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NURS 5050 Midterm- Cardiovascular Questions with Correct Answers
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A student states that a client has palpable rushing vibration in the area of the pulmonic valve. What should the instructor explain that the student is feeling? A. thrill B. thrust C. heave D. normal finding correct answer A Thrill- vibrations detected on palpitation caused by turbulent bl...

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  • August 6, 2024
  • 17
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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  • nurs 5050 midterm cardiovascular questions with c

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  • RN- Nursing
  • RN- Nursing

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NURS 5050 Midterm- Cardiovascular Questions with
Correct Answers
A student states that a client has palpable rushing vibration in the area of
the pulmonic valve. What should the instructor explain that the student
is feeling?


A. thrill
B. thrust
C. heave
D. normal finding correct answer✔✔ A


Thrill- vibrations detected on palpitation caused by turbulent blood flow
(causes may be incompetent valves, pulm HTN, or septal defects)


In order to palpate an apical pulse when performing a cardiac
assessment, where should the nurse place the fingers?


A. left midclavicular line at the third intercostal space
B. right of the midclavicular line at the third intercostal space
C. left midclavicular line at the fifth intercostal space
D. right of midclavicular line at the fifth intercostal space correct
answer✔✔ C


Point of maximal impulse/apical pulse located in 5th intercoastal space
at left mid-clavicular line

,A nurse is unable to palpate the apical impulse on a client. Which
assessment data in the client's history should the nurse recognize as the
reason for this finding?


A. Client has an increased chest diameter
B. Heart rate is irregular
C. Respiratory rate is too fast
D. Heart enlargement is present correct answer✔✔ A
The apical impulse may not be palpable in clients with increased
anteroposterior diameters.
Not D- Heart enlargement would displace the apical impulse but not
cause it to be nonpalpable.


A client is admitted for the new onset of heart failure. The nurse
recognizes that which finding is the earliest sign of heart failure?


A. Split S1 heard over the apex of the heart
B. Auscultation of an S3 heart sound
C. Grade III/VI systolic murmur
D. Jugular venous distention at 30 degrees correct answer✔✔ B


The development of a pathologic S3 may be the earliest sign of heart
failure. This sound signals resistance of the ventricles to filling.

, While auscultating the client's heart at the third intercostal space and on
the left sternal border, the nurse notes a high-pitched, scratchy sound
that increases with exhalation with the client leaning forward. How
would the nurse document the findings?


A. Pericardial friction rub
B. Mid-systolic click
C. Summation gallop
D. Aortic ejection click correct answer✔✔ A


A pericardial friction rub is best heard in the third intercostal space at the
left sternal border and is associated with a high-pitched, scratchy sound
caused by inflammation of the pericardial sac.


Where is Erb's point located?


A. 4th left rib space
B. 3rd right rib space
C. 4th right rib space
D. 3rd left rib space correct answer✔✔ D


A nurse cares for a client who suffered a myocardial infarction two (2)
days ago. A high pitched, scratchy, scraping sound is heard that increase
with exhalation and when the client leans forward. The nurse recognizes
this sound as a result of what process occurring within the pericardium?

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