BARKLEY 3P EXAM LATEST 2026 ACTUAL
EXAM TEST BANK| COMPLETE 150 REAL
EXAM QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED
ANSWERS) ALREADY GRADED A+ .
**1. Your colleague's patient experiences a sudden onset of pain in her
lower leg. The area where the patient identifies the pain is
erythematous and warm to the touch but not swollen. The patient also
has a consistent temperature. Your colleague suggests elevating the leg
and applying warm compresses at night. He also prescribes a
nonsteroidal anti-inflammatory drug and suggests bed rest for at least a
week to help the pain subside. Based on these findings, which of these
measures is not a correct form of treatment for the patient's
condition?**
a. Elevating the leg
b. Applying warm compresses
c. Prescribing non-steroidal anti-inflammatory drugs
d. Ordering bed rest
**Correct Answer: d. Ordering bed rest**
,**Rationale:** Based on the sudden presentation of pain, heat, and
erythema in the affected leg without swelling, the patient is most likely
experiencing superficial thrombosis, which is generally not treated with
bed rest. Rather, mobility is encouraged in patients with superficial
thrombosis, whereas bed rest would be a standard treatment for deep
thrombosis. Elevating the leg, applying warm compresses, and taking
non-steroidal anti-inflammatory drugs are all effective methods of
managing superficial thrombosis .
---
**2. Which of the following is not a common finding of acute left-sided
heart failure?**
a. Coarse rales in all lung fields
b. Hepatomegaly
c. Wheezing, frothy cough
d. An S3 gallop sound
**Correct Answer: b. Hepatomegaly**
**Rationale:** Hepatomegaly is common in chronic right-sided heart
failure but is much less common in acute heart failure. Coarse rales
over all lung fields; a wheezing, frothy cough; and an S3 gallop are all
common findings of acute, left-sided heart failure. Left-sided heart
,failure primarily causes pulmonary congestion, while right-sided failure
leads to systemic venous congestion and hepatomegaly .
---
**3. With regard to S3 and S4 heart sounds, which statement is true?**
a. An S3 sounds like "Kentucky" and is expected during pregnancy but
otherwise, it is not a normal finding in the adult.
b. An S3 is an atrial gallop and sounds like "Tennessee."
c. An S4 sounds like "Kentucky" and is expected during pregnancy but
otherwise, it is not a normal finding in the adult.
d. An S4 is a ventricular gallop and sounds like "Tennessee."
**Correct Answer: a. An S3 sounds like "Kentucky" and is expected
during pregnancy but otherwise, it is not a normal finding in the
adult.**
**Rationale:** An S3 heart sound is a ventricular gallop that matches
the cadence of the word "Kentucky" and typically presents as a result of
increased fluid states. Although it may be normal during pregnancy,
presentation of the S3 heart sound at other times may indicate
conditions such as chronic heart failure. An S4 heart sound, on the
other hand, is an atrial gallop that matches the cadence of "Tennessee"
, and is often associated with conditions that result in a stiff ventricular
wall, such as myocardial infarction and chronic hypertension .
---
**4. Which of the following statements is not typical of the heart
murmur with which it is associated?**
a. A grade I/VI murmur is barely audible.
b. A grade II/VI murmur is associated with a thrill.
c. A grade III/VI murmur can easily be heard.
d. A grade V/VI murmur can be heard off the chest wall with one corner
of the stethoscope.
**Correct Answer: b. A grade II/VI murmur is associated with a thrill.**
**Rationale:** A grade IV/VI heart murmur, not a grade II/VI murmur,
is often accompanied by a palpable thrill. A grade I/VI murmur is barely
audible, whereas a grade II/VI murmur is audible but faint. A grade
III/VI murmur can easily be heard, and a V/VI murmur is loud enough to
be heard with one corner of the stethoscope off the chest wall .
---
EXAM TEST BANK| COMPLETE 150 REAL
EXAM QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED
ANSWERS) ALREADY GRADED A+ .
**1. Your colleague's patient experiences a sudden onset of pain in her
lower leg. The area where the patient identifies the pain is
erythematous and warm to the touch but not swollen. The patient also
has a consistent temperature. Your colleague suggests elevating the leg
and applying warm compresses at night. He also prescribes a
nonsteroidal anti-inflammatory drug and suggests bed rest for at least a
week to help the pain subside. Based on these findings, which of these
measures is not a correct form of treatment for the patient's
condition?**
a. Elevating the leg
b. Applying warm compresses
c. Prescribing non-steroidal anti-inflammatory drugs
d. Ordering bed rest
**Correct Answer: d. Ordering bed rest**
,**Rationale:** Based on the sudden presentation of pain, heat, and
erythema in the affected leg without swelling, the patient is most likely
experiencing superficial thrombosis, which is generally not treated with
bed rest. Rather, mobility is encouraged in patients with superficial
thrombosis, whereas bed rest would be a standard treatment for deep
thrombosis. Elevating the leg, applying warm compresses, and taking
non-steroidal anti-inflammatory drugs are all effective methods of
managing superficial thrombosis .
---
**2. Which of the following is not a common finding of acute left-sided
heart failure?**
a. Coarse rales in all lung fields
b. Hepatomegaly
c. Wheezing, frothy cough
d. An S3 gallop sound
**Correct Answer: b. Hepatomegaly**
**Rationale:** Hepatomegaly is common in chronic right-sided heart
failure but is much less common in acute heart failure. Coarse rales
over all lung fields; a wheezing, frothy cough; and an S3 gallop are all
common findings of acute, left-sided heart failure. Left-sided heart
,failure primarily causes pulmonary congestion, while right-sided failure
leads to systemic venous congestion and hepatomegaly .
---
**3. With regard to S3 and S4 heart sounds, which statement is true?**
a. An S3 sounds like "Kentucky" and is expected during pregnancy but
otherwise, it is not a normal finding in the adult.
b. An S3 is an atrial gallop and sounds like "Tennessee."
c. An S4 sounds like "Kentucky" and is expected during pregnancy but
otherwise, it is not a normal finding in the adult.
d. An S4 is a ventricular gallop and sounds like "Tennessee."
**Correct Answer: a. An S3 sounds like "Kentucky" and is expected
during pregnancy but otherwise, it is not a normal finding in the
adult.**
**Rationale:** An S3 heart sound is a ventricular gallop that matches
the cadence of the word "Kentucky" and typically presents as a result of
increased fluid states. Although it may be normal during pregnancy,
presentation of the S3 heart sound at other times may indicate
conditions such as chronic heart failure. An S4 heart sound, on the
other hand, is an atrial gallop that matches the cadence of "Tennessee"
, and is often associated with conditions that result in a stiff ventricular
wall, such as myocardial infarction and chronic hypertension .
---
**4. Which of the following statements is not typical of the heart
murmur with which it is associated?**
a. A grade I/VI murmur is barely audible.
b. A grade II/VI murmur is associated with a thrill.
c. A grade III/VI murmur can easily be heard.
d. A grade V/VI murmur can be heard off the chest wall with one corner
of the stethoscope.
**Correct Answer: b. A grade II/VI murmur is associated with a thrill.**
**Rationale:** A grade IV/VI heart murmur, not a grade II/VI murmur,
is often accompanied by a palpable thrill. A grade I/VI murmur is barely
audible, whereas a grade II/VI murmur is audible but faint. A grade
III/VI murmur can easily be heard, and a V/VI murmur is loud enough to
be heard with one corner of the stethoscope off the chest wall .
---
