Holistic Health Assessment Exam 1-
Questions & Answers (Grade A+)
While auscultating the heart at the third intercostal space, left
sternal border, the nurse notes a high-pitched, scratchy sound that
increases with exhalation with the client leaning forward. The nurse
would document which of the following? -
correct answer ✅Pericardial friction rub
A client with dehydration or volume depletion has barely visible
neck veins, even when lying flat. These are described as what? -
correct answer ✅Flat Neck Veins
A nurse auscultates the heart of a client with hypertension for the
past ten (10) years. With the client in the left lateral position, the
nurse hears a heart sound that occurs just before S1. The nurse
recognizes this sound as what pathological process? -
correct answer ✅Atrial contractions heard as vibrations against
stiff walled ventricles
During a cardiac examination, the nurse can best hear the S1 heart
sound by placing the stethoscope at the client's -
correct answer ✅apex of the heart.
In order to palpate an apical pulse when performing a cardiac
assessment, where should the nurse place the fingers? -
, Holistic Health Assessment Exam 1-
Questions & Answers (Grade A+)
correct answer ✅left midclavicular line at the fifth intercostal
space
Across the lifespan, a nurse knows what characteristic of the female
heart is consistently true? -
correct answer ✅Is normally smaller than the male heart
The nurse hears high-pitched swooshing sounds over the carotid
artery on the right side. What is this sound indicative of? -
correct answer ✅Bruits
The nurse begins auscultating a client's heart sounds at the 2nd
intercostal space right sternal border. Which location should the
nurse assess next? -
correct answer ✅2nd intercostal space left sternal border
The nurse is preparing to assess a client's apical impulse. The nurse
should palpate at which location? -
correct answer ✅Fifth intercostal space, left midclavicular line
Questions & Answers (Grade A+)
While auscultating the heart at the third intercostal space, left
sternal border, the nurse notes a high-pitched, scratchy sound that
increases with exhalation with the client leaning forward. The nurse
would document which of the following? -
correct answer ✅Pericardial friction rub
A client with dehydration or volume depletion has barely visible
neck veins, even when lying flat. These are described as what? -
correct answer ✅Flat Neck Veins
A nurse auscultates the heart of a client with hypertension for the
past ten (10) years. With the client in the left lateral position, the
nurse hears a heart sound that occurs just before S1. The nurse
recognizes this sound as what pathological process? -
correct answer ✅Atrial contractions heard as vibrations against
stiff walled ventricles
During a cardiac examination, the nurse can best hear the S1 heart
sound by placing the stethoscope at the client's -
correct answer ✅apex of the heart.
In order to palpate an apical pulse when performing a cardiac
assessment, where should the nurse place the fingers? -
, Holistic Health Assessment Exam 1-
Questions & Answers (Grade A+)
correct answer ✅left midclavicular line at the fifth intercostal
space
Across the lifespan, a nurse knows what characteristic of the female
heart is consistently true? -
correct answer ✅Is normally smaller than the male heart
The nurse hears high-pitched swooshing sounds over the carotid
artery on the right side. What is this sound indicative of? -
correct answer ✅Bruits
The nurse begins auscultating a client's heart sounds at the 2nd
intercostal space right sternal border. Which location should the
nurse assess next? -
correct answer ✅2nd intercostal space left sternal border
The nurse is preparing to assess a client's apical impulse. The nurse
should palpate at which location? -
correct answer ✅Fifth intercostal space, left midclavicular line
