When auscultating a client's heart sounds, the nurse hears a louder S2 when listening at the 2nd intercostal space right sternal border. The nurse determines that this finding is consistent with the closure of which heart valves?

Pulmonic and tricuspid

Mitral and aortic

Aortic and pulmonic

Tricuspid and mitral

Answer and Explanation

The Correct Answer is C

A. Pulmonic and tricuspid: The tricuspid valve's closure is not primarily audible at the 2nd intercostal space right sternal border; it is better heard at the lower left sternal border.

B. Mitral and aortic: The mitral valve is best heard at the apex of the heart, not the 2nd intercostal space right sternal border.

C. Aortic and pulmonic: The 2nd intercostal space right sternal border is the area where the aortic and pulmonic valves are auscultated. The louder S2 here indicates the closure of these valves, with the aortic valve being the primary source of sound in this area.

D. Tricuspid and mitral: These valves are best heard at other locations, with the tricuspid valve near the lower left sternal border and the mitral valve at the apex.

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

Explanation

A. Rovsing sign: This sign involves pain in the right lower quadrant when palpating the left lower quadrant, indicating appendicitis.

B. Obturator sign: Pain on internal rotation of the hip when the knee is flexed can indicate irritation of the appendix.

C. Murphy sign: This sign is used to assess for cholecystitis, not appendicitis.

D. Psoas sign: Pain with extension of the right leg can indicate irritation of the appendix due to the psoas muscle.

A. Pancreatic cancer B. Acute pancreatitis C. Acid reflux D. Gastric ulcer

Correct Answer is C

Explanation

A. Pancreatic cancer: Typically associated with abdominal pain, weight loss, and jaundice rather than a burning sensation in the esophagus.

B. Acute pancreatitis: Causes severe abdominal pain, nausea, and vomiting, but not usually a burning sensation in the esophagus.

C. Acid reflux: Also known as gastroesophageal reflux disease (GERD), this condition commonly causes a burning sensation in the esophagus after eating.

D. Gastric ulcer: Generally causes pain in the upper abdomen and may be associated with indigestion, but not specifically a burning sensation in the esophagus.

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When auscultating a client's heart sounds, the nurse hears a louder S2 when listening at the 2nd intercostal space right sternal border. The nurse determines that this finding is consistent with the closure of which heart valves?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

When assessing for appendicitis, what signs might the nurse look for? (Select all that apply.)

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

Explanation

A client complains of a burning sensation in the esophagus after eating. Which associated condition should the nurse most suspect?

Correct Answer is C

Explanation

After teaching a group of students about blood flow through the heart, the instructor determines that the teaching was successful when the students state that after being received by the atria, the blood goes to which of the following?

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