Exam 4 Practice Quiz

Companion to the NUR 120 Exam 4 Study Guide. About an hour.

The real exam is 40 points: “8 questions with skeletal figures and locating heart sounds – APETM” plus 32 multiple choice, with Sleep/Rest worth 6 questions. A fifth of the exam is pointing at a chest drawing, so this paper has 17 figure items — original chest drawings with numbered or lettered spots, laid out differently each time. The first two number the ribs, to teach the rule; every other figure is unlabelled, like the exam’s picture: no rib numbers, no space numbers, and the first rib hidden behind the collarbone as it is in life, so the only way in is to find the sternal angle (the ridge across the sternum, level with rib 2) and count down. On every figure the patient’s left is on your right. One more figure is a whole-body outline for the pulse sites, because the blueprint asks you to locate them.

Weighted like the blueprint: 61 cardiovascular items (the five listening sites both ways round, where S1 and S2 are louder and why, the chest-pain history, rubs, extra sounds, nocturia, cardiac output, the tests, the lipid profile and risk-reduction teaching), 45 peripheral vascular (pulse sites, their places on the body and grading, capillary refill, the P’s, arterial against venous, carotid bruit and venous hum, the Allen and valve tests, the lab-manual blood-pressure lines, VTE prevention, case JH), and 21 rest and sleep from the sleep deck. Blood flow has its own Quiz 3 paper, so it appears here only as what backs up when a valve or a side fails.

Starred items (about a third of the paper) are the ones a course document singles out: red text or a drawn mark in a deck (the cardiac deck’s PMI arrow and red chest-pain line, the PV deck’s red occlusion line, the sleep deck’s arrows and red lines), the tidbits handout’s bold “Know the 6 Ps”, the APETM sheets’ “you will be tested on this”, a blueprint line asked almost word for word, and what the instructor stressed aloud in the recorded peripheral vascular lecture — including that a normal pulse documented as 2+/4 “was a test question on a previous test.” Where several items test the same marked fact, only the one that tests it most directly carries the star.

How it works: pick an answer and the rationale appears immediately. Select-all questions need a Check click; ordering questions are answered by clicking the steps in sequence, with an Undo last if you mis-click. Fill-in blanks take a typed answer, or a click on a word in the bank under them, then Check. Nothing is saved when you close the page.

Two halves. Questions 1–67 are recall: every listening site by name, by description and on the figure, the rib landmarks, and the facts behind each blueprint line. Questions 68–127 are scenario and edge-case items, built on the shapes this course actually uses: ranking two abnormal findings, reading the same finding two opposite ways, deciding whether one finding really explains another, choosing a specific instruction over a vague but defensible one, classifying by mechanism rather than by feel, ordering actions where every option is correct, the distractor whose reasoning is usually right, and questions that ask two things at once. The second half is the harder practice.