Nurs6512 Advanced Health Assessment
final exam (Latest 2026/2027 Update)
Advanced Health Assessment Questions
with Verified Answers 100% Correct
{Graded A} - Walden.
What cardiac physiology does the S2 heart sound represent? - correct answer D.
Closure of the aortic valve and pulmonic valves.
What cardiac physiology does the S3 heart sound represent? - correct answer C.
Increased ventricular filling pressures, such as in heart failure.
What cardiac physiology does the S4 heart sound represent? - correct answer C. Atrial
contraction against a stiff ventricle, as seen in left ventricular hypertrophy.
What is TRUE regarding physiologic splitting of the second heart sound (S2)? - correct
answer C. The splitting gets more pronounced with inspiration, as it takes longer for
the pulmonic valve to close.
,What are the five qualities of a heart murmur that are important to describe? - correct
answer C. Location, intensity, shape, pitch, and timing.
Which of the following is the MOST accurate description of the murmur of aortic
stenosis? - correct answer A. It is usually heard at the right upper sternal border but
also can be heard across the precordium during systole.
How does valvular aortic stenosis affect the S2 heart sound? - correct answer B. S2 is
heard less crisply, as the A2 component is affected by degenerating sclerotic tissue.
What is TRUE regarding the term 'pulsus parvus et tardus' in relation to aortic
stenosis? - correct answer C. The pulse is weak and late relative to the contraction of
the heart.
Which features are the MOST accurate descriptions of the murmur of mitral
regurgitation? - correct answer D. Located at the apex of the heart, heard during
systole, the intensity of the murmur predicts the extent of valvular disease.
,How does the handgrip maneuver affect a heart murmur due to mitral regurgitation? -
correct answer C. The intensity of the murmur gets louder due to increased afterload.
Which features are the MOST accurate descriptions of a tricuspid regurgitation
murmur? - correct answer D. Located at the tricuspid area, holosystolic, high-pitched.
What are the cardinal features of a murmur related to aortic insufficiency? - correct
answer B. Located at the left sternal border, diastolic decrescendo murmur,
sometimes associated with an S3 sound.
What are the cardinal features of a murmur related to mitral stenosis? - correct
answer B. Located at the apex, heard during diastole, described as a low-pitched
rumble.
What is pulse pressure? - correct answer D. It is the difference between systolic and
diastolic blood pressure.
, Which valvular heart disease is associated with rhythmic head bobbing, pulsation in
the uvula, and Quincke's pulse? - correct answer B. Aortic regurgitation.
Which valvular heart disease is associated with increased pulse pressure? - correct
answer E. Aortic regurgitation.
What is TRUE regarding the point of maximal impulse (PMI)? - correct answer A. In
patients with severe COPD, the PMI may be found at the subxiphoid area.
What is the PMI? - correct answer The point of maximal impulse (PMI) is typically
located at the mid-axillary line in a healthy individual and is easiest to palpate in
patients with COPD due to diaphragm displacement.
What is abdominojugular reflux? - correct answer Abdominojugular reflux is a
prolonged increase in jugular venous pressure seen in patients with volume overload,
reflecting the right ventricle's response to augmented venous return.
final exam (Latest 2026/2027 Update)
Advanced Health Assessment Questions
with Verified Answers 100% Correct
{Graded A} - Walden.
What cardiac physiology does the S2 heart sound represent? - correct answer D.
Closure of the aortic valve and pulmonic valves.
What cardiac physiology does the S3 heart sound represent? - correct answer C.
Increased ventricular filling pressures, such as in heart failure.
What cardiac physiology does the S4 heart sound represent? - correct answer C. Atrial
contraction against a stiff ventricle, as seen in left ventricular hypertrophy.
What is TRUE regarding physiologic splitting of the second heart sound (S2)? - correct
answer C. The splitting gets more pronounced with inspiration, as it takes longer for
the pulmonic valve to close.
,What are the five qualities of a heart murmur that are important to describe? - correct
answer C. Location, intensity, shape, pitch, and timing.
Which of the following is the MOST accurate description of the murmur of aortic
stenosis? - correct answer A. It is usually heard at the right upper sternal border but
also can be heard across the precordium during systole.
How does valvular aortic stenosis affect the S2 heart sound? - correct answer B. S2 is
heard less crisply, as the A2 component is affected by degenerating sclerotic tissue.
What is TRUE regarding the term 'pulsus parvus et tardus' in relation to aortic
stenosis? - correct answer C. The pulse is weak and late relative to the contraction of
the heart.
Which features are the MOST accurate descriptions of the murmur of mitral
regurgitation? - correct answer D. Located at the apex of the heart, heard during
systole, the intensity of the murmur predicts the extent of valvular disease.
,How does the handgrip maneuver affect a heart murmur due to mitral regurgitation? -
correct answer C. The intensity of the murmur gets louder due to increased afterload.
Which features are the MOST accurate descriptions of a tricuspid regurgitation
murmur? - correct answer D. Located at the tricuspid area, holosystolic, high-pitched.
What are the cardinal features of a murmur related to aortic insufficiency? - correct
answer B. Located at the left sternal border, diastolic decrescendo murmur,
sometimes associated with an S3 sound.
What are the cardinal features of a murmur related to mitral stenosis? - correct
answer B. Located at the apex, heard during diastole, described as a low-pitched
rumble.
What is pulse pressure? - correct answer D. It is the difference between systolic and
diastolic blood pressure.
, Which valvular heart disease is associated with rhythmic head bobbing, pulsation in
the uvula, and Quincke's pulse? - correct answer B. Aortic regurgitation.
Which valvular heart disease is associated with increased pulse pressure? - correct
answer E. Aortic regurgitation.
What is TRUE regarding the point of maximal impulse (PMI)? - correct answer A. In
patients with severe COPD, the PMI may be found at the subxiphoid area.
What is the PMI? - correct answer The point of maximal impulse (PMI) is typically
located at the mid-axillary line in a healthy individual and is easiest to palpate in
patients with COPD due to diaphragm displacement.
What is abdominojugular reflux? - correct answer Abdominojugular reflux is a
prolonged increase in jugular venous pressure seen in patients with volume overload,
reflecting the right ventricle's response to augmented venous return.
