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NR 607 / Chamberlain College of Nursing – Modules 3–6
COMPLETE QUESTIONS WITH CORRECT DETAILED
ANSWERS || 100% GUARANTEED PASS <BRAND NEW
VERSION 2025>
Module 3 – Cardiovascular & Peripheral Vascular Assessment
Q1.
A 58-year-old male presents with chest pain radiating to the left arm, dyspnea, and
diaphoresis. Which assessment finding most strongly suggests myocardial
infarction?
A. Sharp chest pain that worsens with inspiration
B. Mid-sternal pressure unrelieved by rest
C. Pain localized to one spot on palpation
D. Chest pain relieved by antacids
Answer:
B. Mid-sternal pressure unrelieved by rest
This is a classic sign of myocardial infarction (MI). MI-related pain is typically
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described as pressure-like, not relieved by rest, and often radiates. It is not
typically reproducible by palpation or affected by digestive aids like antacids.
Q2.
Which physical exam technique best evaluates jugular venous pressure (JVP)?
A. Palpation with the patient supine
B. Observation with the patient sitting upright
C. Inspection with the head of bed at 30–45 degrees
D. Auscultation of the carotid artery
Answer:
C. Inspection with the head of bed at 30–45 degrees
Jugular venous distension is best evaluated with the patient reclining at 30–45
degrees. This position enhances visibility of the jugular veins and helps determine
right atrial pressure, often indicating fluid overload or heart failure.
Module 4 – Pulmonary & Abdominal Assessment
Q3.
During lung auscultation, a nurse practitioner hears coarse crackles in both lung
bases. This finding is most consistent with which condition?
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A. Asthma
B. Bronchitis
C. Pneumonia
D. Congestive heart failure (CHF)
Answer:
D. Congestive heart failure (CHF)
Coarse crackles at the lung bases often indicate fluid accumulation, as seen in
CHF. Unlike the wheezing in asthma or the localized findings in pneumonia,
bilateral crackles are a hallmark of pulmonary edema in CHF.
Q4.
A 42-year-old complains of right upper quadrant pain, especially after fatty meals.
Which condition is most likely?
A. Gastritis
B. Cholelithiasis
C. Appendicitis
D. Irritable bowel syndrome
Answer:
B. Cholelithiasis
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Pain in the right upper quadrant following fatty meals is a classic presentation of
gallstones (cholelithiasis). The fat triggers gallbladder contraction, which worsens
pain if stones are present. Appendicitis usually presents in the right lower quadrant.
Module 5 – Neurological & Musculoskeletal Assessment
Q5.
A positive Romberg test indicates which of the following?
A. Cerebellar dysfunction
B. Vestibular or proprioceptive deficit
C. Upper motor neuron lesion
D. Cranial nerve VII palsy
Answer:
B. Vestibular or proprioceptive deficit
The Romberg test evaluates balance and proprioception. If a patient becomes
unsteady when standing with eyes closed, it suggests a problem with
proprioception or vestibular function. Cerebellar dysfunction causes unsteadiness
with eyes open and closed.
NR 607 / Chamberlain College of Nursing – Modules 3–6
COMPLETE QUESTIONS WITH CORRECT DETAILED
ANSWERS || 100% GUARANTEED PASS <BRAND NEW
VERSION 2025>
Module 3 – Cardiovascular & Peripheral Vascular Assessment
Q1.
A 58-year-old male presents with chest pain radiating to the left arm, dyspnea, and
diaphoresis. Which assessment finding most strongly suggests myocardial
infarction?
A. Sharp chest pain that worsens with inspiration
B. Mid-sternal pressure unrelieved by rest
C. Pain localized to one spot on palpation
D. Chest pain relieved by antacids
Answer:
B. Mid-sternal pressure unrelieved by rest
This is a classic sign of myocardial infarction (MI). MI-related pain is typically
, 2
described as pressure-like, not relieved by rest, and often radiates. It is not
typically reproducible by palpation or affected by digestive aids like antacids.
Q2.
Which physical exam technique best evaluates jugular venous pressure (JVP)?
A. Palpation with the patient supine
B. Observation with the patient sitting upright
C. Inspection with the head of bed at 30–45 degrees
D. Auscultation of the carotid artery
Answer:
C. Inspection with the head of bed at 30–45 degrees
Jugular venous distension is best evaluated with the patient reclining at 30–45
degrees. This position enhances visibility of the jugular veins and helps determine
right atrial pressure, often indicating fluid overload or heart failure.
Module 4 – Pulmonary & Abdominal Assessment
Q3.
During lung auscultation, a nurse practitioner hears coarse crackles in both lung
bases. This finding is most consistent with which condition?
, 3
A. Asthma
B. Bronchitis
C. Pneumonia
D. Congestive heart failure (CHF)
Answer:
D. Congestive heart failure (CHF)
Coarse crackles at the lung bases often indicate fluid accumulation, as seen in
CHF. Unlike the wheezing in asthma or the localized findings in pneumonia,
bilateral crackles are a hallmark of pulmonary edema in CHF.
Q4.
A 42-year-old complains of right upper quadrant pain, especially after fatty meals.
Which condition is most likely?
A. Gastritis
B. Cholelithiasis
C. Appendicitis
D. Irritable bowel syndrome
Answer:
B. Cholelithiasis
, 4
Pain in the right upper quadrant following fatty meals is a classic presentation of
gallstones (cholelithiasis). The fat triggers gallbladder contraction, which worsens
pain if stones are present. Appendicitis usually presents in the right lower quadrant.
Module 5 – Neurological & Musculoskeletal Assessment
Q5.
A positive Romberg test indicates which of the following?
A. Cerebellar dysfunction
B. Vestibular or proprioceptive deficit
C. Upper motor neuron lesion
D. Cranial nerve VII palsy
Answer:
B. Vestibular or proprioceptive deficit
The Romberg test evaluates balance and proprioception. If a patient becomes
unsteady when standing with eyes closed, it suggests a problem with
proprioception or vestibular function. Cerebellar dysfunction causes unsteadiness
with eyes open and closed.
