1m|mP a g e
NU 518 EXAM 2|| ACTUAL EXAM VERSION 1-
m m m m m m m
3 WITH QUESTIONS AND 100% COORECT ANSWER
m m m m m m
S WITH RATIONALES ALREADY GRADED A+|| LAT
m m m m m m
EST AND CMPLETE UPDATE 2024-
m m m m
2025 WITH EXPERT SOLUTIONS|| ASSURED PASS
m m m m m
The findings from an assessment of a 70-year-
m m m m m m m
old patient with swelling in his ankles include jugular venous pulsations 5 cm abo
m m m m m m m m m m m m m
ve the sternal angle when the head of his bed is elevated 45 degrees. The nurse kn
m m m m m m m m m m m m m m m m
ows that this finding indicates:
m m m m
a Decreased fluid volume.
m m m
B Increased cardiac output.
m m m
C Narrowing of jugular veins.
m m m m
D Elevated pressure related to heart failure. - ANSWER: D
m m m m m m m m m
When assessing a newborn infant who is 5 minutes old, the nurse knows which of
m m m m m m m m m m m m m m m
these statements to be true?
m m m m
A The left ventricle is larger and weighs more than the right ventricle.
m m m m m m m m m m m m
B The circulation of a newborn is identical to that of an adult.
m m m m m m m m m m m m
C Blood can flow into the left side of the heart through an opening in the atrial se
m m m m m m m m m m m m m m m m m
ptum.
D The foramen ovale closes just minutes before birth, and the ductus arteriosus cl
m m m m m m m m m m m m m
oses immediately after. - ANSWER: C
m m m m m
A 25-year-
m
old woman in her fifth month of pregnancy has a blood pressure of 100/70 mm H
m m m m m m m m m m m m m m m
g. In reviewing her previous examination, the nurse notes that her blood pressure i
m m m m m m m m m m m m m
n her second month was 124/80 mm Hg. In evaluating this change, what does the
m m m m m m m m m m m m m m m
nurse know to be true?
m m m m
,2m|mP a g e
A This decline in blood pressure is the result of peripheral vasodilatation and is an
m m m m m m m m m m m m m m
expected change.
m m
B Because of increased cardiac output, the blood pressure should be higher at this
m m m m m m m m m m m m m m
time.
C This change in blood pressure is not an expected finding because it means a dec
m m m m m m m m m m m m m m m
rease in cardiac output.
m m m
D This decline in blood pressure means a decrease in circulating blood volume, w
m m m m m m m m m m m m m
hich is dangerous for the fetus. - ANSWER: A
m m m m m m m m
In assessing a 70-year-
m m m
old man, the nurse finds the following: blood pressure 140/100 mm Hg; heart rate
m m m m m m m m m m m m m m
104 beats per minute and slightly irregular; and the split S2 heart sound. Which of
m m m m m m m m m m m m m m
mthese findings can be explained by expected hemodynamic changes related to age
m m m m m m m m m m m
?
A Increase in resting heart rate
m m m m m
B Increase in systolic blood pressure
m m m m m
C Decrease in diastolic blood pressure
m m m m m
D Increase in diastolic blood pressure - ANSWER: B
m m m m m m m m
A 45-year-
m
old man is in the clinic for a routine physical examination. During the recording o
m m m m m m m m m m m m m m
f his health history, the patient states that he has been having difficulty sleeping. Il
m m m m m m m m m m m m m m
l be sleeping great, and then I wake up and feel like I cant get my breath. The nurs
m m m m m m m m m m m m m m m m m m
es best response to this would be:
m m m m m m
a When was your last electrocardiogram?
m m m m m
B Its probably because its been so hot at night.
m m m m m m m m m
C Do you have any history of problems with your heart?
m m m m m m m m m m
D Have you had a recent sinus infection or upper respiratory infection? -
m m m m m m m m m m m m
ANSWER: C
m m
,3m|mP a g e
In assessing a patients major risk factors for heart disease, which would the nurse
m m m m m m m m m m m m m m
want to include when taking a history?
m m m m m m
A Family history, hypertension, stress, and age
m m m m m m
B Personality type, high cholesterol, diabetes, and smoking
m m m m m m m
C Smoking, hypertension, obesity, diabetes, and high cholesterol
m m m m m m m
D Alcohol consumption, obesity, diabetes, stress, and high cholesterol -
m m m m m m m m m
ANSWER: C
m m
The mother of a 3-month-
m m m m
old infant states that her baby has not been gaining weight. With further questioni
m m m m m m m m m m m m m
ng, the nurse finds that the infant falls asleep after nursing and wakes up after a sh
m m m m m m m m m m m m m m m m
ort time, hungry again. What other information would the nurse want to have?
m m m m m m m m m m m m
A Infants sleeping position
m m m
B Sibling history of eating disorders
m m m m m
C Amount of background noise when eating
m m m m m m
D Presence of dyspnea or diaphoresis when sucking - ANSWER: D
m m m m m m m m m m
In assessing the carotid arteries of an older patient with cardiovascular disease, the
m m m m m m m m m m m m
mnurse would: m
a Palpate the artery in the upper one third of the neck.
m m m m m m m m m m m
B Listen with the bell of the stethoscope to assess for bruits.
m m m m m m m m m m m
C Simultaneously palpate both arteries to compare amplitude.
m m m m m m m
D Instruct the patient to take slow deep breaths during auscultation. -
m m m m m m m m m m m
ANSWER: B
m m
During an assessment of a 68-year-old man with a recent onset of right-
m m m m m m m m m m m m
sided weakness, the nurse hears a blowing, swishing sound with the bell of the ste
m m m m m m m m m m m m m m
thoscope over the left carotid artery. This finding would indicate:
m m m m m m m m m
, 4m|mP a g e
a Valvular disorder.
m m
B Blood flow turbulence.
m m m
C Fluid volume overload.
m m m
D Ventricular hypertrophy. - ANSWER: B
m m m m m
During an inspection of the precordium of an adult patient, the nurse notices the c
m m m m m m m m m m m m m m
hest moving in a forceful manner along the sternal border. This finding most likel
m m m m m m m m m m m m m
y suggests a(n):
m m
a Normal heart.
m m
B Systolic murmur.
m m
C Enlargement of the left ventricle.
m m m m m
D Enlargement of the right ventricle. - ANSWER: D
m m m m m m m m
During an assessment of a healthy adult, where would the nurse expect to palpate
m m m m m m m m m m m m m m
the apical impulse?
m m
A Third left intercostal space at the midclavicular line
m m m m m m m m
B Fourth left intercostal space at the sternal border
m m m m m m m m
C Fourth left intercostal space at the anterior axillary line
m m m m m m m m m
D Fifth left intercostal space at the midclavicular line - ANSWER: D
m m m m m m m m m m m
The nurse is examining a patient who has possible cardiac enlargement. Which sta
m m m m m m m m m m m m
tement about percussion of the heart is true?
m m m m m m m
A Percussion is a useful tool for outlining the hearts borders.
m m m m m m m m m m
B Percussion is easier in patients who are obese.
m m m m m m m m
C Studies show that percussed cardiac borders do not correlate well with the true
m m m m m m m m m m m m m m
cardiac border.
m
NU 518 EXAM 2|| ACTUAL EXAM VERSION 1-
m m m m m m m
3 WITH QUESTIONS AND 100% COORECT ANSWER
m m m m m m
S WITH RATIONALES ALREADY GRADED A+|| LAT
m m m m m m
EST AND CMPLETE UPDATE 2024-
m m m m
2025 WITH EXPERT SOLUTIONS|| ASSURED PASS
m m m m m
The findings from an assessment of a 70-year-
m m m m m m m
old patient with swelling in his ankles include jugular venous pulsations 5 cm abo
m m m m m m m m m m m m m
ve the sternal angle when the head of his bed is elevated 45 degrees. The nurse kn
m m m m m m m m m m m m m m m m
ows that this finding indicates:
m m m m
a Decreased fluid volume.
m m m
B Increased cardiac output.
m m m
C Narrowing of jugular veins.
m m m m
D Elevated pressure related to heart failure. - ANSWER: D
m m m m m m m m m
When assessing a newborn infant who is 5 minutes old, the nurse knows which of
m m m m m m m m m m m m m m m
these statements to be true?
m m m m
A The left ventricle is larger and weighs more than the right ventricle.
m m m m m m m m m m m m
B The circulation of a newborn is identical to that of an adult.
m m m m m m m m m m m m
C Blood can flow into the left side of the heart through an opening in the atrial se
m m m m m m m m m m m m m m m m m
ptum.
D The foramen ovale closes just minutes before birth, and the ductus arteriosus cl
m m m m m m m m m m m m m
oses immediately after. - ANSWER: C
m m m m m
A 25-year-
m
old woman in her fifth month of pregnancy has a blood pressure of 100/70 mm H
m m m m m m m m m m m m m m m
g. In reviewing her previous examination, the nurse notes that her blood pressure i
m m m m m m m m m m m m m
n her second month was 124/80 mm Hg. In evaluating this change, what does the
m m m m m m m m m m m m m m m
nurse know to be true?
m m m m
,2m|mP a g e
A This decline in blood pressure is the result of peripheral vasodilatation and is an
m m m m m m m m m m m m m m
expected change.
m m
B Because of increased cardiac output, the blood pressure should be higher at this
m m m m m m m m m m m m m m
time.
C This change in blood pressure is not an expected finding because it means a dec
m m m m m m m m m m m m m m m
rease in cardiac output.
m m m
D This decline in blood pressure means a decrease in circulating blood volume, w
m m m m m m m m m m m m m
hich is dangerous for the fetus. - ANSWER: A
m m m m m m m m
In assessing a 70-year-
m m m
old man, the nurse finds the following: blood pressure 140/100 mm Hg; heart rate
m m m m m m m m m m m m m m
104 beats per minute and slightly irregular; and the split S2 heart sound. Which of
m m m m m m m m m m m m m m
mthese findings can be explained by expected hemodynamic changes related to age
m m m m m m m m m m m
?
A Increase in resting heart rate
m m m m m
B Increase in systolic blood pressure
m m m m m
C Decrease in diastolic blood pressure
m m m m m
D Increase in diastolic blood pressure - ANSWER: B
m m m m m m m m
A 45-year-
m
old man is in the clinic for a routine physical examination. During the recording o
m m m m m m m m m m m m m m
f his health history, the patient states that he has been having difficulty sleeping. Il
m m m m m m m m m m m m m m
l be sleeping great, and then I wake up and feel like I cant get my breath. The nurs
m m m m m m m m m m m m m m m m m m
es best response to this would be:
m m m m m m
a When was your last electrocardiogram?
m m m m m
B Its probably because its been so hot at night.
m m m m m m m m m
C Do you have any history of problems with your heart?
m m m m m m m m m m
D Have you had a recent sinus infection or upper respiratory infection? -
m m m m m m m m m m m m
ANSWER: C
m m
,3m|mP a g e
In assessing a patients major risk factors for heart disease, which would the nurse
m m m m m m m m m m m m m m
want to include when taking a history?
m m m m m m
A Family history, hypertension, stress, and age
m m m m m m
B Personality type, high cholesterol, diabetes, and smoking
m m m m m m m
C Smoking, hypertension, obesity, diabetes, and high cholesterol
m m m m m m m
D Alcohol consumption, obesity, diabetes, stress, and high cholesterol -
m m m m m m m m m
ANSWER: C
m m
The mother of a 3-month-
m m m m
old infant states that her baby has not been gaining weight. With further questioni
m m m m m m m m m m m m m
ng, the nurse finds that the infant falls asleep after nursing and wakes up after a sh
m m m m m m m m m m m m m m m m
ort time, hungry again. What other information would the nurse want to have?
m m m m m m m m m m m m
A Infants sleeping position
m m m
B Sibling history of eating disorders
m m m m m
C Amount of background noise when eating
m m m m m m
D Presence of dyspnea or diaphoresis when sucking - ANSWER: D
m m m m m m m m m m
In assessing the carotid arteries of an older patient with cardiovascular disease, the
m m m m m m m m m m m m
mnurse would: m
a Palpate the artery in the upper one third of the neck.
m m m m m m m m m m m
B Listen with the bell of the stethoscope to assess for bruits.
m m m m m m m m m m m
C Simultaneously palpate both arteries to compare amplitude.
m m m m m m m
D Instruct the patient to take slow deep breaths during auscultation. -
m m m m m m m m m m m
ANSWER: B
m m
During an assessment of a 68-year-old man with a recent onset of right-
m m m m m m m m m m m m
sided weakness, the nurse hears a blowing, swishing sound with the bell of the ste
m m m m m m m m m m m m m m
thoscope over the left carotid artery. This finding would indicate:
m m m m m m m m m
, 4m|mP a g e
a Valvular disorder.
m m
B Blood flow turbulence.
m m m
C Fluid volume overload.
m m m
D Ventricular hypertrophy. - ANSWER: B
m m m m m
During an inspection of the precordium of an adult patient, the nurse notices the c
m m m m m m m m m m m m m m
hest moving in a forceful manner along the sternal border. This finding most likel
m m m m m m m m m m m m m
y suggests a(n):
m m
a Normal heart.
m m
B Systolic murmur.
m m
C Enlargement of the left ventricle.
m m m m m
D Enlargement of the right ventricle. - ANSWER: D
m m m m m m m m
During an assessment of a healthy adult, where would the nurse expect to palpate
m m m m m m m m m m m m m m
the apical impulse?
m m
A Third left intercostal space at the midclavicular line
m m m m m m m m
B Fourth left intercostal space at the sternal border
m m m m m m m m
C Fourth left intercostal space at the anterior axillary line
m m m m m m m m m
D Fifth left intercostal space at the midclavicular line - ANSWER: D
m m m m m m m m m m m
The nurse is examining a patient who has possible cardiac enlargement. Which sta
m m m m m m m m m m m m
tement about percussion of the heart is true?
m m m m m m m
A Percussion is a useful tool for outlining the hearts borders.
m m m m m m m m m m
B Percussion is easier in patients who are obese.
m m m m m m m m
C Studies show that percussed cardiac borders do not correlate well with the true
m m m m m m m m m m m m m m
cardiac border.
m
