NU 518 EXAM 2|| ACTUAL EXAM VERSION 1-
g g g g g g g
3 WITH QUESTIONS AND 100% COORECT ANSWER
g g g g g g
S WITH RATIONALES ALREADY GRADED A+|| LAT
g g g g g g
EST AND CMPLETE UPDATE 2024-
g g g g
2025 WITH EXPERT SOLUTIONS|| ASSURED PASS
g g g g g
Thegfindingsgfromgangassessmentgofgag70-year-
oldgpatientgwithgswellingginghisganklesgincludegjugulargvenousgpulsationsg5gcmgabov
egthegsternalganglegwhengthegheadgofghisgbedgisgelevatedg45gdegrees.gThegnursegkno
wsgthatgthisgfindinggindicates:
agDecreasedgfluidgvolume.
BgIncreasedgcardiacgoutput.
CgNarrowinggofgjugulargveins.
DgElevatedgpressuregrelatedgtogheartgfailure.g-gANSWER:gD
Whengassessinggagnewbornginfantgwhogisg5gminutesgold,gthegnursegknowsgwhichgofgt
hesegstatementsgtogbegtrue?
AgThegleftgventriclegisglargergandgweighsgmoregthangthegrightgventricle.
BgThegcirculationgofgagnewborngisgidenticalgtogthatgofgangadult.
CgBloodgcangflowgintogthegleftgsidegofgthegheartgthroughgangopeninggingthegatrialgsept
um.
DgThegforamengovalegclosesgjustgminutesgbeforegbirth,gandgthegductusgarteriosusgclo
sesgimmediatelygafter.g-gANSWER:gC
Ag25-year-
oldgwomanginghergfifthgmonthgofgpregnancyghasgagbloodgpressuregofg100/70gmmgHg.
gIngreviewingghergpreviousgexamination,gthegnursegnotesgthatghergbloodgpressuregingh
ergsecondgmonthgwasg124/80gmmgHg.gIngevaluatinggthisgchange,gwhatgdoesgthegnurs
egknowgtogbegtrue?
,2g|gP a g e
AgThisgdeclinegingbloodgpressuregisgthegresultgofgperipheralgvasodilatationgandgisgang
expectedgchange.
BgBecausegofgincreasedgcardiacgoutput,gthegbloodgpressuregshouldgbeghighergatgthisgt
ime.
CgThisgchangegingbloodgpressuregisgnotgangexpectedgfindinggbecausegitgmeansgagdecr
easegingcardiacgoutput.
DgThisgdeclinegingbloodgpressuregmeansgagdecreasegingcirculatinggbloodgvolume,gwh
ichgisgdangerousgforgthegfetus.g-gANSWER:gA
Ingassessinggag70-year-
oldgman,gthegnursegfindsgthegfollowing:gbloodgpressureg140/100gmmgHg;gheartgrateg
104gbeatsgpergminutegandgslightlygirregular;gandgthegsplitgS2gheartgsound.gWhichgofgt
hesegfindingsgcangbegexplainedgbygexpectedghemodynamicgchangesgrelatedgtogage?
AgIncreasegingrestinggheartgrate
BgIncreasegingsystolicgbloodgpressure
CgDecreasegingdiastolicgbloodgpressure
DgIncreasegingdiastolicgbloodgpressureg-gANSWER:gB
Ag45-year-
oldgmangisgingthegclinicgforgagroutinegphysicalgexamination.gDuringgthegrecordinggofg
hisghealthghistory,gthegpatientgstatesgthatgheghasgbeenghavinggdifficultygsleeping.gIllgb
egsleepingggreat,gandgthengIgwakegupgandgfeelglikegIgcantggetgmygbreath.gThegnursesg
bestgresponsegtogthisgwouldgbe:
agWhengwasgyourglastgelectrocardiogram?
BgItsgprobablygbecausegitsgbeengsoghotgatgnight.
CgDogyoughaveganyghistorygofgproblemsgwithgyourgheart?
DgHavegyoughadgagrecentgsinusginfectiongorguppergrespiratoryginfection?g-
gANSWER:gC
,3g|gP a g e
Ingassessinggagpatientsgmajorgriskgfactorsgforgheartgdisease,gwhichgwouldgthegnurseg
wantgtogincludegwhengtakinggaghistory?
AgFamilyghistory,ghypertension,gstress,gandgage
BgPersonalitygtype,ghighgcholesterol,gdiabetes,gandgsmoking
CgSmoking,ghypertension,gobesity,gdiabetes,gandghighgcholesterol
DgAlcoholgconsumption,gobesity,gdiabetes,gstress,gandghighgcholesterolg-
gANSWER:gC
Thegmothergofgag3-month-
oldginfantgstatesgthatghergbabyghasgnotgbeenggaininggweight.gWithgfurthergquestionin
g,gthegnursegfindsgthatgtheginfantgfallsgasleepgaftergnursinggandgwakesgupgaftergagshor
tgtime,ghungrygagain.gWhatgotherginformationgwouldgthegnursegwantgtoghave?
AgInfantsgsleepinggposition
BgSiblingghistorygofgeatinggdisorders
CgAmountgofgbackgroundgnoisegwhengeating
DgPresencegofgdyspneagorgdiaphoresisgwhengsuckingg-gANSWER:gD
Ingassessinggthegcarotidgarteriesgofgangoldergpatientgwithgcardiovasculargdisease,gtheg
nursegwould:
agPalpategthegarterygingtheguppergonegthirdgofgthegneck.
BgListengwithgthegbellgofgthegstethoscopegtogassessgforgbruits.
CgSimultaneouslygpalpategbothgarteriesgtogcomparegamplitude.
DgInstructgthegpatientgtogtakegslowgdeepgbreathsgduringgauscultation.g-
gANSWER:gB
Duringgangassessmentgofgag68-year-oldgmangwithgagrecentgonsetgofgright-
sidedgweakness,gthegnurseghearsgagblowing,gswishinggsoundgwithgthegbellgofgthegstet
hoscopegovergthegleftgcarotidgartery.gThisgfindinggwouldgindicate:
, 4g|gP a g e
agValvulargdisorder.
BgBloodgflowgturbulence.
CgFluidgvolumegoverload.
DgVentricularghypertrophy.g-gANSWER:gB
Duringganginspectiongofgthegprecordiumgofgangadultgpatient,gthegnursegnoticesgthegch
estgmovinggingagforcefulgmannergalonggthegsternalgborder.gThisgfindinggmostglikelygs
uggestsga(n):
agNormalgheart.
BgSystolicgmurmur.
CgEnlargementgofgthegleftgventricle.
DgEnlargementgofgthegrightgventricle.g-gANSWER:gD
Duringgangassessmentgofgaghealthygadult,gwheregwouldgthegnursegexpectgtogpalpategt
hegapicalgimpulse?
AgThirdgleftgintercostalgspacegatgthegmidclaviculargline
BgFourthgleftgintercostalgspacegatgthegsternalgborder
CgFourthgleftgintercostalgspacegatgtheganteriorgaxillarygline
DgFifthgleftgintercostalgspacegatgthegmidclavicularglineg-gANSWER:gD
Thegnursegisgexamininggagpatientgwhoghasgpossiblegcardiacgenlargement.gWhichgstat
ementgaboutgpercussiongofgthegheartgisgtrue?
AgPercussiongisgagusefulgtoolgforgoutlininggthegheartsgborders.
BgPercussiongisgeasiergingpatientsgwhogaregobese.
CgStudiesgshowgthatgpercussedgcardiacgbordersgdognotgcorrelategwellgwithgthegtruegc
ardiacgborder.