Nursing Fundamentals
2 MAXE
NF Foundations of Professional Nursing Practice
CARING · COMPETENCE · COMPASSION
FUNDAMENTALS
Exam 2 — Fundamentals
C A R D I A C , VA S CU L A R , E D E M A , S K I N A SS E SS M E N T & R E S P I R ATO R Y
INSTITUTION Nursing Fundamentals Program COURSE CODE NURS 101 — Fundamentals
PROGRAM Associate / Bachelor of Science in Nursing ACADEMIC YEAR
EXAM TITLE Exam 2 — Fundamentals of Nursing TOTAL QUESTIONS 40 Questions
COURSE TITLE Fundamentals of Nursing FORMAT Multiple Choice — Select the Single Best
Answer
EXAMINATION INSTRUCTIONS
▸ Select the single best answer for each question.
▸ Content covers heart sounds, vascular assessment, edema grading, skin lesions, and respiratory assessment.
CARDIAC, EDEMA, SKIN LESIONS & RESPIRATORY ASSESSMENT Questions 1 – 40
1. A third heart sound (S3) occurs:
A. Just before S1.
B. Immediately after S2 (ventricular gallop).
C. Simultaneously with S1.
D. During atrial contraction only.
CORRECT ANSWER B — S3 occurs immediately after S2, producing a "Kentucky" gallop rhythm. It may indicate heart
failure or volume overload.
RATIONALE S3 is a ventricular gallop caused by rapid passive filling of the ventricle. S4 occurs just before S1 (atrial gallop).
2. A patient reports calf pain when walking that resolves with rest. This is consistent with:
A. Deep vein thrombosis.
B. Intermittent claudication — pain with activity relieved by rest, indicating peripheral arterial disease.
C. Venous insufficiency.
D. Cellulitis.
CORRECT ANSWER B — Intermittent claudication = ischemic muscle pain during exercise, relieved by rest. Classic sign of
PAD.
RATIONALE DVT = constant pain, swelling, warmth. Venous insufficiency = aching, edema, stasis dermatitis. Cellulitis =
infection with redness, warmth, swelling.
2 MAXE
NF Foundations of Professional Nursing Practice
CARING · COMPETENCE · COMPASSION
FUNDAMENTALS
Exam 2 — Fundamentals
C A R D I A C , VA S CU L A R , E D E M A , S K I N A SS E SS M E N T & R E S P I R ATO R Y
INSTITUTION Nursing Fundamentals Program COURSE CODE NURS 101 — Fundamentals
PROGRAM Associate / Bachelor of Science in Nursing ACADEMIC YEAR
EXAM TITLE Exam 2 — Fundamentals of Nursing TOTAL QUESTIONS 40 Questions
COURSE TITLE Fundamentals of Nursing FORMAT Multiple Choice — Select the Single Best
Answer
EXAMINATION INSTRUCTIONS
▸ Select the single best answer for each question.
▸ Content covers heart sounds, vascular assessment, edema grading, skin lesions, and respiratory assessment.
CARDIAC, EDEMA, SKIN LESIONS & RESPIRATORY ASSESSMENT Questions 1 – 40
1. A third heart sound (S3) occurs:
A. Just before S1.
B. Immediately after S2 (ventricular gallop).
C. Simultaneously with S1.
D. During atrial contraction only.
CORRECT ANSWER B — S3 occurs immediately after S2, producing a "Kentucky" gallop rhythm. It may indicate heart
failure or volume overload.
RATIONALE S3 is a ventricular gallop caused by rapid passive filling of the ventricle. S4 occurs just before S1 (atrial gallop).
2. A patient reports calf pain when walking that resolves with rest. This is consistent with:
A. Deep vein thrombosis.
B. Intermittent claudication — pain with activity relieved by rest, indicating peripheral arterial disease.
C. Venous insufficiency.
D. Cellulitis.
CORRECT ANSWER B — Intermittent claudication = ischemic muscle pain during exercise, relieved by rest. Classic sign of
PAD.
RATIONALE DVT = constant pain, swelling, warmth. Venous insufficiency = aching, edema, stasis dermatitis. Cellulitis =
infection with redness, warmth, swelling.
