NR509 Advanced Physical Assessment Week 4 Midterm Exam 2026 /2027 Actual Exam Questions & Detailed Answers

NR509 Advanced Physical Assessment Week 4 Midterm
Exam 2026 /2027 Actual Exam Questions & Detailed
Answers


SECTION 1: CARDIAC (1–35)



### 1. The S1 heart sound is produced by:



A. Closure of semilunar valves

B. Closure of AV valves

C. Opening of AV valves

D. Ventricular filling

✅ **Answer: B**



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### 2. The normal PMI location in an adult is:



A. 2nd ICS, right sternal border

B. 5th ICS, midclavicular line

C. 4th ICS, left sternal border

D. 6th ICS, anterior axillary line

✅ **Answer: B**



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, ### 3. A third heart sound (S3) in adults indicates:



A. Normal finding

B. Dehydration

C. Heart failure

D. Hypertension

✅ **Answer: C**



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### 4. Which position enhances auscultation of mitral stenosis?



A. Sitting upright

B. Left lateral decubitus

C. Supine

D. Standing

✅ **Answer: B**



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### 5. Jugular venous distention suggests:



A. Left-sided HF

B. Right-sided HF

C. Hypovolemia

D. Anemia