NUR 504 Verified Multiple Choice and
Conceptual Actual Exam Questions With
Reviewed 100% Correct Detailed Answers
Guaranteed Pass!!Current Update
1. A 45-year-old male presents with acute chest pain radiating to his left arm,
shortness of breath, and diaphoresis. Which is the most urgent differential
diagnosis to rule out?
A. Gastroesophageal reflux disease
B. Pneumonia
C. Acute myocardial infarction
D. Costochondritis
Correct Answer: C – Classic symptoms suggest an MI, which is life-
threatening.
2. Which of the following physical findings is normal in a 2-month-old infant?
A. Positive Babinski reflex
B. Negative red reflex
C. Palpable liver 5 cm below the costal margin
D. Cranial sutures fully fused
Correct Answer: A – Babinski is normal until 12–24 months; others are
abnormal.
3. A female Muslim patient avoids eye contact and declines to remove her
headscarf for the exam. What is the most appropriate nursing response?
A. Explain it is required for accurate assessment
B. Document noncompliance in her chart
C. Respect her preferences and offer a female provider
, D. Proceed with the exam without addressing it
Correct Answer: C – Respect and accommodate cultural norms whenever
possible.
4. You hear a loud systolic murmur at the second right intercostal space that
radiates to the neck. What is the most likely cause?
A. Aortic stenosis
B. Mitral regurgitation
C. Pulmonary stenosis
D. Tricuspid regurgitation
Correct Answer: A – Classic finding for aortic stenosis.
5. You auscultate a patient’s heart and hear an extra sound immediately after
S2, best heard with the bell at the apex in the left lateral decubitus position.
What is the most likely sound?
A. S3
B. S4
C. Opening snap
D. Split S2
Correct Answer: A – S3 is a low-pitched diastolic sound, associated with
fluid overload or heart failure.
6. A crescendo-decrescendo systolic murmur is heard best at the right upper
sternal border and radiates to the carotids. What condition is most likely?
A. Mitral valve prolapse
B. Aortic stenosis
C. Aortic regurgitation
D. Tricuspid regurgitation
Correct Answer: B – Aortic stenosis is classic for this murmur pattern.
,7. Which physical finding best correlates with elevated right-sided heart
pressure?
A. Bounding carotid pulses
B. Displaced apical impulse
C. Jugular venous distension at 45°
D. Systolic click
Correct Answer: C – JVD reflects elevated right atrial pressure, seen in right
heart failure.
8. In a healthy adult, the apical impulse (PMI) is normally found at:
A. 2nd left intercostal space, midclavicular line
B. 5th left intercostal space, midclavicular line
C. 4th right intercostal space, midclavicular line
D. 6th intercostal space, anterior axillary line
Correct Answer: B – This is the standard location for the point of maximal
impulse.
9. A pansystolic murmur is heard best at the apex and radiates to the axilla.
Which condition does this finding suggest?
A. Aortic stenosis
B. Mitral regurgitation
C. Tricuspid stenosis
D. Pulmonary regurgitation
Correct Answer: B – Classic finding for mitral regurgitation.
10.Which finding most clearly indicates arterial insufficiency in the lower
extremities?
A. Brown pigmentation around the ankles
B. Cool, shiny skin with hair loss
C. Non-pitting edema
, D. Warm, erythematous calves
Correct Answer: B – Hair loss and shiny skin suggest poor arterial perfusion.
11.Which condition is most associated with an audible S3 gallop in an adult?
A. Systemic hypertension
B. Aortic stenosis
C. Left ventricular failure
D. Mitral valve prolapse
Correct Answer: C – S3 in adults typically suggests fluid overload or heart
failure (left-sided).
12.An S4 heart sound is best associated with which of the following?
A. Ventricular septal defect
B. Diastolic heart failure
C. Mitral regurgitation
D. Pulmonic stenosis
Correct Answer: B – S4 is linked to a stiff, noncompliant left ventricle due to
hypertrophy or ischemia.
13.What is the classic auscultatory finding in mitral stenosis?
A. Opening snap followed by a diastolic rumble
B. Holosystolic murmur at the apex
C. Crescendo-decrescendo murmur at the base
D. S3 gallop in early diastole
Correct Answer: A – Mitral stenosis typically presents with an opening snap
and low-pitched diastolic murmur.
14.A 72-year-old woman presents with exertional dyspnea, fatigue, and a
systolic murmur. Which of the following findings would support a diagnosis
of aortic stenosis?
☐ Narrow pulse pressure
Conceptual Actual Exam Questions With
Reviewed 100% Correct Detailed Answers
Guaranteed Pass!!Current Update
1. A 45-year-old male presents with acute chest pain radiating to his left arm,
shortness of breath, and diaphoresis. Which is the most urgent differential
diagnosis to rule out?
A. Gastroesophageal reflux disease
B. Pneumonia
C. Acute myocardial infarction
D. Costochondritis
Correct Answer: C – Classic symptoms suggest an MI, which is life-
threatening.
2. Which of the following physical findings is normal in a 2-month-old infant?
A. Positive Babinski reflex
B. Negative red reflex
C. Palpable liver 5 cm below the costal margin
D. Cranial sutures fully fused
Correct Answer: A – Babinski is normal until 12–24 months; others are
abnormal.
3. A female Muslim patient avoids eye contact and declines to remove her
headscarf for the exam. What is the most appropriate nursing response?
A. Explain it is required for accurate assessment
B. Document noncompliance in her chart
C. Respect her preferences and offer a female provider
, D. Proceed with the exam without addressing it
Correct Answer: C – Respect and accommodate cultural norms whenever
possible.
4. You hear a loud systolic murmur at the second right intercostal space that
radiates to the neck. What is the most likely cause?
A. Aortic stenosis
B. Mitral regurgitation
C. Pulmonary stenosis
D. Tricuspid regurgitation
Correct Answer: A – Classic finding for aortic stenosis.
5. You auscultate a patient’s heart and hear an extra sound immediately after
S2, best heard with the bell at the apex in the left lateral decubitus position.
What is the most likely sound?
A. S3
B. S4
C. Opening snap
D. Split S2
Correct Answer: A – S3 is a low-pitched diastolic sound, associated with
fluid overload or heart failure.
6. A crescendo-decrescendo systolic murmur is heard best at the right upper
sternal border and radiates to the carotids. What condition is most likely?
A. Mitral valve prolapse
B. Aortic stenosis
C. Aortic regurgitation
D. Tricuspid regurgitation
Correct Answer: B – Aortic stenosis is classic for this murmur pattern.
,7. Which physical finding best correlates with elevated right-sided heart
pressure?
A. Bounding carotid pulses
B. Displaced apical impulse
C. Jugular venous distension at 45°
D. Systolic click
Correct Answer: C – JVD reflects elevated right atrial pressure, seen in right
heart failure.
8. In a healthy adult, the apical impulse (PMI) is normally found at:
A. 2nd left intercostal space, midclavicular line
B. 5th left intercostal space, midclavicular line
C. 4th right intercostal space, midclavicular line
D. 6th intercostal space, anterior axillary line
Correct Answer: B – This is the standard location for the point of maximal
impulse.
9. A pansystolic murmur is heard best at the apex and radiates to the axilla.
Which condition does this finding suggest?
A. Aortic stenosis
B. Mitral regurgitation
C. Tricuspid stenosis
D. Pulmonary regurgitation
Correct Answer: B – Classic finding for mitral regurgitation.
10.Which finding most clearly indicates arterial insufficiency in the lower
extremities?
A. Brown pigmentation around the ankles
B. Cool, shiny skin with hair loss
C. Non-pitting edema
, D. Warm, erythematous calves
Correct Answer: B – Hair loss and shiny skin suggest poor arterial perfusion.
11.Which condition is most associated with an audible S3 gallop in an adult?
A. Systemic hypertension
B. Aortic stenosis
C. Left ventricular failure
D. Mitral valve prolapse
Correct Answer: C – S3 in adults typically suggests fluid overload or heart
failure (left-sided).
12.An S4 heart sound is best associated with which of the following?
A. Ventricular septal defect
B. Diastolic heart failure
C. Mitral regurgitation
D. Pulmonic stenosis
Correct Answer: B – S4 is linked to a stiff, noncompliant left ventricle due to
hypertrophy or ischemia.
13.What is the classic auscultatory finding in mitral stenosis?
A. Opening snap followed by a diastolic rumble
B. Holosystolic murmur at the apex
C. Crescendo-decrescendo murmur at the base
D. S3 gallop in early diastole
Correct Answer: A – Mitral stenosis typically presents with an opening snap
and low-pitched diastolic murmur.
14.A 72-year-old woman presents with exertional dyspnea, fatigue, and a
systolic murmur. Which of the following findings would support a diagnosis
of aortic stenosis?
☐ Narrow pulse pressure
