Correct Answers 2026-2027
A nurse is preparing to conduct a cardiovascular assessment on a client. Which of the following
actions should the nurse plan to take? - correct answer -auscultate the apical pulse
Ask the client if they experience shortness of breath
Check the color of the client's skin
Inspect the extremities for the presence of edema
A nurse is auscultating heart sounds. Identify the location where the apical pulse is auscultated -
correct answer -d, under the left nipple
A nurse is completing a medical history on a client. Which of the following findings indicates the
client has a family history of cardiovascular disease? - correct answer -sibling who has htn
A nurse is auscultating a client's heart sounds. Place the nursing actions for auscultation of the heart
XC XC XC XC XC XC XC XC XC XC XC XC XC XC XC XC X
in the correct order. - correct answer -
C XC XC XC XC XC XC XC
1.elevate the head of the bed 30 degrees and instruct the client to breath normally 2. Visualize the
XC XC XC XC XC XC XC XC XC XC XC XC XC XC XC XC XC X
anatomy of the heart 3. Place the
C XC XC XC XC XC XC
stethoscope to the right sternal border at the 2nd intercostal space 4. Place the stethoscope close t
XC XC XC XC XC XC XC XC XC XC XC XC XC XC XC XC
o the sternal border at the 4th intercostal space 5. Auscultate the apical pulse for 1 minute
XC XC XC XC XC XC XC XC XC XC XC XC XC XC XC XC
A nurse is preparing to perform a cardiovascular assessment on a client. The client asks "why do you
XC XC XC XC XC XC XC XC XC XC XC XC XC XC XC XC XC XC
need to use a penlight" which of the following responses should the nurse make? -
XC XC XC XC XC XC XC XC XC XC XC XC XC XC
correct answer -the penlight will allow me to look at the pulses in your neck
XC XC XC XC XC XC XC XC XC XC XC XC XC XC XC
A nurse is auscultating heart sounds in a group of clients. Which of the following should the nurse i
XC XC XC XC XC XC XC XC XC XC XC XC XC XC XC XC XC XC
dentify as an expected variation? - correct answer -an adolescent who has an s3 heart sound
XC XC XC XC XC XC XC XC XC XC XC XC XC XC XC