Page 1 of 58
NSG 3160 Health Assessment Exam 3( 2025/2026)
with Questions and Correct Detailed Answers|
GRADED A+
1. Question:
1. What are the modifiable risks of CAD (coronary artery disease) ?
Answer:
Smoking, obesity, hypertension, high cholesterol, diabetes
2. Question:
2. Does pain always mean cardiac reasons? What should you ask if patient is experiencing chest
Answer:
NO - Is it sudden? What brings it on?
3. Question:
3. Signs of pulmonary embolism?
Answer:
Sharp, stabbing pain that worsens with deep breath
4. Question:
4. Signs of pneumonia?
Answer:
Sharp, stabbing, but associated with a cough
, Page 2 of 58
5. Question:
5. Signs of pneumothorax?
Answer:
Acute, sudden, sharp
6. Question:
6. Signs of GI-related?
Answer:
Burning sensation with eating large meals
7. Question:
7. What is S1 and what causes the sound?
Answer:
Start of systole and serves as a reference point for Oming of all cardiac sounds - Caused by the
closure of AV valves - LUB (apex)
8. Question:
8. What causes the sound of S2?
Answer:
Closure of the semilunar valves - DUB (base)
9. Question:
9. What are summation sounds?
Answer:
When both the pathological S3 and S4 are present then a quadruple rhythm is heard
, Page 3 of 58
10. Question:
10. What is a murmur?
Answer:
Occurs with turbulent blood flow in the heart - Blowing, swooshing sound
11. Question:
11. What is pericardial friction rub?
Answer:
Inflammation of the pericardium gives rise to friction rub - High pitched and scratchy, heard
with a diaphragm when a person is sitting up
12. Question:
12. What are the locations of the heart valves?
Answer:
Aortic: second right interspace -----Pulmonic: second left interspace-------- Erbs: third left
interspace----- Tricuspid: left lower sternal border ----- Mitral: Fifth interspace around the left
midclavicular line
13. Question:
13. What should you do when you hear a split S2 and when does it occur?
Answer:
Concentrate on the split as you watch the person's chest rise up and down with normal
breathing---Every fourth heartbeat fading in with inhalation and fading out with exhalation
14. Question:
14. What should you NOT do when hearing a split S2?
Answer:
, Page 4 of 58
DO NOT have the person hold their breath-- Breath-holding only equalizes ejection times in the
right and left sides of the heart and causes the split to go away.
15. Question:
15. What is a thrill?
Answer:
Palpable vibration, feels like the throat of a purring cat
16. Question:
16. What is a thrill caused by?
Answer:
Turbulent blood flow and directs you to locate the origin of loud murmurs
17. Question:
18. What is apical impulse and how to assess it?
Answer:
Palpate left of the sternal border down the midclavicular line between the 4th and 5th
intercoastal space.
18. Question:
19. What position should you have a patient in when estimating jugular venous pressure?
Answer:
45 degrees
19. Question:
20. How much exercise should you teach your patient?
Answer:
NSG 3160 Health Assessment Exam 3( 2025/2026)
with Questions and Correct Detailed Answers|
GRADED A+
1. Question:
1. What are the modifiable risks of CAD (coronary artery disease) ?
Answer:
Smoking, obesity, hypertension, high cholesterol, diabetes
2. Question:
2. Does pain always mean cardiac reasons? What should you ask if patient is experiencing chest
Answer:
NO - Is it sudden? What brings it on?
3. Question:
3. Signs of pulmonary embolism?
Answer:
Sharp, stabbing pain that worsens with deep breath
4. Question:
4. Signs of pneumonia?
Answer:
Sharp, stabbing, but associated with a cough
, Page 2 of 58
5. Question:
5. Signs of pneumothorax?
Answer:
Acute, sudden, sharp
6. Question:
6. Signs of GI-related?
Answer:
Burning sensation with eating large meals
7. Question:
7. What is S1 and what causes the sound?
Answer:
Start of systole and serves as a reference point for Oming of all cardiac sounds - Caused by the
closure of AV valves - LUB (apex)
8. Question:
8. What causes the sound of S2?
Answer:
Closure of the semilunar valves - DUB (base)
9. Question:
9. What are summation sounds?
Answer:
When both the pathological S3 and S4 are present then a quadruple rhythm is heard
, Page 3 of 58
10. Question:
10. What is a murmur?
Answer:
Occurs with turbulent blood flow in the heart - Blowing, swooshing sound
11. Question:
11. What is pericardial friction rub?
Answer:
Inflammation of the pericardium gives rise to friction rub - High pitched and scratchy, heard
with a diaphragm when a person is sitting up
12. Question:
12. What are the locations of the heart valves?
Answer:
Aortic: second right interspace -----Pulmonic: second left interspace-------- Erbs: third left
interspace----- Tricuspid: left lower sternal border ----- Mitral: Fifth interspace around the left
midclavicular line
13. Question:
13. What should you do when you hear a split S2 and when does it occur?
Answer:
Concentrate on the split as you watch the person's chest rise up and down with normal
breathing---Every fourth heartbeat fading in with inhalation and fading out with exhalation
14. Question:
14. What should you NOT do when hearing a split S2?
Answer:
, Page 4 of 58
DO NOT have the person hold their breath-- Breath-holding only equalizes ejection times in the
right and left sides of the heart and causes the split to go away.
15. Question:
15. What is a thrill?
Answer:
Palpable vibration, feels like the throat of a purring cat
16. Question:
16. What is a thrill caused by?
Answer:
Turbulent blood flow and directs you to locate the origin of loud murmurs
17. Question:
18. What is apical impulse and how to assess it?
Answer:
Palpate left of the sternal border down the midclavicular line between the 4th and 5th
intercoastal space.
18. Question:
19. What position should you have a patient in when estimating jugular venous pressure?
Answer:
45 degrees
19. Question:
20. How much exercise should you teach your patient?
Answer:
