NUR 3065 (EXAM 2) 2025/2026
QUESTIONS AND ANSWERS 100% PASS
What auscultating a client's heart sounds, the nurse hears a louder s2 when listening at the 2nd
intercostal space right sternal border. The nurse determines that is finding is consistent with the
closure of which heart valves? - ANS Aortic and pulmonic
The second heart sound, "dub" or S2, is caused by the closure of the aortic and pulmonic valves,
marking the end of systole.
A nurse provides prevention strategies to a group of clients who are identified as at risk for
hypertension. Which strategies should the nurse include? - ANS Walk briskly 30 minutes per
day.
Choose foods like bananas and sweet potatoes. Use a low sodium seasoning to flavor food.
Which nursing assessment finding supports the diagnosis of chronic arterial insufficiency? -
ANS Cool foot temperature and ulceration on the client's great toe
Pigmentation, medial ankle ulceration, and thickened, scarred skin are associated with venous
insufficiency, while low temperature and toe ulceration are more commonly found in cases of
arterial insufficiency.
When a patient is obese or has a thick chest wall, what is difficult to palpate? - ANS Apical
Pulse
1 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
, First attempt to palpate the apical pulse should be in supine position. If unable to feel it, place
the patient in the left lateral position.
What is the correct sequence of the cardiac examination? - ANS Inspect the pericardium,
palpate pulses, then auscultation ( listen at the 2nd intercostal space.
A nurse is palpating a patient's leg bilaterally with the back of her hands and notes that one leg
is colder than the other. The nurse knows that this may indicate which of the following? -
ANS Inadequate arterial circulation
The nurse is assessing the jugular venous pressure (JVP) on a patient and notices that it
measures at 9cm from the sternal angle. The nurse knows that this may indicate which of the
following? - ANS Right ventricular failure
RVF occurs when the right ventricle fails to maintain enough blood flow to the pulmonary
circulation, and blood begins backing up into the periphery. This would cause a bounding, or
elevated JVP.
When a nurse is assessing the carotid pulse of a patient, the patient's head of bed should be
elevated at 30 degrees - ANS True
The nurse knows to listen for the S1 and S2 heart sounds in the supine position. However, if a
nurse suspects mitral stenosis, he/she should position the patient in which position to
emphasize extra heart sounds? - ANS Left lateral position
(Place the bell of your stethoscope lightly on the apical impulse)
The nurse is performing the Allen test on a patient to compare the patency of the ulnar and
radial arteries. After compressing both arteries and releasing pressure over the ulnar artery, the
nurse notes continued pallor of the hand. The nurse knows that this indicates which of the
following? - ANS Occlusion of the ulnar artery
(Remember that the radial artery continues to be compressed by the nurse.)
2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
QUESTIONS AND ANSWERS 100% PASS
What auscultating a client's heart sounds, the nurse hears a louder s2 when listening at the 2nd
intercostal space right sternal border. The nurse determines that is finding is consistent with the
closure of which heart valves? - ANS Aortic and pulmonic
The second heart sound, "dub" or S2, is caused by the closure of the aortic and pulmonic valves,
marking the end of systole.
A nurse provides prevention strategies to a group of clients who are identified as at risk for
hypertension. Which strategies should the nurse include? - ANS Walk briskly 30 minutes per
day.
Choose foods like bananas and sweet potatoes. Use a low sodium seasoning to flavor food.
Which nursing assessment finding supports the diagnosis of chronic arterial insufficiency? -
ANS Cool foot temperature and ulceration on the client's great toe
Pigmentation, medial ankle ulceration, and thickened, scarred skin are associated with venous
insufficiency, while low temperature and toe ulceration are more commonly found in cases of
arterial insufficiency.
When a patient is obese or has a thick chest wall, what is difficult to palpate? - ANS Apical
Pulse
1 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
, First attempt to palpate the apical pulse should be in supine position. If unable to feel it, place
the patient in the left lateral position.
What is the correct sequence of the cardiac examination? - ANS Inspect the pericardium,
palpate pulses, then auscultation ( listen at the 2nd intercostal space.
A nurse is palpating a patient's leg bilaterally with the back of her hands and notes that one leg
is colder than the other. The nurse knows that this may indicate which of the following? -
ANS Inadequate arterial circulation
The nurse is assessing the jugular venous pressure (JVP) on a patient and notices that it
measures at 9cm from the sternal angle. The nurse knows that this may indicate which of the
following? - ANS Right ventricular failure
RVF occurs when the right ventricle fails to maintain enough blood flow to the pulmonary
circulation, and blood begins backing up into the periphery. This would cause a bounding, or
elevated JVP.
When a nurse is assessing the carotid pulse of a patient, the patient's head of bed should be
elevated at 30 degrees - ANS True
The nurse knows to listen for the S1 and S2 heart sounds in the supine position. However, if a
nurse suspects mitral stenosis, he/she should position the patient in which position to
emphasize extra heart sounds? - ANS Left lateral position
(Place the bell of your stethoscope lightly on the apical impulse)
The nurse is performing the Allen test on a patient to compare the patency of the ulnar and
radial arteries. After compressing both arteries and releasing pressure over the ulnar artery, the
nurse notes continued pallor of the hand. The nurse knows that this indicates which of the
following? - ANS Occlusion of the ulnar artery
(Remember that the radial artery continues to be compressed by the nurse.)
2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
