Midterml Exam:l NRl 509/l NR509l (Latestl
2026/l 2027l Update)l Advancedl Physicall Assessmentl Review|l Q/Al |l Gradel A|l 100%l Correctl (Verifiedl Answers)l - Chamberlain
Q:l Whatl isl thel 3rdl heartl sound?l Wherel doesl itl originate?
Answer:
Al low-frequencyl diastolicl soundl thatl originatesl inl thel ventricles.l Anl S3l soundl occursl duringl thel passivel fillingl phases.
Q:l Whatl heartl soundl isl causedl byl decelerationl ofl bloodl againstl ventricularl wall?
Answer:
S3
Q:l whichl agel groups/peoplel arel s3l heartl soundsl normal?
Answer:
childrenl andl youngl adults
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Q:l whichl partl ofl thel stethoscopel isl usedl tol hearl anl s3l heartl soundl best?
Answer:
bell
Q:l anl S3l heartl soundl isl suggestivel ofl whatl inl peoplel overl 40?
Answer:
anl enlargedl ventricularl chamber
Q:l Aorticl stenosis,l whatl isl it?l Bestl heardl where?
Answer:
al splitl S2l duringl expirationl thatl disappearsl onl inspiration.l Al mid-systolicl ejectionl murmurl thatl isl bestl heardl overl thel rightl 2ndl intercostall spacel (aorticl area)l thatl radiatesl intol thel rightl neck.
Q:l Al clientl presentsl withl increasingl dizzinessl andl fatigue.l Uponl auscultation,l thel NPl noticesl al splitl S2l duringl expirationl thatl disappearsl onl inspiration.l Whatl isl thel mostl likelyl causel ofl thel client'sl complaintsl ofl dizzinessl andl fatigue?
Answer:
Aorticl stenosis
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Q:l Jugularl venousl pressurel (JVP)l representsl what?
Answer:
Pressurel inl thel Rl atrium
Q:l Howl isl JVPl bestl assessed?
Answer:
Byl pulsationsl inl thel Rl internall jugularl vein
Q:l Howl isl ptl positionedl tol measurel JVP,l howl isl assessmentl completed?
Answer:
Supinel withl examl tablel 30l degrees,l examinel bothl sidesl ofl neck,l thenl turnl ptl headl slightlyl awayl froml sidel youl arel examining,l locatel externall jugularl vein,l thenl locatel internall venousl pulsationsl byl visualization.
Q:l Al 57-year-oldl maintenancel workerl comesl tol yourl officel forl evaluationl ofl painl inl hisl legs.l Hel hasl smokedl twol packsl perl dayl sincel thel agel ofl 16,l butl hel isl otherwisel healthy.l Youl arel concernedl thatl hel mayl havel peripherall vascularl disease.l Whichl symptoml isl concerning?
Answer:
intermittentl claudication
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