
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ANSWER: C
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The mother of a 3-month-
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old infant states that her baby has not been gaining weight. With further questioni
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ng, the nurse finds that the infant falls asleep after nursing and wakes up after a sh
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ort time, hungry again. What other information would the nurse want to have?
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A Infants sleeping position
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B Sibling history of eating disorders
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C Amount of background noise when eating
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D Presence of dyspnea or diaphoresis when sucking - ANSWER: D
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In assessing the carotid arteries of an older patient with cardiovascular disease, the
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mnurse would: m



a Palpate the artery in the upper one third of the neck.
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B Listen with the bell of the stethoscope to assess for bruits.
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C Simultaneously palpate both arteries to compare amplitude.
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D Instruct the patient to take slow deep breaths during auscultation. -
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ANSWER: B
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During an assessment of a 68-year-old man with a recent onset of right-
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sided weakness, the nurse hears a blowing, swishing sound with the bell of the ste
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thoscope over the left carotid artery. This finding would indicate:
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a Valvular disorder.
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B Blood flow turbulence.
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C Fluid volume overload.
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D Ventricular hypertrophy. - ANSWER: B
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During an inspection of the precordium of an adult patient, the nurse notices the c
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hest moving in a forceful manner along the sternal border. This finding most likel
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y suggests a(n):
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a Normal heart.
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B Systolic murmur.
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C Enlargement of the left ventricle.
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D Enlargement of the right ventricle. - ANSWER: D
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During an assessment of a healthy adult, where would the nurse expect to palpate
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the apical impulse?
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A Third left intercostal space at the midclavicular line
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B Fourth left intercostal space at the sternal border
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C Fourth left intercostal space at the anterior axillary line
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D Fifth left intercostal space at the midclavicular line - ANSWER: D
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The nurse is examining a patient who has possible cardiac enlargement. Which sta
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tement about percussion of the heart is true?
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A Percussion is a useful tool for outlining the hearts borders.
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B Percussion is easier in patients who are obese.
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C Studies show that percussed cardiac borders do not correlate well with the true
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cardiac border.
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