NSG 3160 EXAM 3 |2025-2026 LATEST UPDATED| 160 REAL EXAM AND
COMPLETE QUESTIONS AND ANSWERS | 100% RATED CORRECT | 100%
VERFIED | ALREADY GRADED A+
1. The nurse is assessing heart sounds and hears a murmur at the
second intercostal space, right sternal border during systole. Which heart
valve is most likely affected? A. Mitral valve
B. Tricuspid valve
C. Aortic valve
D. Pulmonic valve: C. Aortic valve
Rationale: The aortic valve is best auscultated at the second intercostal space, right
sternal border. A murmur heard in this area during systole suggests aortic stenosis,
a condition where the aortic valve does not fully open, restricting blood flow from
the left ventricle to the aorta.
2. A patient with mitral valve stenosis is most likely to develop which
complication?
A. Right ventricular hypertrophy
B. Left ventricular hypertrophy
C. Pulmonary congestion
,D. Decreased right atrial pressure: C. Pulmonary congestion
Rationale: Mitral stenosis causes increased pressure in the left atrium, leading to
pulmonary hypertension and congestion as blood backs up into the lungs. This
can result in symptoms such as dyspnea and orthopnea.
3. A patient is diagnosed with tricuspid regurgitation. Which of the following
symptoms would the nurse expect to find?
A. Pulmonary edema
B. Peripheral edema
C. Decreased jugular venous pressure
D. Bounding carotid pulse: B. Peripheral edema
Rationale: Tricuspid regurgitation causes blood to back up into the right atrium and
venous system, leading to peripheral edema, ascites, and jugular vein distension.
It does not cause pulmonary edema because it affects the right heart, not the left.
4. During cardiac auscultation, the nurse hears a diastolic murmur at the
second intercostal space, left sternal border. Which valve disorder is most
likely?
A. Aortic regurgitation
B. Pulmonic stenosis
C. Mitral stenosis
,D. Tricuspid stenosis: A. Aortic regurgitation
Rationale: Aortic regurgitation causes a diastolic murmur heard best at the second
intercostal space, left sternal border due to backflow of blood from the aorta into the
left ventricle during diastole.
5. Which valve disorder is most commonly associated with rheumatic heart
disease?
A. Aortic stenosis
B. Mitral stenosis
C. Pulmonic regurgitation
D. Tricuspid regurgitation: B. Mitral stenosis
Rationale: Mitral stenosis is the most common valvular complication of rheumatic
heart disease, leading to thickening and narrowing of the mitral valve, impeding
blood flow from the left atrium to the left ventricle.
6. The nurse is assessing a patient with pulmonary valve stenosis.
Which finding would be expected? A. Increased right atrial pressure
B. Bounding pulses
C. Hypertension
D. Widened pulse pressure: A. Increased right atrial pressure
, Rationale: Pulmonic stenosis causes right ventricular hypertrophy and increased
right atrial pressure, leading to jugular vein distension (JVD), hepatomegaly, and
peripheral
7. A patient with aortic stenosis is at risk for which complication?
A. Left ventricular hypertrophy
B. Right ventricular hypertrophy
C. Increased cardiac output
D. Bradycardia: A. Left ventricular hypertrophy
Rationale: Aortic stenosis causes increased resistance to left ventricular outflow,
resulting in left ventricular hypertrophy as the heart works harder to pump blood
through the stenotic valve.
8. A nurse is educating a patient with mitral valve prolapse. Which statement
by the patient indicates a need for further teaching?
A. "I should avoid caffeine and alcohol."
B. "I need antibiotics before every dental procedure."
C. "I might experience palpitations and dizziness."
D. "My condition may be associated with a mid-systolic click.": B. "I need
antibiotics before every dental procedure."
COMPLETE QUESTIONS AND ANSWERS | 100% RATED CORRECT | 100%
VERFIED | ALREADY GRADED A+
1. The nurse is assessing heart sounds and hears a murmur at the
second intercostal space, right sternal border during systole. Which heart
valve is most likely affected? A. Mitral valve
B. Tricuspid valve
C. Aortic valve
D. Pulmonic valve: C. Aortic valve
Rationale: The aortic valve is best auscultated at the second intercostal space, right
sternal border. A murmur heard in this area during systole suggests aortic stenosis,
a condition where the aortic valve does not fully open, restricting blood flow from
the left ventricle to the aorta.
2. A patient with mitral valve stenosis is most likely to develop which
complication?
A. Right ventricular hypertrophy
B. Left ventricular hypertrophy
C. Pulmonary congestion
,D. Decreased right atrial pressure: C. Pulmonary congestion
Rationale: Mitral stenosis causes increased pressure in the left atrium, leading to
pulmonary hypertension and congestion as blood backs up into the lungs. This
can result in symptoms such as dyspnea and orthopnea.
3. A patient is diagnosed with tricuspid regurgitation. Which of the following
symptoms would the nurse expect to find?
A. Pulmonary edema
B. Peripheral edema
C. Decreased jugular venous pressure
D. Bounding carotid pulse: B. Peripheral edema
Rationale: Tricuspid regurgitation causes blood to back up into the right atrium and
venous system, leading to peripheral edema, ascites, and jugular vein distension.
It does not cause pulmonary edema because it affects the right heart, not the left.
4. During cardiac auscultation, the nurse hears a diastolic murmur at the
second intercostal space, left sternal border. Which valve disorder is most
likely?
A. Aortic regurgitation
B. Pulmonic stenosis
C. Mitral stenosis
,D. Tricuspid stenosis: A. Aortic regurgitation
Rationale: Aortic regurgitation causes a diastolic murmur heard best at the second
intercostal space, left sternal border due to backflow of blood from the aorta into the
left ventricle during diastole.
5. Which valve disorder is most commonly associated with rheumatic heart
disease?
A. Aortic stenosis
B. Mitral stenosis
C. Pulmonic regurgitation
D. Tricuspid regurgitation: B. Mitral stenosis
Rationale: Mitral stenosis is the most common valvular complication of rheumatic
heart disease, leading to thickening and narrowing of the mitral valve, impeding
blood flow from the left atrium to the left ventricle.
6. The nurse is assessing a patient with pulmonary valve stenosis.
Which finding would be expected? A. Increased right atrial pressure
B. Bounding pulses
C. Hypertension
D. Widened pulse pressure: A. Increased right atrial pressure
, Rationale: Pulmonic stenosis causes right ventricular hypertrophy and increased
right atrial pressure, leading to jugular vein distension (JVD), hepatomegaly, and
peripheral
7. A patient with aortic stenosis is at risk for which complication?
A. Left ventricular hypertrophy
B. Right ventricular hypertrophy
C. Increased cardiac output
D. Bradycardia: A. Left ventricular hypertrophy
Rationale: Aortic stenosis causes increased resistance to left ventricular outflow,
resulting in left ventricular hypertrophy as the heart works harder to pump blood
through the stenotic valve.
8. A nurse is educating a patient with mitral valve prolapse. Which statement
by the patient indicates a need for further teaching?
A. "I should avoid caffeine and alcohol."
B. "I need antibiotics before every dental procedure."
C. "I might experience palpitations and dizziness."
D. "My condition may be associated with a mid-systolic click.": B. "I need
antibiotics before every dental procedure."
