NUR 2180 / NUR2180: Physical
Assessment Quiz - Cardiac (Latest
2025/ 2026) Rasmussen
Questions and Verified Answers | 100% Correct | Grade A
1. What are the expected findings when you auscultate the heart?
o ANS: Will listen in 5 places. Normal sounds are S1, S2 with the S2 sound being
heard more on the right side of the heart and S1 more on the left side. Apical
pulse should be felt near the mitral valve in the 4th/5th intercostal space.
▪ Explanation: Auscultation involves listening at five key areas (aortic,
pulmonic, Erb’s point, tricuspid, mitral). S1 (lub) is louder on the left
(mitral/tricuspid), S2 (dub) on the right (aortic/pulmonic). The apical pulse
is palpated near the mitral valve.
2. Where is the apical pulse heard?
o ANS: Mitral valve, 4th/5th intercostal space.
▪ Explanation: The apical pulse is located at the apex of the heart, typically
in the 5th intercostal space, midclavicular line, near the mitral valve.
3. What is the apical pulse?
o ANS: Pulse taken with a stethoscope near the apex of the heart.
▪ Explanation: The apical pulse is assessed by auscultating the heart’s
apex, reflecting the heart rate directly at the point of maximal impulse.
4. What is the order of listening to the heart?
o ANS: Aortic, pulmonic, Erb’s point, tricuspid, mitral.
▪ Explanation: This sequence follows the blood flow: aortic (right 2nd
intercostal space), pulmonic (left 2nd), Erb’s point (left 3rd), tricuspid (left
4th), mitral (left 5th midclavicular).
5. What is the grading of heart murmurs?
o ANS:
▪ Grade I: Barely audible
▪ Grade II: Clearly audible but faint
▪ Grade III: Moderately loud, easy to hear
▪ Grade IV: Loud, associated with thrill
▪ Grade V: Very loud, partly off chest
▪ Grade VI: Loudest, audible with stethoscope lifted off chest.
▪ Explanation: Murmurs are graded by intensity, with higher grades
indicating louder sounds and possible palpable vibrations (thrill).
6. Where are the location and sounds of the aortic valve?
o ANS: Right sternal border, 2nd intercostal space, S2 sounds prominent.
Assessment Quiz - Cardiac (Latest
2025/ 2026) Rasmussen
Questions and Verified Answers | 100% Correct | Grade A
1. What are the expected findings when you auscultate the heart?
o ANS: Will listen in 5 places. Normal sounds are S1, S2 with the S2 sound being
heard more on the right side of the heart and S1 more on the left side. Apical
pulse should be felt near the mitral valve in the 4th/5th intercostal space.
▪ Explanation: Auscultation involves listening at five key areas (aortic,
pulmonic, Erb’s point, tricuspid, mitral). S1 (lub) is louder on the left
(mitral/tricuspid), S2 (dub) on the right (aortic/pulmonic). The apical pulse
is palpated near the mitral valve.
2. Where is the apical pulse heard?
o ANS: Mitral valve, 4th/5th intercostal space.
▪ Explanation: The apical pulse is located at the apex of the heart, typically
in the 5th intercostal space, midclavicular line, near the mitral valve.
3. What is the apical pulse?
o ANS: Pulse taken with a stethoscope near the apex of the heart.
▪ Explanation: The apical pulse is assessed by auscultating the heart’s
apex, reflecting the heart rate directly at the point of maximal impulse.
4. What is the order of listening to the heart?
o ANS: Aortic, pulmonic, Erb’s point, tricuspid, mitral.
▪ Explanation: This sequence follows the blood flow: aortic (right 2nd
intercostal space), pulmonic (left 2nd), Erb’s point (left 3rd), tricuspid (left
4th), mitral (left 5th midclavicular).
5. What is the grading of heart murmurs?
o ANS:
▪ Grade I: Barely audible
▪ Grade II: Clearly audible but faint
▪ Grade III: Moderately loud, easy to hear
▪ Grade IV: Loud, associated with thrill
▪ Grade V: Very loud, partly off chest
▪ Grade VI: Loudest, audible with stethoscope lifted off chest.
▪ Explanation: Murmurs are graded by intensity, with higher grades
indicating louder sounds and possible palpable vibrations (thrill).
6. Where are the location and sounds of the aortic valve?
o ANS: Right sternal border, 2nd intercostal space, S2 sounds prominent.
