NURS 5220 Advanced Health Assessment
Exam 1 NURS 5220 Advanced Health
Assessment Test Bank with 290 Questions
and Correct Answers with Rationales/ NURS
5220 Exam 1 M2 Review Test Bank- Correctly
Answered
Which of the following is true about auscultating the heart?
A) the diaphragm is better for picking up the sounds of S1 and S2 and the bell is
better for picking up the sounds of S3 and S4.
A+ TEST BANK 1
, NURS 5220 Advanced Health Assessment
B) The bell is better for picking up the sounds of S1 and S2 and the diaphragm is
better for picking up the sounds of S3 and S4.
C) The diaphragm is not necessary for accurate auscultation during the cardiac
exam.
D) The bell is not necessary for the cardiac exam, but it is necessary for accurate
auscultation during the abdominal exam. –
Correct Answer :A)
the diaphragm is better for picking up the sounds of S1 and S2 and the bell is
better for picking up the sounds of S3 and S4. (Bates, p390)
The nurse practitioner aucultates the heart and hears a murmur which she
documents as 4/6 at its loudest point. She means the murmur is:
A) moderately loud
B) very loud, with thrill. May be heard when the stethoscope is partly off the
chest.
C) loud with a palpable thrill.
D) quiet, but heard immediately after placing the stethoscope on the chest. –
Correct Answer :C) loud with a palpable thrill.
Grade 4 is loud with a palpable thrill (Bates, p396).
Physiologic splitting of the S2 in the 2nd and 3rd interspace, which is usually
accentuated by inspiration, is caused by:
A+ TEST BANK 2
, NURS 5220 Advanced Health Assessment
A) the closing of the aortic and pulmonic valves
B) the addition of the S4 sound
C) the addition of the S3 sound
D) the closing of the tricuspid and mitral valves –
Correct Answer :A) the closing of the aortic and pulmonic valves
Physiologic splitting of the S2 = closing of the aortic and pulmonic valves.
Usually, the pulmonic valve closure is too faint to be heart but at the apex. The
split is accentuated upon inspiration and disappears on expiration (Bates, p405).
When assessing a patient's lungs, the nurse recalls that the left lung:
A) is shorter than the right lung because of the underlying stomach.
B) is divided by the horizontal fissure.
C) consists of 2 lobes.
D) consists primarily of an upper lobe on the posterior chest. –
Correct Answer :C) consists of 2 lobes.
The left lung has 2 lobes, and the right lung has 3 lobes. The right lung is shorter
than the left lung because of the underlying LIVER. The left lung is narrower than
the right lung because the heart bulges to the left. The posterior chest is almost
all lower lobe (Bates, p307).
The primary muscles of respiration include the :
A+ TEST BANK 3
, NURS 5220 Advanced Health Assessment
A) trapezius and rectus abdominis.
B) sternomastoids and scaleni.
C) diaphragm and intercostals.
D) external obliques and pectoralis major. - Correct Answer :C) diaphragm and
intercostals.
The major muscle of respiration is the diaphragm. The intercostal muscles life
the sternum and elevate the ribs during inspiration, increasing the
anteroposterior diameter. Expiration is primarily passive. Forced inspiration
involves the use of other muscles, such as the accessory neck muscles
(sternomastoids, scalene, trapazii). Forced expiration involves the abdominal
muscles (Bates, p309).
When auscultating the lungs of an adult patient, the nurse practitioner notes
that over the posterior lower lobes low-pitched, soft breath sounds are heard,
with inspiration being longer than expiration. The nurse interprets that these
are:
A) bronchial breath sounds and are normal in that location
B) sounds normally auscultated over the trachea
C) vesicular breath sounds and are normal in that location
D) bronchovesicular breath sounds and are normal in that location –
Correct Answer :C) vesicular breath sounds and are normal in that location
Vesicular breath sounds are low-pitched, soft sounds with inspiration being
longer than expiration. These breath sounds are expected over peripheral lung
fields where air flows through smaller bronchioles and alveoli (Bates, p324)
A+ TEST BANK 4
Exam 1 NURS 5220 Advanced Health
Assessment Test Bank with 290 Questions
and Correct Answers with Rationales/ NURS
5220 Exam 1 M2 Review Test Bank- Correctly
Answered
Which of the following is true about auscultating the heart?
A) the diaphragm is better for picking up the sounds of S1 and S2 and the bell is
better for picking up the sounds of S3 and S4.
A+ TEST BANK 1
, NURS 5220 Advanced Health Assessment
B) The bell is better for picking up the sounds of S1 and S2 and the diaphragm is
better for picking up the sounds of S3 and S4.
C) The diaphragm is not necessary for accurate auscultation during the cardiac
exam.
D) The bell is not necessary for the cardiac exam, but it is necessary for accurate
auscultation during the abdominal exam. –
Correct Answer :A)
the diaphragm is better for picking up the sounds of S1 and S2 and the bell is
better for picking up the sounds of S3 and S4. (Bates, p390)
The nurse practitioner aucultates the heart and hears a murmur which she
documents as 4/6 at its loudest point. She means the murmur is:
A) moderately loud
B) very loud, with thrill. May be heard when the stethoscope is partly off the
chest.
C) loud with a palpable thrill.
D) quiet, but heard immediately after placing the stethoscope on the chest. –
Correct Answer :C) loud with a palpable thrill.
Grade 4 is loud with a palpable thrill (Bates, p396).
Physiologic splitting of the S2 in the 2nd and 3rd interspace, which is usually
accentuated by inspiration, is caused by:
A+ TEST BANK 2
, NURS 5220 Advanced Health Assessment
A) the closing of the aortic and pulmonic valves
B) the addition of the S4 sound
C) the addition of the S3 sound
D) the closing of the tricuspid and mitral valves –
Correct Answer :A) the closing of the aortic and pulmonic valves
Physiologic splitting of the S2 = closing of the aortic and pulmonic valves.
Usually, the pulmonic valve closure is too faint to be heart but at the apex. The
split is accentuated upon inspiration and disappears on expiration (Bates, p405).
When assessing a patient's lungs, the nurse recalls that the left lung:
A) is shorter than the right lung because of the underlying stomach.
B) is divided by the horizontal fissure.
C) consists of 2 lobes.
D) consists primarily of an upper lobe on the posterior chest. –
Correct Answer :C) consists of 2 lobes.
The left lung has 2 lobes, and the right lung has 3 lobes. The right lung is shorter
than the left lung because of the underlying LIVER. The left lung is narrower than
the right lung because the heart bulges to the left. The posterior chest is almost
all lower lobe (Bates, p307).
The primary muscles of respiration include the :
A+ TEST BANK 3
, NURS 5220 Advanced Health Assessment
A) trapezius and rectus abdominis.
B) sternomastoids and scaleni.
C) diaphragm and intercostals.
D) external obliques and pectoralis major. - Correct Answer :C) diaphragm and
intercostals.
The major muscle of respiration is the diaphragm. The intercostal muscles life
the sternum and elevate the ribs during inspiration, increasing the
anteroposterior diameter. Expiration is primarily passive. Forced inspiration
involves the use of other muscles, such as the accessory neck muscles
(sternomastoids, scalene, trapazii). Forced expiration involves the abdominal
muscles (Bates, p309).
When auscultating the lungs of an adult patient, the nurse practitioner notes
that over the posterior lower lobes low-pitched, soft breath sounds are heard,
with inspiration being longer than expiration. The nurse interprets that these
are:
A) bronchial breath sounds and are normal in that location
B) sounds normally auscultated over the trachea
C) vesicular breath sounds and are normal in that location
D) bronchovesicular breath sounds and are normal in that location –
Correct Answer :C) vesicular breath sounds and are normal in that location
Vesicular breath sounds are low-pitched, soft sounds with inspiration being
longer than expiration. These breath sounds are expected over peripheral lung
fields where air flows through smaller bronchioles and alveoli (Bates, p324)
A+ TEST BANK 4
