The nurse is asked to describe what the heart sound S2 represents. What would be the correct response by the nurse?

Closure of the pulmonic and mitral valves

Closure of the tricuspid and mitral valves

Closure of the aortic and pulmonic valves

Closure of the aortic and mitral valves

Closure of the pulmonic and tricuspid valves

Answer and Explanation

The Correct Answer is C

A. The closure of the pulmonic and mitral valves corresponds to heart sound S1, not S2.
B. The tricuspid and mitral valves close with S1.
C. Heart sound S2 represents the closure of the aortic and pulmonic valves, signaling the end of systole and the beginning of diastole.
D. The mitral valve closes with S1, not S2.
E. The pulmonic and tricuspid valves do not correspond with S2.

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Correct Answer is ["A","C","D"]

Explanation

A. A febrile state indicates that the client may not be in an optimal condition to learn effectively, so postponing the session is appropriate.
B. Mild anxiety may not require postponement, as it can be addressed during teaching.
C. Nausea can significantly impair concentration and engagement in learning, warranting a delay.
D. A pain level of 8 out of 10 suggests significant discomfort, making it challenging for the client to focus on learning.
E. Asking questions indicates engagement and a readiness to learn, so this does not warrant postponing the session.

A. Call another nurse for help B. Give pain medication as ordered C. Call the admitting healthcare provider D. Tell client to remain calm E. Apply oxygen via nasal cannula as ordered

Correct Answer is E

Explanation

A. Calling another nurse for help is unnecessary unless additional assistance is required after initial interventions.
B. Giving pain medication as ordered may address the chest pain but does not address the immediate need for oxygenation.
C. Calling the admitting healthcare provider can be done later if symptoms do not improve, but the immediate priority is to improve oxygenation.
D. Telling the client to remain calm may help reduce anxiety but does not address the low oxygen saturation.
E. Applying oxygen via nasal cannula as ordered is the priority action to improve the client’s oxygen saturation and alleviate hypoxemia, which could be contributing to their chest pain.

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The nurse is asked to describe what the heart sound S2 represents. What would be the correct response by the nurse?

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Naxlex Comprehensive Predictor Exams

A nurse is preparing to teach clients. Which client finding will cause the nurse to postpone a teaching session? (Select all that apply)

Correct Answer is ["A","C","D"]

Explanation

A client was admitted 2 days ago with pneumonia. The client is now having chest pain. Vital signs are Temperature 37.2 C (98.9 F), Pulse 108, Blood pressure 160/90, respirator rate 24, and Oxygen Saturation 90%. What should the nurse do first?

Correct Answer is E

Explanation

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