NURSING 203 MIDTERM REVIEW EXAM
QUESTIONS AND ANSWERS GRADED A+
2026
The nurse is completing an assessment and prepares to obtain an apical pulse. The nurse knows
the apical pulse: - ANS Is located near the left fifth intercostal space
This heart wall layer has a tough, fibrous, double-walled sac surrounding and protecting the
heart - ANS pericardium
As the nurse was assessing the patients carotid artery with the bell of the stethoscope he
noticed a soft blowing sound. He knows: - ANS Turbulence is due to cardiovascular disease
When auscultating valves it is not beneficial to listen at the valves anatomical location but
instead the valve area. If I wanted to listen to the tricuspid valve I would listen: - ANS Left
lower sternal border
S1 is the start of __ and can best be heard at __ - ANS systole, apex
When assessing capillary refill the nurse notes that it took more than 2 seconds for the color to
return. This is an indication of: - ANS Shock
@COPYRIGHT 2026/2027 ALL RIGHTS RESERVED
1
, While assessing the radial pulse the nurse knows it is important to grade the ___on a 3pt scale -
ANS amplitude
The modified Allen's test is used to evaluate - ANS collateral circulation
The patient admitted for congestive heart failure has stated in her health history that she has
been experiencing edema in her lower extremities for the past week. The nurse assesses the
patient's calves and documents the edema as +3 pitting edema. +3 pitting edema is: -
ANS Deep pitting, indentation remains for a short time, leg is visibly swollen
The nurse is caring for a patient with very poor circulation. The nurse is trying to assess pedal
pulses with no success. The nurses next step would be to: - ANS Try to assess with a Doppler.
Bronchovescicular sounds are best heard over the major bronchi. Which of the following is NOT
accurate - ANS Inspiration is less than expiration
The nurse is beginning the thoracic assessment. the nurse knows the assessment should begin
with the: - ANS Posterior.
The nurse is assessing symmetrical chest expansion on a patient who is complaining of a cough.
When the patient takes a deep breath the expansion is unequal. This may be a result of: -
ANS atelectasis OR pneumonia OR trauma
The nurse is palpating the posterior chest by using tactile fremitus. The nurse asks the patient to
repeat the phrase "ninety-nine" over and over while palpating with the ball of her hand. The
main reason for tactile fremitus assessment is to: - ANS assess for symmetrical vibrations.
@COPYRIGHT 2026/2027 ALL RIGHTS RESERVED
2
QUESTIONS AND ANSWERS GRADED A+
2026
The nurse is completing an assessment and prepares to obtain an apical pulse. The nurse knows
the apical pulse: - ANS Is located near the left fifth intercostal space
This heart wall layer has a tough, fibrous, double-walled sac surrounding and protecting the
heart - ANS pericardium
As the nurse was assessing the patients carotid artery with the bell of the stethoscope he
noticed a soft blowing sound. He knows: - ANS Turbulence is due to cardiovascular disease
When auscultating valves it is not beneficial to listen at the valves anatomical location but
instead the valve area. If I wanted to listen to the tricuspid valve I would listen: - ANS Left
lower sternal border
S1 is the start of __ and can best be heard at __ - ANS systole, apex
When assessing capillary refill the nurse notes that it took more than 2 seconds for the color to
return. This is an indication of: - ANS Shock
@COPYRIGHT 2026/2027 ALL RIGHTS RESERVED
1
, While assessing the radial pulse the nurse knows it is important to grade the ___on a 3pt scale -
ANS amplitude
The modified Allen's test is used to evaluate - ANS collateral circulation
The patient admitted for congestive heart failure has stated in her health history that she has
been experiencing edema in her lower extremities for the past week. The nurse assesses the
patient's calves and documents the edema as +3 pitting edema. +3 pitting edema is: -
ANS Deep pitting, indentation remains for a short time, leg is visibly swollen
The nurse is caring for a patient with very poor circulation. The nurse is trying to assess pedal
pulses with no success. The nurses next step would be to: - ANS Try to assess with a Doppler.
Bronchovescicular sounds are best heard over the major bronchi. Which of the following is NOT
accurate - ANS Inspiration is less than expiration
The nurse is beginning the thoracic assessment. the nurse knows the assessment should begin
with the: - ANS Posterior.
The nurse is assessing symmetrical chest expansion on a patient who is complaining of a cough.
When the patient takes a deep breath the expansion is unequal. This may be a result of: -
ANS atelectasis OR pneumonia OR trauma
The nurse is palpating the posterior chest by using tactile fremitus. The nurse asks the patient to
repeat the phrase "ninety-nine" over and over while palpating with the ball of her hand. The
main reason for tactile fremitus assessment is to: - ANS assess for symmetrical vibrations.
@COPYRIGHT 2026/2027 ALL RIGHTS RESERVED
2
