A thrill palpated in the right clavicular region or in the upper right sternal border area is suggestive of.
pulmonary valve stenosis.
aortic valve stenosis.
tetralogy of Fallot.
a ventricular septal defect.
The Correct Answer is B
Rationale:
A. Pulmonary valve stenosis typically produces a systolic murmur and thrill at the upper left sternal border.
B. A thrill palpated in the right clavicular region or upper right sternal border suggests aortic valve stenosis, as turbulent blood flow across a narrowed aortic valve produces a palpable vibration in this area.
C. Tetralogy of Fallot is characterized by a harsh systolic murmur at the left upper sternal border due to right ventricular outflow obstruction and does not typically produce a thrill at the right upper sternal border.
D. A ventricular septal defect generally produces a systolic murmur and thrill at the lower left sternal border, not the right upper sternal border.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Rationale:
A. Discussing suspected abuse with the caregivers could place the child at further risk and is not the first legal step.
B. Reporting suspected abuse to child protective services (CPS) is the nurse practitioner’s primary legal responsibility. Mandatory reporting laws require healthcare providers to notify authorities when child abuse is suspected, regardless of certainty.
C. Referring the family to support groups may be helpful later but does not fulfill the legal obligation to report.
D. Assisting the family with resources and support is appropriate after reporting, but the immediate priority is to ensure the child’s safety through mandatory reporting.
Correct Answer is D
Explanation
Rationale:
A. Wearing lap and shoulder belts is essential for all passengers, including children, to reduce injury risk in car accidents.
B. Bicycle helmets significantly decrease the risk of head injury and should always be worn by children while riding.
C. Children under 13 years of age are generally safer in the backseat than the front seat due to airbag risks.
D. Using a multipurpose lighter to ignite fireworks is unsafe and should never be recommended to children. Fireworks should only be handled by adults, and children should be taught not to light fireworks themselves to prevent burns, eye injuries, or accidental fires.
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