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NR509 Week 4 Midterm Exam NEWEST
2026 Complete Actual Exam Questions 1- 100
ALREADY GRADED A+, Exams of Nursing
During an assessment of a 68-year-old man with a recent onset of right-sided weakness, the
nurse hears a blowing, swishing sound with the bell of the stethoscope over the left carotid
artery. This finding would indicate:
a. Valvular disorder.
b. Blood flow turbulence.
c. Fluid volume overload.
d. Ventricular hypertrophy. - --ANS---b. Blood flow turbulence.
During an inspection of the precordium of an adult patient, the nurse notices the chest moving in
a forceful manner along the sternal border. This finding most likely suggests a(n):
a. Normal heart.
b. Systolic murmur.
c... Enlargement of the left ventricle.
d. Enlargement of the right ventricle. - --ANS---d. Enlargement of the right ventricle.
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During an assessment of a healthy adult, where would the nurse expect to palpate the apical
impulse?
a. Third left intercostal space at the midclavicular line
b. Fourth left intercostal space at the sternal border
c. Fourth left intercostal space at the anterior axillary line
d. Fifth left intercostal space at the midclavicular line - --ANS---d. Fifth left intercostal space at
the midclavicular line
The nurse is examining a patient who has possible cardiac enlargement. Which statement about
percussion of the heart is true?
a. Percussion is a useful tool for outlining the heart's borders.
b. Percussion is easier in patients who are obese.
c. Studies show that percussed cardiac borders do not correlate well with the true cardiac border.
d. Only expert health care providers should attempt percussion of the heart. - --ANS---c. Studies
show that percussed cardiac borders do not correlate well with the true cardiac border.
The nurse is preparing to auscultate for heart sounds. Which technique is correct?
a. Listening to the sounds at the aortic, tricuspid, pulmonic, and mitral areas
b. Listening by inching the stethoscope in a rough Z pattern, from the base of the heart across
and down, then over to the apex
c. Listening to the sounds only at the site where the apical pulse is felt to be the strongest
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d. Listening for all possible sounds at a time at each specified area - --ANS---b. Listening by
inching the stethoscope in a rough Z pattern, from the base of the heart across and down, then
over to the apex
While counting the apical pulse on a 16-year-old patient, the nurse notices an irregular rhythm.
His rate speeds up on inspiration and slows on expiration. What would be the nurse's response?
a. Talk with the patient about his intake of caffeine.
b. Perform an electrocardiogram after the examination.
c. No further response is needed because sinus arrhythmia can occur normally.
d. Refer the patient to a cardiologist for further testing. - --ANS---c. No further response is
needed because sinus arrhythmia can occur normally.
When listening to heart sounds, the nurse knows that the S1:
a. Is louder than the S2 at the base of the heart.
b. Indicates the beginning of diastole.
c... Coincides with the carotid artery pulse.
d. Is caused by the closure of the semilunar valves. - --ANS---c... Coincides with the carotid
artery pulse.
During the cardiac auscultation, the nurse hears a sound immediately occurring after the S2 at the
second left intercostal space. To further assess this sound, what should the nurse do?
a. Have the patient turn to the left side while the nurse listens with the bell of the stethoscope.
b. Ask the patient to hold his or her breath while the nurse listens again.
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c.. No further assessment is needed because the nurse knows this sound is an S3.
d. Watch the patient's respirations while listening for the effect on the sound. - --ANS---d. Watch
the patient's respirations while listening for the effect on the sound.
Which of these findings would the nurse expect to notice during a cardiac assessment on a 4-
year-old child?
a. S3 when sitting up
b. Persistent tachycardia above 150 beats per minute
c. Murmur at the second left intercostal space when supine
d... Palpable apical impulse in the fifth left intercostal space lateral to midclavicular line - --
ANS---c. Murmur at the second left intercostal space when supine
While auscultating heart sounds on a 7-year-old child for a routine physical examination, the
nurse hears an S3, a soft murmur at the left midsternal border, and a venous hum when the child
is standing. What would be a correct interpretation of these findings?
a. S3 is indicative of heart disease in children.
b. These findings can all be normal in a child.
c. These findings are indicative of congenital problems.
d. The venous hum most likely indicates an aneurysm. - --ANS---b. These findings can all be
normal in a child.
NR509 Week 4 Midterm Exam NEWEST
2026 Complete Actual Exam Questions 1- 100
ALREADY GRADED A+, Exams of Nursing
During an assessment of a 68-year-old man with a recent onset of right-sided weakness, the
nurse hears a blowing, swishing sound with the bell of the stethoscope over the left carotid
artery. This finding would indicate:
a. Valvular disorder.
b. Blood flow turbulence.
c. Fluid volume overload.
d. Ventricular hypertrophy. - --ANS---b. Blood flow turbulence.
During an inspection of the precordium of an adult patient, the nurse notices the chest moving in
a forceful manner along the sternal border. This finding most likely suggests a(n):
a. Normal heart.
b. Systolic murmur.
c... Enlargement of the left ventricle.
d. Enlargement of the right ventricle. - --ANS---d. Enlargement of the right ventricle.
,2|Page
During an assessment of a healthy adult, where would the nurse expect to palpate the apical
impulse?
a. Third left intercostal space at the midclavicular line
b. Fourth left intercostal space at the sternal border
c. Fourth left intercostal space at the anterior axillary line
d. Fifth left intercostal space at the midclavicular line - --ANS---d. Fifth left intercostal space at
the midclavicular line
The nurse is examining a patient who has possible cardiac enlargement. Which statement about
percussion of the heart is true?
a. Percussion is a useful tool for outlining the heart's borders.
b. Percussion is easier in patients who are obese.
c. Studies show that percussed cardiac borders do not correlate well with the true cardiac border.
d. Only expert health care providers should attempt percussion of the heart. - --ANS---c. Studies
show that percussed cardiac borders do not correlate well with the true cardiac border.
The nurse is preparing to auscultate for heart sounds. Which technique is correct?
a. Listening to the sounds at the aortic, tricuspid, pulmonic, and mitral areas
b. Listening by inching the stethoscope in a rough Z pattern, from the base of the heart across
and down, then over to the apex
c. Listening to the sounds only at the site where the apical pulse is felt to be the strongest
,3|Page
d. Listening for all possible sounds at a time at each specified area - --ANS---b. Listening by
inching the stethoscope in a rough Z pattern, from the base of the heart across and down, then
over to the apex
While counting the apical pulse on a 16-year-old patient, the nurse notices an irregular rhythm.
His rate speeds up on inspiration and slows on expiration. What would be the nurse's response?
a. Talk with the patient about his intake of caffeine.
b. Perform an electrocardiogram after the examination.
c. No further response is needed because sinus arrhythmia can occur normally.
d. Refer the patient to a cardiologist for further testing. - --ANS---c. No further response is
needed because sinus arrhythmia can occur normally.
When listening to heart sounds, the nurse knows that the S1:
a. Is louder than the S2 at the base of the heart.
b. Indicates the beginning of diastole.
c... Coincides with the carotid artery pulse.
d. Is caused by the closure of the semilunar valves. - --ANS---c... Coincides with the carotid
artery pulse.
During the cardiac auscultation, the nurse hears a sound immediately occurring after the S2 at the
second left intercostal space. To further assess this sound, what should the nurse do?
a. Have the patient turn to the left side while the nurse listens with the bell of the stethoscope.
b. Ask the patient to hold his or her breath while the nurse listens again.
, 4|Page
c.. No further assessment is needed because the nurse knows this sound is an S3.
d. Watch the patient's respirations while listening for the effect on the sound. - --ANS---d. Watch
the patient's respirations while listening for the effect on the sound.
Which of these findings would the nurse expect to notice during a cardiac assessment on a 4-
year-old child?
a. S3 when sitting up
b. Persistent tachycardia above 150 beats per minute
c. Murmur at the second left intercostal space when supine
d... Palpable apical impulse in the fifth left intercostal space lateral to midclavicular line - --
ANS---c. Murmur at the second left intercostal space when supine
While auscultating heart sounds on a 7-year-old child for a routine physical examination, the
nurse hears an S3, a soft murmur at the left midsternal border, and a venous hum when the child
is standing. What would be a correct interpretation of these findings?
a. S3 is indicative of heart disease in children.
b. These findings can all be normal in a child.
c. These findings are indicative of congenital problems.
d. The venous hum most likely indicates an aneurysm. - --ANS---b. These findings can all be
normal in a child.
