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A mitral insufficiency/regurgitation murmur is classified as:

Flat murmur

Diastolic murmur

Absent murmur

Systolic murmur

Answer and Explanation

The Correct Answer is D

A. A flat murmur does not accurately describe the type of murmur associated with mitral insufficiency.

B. Mitral insufficiency is typically classified as a systolic murmur, not diastolic.

C. An absent murmur would indicate no audible sound, which is not applicable here.

D. Mitral insufficiency or regurgitation is characterized by a systolic murmur due to the backflow of blood from the left ventricle into the left atrium during systole.

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Correct Answer is A

Explanation

A. I: A grade I murmur is very faint and may not be heard immediately without careful listening. The description of a murmur heard immediately upon placing the stethoscope indicates it is a grade I.

B. X: There is no grade X in the standard grading scale for heart murmurs.

C. II: A grade II murmur is quiet but easily heard with a stethoscope and would generally be more audible than described.

D. III: A grade III murmur is moderately loud and would be heard without difficulty. The description suggests a quieter murmur.

A. Fourth intercostal space, left sternal border B. Second intercostal space, left sternal border C. Fifth intercostal space, left midclavicular line D. Third intercostal space left axillary line

Correct Answer is C

Explanation

C. Fifth intercostal space, left midclavicular line: The apical impulse, or point of maximal impulse (PMI), is typically palpated at the fifth intercostal space, left midclavicular line, where the apex of the heart is closest to the chest wall.

A. Fourth intercostal space, left sternal border: This location is not typically used for palpating the apical impulse; it is more relevant for auscultating heart sounds.

B. Second intercostal space, left sternal border: This location is used for auscultating the aortic and pulmonic valves.

D. Third intercostal space left axillary line: This is not a standard location for palpating the apical impulse.

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A mitral insufficiency/regurgitation murmur is classified as:

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Naxlex Comprehensive Predictor Exams

During chest auscultation, the nurse hears a quiet murmur immediately upon placing the stethoscope on the client's chest. The nurse interprets this as which grade?

Correct Answer is A

Explanation

The nurse is preparing to assess a client's apical impulse. The nurse would palpate at which location?

Correct Answer is C

Explanation

During a health history, a male client tells the nurse that he "can't breathe well" at night when he is lying down and has trouble sleeping because he wakes up with trouble breathing. The nurse would assess this client further for which of the following?

While completing the cardiovascular system health history, a client reports difficulty falling asleep unless she is in an upright position. Which of the following potential problems should the nurse further investigate?

A client complains of a burning sensation in the esophagus after eating. Which associated condition should the nurse most suspect?

The nurse knows screening test(s) for colorectal cancer detection according to recommendations from the American Cancer Society (2018) includes? (Select all that apply.)

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A positive Murphy's sign is indicative of?

While auscultating heart sounds, asking the client to turn onto a left lying position would help the nurse assess the presence of which of the following?

The nurse assesses the client as shown. What pulse is the nurse assessing?