NURS 203 MIDTERM EXAM COMPREHENSIVE
SCRIPT 2026 QUESTIONS AND ANSWERS
GUARANTEED TO PASS
◉ C. Answer: The electrical stimulus of the cardiac cycle follows
which sequence?
A.AV node -> SA node -> bundle of His -> Bundle branches
B.Bundle of His -> Bundle branches -> AV node ->SA node
C.SA node -> AV node -> Bundle of His -> Bundle branches
D.AV node -> SA node -> Bundle of His -> Bundle branche
◉ A. Answer: In performing auscultation of heart sounds, which
sequence should the nurse use?
A.Aortic area -> pulmonic area -> erbs point -> tricuspid area ->
mitral area
B.Pulmonic area - >erbs point -> tricuspid area -> pulmonic area ->
mitral area.
C.Aortic area -> tricuspid area -> erbs point-mitral area -> pulmonic
area.
D.Pulmonic area -> aortic area -> erbs point -> tricuspid area ->
mitral area.
,◉ A. Answer: An assessment of a 70-year-old male reveals ankle
edema and jugular venous pulsations 5 cm above the sternal angle
with the head of bed elevated 45 degrees. What would this indicate?
A.Right heart failure
B.Left side heart failure
C.narrowing of jugular veins
D.increased cardiac output
◉ B. Answer: Closure of the semi-lunar valves produces which heart
sound?
A.S1
B.S2
C.S3
D.S4
◉ D. Answer: Inspection of the precordium of an adult client, reveals
the chest moving in a forceful manner along the 4th & 5th left
intercostal space at the midclavicular line. This most likely suggests:
A.A thrill.
B.a normal heart.
C.a systolic murmur.
D.A heave.
,◉ E. Answer: The S3 and S4 sounds are produced by
A.the mitral valve
B.the mitral and tricuspid valves
C.the semi-lunar valves
D.a hole between the ventricles
E.stiff, non-elastic ventricles
◉ B. Answer: The vital signs of a 70-year-old client with a history of
hypertension are: BP 180/100 and HR 80. You hear an extra heart
sound at the apex immediately before S1. You can only hear it with
the bell while client is in left lateral position. With these findings and
the client's history, what would this extra heart sound most likely
be?
A.S3
B.S4
C.split S2
D.diastolic murmur
◉ B. Answer: When assessing a normal adult, the apical impulse
would be palpated at the
A.Third left intercostal space at the midclavicular line.
B.Fifth left intercostal space at the midclavicular line.
C.Fourth left intercostal space at the sternal border.
, D.Fourth left intercostal space at the anterior axillary line.
◉ D. Answer: The valve closures that can BEST be heard at the base
of the heart are:
A.Mitral, tricuspid
B.Mitral, pulmonic
C.Tricuspid, aortic
D.Aortic, pulmonic
◉ A. Answer: In assessing for an S3, which technique would you use?
A.Listen with bell of stethoscope at apex with patient in left lateral
position.
B.Listen with bell of stethoscope at base with patient leaning
forward.
C.Listen with diaphragm in aortic area with patient sitting.
D.Listen with bell of stethoscope in pulmonic area with patient
supine.
◉ A. Answer: Mr. Smith has mitral valve regurgitation. When in the
cardiac cycle should the nurse expect to hear a murmur?
A.systole
B.diastole
SCRIPT 2026 QUESTIONS AND ANSWERS
GUARANTEED TO PASS
◉ C. Answer: The electrical stimulus of the cardiac cycle follows
which sequence?
A.AV node -> SA node -> bundle of His -> Bundle branches
B.Bundle of His -> Bundle branches -> AV node ->SA node
C.SA node -> AV node -> Bundle of His -> Bundle branches
D.AV node -> SA node -> Bundle of His -> Bundle branche
◉ A. Answer: In performing auscultation of heart sounds, which
sequence should the nurse use?
A.Aortic area -> pulmonic area -> erbs point -> tricuspid area ->
mitral area
B.Pulmonic area - >erbs point -> tricuspid area -> pulmonic area ->
mitral area.
C.Aortic area -> tricuspid area -> erbs point-mitral area -> pulmonic
area.
D.Pulmonic area -> aortic area -> erbs point -> tricuspid area ->
mitral area.
,◉ A. Answer: An assessment of a 70-year-old male reveals ankle
edema and jugular venous pulsations 5 cm above the sternal angle
with the head of bed elevated 45 degrees. What would this indicate?
A.Right heart failure
B.Left side heart failure
C.narrowing of jugular veins
D.increased cardiac output
◉ B. Answer: Closure of the semi-lunar valves produces which heart
sound?
A.S1
B.S2
C.S3
D.S4
◉ D. Answer: Inspection of the precordium of an adult client, reveals
the chest moving in a forceful manner along the 4th & 5th left
intercostal space at the midclavicular line. This most likely suggests:
A.A thrill.
B.a normal heart.
C.a systolic murmur.
D.A heave.
,◉ E. Answer: The S3 and S4 sounds are produced by
A.the mitral valve
B.the mitral and tricuspid valves
C.the semi-lunar valves
D.a hole between the ventricles
E.stiff, non-elastic ventricles
◉ B. Answer: The vital signs of a 70-year-old client with a history of
hypertension are: BP 180/100 and HR 80. You hear an extra heart
sound at the apex immediately before S1. You can only hear it with
the bell while client is in left lateral position. With these findings and
the client's history, what would this extra heart sound most likely
be?
A.S3
B.S4
C.split S2
D.diastolic murmur
◉ B. Answer: When assessing a normal adult, the apical impulse
would be palpated at the
A.Third left intercostal space at the midclavicular line.
B.Fifth left intercostal space at the midclavicular line.
C.Fourth left intercostal space at the sternal border.
, D.Fourth left intercostal space at the anterior axillary line.
◉ D. Answer: The valve closures that can BEST be heard at the base
of the heart are:
A.Mitral, tricuspid
B.Mitral, pulmonic
C.Tricuspid, aortic
D.Aortic, pulmonic
◉ A. Answer: In assessing for an S3, which technique would you use?
A.Listen with bell of stethoscope at apex with patient in left lateral
position.
B.Listen with bell of stethoscope at base with patient leaning
forward.
C.Listen with diaphragm in aortic area with patient sitting.
D.Listen with bell of stethoscope in pulmonic area with patient
supine.
◉ A. Answer: Mr. Smith has mitral valve regurgitation. When in the
cardiac cycle should the nurse expect to hear a murmur?
A.systole
B.diastole
