During a cardiovascular assessment, the nurse knows that a thrill is:
A murmur auscultated at the third intercostal space
A palpable vibration of rushing blood flow
Associated with ventricular hypertrophy
Palpated in the right epigastric area
The Correct Answer is B
A. A murmur auscultated at the third intercostal space:
A murmur is auscultated, not palpated. A thrill is tactile.
B. A palpable vibration of rushing blood flow:
A thrill is felt on palpation and often associated with grade 4+ murmurs or turbulent blood flow.
C. Associated with ventricular hypertrophy:
Thrills may occur with structural heart issues but are not diagnostic of hypertrophy itself.
D. Palpated in the right epigastric area:
The epigastric area is not a primary site for assessing thrills over the precordium.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. "Pain is not a normal process of aging and can indicate injury.":
Pain should always be assessed; it is not a typical or expected result of aging.
B. "Older adults must learn to tolerate pain.":
Incorrect and dismissive. Pain management is essential regardless of age.
C. "Pain is a normal process of aging and is to be expected.":
Misconception. Pain is often underreported in older adults but is not normal or acceptable.
D. "Older adults perceive pain to a lesser degree compared with younger individuals.":
False. Pain perception may change, but older adults still feel pain and may underreport it.
Correct Answer is A
Explanation
A. Peripheral vasoconstriction:
In response to cold, the body constricts peripheral vessels to preserve core temperature, leading to pale, cool skin.
B. Peripheral vasodilation:
Causes warm, flushed skin, not pale and cool.
C. Venous pooling:
Would lead to reddish-blue discoloration and possibly swelling-not pallor and coolness.
D. Decreased arterial perfusion:
Could cause pale and cool skin chronically, but in this case, it's an acute environmental response, not pathological.
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