Week 4: NR 509/ NR509 Advanced Physical
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Assessment |Questions with Verified Answers i,- i,- i,- i,- i,-
| Latest 2025/2026- Chamberlain.
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The findings from an assessment of a 70-year-old patient with
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swelling in his ankles include jugular venous pulsations 5 cm
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above the sternal angle when the head of his bed is elevated 45
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degrees. The nurse knows 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.
i,- i,- i,- i,- i,- i,- i,-i,- i,- d. Elevated
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pressure related to heart failure.
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When assessing a newborn infant who is 5 minutes old, the nurse
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knows which of these statements to be true?
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a. The left ventricle is larger and weighs more than the right
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ventricle.
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
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opening in the atrial septum.i,- i,- i,- i,-
,d... The foramen ovale closes just minutes before birth, and the
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
ductus arteriosus closes immediately after.
i,- c. Blood can flow i,- i,- i,- i,-i,- i,- i,- i,- i,- i,-
into the left side of the heart through an opening in the atrial
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septum.
A 25-year-old woman in her fifth month of pregnancy has a
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blood pressure of 100/70 mm Hg. In reviewing her previous
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
examination, the nurse notes that her blood pressure in her i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
second month was 124/80 mm Hg. In evaluating this change,
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what does the nurse know to be true?
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a. This decline in blood pressure is the result of peripheral
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
vasodilatation and is an expected change. i,- i,- i,- i,- i,-
b. Because of increased cardiac output, the blood pressure should
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be higher at this time.
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c. This change in blood pressure is not an expected finding
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because it means a decrease in cardiac output.
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d. This decline in blood pressure means a decrease in circulating
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blood volume, which is dangerous for the fetus.
i,- a. This i,- i,- i,- i,- i,- i,- i,-i,- i,- i,- i,-
decline in blood pressure is the result of peripheral vasodilatation
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and is an expected change.
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In assessing a 70-year-old man, the nurse finds the following:
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blood pressure 140/100 mm Hg; heart rate 104 beats per minute
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and slightly irregular; and the split S2 heart sound. Which of these
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,findings can be explained by expected hemodynamic changes
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related to age? i,- i,-
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
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blood pressure i,-
A 45-year-old man is in the clinic for a routine physical
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examination. During the recording of his health history, the i,- i,- i,- i,- i,- i,- i,- i,- i,-
patient states that he has been having difficulty sleeping. "I'll be
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sleeping great, and then I wake up and feel like I can't get my
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breath." The nurse's best response to this would be:
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a. "When was your last electrocardiogram?"
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b. "It's probably because it's 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
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infection?" c. "Do you have any history of problems with your
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heart?"
The sac that surrounds and protects the heart is called the:
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a. Pericardium.
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b. Myocardium.
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, c. Endocardium.
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d. Pleural space.
i,- i,- i,-i,- i,- a. Pericardium.
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The direction of blood flow through the heart is best described
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by which of these?
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a. Vena cava - right atrium - right ventricle - lungs - pulmonary
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artery - left atrium - left ventricle
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b. Right atrium - right ventricle - pulmonary artery - lungs -
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pulmonary vein - left atrium - left ventricle i,- i,- i,- i,- i,- i,- i,-
c. Aorta - right atrium - right ventricle - lungs - pulmonary vein -
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left atrium - left ventricle - vena cava
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d. Right atrium - right ventricle - pulmonary vein - lungs -
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pulmonary artery - left atrium - left ventricle b. Right atrium - i,- i,- i,- i,- i,- i,- i,- i,-i,- i,- i,- i,- i,- i,-
right ventricle - pulmonary artery - lungs - pulmonary vein - left
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atrium - left ventricle i,- i,- i,-
The nurse is reviewing the anatomy and physiologic functioning
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of the heart. Which statement best describes what is meant by
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atrial kick? i,-
a. The atria contract during systole and attempt to push against
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closed valves. i,-
b. Contraction of the atria at the beginning of diastole can be felt
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as a palpitation.
i,- i,-
i,- i,- i,- i,- i,- i,- i,-
Assessment |Questions with Verified Answers i,- i,- i,- i,- i,-
| Latest 2025/2026- Chamberlain.
i,- i,- i,-
The findings from an assessment of a 70-year-old patient with
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
swelling in his ankles include jugular venous pulsations 5 cm
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
above the sternal angle when the head of his bed is elevated 45
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
degrees. The nurse knows that this finding indicates:
i,- i,- i,- i,- i,- i,- i,-
a. Decreased fluid volume.
i,- i,- i,-
b... Increased cardiac output.
i,- i,- i,-
c. Narrowing of jugular veins.
i,- i,- i,- i,-
d. Elevated pressure related to heart failure.
i,- i,- i,- i,- i,- i,- i,-i,- i,- d. Elevated
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pressure related to heart failure.
i,- i,- i,- i,-
When assessing a newborn infant who is 5 minutes old, the nurse
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
knows which of these statements to be true?
i,- i,- i,- i,- i,- i,- i,-
a. The left ventricle is larger and weighs more than the right
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
ventricle.
b. The circulation of a newborn is identical to that of an adult.
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
c. Blood can flow into the left side of the heart through an
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
opening in the atrial septum.i,- i,- i,- i,-
,d... The foramen ovale closes just minutes before birth, and the
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
ductus arteriosus closes immediately after.
i,- c. Blood can flow i,- i,- i,- i,-i,- i,- i,- i,- i,- i,-
into the left side of the heart through an opening in the atrial
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
septum.
A 25-year-old woman in her fifth month of pregnancy has a
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
blood pressure of 100/70 mm Hg. In reviewing her previous
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
examination, the nurse notes that her blood pressure in her i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
second month was 124/80 mm Hg. In evaluating this change,
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
what does the nurse know to be true?
i,- i,- i,- i,- i,- i,- i,-
a. This decline in blood pressure is the result of peripheral
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
vasodilatation and is an expected change. i,- i,- i,- i,- i,-
b. Because of increased cardiac output, the blood pressure should
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
be higher at this time.
i,- i,- i,- i,-
c. This change in blood pressure is not an expected finding
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
because it means a decrease in cardiac output.
i,- i,- i,- i,- i,- i,- i,-
d. This decline in blood pressure means a decrease in circulating
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
blood volume, which is dangerous for the fetus.
i,- a. This i,- i,- i,- i,- i,- i,- i,-i,- i,- i,- i,-
decline in blood pressure is the result of peripheral vasodilatation
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
and is an expected change.
i,- i,- i,- i,-
In assessing a 70-year-old man, the nurse finds the following:
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
blood pressure 140/100 mm Hg; heart rate 104 beats per minute
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
and slightly irregular; and the split S2 heart sound. Which of these
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
,findings can be explained by expected hemodynamic changes
i,- i,- i,- i,- i,- i,- i,- i,-
related to age? i,- i,-
a. Increase in resting heart rate
i,- i,- i,- i,- i,-
b. Increase in systolic blood pressure
i,- i,- i,- i,- i,-
c. Decrease in diastolic blood pressure
i,- i,- i,- i,- i,-
d... Increase in diastolic blood pressure
i,- i,- i,- i,- i,- i,-i,- i,- b. Increase in systolic
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blood pressure i,-
A 45-year-old man is in the clinic for a routine physical
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
examination. During the recording of his health history, the i,- i,- i,- i,- i,- i,- i,- i,- i,-
patient states that he has been having difficulty sleeping. "I'll be
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
sleeping great, and then I wake up and feel like I can't get my
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
breath." The nurse's best response to this would be:
i,- i,- i,- i,- i,- i,- i,- i,-
a. "When was your last electrocardiogram?"
i,- i,- i,- i,- i,-
b. "It's probably because it's been so hot at night."
i,- i,- i,- i,- i,- i,- i,- i,- i,-
c. "Do you have any history of problems with your heart?"
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
d. "Have you had a recent sinus infection or upper respiratory
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
infection?" c. "Do you have any history of problems with your
i,-i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
heart?"
The sac that surrounds and protects the heart is called the:
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
a. Pericardium.
i,-
b. Myocardium.
i,-
, c. Endocardium.
i,-
d. Pleural space.
i,- i,- i,-i,- i,- a. Pericardium.
i,-
The direction of blood flow through the heart is best described
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
by which of these?
i,- i,- i,-
a. Vena cava - right atrium - right ventricle - lungs - pulmonary
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
artery - left atrium - left ventricle
i,- i,- i,- i,- i,- i,-
b. Right atrium - right ventricle - pulmonary artery - lungs -
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
pulmonary vein - left atrium - left ventricle i,- i,- i,- i,- i,- i,- i,-
c. Aorta - right atrium - right ventricle - lungs - pulmonary vein -
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left atrium - left ventricle - vena cava
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d. Right atrium - right ventricle - pulmonary vein - lungs -
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pulmonary artery - left atrium - left ventricle b. Right atrium - i,- i,- i,- i,- i,- i,- i,- i,-i,- i,- i,- i,- i,- i,-
right ventricle - pulmonary artery - lungs - pulmonary vein - left
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
atrium - left ventricle i,- i,- i,-
The nurse is reviewing the anatomy and physiologic functioning
i,- i,- i,- i,- i,- i,- i,- i,- i,-
of the heart. Which statement best describes what is meant by
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
atrial kick? i,-
a. The atria contract during systole and attempt to push against
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
closed valves. i,-
b. Contraction of the atria at the beginning of diastole can be felt
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
as a palpitation.
i,- i,-
