FINAL 2026 TEST PAPER QUESTIONS
SOLUTIONS GRADED A+
◉ Auscultation of Pulmonic Area Answer: 2nd intercostal space
◉ what differentiates a split s2 from s3 Answer: S3 is lower pitched
and is heard at the apex
◉ assessment to rule out pericardial friction rub Answer: listen with
diaphragm, patient sitting up and leaning forward, holding breath in
expiration
◉ First step in auscultating the heart Answer: identify S1 and S2
◉ You will hear a split S2 most clearly in which area? Answer:
pulmonic
◉ bell should be pressed lightly against skin so that Answer: is does
not act as a diaphragm
◉ A murmur heard after S1 and before S2 is classified as: Answer:
systolic, possibly benign
,◉ Assessment of carotid artery Answer: palpate medial to
sternomastoid muscle, one side at a time
◉ S1 is best heard at the _____ of the heart, whereas S2 is loudest at
the _____ of the heart. S1 coincides with the pulse in the _____ and
coincides with the ______ wave if the patient is on an ECG monitor.
Answer: S1 heard at apex, S2 at base, S1 pulse coinsides with carotid
artery and R wave
◉ tough, fibrous, double-walled sac that surrounds and protects the
heart Answer: pericardium
◉ thin layer of endothelial tissue that lines the inner surface of the
heart chambers and valves Answer: endocardium
◉ reservoir for holding blood Answer: atrium
◉ ensures smooth, friction-free movement of the heart muscle
Answer: pericardial fluid
◉ Muscular pumping chamber Answer: ventricle
◉ muscular wall of heart Answer: myocardium
,◉ Biomedical model Answer: the Western European/North
American tradition that views health as the absence of disease
◉ The concept of health and healing has evolved in recent years.
Which is the best description of health? Answer: Health depends on
an interaction of mind, body, and spirit within the environment
◉ What would be included in a database for a new patient
admission to surgical unit? Answer: All subjective and objective data,
data gathered from patient, and results of any labs or imagine
◉ You are reviewing assessment data of a 45 year old male patient
and note pain of 8/10, labored breathing and pale. This
documentation is an example of Answer: data cluster
◉ A patient is in the emergency department with nausea and
vomiting. Which would you include in the database? Answer: A diet
and GI history
◉ A patient has recently received health insurance and would like to
know how often to see his provider. How do you respond? Answer:
Your visits may very, depending on your level of wellness
, ◉ You are reviewing concepts related to steps in the nursing process
for determining prioritization and developing patient outcomes. To
what are these actions attributed? Answer: planning
◉ Which best describes evidence based practice? Answer:
Combining clinical expertise with the use of nursing research to
provide the best care for patients while considering the patient's
values and circumstances
◉ What can be determined when the nurse clusters data as part of
the critical-thinking process? Answer: The nurse recognizes relevant
information among the data
◉ A patient says she is very nervous and nauseated, and she feels as
if she will vomit. This is what type of data? Answer: Subjective
◉ The expert nurse differs from the novice nurse by acting without
consciously thinking about the actions. This is referred to as Answer:
intuition
◉ Which would be considered a risk diagnosis? Answer: Identifying
potential problems the individual may develop
◉ Which would be included in a holistic model of assessment?
Answer: A patient's perception of his or her health status