2024 NU 518 EXAM COMPLETE PRACTICE EXAM WITH 400 ACTUAL QUESTIONS AND CORRECT DETAILED ANSWERS (100 CORRECT VERIFIED ANSWERS) A NEW UPDATED VERSION

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NU 518 EXAM 2|| ACTUAL EXAM VERSION 1-
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3 WITH QUESTIONS AND 100% COORECT ANSWERS
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WITH RATIONALES ALREADY GRADED A+|| LATES
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T AND CMPLETE UPDATE 2024-
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2025 WITH EXPERT SOLUTIONS|| ASSURED PASS
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The findings from an assessment of a 70-year-
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old patient with swelling in his ankles include jugular venous pulsations 5 cm above t
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he sternal angle when the head of his bed is elevated 45 degrees. The nurse knows tha
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t this finding indicates:
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a Decreased fluid volume.
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B Increased cardiac output.
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C Narrowing of jugular veins.
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D Elevated pressure related to heart failure. - ANSWER: D
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When assessing a newborn infant who is 5 minutes old, the nurse knows which of the
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se statements to be true?
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A The left ventricle is larger and weighs more than the right ventricle.
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B The circulation of a newborn is identical to that of an adult.
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C Blood can flow into the left side of the heart through an opening in the atrial septum
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.
D The foramen ovale closes just minutes before birth, and the ductus arteriosus close
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s immediately after. - ANSWER: C
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A 25-year-
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old woman in her fifth month of pregnancy has a blood pressure of 100/70 mm Hg. In
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reviewing her previous examination, the nurse notes that her blood pressure in her se
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cond month was 124/80 mm Hg. In evaluating this change, what does the nurse know
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to be true?
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A This decline in blood pressure is the result of peripheral vasodilatation and is an ex
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pected change. k




B Because of increased cardiac output, the blood pressure should be higher at this tim
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e.
C This change in blood pressure is not an expected finding because it means a decreas
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e in cardiac output.
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D This decline in blood pressure means a decrease in circulating blood volume, whic
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h is dangerous for the fetus. - ANSWER: A
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In assessing a 70-year-
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old man, the nurse finds the following: blood pressure 140/100 mm Hg; heart rate 10
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4 beats per minute and slightly irregular; and the split S2 heart sound. Which of these
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findings can be explained by expected hemodynamic changes related to age?
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A Increase in resting heart rate
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B Increase in systolic blood pressure
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C Decrease in diastolic blood pressure
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D Increase in diastolic blood pressure - ANSWER: B
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A 45-year-
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old man is in the clinic for a routine physical examination. During the recording of his
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health history, the patient states that he has been having difficulty sleeping. Ill be slee
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ping great, and then I wake up and feel like I cant get my breath. The nurses best respo
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nse to this would be:
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a When was your last electrocardiogram?
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B Its probably because its been so hot at night.
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C Do you have any history of problems with your heart?
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D Have you had a recent sinus infection or upper respiratory infection? -
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ANSWER: C
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In assessing a patients major risk factors for heart disease, which would the nurse wa
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nt to include when taking a history?
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A Family history, hypertension, stress, and age
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B Personality type, high cholesterol, diabetes, and smoking
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C Smoking, hypertension, obesity, diabetes, and high cholesterol
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D Alcohol consumption, obesity, diabetes, stress, and high cholesterol -
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ANSWER: C
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The mother of a 3-month-
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old infant states that her baby has not been gaining weight. With further questioning,
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the nurse finds that the infant falls asleep after nursing and wakes up after a short time
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, hungry again. What other information would the nurse want to have?
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A Infants sleeping position
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B Sibling history of eating disorders
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C Amount of background noise when eating
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D Presence of dyspnea or diaphoresis when sucking - ANSWER: D
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In assessing the carotid arteries of an older patient with cardiovascular disease, the nu
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rse would: k




a Palpate the artery in the upper one third of the neck.
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B Listen with the bell of the stethoscope to assess for bruits.
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C Simultaneously palpate both arteries to compare amplitude.
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D Instruct the patient to take slow deep breaths during auscultation. - ANSWER: B
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During an assessment of a 68-year-old man with a recent onset of right-
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sided weakness, the nurse hears a blowing, swishing sound with the bell of the stetho
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scope over the left carotid artery. This finding would indicate:
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a Valvular disorder.
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B Blood flow turbulence.
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C Fluid volume overload.
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D Ventricular hypertrophy. - ANSWER: B
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During an inspection of the precordium of an adult patient, the nurse notices the chest
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moving in a forceful manner along the sternal border. This finding most likely sugge
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sts a(n): k




a Normal heart.
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B Systolic murmur.
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C Enlargement of the left ventricle.
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D Enlargement of the right ventricle. - ANSWER: D
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During an assessment of a healthy adult, where would the nurse expect to palpate the
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apical impulse? k




A Third left intercostal space at the midclavicular line
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B Fourth left intercostal space at the sternal border
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C Fourth left intercostal space at the anterior axillary line
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D Fifth left intercostal space at the midclavicular line - ANSWER: D
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The nurse is examining a patient who has possible cardiac enlargement. Which state
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ment about percussion of the heart is true?
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A Percussion is a useful tool for outlining the hearts borders.
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B Percussion is easier in patients who are obese.
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C Studies show that percussed cardiac borders do not correlate well with the true card
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iac border. k




D Only expert health care providers should attempt percussion of the heart. -
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ANSWER: C
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