Nr509 Advanced Physical Assessment Comprehensive Practice Ex

NR509 Advanced Physical Assessment COMPREHENSIVE PRACTICE EXAM 120 Questions 2025/2026 Edition | All Topics Covered | Answer Rationales Included Question 1 A 62-year-old male presents with complaints of exertional chest pressure that resolves with rest. During auscultation, you appreciate a soft, high-pitched decrescendo diastolic murmur best heard at the left sternal border. Which maneuver would MOST increase the intensity of this murmur? A. Handgrip exercise B. Valsalva maneuver C. Rapid squatting D. Standing abruptly Correct Answer-: A Rationale: This murmur is classic for aortic regurgitation. Handgrip exercise increases systemic vascular resistance, which increases aortic regurgitation and the intensity of the murmur. Valsalva and standing decrease preload and typically decrease most murmurs except HOCM and MVP. Question 2 A 55-year-old woman with a history of hypertension presents for routine examination. You note a sustained, nondisplaced left ventricular apical impulse. This finding is MOST consistent with: A. Left ventricular hypertrophy B. Left ventricular dilation C. Right ventricular hypertrophy D. Normal variant Correct Answer-: A Rationale: A sustained apical impulse (lasting through more than the first half of systole) indicates pressure overload of the left ventricle, as seen in hypertension or aortic stenosis. Left ventricular dilation would produce a displaced, diffuse PMI. Question