NR547 Week 2 CEA Pre-Clinical Diagnostic Exam

1.

A nurse obtains a lower-than-expected blood pressure reading while using a sphygmomanometer. Which factor is the most likely cause?

A. Oversized blood pressure cuff ✅
B. Patient in Trendelenburg position
C. Undersized blood pressure cuff
D. Arm placed below heart level

✔ Answer: A. Oversized blood pressure cuff

2.

Which statement correctly describes the timing of S1 and S2 heart sounds during the cardiac cycle?

A. Both occur during systole
B. S1 occurs with systole and S2 with diastole ✅
C. S1 occurs with diastole and S2 with systole
D. Both occur during diastole

✔ Answer: B. S1 occurs with systole and S2 with diastole

3.

During ECG interpretation, the S2 heart sound is most closely linked with which event?

A. Beginning of the P wave
B. Peak of the R wave
C. Completion of the T wave ✅
D. Beginning of the QRS complex

✔ Answer: C. Completion of the T wave

4.

The point of maximal impulse (PMI) is best associated with auscultation of which cardiac valve?

A. Pulmonic valve
B. Aortic valve
C. Mitral valve ✅
D. Tricuspid valve

✔ Answer: C. Mitral valve

5.

A patient says “ee” during lung assessment, but the provider hears a nasal “a” sound. What abnormal finding does this indicate?

A. Bronchophony
B. Whispered pectoriloquy
C. Egophony ✅
D. Stereognosis

✔ Answer: C. Egophony

6.

What information does thoracic percussion primarily provide during a respiratory assessment?

A. Presence of chest wall tenderness
B. Identification of tissue density changes ✅
C. Detection of cardiac ischemia
D. Localization of deep tumors

✔ Answer: B. Identification of tissue density changes ✅