The nurse is completing a cardiac assessment on a client. The pulmonic valve would best be assessed by auscultating at the:
second intercostal space, left sternal border.
third intercostal space, left sternal border.
second intercostal space, right sternal border
fourth intercostal space, left sternal border.
The Correct Answer is A
A. The pulmonic valve is best auscultated at the second intercostal space (ICS) on the left sternal border. This is where the area corresponding to the pulmonic valve is most accurately heard due to the anatomical positioning of the heart.

B. This area does not correspond to any valvular area.
C. This location corresponds to the aortic valve, not the pulmonic valve. The aortic valve is best auscultated at the second ICS, right sternal border.
D. This location corresponds to the tricuspid valve, not the pulmonic valve. The tricuspid valve is best auscultated at the fourth or fifth ICS along the left sternal border.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Giving a written warning is a serious disciplinary action that should only be considered after other steps to support and assist the assistant have been taken. It does not promote a supportive or constructive approach to resolving the issue.
B. This option involves the nurse providing guidance and support to the assistant. By acting as a role model, the nurse can demonstrate the correct way to approach the task and provide alternative solutions or techniques. This approach encourages learning and professional development for the assistant.
C. While this may temporarily resolve the issue, it does not address the assistant's competency or provide an opportunity for learning and growth. It may also undermine the assistant's confidence and independence in performing the task.
D. While providing another task might offer another chance for success, it does not directly address the current difficulty with the delegated task. The nurse should focus on addressing the specific challenge at hand before assigning additional tasks.
Correct Answer is D
Explanation
D. Processed foods, including canned soups, snacks, and pre-packaged meals, are major sources of dietary sodium. By avoiding processed foods, the client can significantly reduce their sodium intake and better adhere to a low-sodium diet.
A. While organic vegetables may be a healthy choice for other reasons (such as reducing pesticide exposure), canned vegetables, whether organic or not, often contain added sodium for preservation. Therefore, selecting canned vegetables, even if organic, may not align with the goal of reducing sodium intake.
B. This statement suggests an understanding of choosing lower-sodium options for sandwiches. Lean deli meats, such as turkey or chicken breast, typically contain less sodium compared to processed or cured meats like salami or bologna. Opting for lean deli meats supports the client's effort to reduce sodium intake as part of a low-sodium diet.
C. This statement indicates a misunderstanding of a low-sodium diet. Smoked meats, such as smoked ham or bacon, are often high in sodium due to the curing and smoking process. Including smoked meat products in the diet would likely increase sodium intake, which contradicts the goal of reducing sodium.
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