Exhibits

Heart sounds are loudest for Sl at the
dropdown
and for S2 at the
dropdown

Answer and Explanation

The Correct Answer is {"dropdown-group-1":"C","dropdown-group-2":"B"}

S1 (First Heart Sound): S1, often referred to as the "lub" sound, is loudest at the apex of the heart. This is because the apex, located at the bottom of the heart, is where the mitral and tricuspid valves close. The apex is generally found in the left fifth intercostal space, medial to the midclavicular line.
S2 (Second Heart Sound): S2, known as the "dub" sound, is loudest at the base of the heart. The base, located at the top of the heart, is where the aortic and pulmonic valves close. This location is where the sound of the closing of these valves is best heard, typically around the second intercostal space along the left and right sternal borders.

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Free Nursing Study Resources

Correct Answer is A

Explanation

A. Intranasal edema and swelling of the turbinates are common findings in allergic rhinitis, reflecting inflammation and congestion caused by allergens.
B. Eye tearing is a symptom associated with allergic rhinitis, but thick yellow nasal drainage is more indicative of an infection, such as bacterial sinusitis.
C. Snoring and bilateral, pale gray nodules could indicate nasal polyps, which can occur with chronic allergies but are not definitive of allergic rhinitis alone.
D. Purulent secretions from the eyes and nares suggest an infection rather than an allergic reaction.

A. Instruct the client in distraction and relaxation techniques. B. Obtain a prescription to catheterize the client's bladder. C. Notify the healthcare provider of the rebound tenderness. D. Offer to administer a laxative prescribed for PRN use.

Correct Answer is C

Explanation

A. Distraction and relaxation techniques may help manage general discomfort but are not appropriate when a specific physical finding, such as rebound tenderness, indicates a potential acute abdominal condition.
B. Catheterizing the bladder is not related to the finding of rebound tenderness, which is more likely indicative of an underlying condition such as appendicitis or peritonitis.
C. Rebound tenderness is a significant finding that can indicate peritoneal irritation, such as from appendicitis. The healthcare provider should be notified immediately so that further diagnostic evaluation and appropriate treatment can be initiated.
D. Administering a laxative without further assessment could exacerbate the condition if the underlying cause is an acute abdominal process, such as appendicitis, which requires surgical intervention rather than bowel stimulation.

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Exhibits Heart sounds are loudest for Sl at the dropdown and for S2 at the dropdown

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client is being evaluated for environmental allergies. While examining the client's nasal passage, which finding suggests to the nurse that the client is experiencing allergic rhinitis?

Correct Answer is A

Explanation

The nurse applies pressure over an area of the lower abdomen where the client reports pain. The client denies pain upon palpation but reports pain when the pressure is released. Which action should the nurse implement?

Correct Answer is C

Explanation

The nurse observes the presence of brittle, concave curves to the nails of a client on assessment. Which information should the nurse obtain from the client that may explain the appearance of the nails?

While interviewing a newly admitted older female client, the nurse observes that the client ignores questions asked by the nurse, and speaks loudly to her son who brought her to the hospital. Which action should the nurse implement first?

The nurse examines a client's right great toe. The joint is red, edematous, and very painful with limited range of motion. The client's serum uric acid levels are elevated. Which action should the nurse tell the client to make?

When systematically auscultating a client's anterior breath sounds, the nurse should begin by placing the stethoscope over which location?

During an abdominal assessment, a client with a temperature of 103° F (39.4° C) experiences pain and abruptly stops inhaling during deep palpation. Which prescription is most important for the nurse to implement?

The nurse completes palpation of the thoracic region on an adult client. Which finding is considered normal for this client?

Exhibits Nurse analyzes the assessment findings. Click to indicate which findings are indicative of rheumatoid arthritis or are not applicable to that disease. Each row must have only one response option selected.

Exhibits Complete the diagram by dragging from the choices area to specify which condition the client is most likely experiencing, two actions the nurse should take to address that condition, and two parameters the nurse should monitor to assess the client's progress.

Exhibits

Heart sounds are loudest for Sl at the
dropdown
and for S2 at the
dropdown