Holistic Health Assessment Exam 1-
Questions and Answers
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.
, Holistic Health Assessment Exam 1-
Questions and Answers
In order to palpate an apical pulse when performing a cardiac
assessment, where should the nurse place the fingers? -
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 and Answers
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.
, Holistic Health Assessment Exam 1-
Questions and Answers
In order to palpate an apical pulse when performing a cardiac
assessment, where should the nurse place the fingers? -
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
